Chapter 6. Care Coordination (Text Descriptions)

National Healthcare Disparities Report, 2011

Figure 6.1. Hospitalized adult patients with heart failure who were given complete written discharge instructions, by race/ethnicity, 2005-2009

Race / Ethnicity20052006200720082009
White (percent)58.669.576.682.286.3
Black (percent)56.768.175.881.786.4
Hispanic (percent)53.065.672.681.888.2
AI/AN (percent)48.259.765.069.876.3
Asian (percent)49.161.574.683.787.1

Source: Centers for Medicare & Medicaid Services, Quality Improvement Organization Program, 2005-2009.

Denominator: Hospitalized adult patients with a principal discharge diagnosis of heart failure.

Note: Complete written discharge instructions needed to address all of the following: activity level, diet, discharge medications, followup appointment, weight monitoring, and actions to take if symptoms worsen.
2008 Achievable Benchmark: 88%.

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Figure 6.2. Patients who reported that they always received test results, commercially insured adults ages 18 and over in primary care practices, by race/ethnicity and education, Massachusetts, 2007 and 2009

Race / Ethnicity20072009
White (percent)6970
Black (percent)6365
Hispanic (percent)5958
Asian (percent)5353

Education20072009
Total (percent)6869
<High School (percent)6467
High School Grad (percent)6869
Any College (percent)6968

Source: Massachusetts Health Quality Partners, Patient Experience Survey, 2007 and 2009.

Note: Respondents limited to patients who received a test in the past year.

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Figure 6.3. Parents of patients who reported that they always received test results, commercially insured children under age 18 in primary care practices, by race/ethnicity and parent's education, Massachusetts, 2007 and 2009

Race / Ethnicity20072009
White (percent)7173
Black (percent)5964
Hispanic (percent)6561
Asian (percent)5651

Parents' Education20072009
Total (percent)6970
<High School (percent)4758
High School Grad (percent)7069
Any College (percent)7070

Source: Massachusetts Health Quality Partners, Patient Experience Survey, 2007 and 2009.

Note: White, Black, and Asian populations are non-Hispanic. Respondents limited to patients who received a test in the past year. Education refers to the parents. Data were insufficient for this analysis for American Indians and Alaska Natives and Native Hawaiians and Other Pacific Islanders.

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Figure 6.4. Rehospitalization for congestive heart failure, by race/ethnicity and State, 12 States, 2008

StateWhiteBlackAPIHispanic
All States20.9%23.1%20.7%22.6%
State A13.9%--17.3%
State B17.6%---
State C18.5%19.1%--
State D18.1%-19.3%-
State E20.4%21.0%12.9%17.7%
State F20.5%24.8%20.3%21.2%
State G21.3%22.2%-22.5%
State H20.8%23.6%21.1%22.5%
State I21.5%22.1%--
State J20.7%25.9%-17.1%
State K21.7%23.8%25.4%26.1%
State L22.4%26.0%21.6%26.9%

Key: API = Asian or Pacific Islander.

Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases, 2008.

Denominator: Patients hospitalized for congestive heart failure.

Note: Some States had insufficient data for this analysis for Blacks, APIs, and Hispanics.

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Figure 6.5. People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors, by race and activity limitations, United States, 2002-2008

Race2002200320042005200620072008
White (percent)75.375.978.178.179.480.080.6
Black (percent)77.579.576.975.778.283.083.3
Asian (percent)67.574.276.078.574.276.373.6
NHOPI (percent)--79.386.4---
AI/AN (percent)71.080.977.475.782.276.975.0
> 1 Race (percent)73.576.675.572.276.877.774.7

Activity Limitations2002200320042005200620072008
Basic (percent)74.578.978.979.579.282.180.3
Complex (percent)75.979.280.581.081.081.880.8
Neither Basic nor Complex (percent)77.277.679.778.880.481.482.3

Key: AI/AN = American Indian or Alaska Native, NHOPI = Native Hawaiian or Other Pacific Islander.

Source: Agency for Healthcare Research and Quality, Center for Financing, Access, and Cost Trends, Medical Expenditure Panel Survey, 2002-2008.

Denominator: Civilian noninstitutionalized population who report a usual source of care.

Note: Data for NHOPIs were insufficient for analysis except in 2004 and 2005.

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Figure 6.6. Hospitals with electronic exchange of patient information on medication history, by teaching status and ownership, 2009

LocationHospitals in SystemHospitals Outside SystemAmbulatory Providers Outside System
Northeast72.715.629.2
Midwest72.914.332.2
South71.410.825.4
West73.815.024.9
MSA78.813.329.6
Non-MSA63.213.526.2

Source: American Hospital Association Annual Survey Information Technology Supplement, 2009.

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Figure 6.7. Potentially avoidable emergency department encounters for asthma, among adults, by income and by geographic location, and among children, by income and by geographic location, 2008

Income QuartileAdults, ED Visit Plus HospitalizationAdults, ED Visit No Hospitalization
Total (rate per 100,000 pop.)106.8406.5
First Quartile (Lowest Income) (rate per 100,000 pop.)168.6614.1
Second Quartile (rate per 100,000 pop.)108.6452.2
Third Quartile (rate per 100,000 pop.)86.5330.4
Fourth Quartile (Highest Income) (rate per 100,000)70.4239.2

Income QuartileChildren, ED Visit Plus HospitalizationChildren, ED Visit No Hospitalization
Total (rate per 100,000 pop.)98.3778.2
First Quartile (Lowest Income) (rate per 100,000 pop.)143.71136.2
Second Quartile (rate per 100,000 pop.)101.0810.9
Third Quartile (rate per 100,000 pop.)80.4675.8
Fourth Quartile (Highest Income) (rate per 100,000 pop.)63.5459.8

Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2008.

Denominator: U.S. population.

Note: Annual rates are adjusted for age and gender.

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Page last reviewed April 2012
Internet Citation: Chapter 6. Care Coordination (Text Descriptions): National Healthcare Disparities Report, 2011. April 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhdr11/chap6txt.html