List of Core Report Measures

National Healthcare Quality Report, 2008

List of Core Report Measures

Measure	2008 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])	1.3.1	2005	55.5	NHIS	BRFSS
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over	1.3.4	2005	80.8	SEER	NPCR
Cancer treatment:
Colorectal cancer deaths per 100,000 population per year	1.3.6	2005	17.5	NVSS-M	NVSS-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)	2.1.1	2005	40.1	MEPS	n.a.
Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes	2.3.4	2004-2006	3.8	NHDS	n.a.
End Stage Renal Disease
Management of end stage renal disease:
Dialysis patients under age 70 who were registered on a waiting list for transplantation	3.1.1	2004	15.4	USRDS	USRDS
Adult hemodialysis patients with adequate dialysis (urea reduction ratio 65% or greater)	3.1.3	2006	87.0	ESRD Clinical Performance Measures Project	U Michigan
Heart Disease
Counseling on risk factors:
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking	4.1.4	2005	64.5	MEPS	BRFSS
Adults with obesity who ever received advice from a health provider to exercise more	4.1.6	2005	58.3	MEPS	n.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)	4.2.1	2006	95.2	QIO	QIO+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)	4.3.1	2006	89.2	QIO	QIO+HC
Heart disease treatment:
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI)	4.2.8	2005	77.5	HCUP NIS	n.a
HIV and AIDS
AIDS prevention:
New AIDS cases per 100,000 population age 13 and over	5.2.1	2006	14.9	CDC AIDS	n.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 trimester	6.1.1	2005	83.9	NVSS-N	NVSS-N
Infant deaths per 1000 live births, birth weight <1,500 g	6.1.3	2004	6.8	NVSS	NVSS
Childhood immunization:
Composite measure: Children ages 19-35 months who received all recommended vaccines	6.2.1	2006	80.6	NIS	NIS
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 have	6.3.2	2005	34.8	MEPS	n.a.
Children ages 2-17 for whom a health provider ever gave advice about healthy eating	6.3.3	2005	54.5	MEPS	n.a.
Children ages 3-6 who ever had their vision checked by a health provider	6.3.4	2005	60.2	MEPS	n.a.
Mental Health and Substance Abuse
Treatment of depression:
Suicide deaths per 100,000 population	7.1.1	2005	10.9	NVSS-M	NVSS-M
Adults with major depressive episode in the last 12 months who received treatment	7.1.5	2006	69.1	SAMHSA-NSDUH	n.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 months	7.2.1	2006	20.3	SAMHSA-NSDUH	n.a.
Respiratory Diseases
Pneumococcal vaccination:
Adults age 65 and over who ever received pneumococcal vaccination	8.1.5	2006	57.3	NHIS	BRFSS
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)	8.2.1	2006	80.4	QIO	QIO
Treatment of upper respiratory infection:
Visits with antibiotics prescribed for a diagnosis of common cold per 10,000 population	8.2.8	2005-2006	90.9	NAMCS-NHAMCS-	n.a.
Treatment of tuberculosis:
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment	8.2.9	2004	81.9	CDC TB	n.a.
Management of asthma:
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler)	8.3.1	2005	32.2	MEPS	n.a.
Nursing Home and Home Health Care
Nursing facility care:
Long-stay nursing home residents with physical restraints	9.1.2	2006	6.0	MDS	MDS
High-risk, long-stay nursing home residents with pressure sores	9.1.8	2006	12.5	MDS	MDS
Short-stay nursing home residents with pressure sores	9.1.15	2006	2.4	MDS	MDS
Home health care:
Adult home health care patients whose ability to walk or move around improved	9.2.4	2006	41.2	OASIS	OASIS
Adult home health care patients who were admitted to the hospital	9.2.8	2006	28.3	OASIS	OASIS
Patient Safety
Postoperative complications:
Composite measure: Adult surgery patients with postoperative complications (postoperative pneumonia or venous thromboembolic event)	10.1.1	2006	2.7	MPSMS	n.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)	10.1.5	2006	80.9	QIO	QIO
Composite measure: Bloodstream infections or mechanical adverse events per 1,000 central venous catheter placements	10.2.1	2006	5.8	MPSMS	n.a.
Complications of medication:
Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year	10.3.1	2005	17.1	MEPS	n.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 months	11.1.3	2005	15.1	MEPS	NCBD
Waiting time:
Emergency department visits in which patients left without being seen	11.2.2	2005-2006	2.0	NHAMCS	n.a.
Patient Centeredness
Patient experience of care:
Composite measure: Adult ambulatory patients who reported poor communication with health providers	12.1.1	2005	9.7	MEPS	NCBD
Composite measure: Children with ambulatory visits whose parents reported poor communication with health providers	12.1.2	2005	5.5	MEPS	NCBD

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