Acknowledgements

Chapter 6 (Text Descriptions)

National Healthcare Quality Report, 2011



Figure 6.1. Hospitalized adult patients with heart failure who were given complete written discharge instructions, by age and gender, 2005-2009

Age 2005 2006 2007 2008 2009
<65 56.7% 68.0% 75.4% 81.8% 86.2%
65-74 57.2% 68.6% 75.8% 81.8% 86.1%
75-84 58.2% 69.3% 76.5% 82.4% 86.5%
85+ 57.5% 68.9% 76.4% 82.1% 86.8%



Gender 2005 2006 2007 2008 2009
Male 58.3% 69.6% 76.8% 82.7% 86.9%
Female 56.4% 67.8% 75.1% 81.3% 85.9%

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, that their personal doctor always seemed informed and up to date about care received from specialist doctors, and that other providers at their doctor's office always had all the information they needed, commercially insured adults ages 18-64, Massachusetts, 2007 and 2009

Information Provided 2007 2009
Patient Informed of Test Results 68% 69%
Doctor Informed About Care From Specialists 57% 59%
Other Providers Given Enough Information 51% 55%

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

Denominator: Commercially insured adults ages 18-64 in primary care practices with at least three doctors.

Note: Respondents limited to patients who received particular services in the past year: had a test, had a referral to a specialist, or saw another provider in their doctor's office.

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Figure 6.3. Parents who reported that they always received test results for their child, that their child's personal doctor always seemed informed and up to date about care received from specialist doctors, and that other providers at their child's doctor's office always had all the information they needed, commercially insured children under age 18, Massachusetts, 2007 and 2009

Information Provided 2007 2009
Parent informed of child's test results 69% 70%
Doctor informed about care from specialists 61% 64%
Other providers given enough information 59% 61%

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

Denominator: Commercially insured children under age 18 in primary care practices with at least three doctors.

Note: Respondents limited to parents of patients who received particular services in the past year: had a test, had a referral to a specialist, or saw another provider in their doctor's office.

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Figure 6.4. Rehospitalization for congestive heart failure, by age and State, 15 States, 2008

State Total 18-64 65+
All States 21.2% 21.4% 21.1%
State A 13.9% 16.0% 13.2%
State B 16.9% 15.5% 17.3%
State C 17.7% 21.7% 16.9%
State D 18.5% 19.4% 18.3%
State E 18.8% 18.8% 18.8%
State F 18.8% 14.9% 20.6%
State G 20.0% 20.4% 19.8%
State H 20.5% 19.6% 20.8%
State I 21.2% 22.2% 20.9%
State J 21.4% 21.2% 21.5%
State K 21.5% 22.6% 21.1%
State L 21.6% 20.4% 22.1%
State M 21.7% 22.3% 21.4%
State N 22.6% 22.3% 22.7%
State O 22.8% 21.9% 23.0%

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

Denominator: Patients hospitalized for congestive heart failure.

Note: For this measure, lower rates are better.

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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 age and insurance, United States, 2002-2008

Age 2002 2003 2004 2005 2006 2007 2008
Total 75.1% 76.4% 77.8% 77.7% 79.0% 80.1% 80.5%
0-17 71.1% 72.8% 73.8% 74.5% 75.9% 76.6% 76.8%
18-44 77.4% 78.4% 80.4% 79.6% 81.4% 83.0% 82.5%
45-64 77.5% 77.1% 79.9% 79.7% 80.4% 80.8% 82.3%
65+ 74.1% 77.8% 76.6% 76.3% 77.6% 79.9% 80.2%



Insurance Type 2002 2003 2004 2005 2006 2007 2008
Medicare and Private 75.0% 78.0% 76.5% 77.0% 78.0% 80.7% 82.2%
Medicare and Other Public 75.3% 80.0% 80.0% 80.8% 78.6% 80.2% 80.8%
Medicare Only 72.0% 76.6% 75.5% 73.0% 76.4% 78.1% 77.2%

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.

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

Hospital Types Hospitals in System Hospitals Outside System Ambulatory Providers Outside System
Total 79.8% 12.7% 36.3%
For Profit 72.6% 9.4% 19.6%
Nonprofit 74.7% 13.6% 32.0%
Federal 96.0% 27.7% 13.2%
Non-Federal 59.6% 12.0% 23.0%
GME 82.0% 16.2% 31.2%
No GME 68.8% 12.3% 27.1%
<100 Beds 68.2% 14.8% 23.7%
100-399 Beds 73.6% 12.1% 30.4%
400+ Beds 82.5% 13.9% 32.9%

Key: GME = graduate medical education program (also knows as residency program).

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 age, and among children, by gender and by age, 2008

Age Adult ED Visit Plus Hospitalization Adult ED Visit No Hospitalization
Total (rate per 100,000 pop.) 106.8 406.5
18-44 (rate per 100,000 pop.) 61.7 518
45-64 (rate per 100,000 pop.) 130.2 338.6
65-69 (rate per 100,000 pop.) 167 218.2
70-74 (rate per 100,000 pop.) 194.9 193.9
75-79 (rate per 100,000 pop.) 215.8 169.6
80-84 (rate per 100,000 pop.) 240.3 163.3
85+ (rate per 100,000 pop.) 239 126.2



Gender / Age Children ED Visit Plus Hospitalization Children ED Visit No Hospitalization
Total (rate per 100,000 pop.) 93.1 759.4
Female (rate per 100,000 pop.) 73.1 602.5
Male (rate per 100,000 pop.) 112.1 909.1
0-4 (rate per 100,000 pop.) 200.7 1233.1
5-9 (rate per 100,000 pop.) 106.0 872.9
10-14 (rate per 100,000 pop.) 54.0 555.9
15-17 (rate per 100,000 pop.) 35.0 461.7

Key: ED = emergency department.

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 October 2014
Internet Citation: Chapter 6 (Text Descriptions). October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqr11/chap6txt.html