Chapter 1. Introduction and Methods (continued, 2)

National Healthcare Disparities Report, 2010

Table 1.3. Core measures included in the 2010 NHQR and NHDR, by measure characteristic

Measure	Dimension or Type of Care					Composite Measure
Measure	Access	Prevention	Acute Care	Chronic Care	Outcome	Composite Measure
Effectiveness
Cancer (alternating measures)^xiii
Adults age 50 and over who ever received colorectal cancer screening		√				√
Rate of advanced stage colorectal cancer per 100,000 adults age 50 and over		√			√
Diabetes
Hospital admissions for lower extremity amputations per 1,000 adult patients with diagnosed diabetes					√
Adults age 40 and over with diagnosed diabetes who received all three recommended services for diabetes in the calendar year (hemoglobin A1c measurement, dilated eye examination, and foot examination)				√		√
End Stage Renal Disease
Adult hemodialysis patients with adequate dialysis (urea reduction ratio 65% or greater)				√	√
Dialysis patients under age 70 who were registered on a waiting list for transplantation				√
Heart Disease
Hospital patients with heart attack and left ventricular systolic dysfunction who received ACE inhibitor or ARB			√
Hospital patients with heart failure who received recommended hospital care (evaluation of left ventricular ejection fraction and ACE inhibitor or ARB prescription at discharge, if indicated)			√			√
Deaths per 1,000 adult hospital admissions with heart attack					√
HIV/AIDS
New AIDS cases per 100,000 population age 13 and over					√
Maternal and Child Health
Women who completed a pregnancy in the last 12 months who first received prenatal care in the first trimester*		√
Children ages 19-35 months who received all recommended vaccines		√
Children ages 3-6 who ever had their vision checked by a health provider (alternating measure)		√
Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should have		√
Children ages 2-17 for whom a health provider ever gave advice about healthy eating		√
Infant deaths per 1,000 live births, birth weight less than 1,500 g*					√
Mental Health and Substance Abuse
Adults with a major depressive episode in the last 12 months who received treatment for depression			√
People age 12 and over who needed treatment for illicit drug use or an alcohol problem and who received such treatment at a specialty facility in the last 12 months			√
Suicide deaths per 100,000 population		√			√
Respiratory Diseases
Adults age 65 and over who ever received pneumococcal vaccination		√
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler)				√
Hospital patients with pneumonia who received recommended hospital care (initial antibiotics within 6 hours of hospital arrival; antibiotics consistent with current recommendations; blood culture before antibiotics are administered; influenza vaccination status assessment/vaccine provision; and pneumococcal vaccination status assessment/vaccine provision			√			√
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment			√		√
Lifestyle Modification
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking		√
Adults with obesity who ever received advice from a health provider to exercise more		√
Functional Status Preservation and Rehabilitation
Older women who reported ever being screened for osteoporosis		√
Adult home health care patients whose ability to walk or move around improved				√	√
Long-stay nursing home residents whose need for help with daily activities increased				√	√
Supportive and Palliative Care
Adult home health care patients with shortness of breath				√	√
High-risk long-stay nursing home residents with pressure sores				√	√
Short-stay nursing home residents with pressure sores				√	√
Long-stay nursing home residents with physical restraints				√
Patient Safety
Adult surgery patients who received appropriate timing of antibiotics (prophylactic antibiotics begun at the right time and ended at the right time)			√			√
Adults age 65 and over who received potentially inappropriate prescription medications			√		√
Adult surgery patients with postoperative complications					√
Bloodstream infections or mechanical adverse events associated with central venous catheter placement					√
Deaths per 1,000 discharges potentially resulting from care (failure to rescue)					√
Timeliness
Adults who needed care right away for an illness, injury, or condition in the last 12 months who got care as soon as wanted					√
Emergency department visits in which patients left without being seen					√
Patient Centeredness
Children with ambulatory visits whose parents reported poor communication with health providers					√	√
Adults with ambulatory visits who reported poor communication with health providers					√	√
Access
People under age 65 with health insurance	√
People under age 65 who were uninsured all year	√
People with a usual primary care provider	√
People without a usual source of care who indicated a financial or insurance reason for not having a source of care	√
People with a specific source of ongoing care	√
People who were unable to get or delayed in getting needed medical care, dental care, or prescription medicines in the last 12 months	√					√

^xiii Cancer measures alternate by year. Data on colorectal cancer are presented in "even year" reports, and data on breast cancer are presented in "odd year" reports.
* No new data

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Page last reviewed October 2014

Internet Citation: Chapter 1. Introduction and Methods (continued, 2): National Healthcare Disparities Report, 2010. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhdr10/Chap1b.html