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

Age20052006200720082009
<6556.7%68.0%75.4%81.8%86.2%
65-7457.2%68.6%75.8%81.8%86.1%
75-8458.2%69.3%76.5%82.4%86.5%
85+57.5%68.9%76.4%82.1%86.8%

Gender20052006200720082009
Male58.3%69.6%76.8%82.7%86.9%
Female56.4%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 Provided20072009
Patient Informed of Test Results68%69%
Doctor Informed About Care From Specialists57%59%
Other Providers Given Enough Information51%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 Provided20072009
Parent informed of child's test results69%70%
Doctor informed about care from specialists61%64%
Other providers given enough information59%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

StateTotal18-6465+
All States21.2%21.4%21.1%
State A13.9%16.0%13.2%
State B16.9%15.5%17.3%
State C17.7%21.7%16.9%
State D18.5%19.4%18.3%
State E18.8%18.8%18.8%
State F18.8%14.9%20.6%
State G20.0%20.4%19.8%
State H20.5%19.6%20.8%
State I21.2%22.2%20.9%
State J21.4%21.2%21.5%
State K21.5%22.6%21.1%
State L21.6%20.4%22.1%
State M21.7%22.3%21.4%
State N22.6%22.3%22.7%
State O22.8%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

Age2002200320042005200620072008
Total75.1%76.4%77.8%77.7%79.0%80.1%80.5%
0-1771.1%72.8%73.8%74.5%75.9%76.6%76.8%
18-4477.4%78.4%80.4%79.6%81.4%83.0%82.5%
45-6477.5%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 Type2002200320042005200620072008
Medicare and Private75.0%78.0%76.5%77.0%78.0%80.7%82.2%
Medicare and Other Public75.3%80.0%80.0%80.8%78.6%80.2%80.8%
Medicare Only72.0%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 TypesHospitals in SystemHospitals Outside SystemAmbulatory Providers Outside System
Total79.8%12.7%36.3%
For Profit72.6%9.4%19.6%
Nonprofit74.7%13.6%32.0%
Federal96.0%27.7%13.2%
Non-Federal59.6%12.0%23.0%
GME82.0%16.2%31.2%
No GME68.8%12.3%27.1%
<100 Beds68.2%14.8%23.7%
100-399 Beds73.6%12.1%30.4%
400+ Beds82.5%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

AgeAdult ED Visit Plus HospitalizationAdult ED Visit No Hospitalization
Total (rate per 100,000 pop.)106.8406.5
18-44 (rate per 100,000 pop.)61.7518
45-64 (rate per 100,000 pop.)130.2338.6
65-69 (rate per 100,000 pop.)167218.2
70-74 (rate per 100,000 pop.)194.9193.9
75-79 (rate per 100,000 pop.)215.8169.6
80-84 (rate per 100,000 pop.)240.3163.3
85+ (rate per 100,000 pop.)239126.2

Gender / AgeChildren ED Visit Plus HospitalizationChildren ED Visit No Hospitalization
Total (rate per 100,000 pop.)93.1759.4
Female (rate per 100,000 pop.)73.1602.5
Male (rate per 100,000 pop.)112.1909.1
0-4 (rate per 100,000 pop.)200.71233.1
5-9 (rate per 100,000 pop.)106.0872.9
10-14 (rate per 100,000 pop.)54.0555.9
15-17 (rate per 100,000 pop.)35.0461.7

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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Current as of February 2011
Internet Citation: Chapter 6 (Text Descriptions): National Healthcare Quality Report, 2011. February 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqr11/chap6txt.html