List of Core Report Measures

National Healthcare Quality Report, 2008


List of Core Report Measures

Measure2008
Measure
Number
Year of Most
Recent Data
National
Estimate
National
Database
State
Database
Effectiveness of Care
Cancer
Screening for colorectal cancer:
Composite measure: Adults age 50 and over who received colorectal cancer screening (colonoscopy, sigmoidoscopy, proctoscopy, or (in the last 2 years) fecal occult blood test [FOBT])1.3.1200555.5NHISBRFSS
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over1.3.4200580.8SEERNPCR
Cancer treatment:
Colorectal cancer deaths per 100,000 population per year1.3.6200517.5NVSS-MNVSS-M
Diabetes
Management of diabetes:
Composite measure: 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)2.1.1200540.1MEPSn.a.
Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes2.3.42004-20063.8NHDSn.a.
End Stage Renal Disease
Management of end stage renal disease:
Dialysis patients under age 70 who were registered on a waiting list for transplantation3.1.1200415.4USRDSUSRDS
Adult hemodialysis patients with adequate dialysis (urea reduction ratio 65% or greater)3.1.3200687.0ESRD Clinical Performance Measures ProjectU Michigan
Heart Disease
Counseling on risk factors:
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking4.1.4200564.5MEPSBRFSS
Adults with obesity who ever received advice from a health provider to exercise more4.1.6200558.3MEPSn.a
Treatment of acute myocardial infarction (AMI):
Composite measure: Hospital patients with heart attack who received recommended hospital care (aspirin and beta blocker within 24 hours of admission, aspirin and beta blocker prescriptions at discharge, and smoking cessation counseling while hospitalized)4.2.1200695.2QIOQIO+HC
Treatment of acute heart failure:
Composite measure: 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, for left ventricular systolic dysfunction)4.3.1200689.2QIOQIO+HC
Heart disease treatment:
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI)4.2.8200577.5HCUP NISn.a
HIV and AIDS
AIDS prevention:
New AIDS cases per 100,000 population age 13 and over5.2.1200614.9CDC AIDSn.a
Maternal and Child Health
Maternity care:
Women who completed a pregnancy in the last 12 months who first received prenatal care in the first trimester6.1.1200583.9NVSS-NNVSS-N
Infant deaths per 1000 live births, birth weight <1,500 g6.1.320046.8NVSSNVSS
Childhood immunization:
Composite measure: Children ages 19-35 months who received all recommended vaccines6.2.1200680.6NISNIS
Childhood preventive care:
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 have6.3.2200534.8MEPSn.a.
Children ages 2-17 for whom a health provider ever gave advice about healthy eating6.3.3200554.5MEPSn.a.
Children ages 3-6 who ever had their vision checked by a health provider6.3.4200560.2MEPSn.a.
Mental Health and Substance Abuse
Treatment of depression:
Suicide deaths per 100,000 population7.1.1200510.9NVSS-MNVSS-M
Adults with major depressive episode in the last 12 months who received treatment7.1.5200669.1SAMHSA-NSDUHn.a.
Treatment of substance abuse:
People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months7.2.1200620.3SAMHSA-NSDUHn.a.
Respiratory Diseases
Pneumococcal vaccination:
Adults age 65 and over who ever received pneumococcal vaccination8.1.5200657.3NHISBRFSS
Treatment of pneumonia:
Composite measure: Hospital patients with pneumonia who received recommended hospital care (blood cultures collected before antibiotics are administered, initial antibiotic dose within 4 hours of hospital arrival and consistent with current recommendations, and influenza and pneumococcal screening or vaccination)8.2.1200680.4QIOQIO
Treatment of upper respiratory infection:
Visits with antibiotics prescribed for a diagnosis of common cold per 10,000 population8.2.82005-200690.9NAMCS-NHAMCS-n.a.
Treatment of tuberculosis:
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment8.2.9200481.9CDC TBn.a.
Management of asthma:
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler)8.3.1200532.2MEPSn.a.
Nursing Home and Home Health Care
Nursing facility care:
Long-stay nursing home residents with physical restraints9.1.220066.0MDSMDS
High-risk, long-stay nursing home residents with pressure sores9.1.8200612.5MDSMDS
Short-stay nursing home residents with pressure sores9.1.1520062.4MDSMDS
Home health care:
Adult home health care patients whose ability to walk or move around improved9.2.4200641.2OASISOASIS
Adult home health care patients who were admitted to the hospital9.2.8200628.3OASISOASIS
Patient Safety
Postoperative complications:
Composite measure: Adult surgery patients with postoperative complications (postoperative pneumonia or venous thromboembolic event)10.1.120062.7MPSMSn.a.
Composite measure: Adult surgery patients who received appropriate timing of antibiotics (prophylactic antibiotics begun at the right time and ended at the right time)10.1.5200680.9QIOQIO
Composite measure: Bloodstream infections or mechanical adverse events per 1,000 central venous catheter placements10.2.120065.8MPSMSn.a.
Complications of medication:
Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year10.3.1200517.1MEPSn.a.
Timeliness
Getting appointments for care:
Adults who sometimes or never got care right away for an illness, injury or condition in the last 12 months11.1.3200515.1MEPSNCBD
Waiting time:
Emergency department visits in which patients left without being seen11.2.22005-20062.0NHAMCSn.a.
Patient Centeredness
Patient experience of care:
Composite measure: Adult ambulatory patients who reported poor communication with health providers12.1.120059.7MEPSNCBD
Composite measure: Children with ambulatory visits whose parents reported poor communication with health providers12.1.220055.5MEPSNCBD

Key to Database Abbreviations:

BRFSS = Behavioral Risk Factor Surveillance System
CDC AIDS = Centers for Disease Control and Prevention HIV/AIDS Surveillance System
CDC TB = Centers for Disease Control and Prevention National Tuberculosis Surveillance System
ESRD = End Stage Renal Disease
HCUP NIS = Healthcare Cost and Utilization Project Nationwide Inpatient Sample
MDS = Medicare Minimum Data Set
MEPS = Medical Expenditure Panel Survey
MPSMS = Medicare Patient Safety Monitoring System
n.a. = not applicable
NAMCS-NHAMCS = National Ambulatory Medical Care Survey-National Hospital Ambulatory Medical Care Survey
NCBD = National CAHPS® Benchmarking Database
NHDS = National Hospital Discharge Survey
NHIS = National Health Interview Survey
NIS = National Immunization Survey
NPCR = National Program of Cancer Registries
NVSS-M = National Vital Statistics System—Mortality
NVSS-N = National Vital Statistics System—Natality
OASIS = Centers for Medicare & Medicaid Services Outcome and Assessment Information Set
QIO = Quality Improvement Organization Program
QIO + HC = Quality Improvement Organization Program and Hospital Compare
SAMSHA-NSDUH = Substance Abuse and Mental Health Services Administration National Survey on Drug Use and Health
SEER = Surveillance, Epidemiology, and End Results Program
USRDS = United States Renal Data System
U. Michigan = University of Michigan Kidney Epidemiology and Cost Center

Current as of March 2009
Internet Citation: List of Core Report Measures: National Healthcare Quality Report, 2008. March 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqr08/Core.html