2012 National Healthcare Quality Report

Chapter 7, Text Descriptions for Figures

Figure 7.1. Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year, by age and insurance, 2002-2009

Age Group20022003200420052006200720082009
65-6916.218.416.418.415.515.212.814.1
70-7420.619.116.318.215.115.913.613.9
75-7919.817.218.819.615.215.716.613.7
80+20.818.915.81517.115.111.812

 

Age Group20022003200420052006200720082009
65-6916.218.416.418.415.515.212.814.1
70-7420.619.116.318.215.115.913.613.9
75-7919.817.218.819.615.215.716.613.7
80+20.818.915.81517.115.111.812

Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2009.
Denominator: Civilian noninstitutionalized population age 65 and over.

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Figure 7.2. Potentially avoidable emergency department rates, by age and residence location, 2007-2009

Age Group200720082009
Total3621.53641.73681.1
18-442442.52466.52574.1
45-643090.83134.73235.3
65+8689.88666.88364.3

 

Location200720082009
Large Metropolitan3276.33242.73309.3
Small Metropolitan3783.03865.13849.2
Micropolitan4332.74314.44380.5
Noncore4467.04710.24761.8

Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2007-2009.
Denominator: Adults age 18 and over.
Note:
Annual rates are adjusted for age and gender.

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Figure 7.3. Rate of emergency department visits with a principal diagnosis related to mental health and alcohol or substance abuse, per 100,000 population, by age and residence location, 2009

Age Group / LocationMental HealthSubstance Abuse
Total1170518
0-1757291
18-441726745
45-641207759
65-84621206
85+639110
Large Central Metropolitan1191624
Large Fringe Metropolitan1036458
Medium Metropolitan1246535
Small Metropolitan1143476
Micropolitan1257416
Noncore1237424

Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2009.
Denominator: U.S. population.
Note: For this measure, lower rates are better. Substance abuse includes visits for co-occurring substance abuse and mental health disorders.

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Figure 7.4. Rate of emergency department visits with a principal diagnosis related to dental issues, per 100,000 population, by age and residence location, 2009

Age Group / Location2009
Total307
0-17110
18-44611
45-64184
65-8446
85+33
Large Metropolitan217
Small Metropolitan369
Micropolitan478
Noncore480

Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2009.
Denominator: U.S. population.
Note: For this measure, lower rates are better.

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Figure 7.5. Potentially avoidable hospitalization rates for adults, by type of hospitalization, 2000-2009

Type of Hospitalization2000200120022003200420052006200720082009
Overall1657163516841614155915621502145814331395
Acute714702745713686717656650638605
Chronic943933939900873845846809795790

Source: Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, and AHRQ Quality Indicators, modified version 4.1, 2000-2009.
Denominator: Civilian noninstitutionalized adults age 18 and over.
Note: For this measure, lower rates are better. Annual rates are adjusted for age and gender.

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Figure 7.6. Total national costs associated with potentially avoidable hospitalizations, 2000-2009

YearOverallAcuteChronic
2000$25.1$10.7$14.5
2001$25.5$10.6$14.9
2002$27.7$11.8$15.9
2003$28.3$11.9$16.4
2004$27.7$11.6$16.1
2005$27.6$12.1$15.6
2006$27.2$11.1$16.1
2007$26.9$11.3$15.5
2008$26.7$11.2$15.5
2009$26.0$10.7$15.3

Source: Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, and AHRQ Quality Indicators, modified version 4.1, 2000-2009.
Denominator:
Civilian noninstitutionalized adults age 18 and over.
Note:
For this measure, lower rates are better. Annual rates are adjusted for age and gender. Costs are adjusted for inflation and are represented in billions of 2009 dollars.

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Figure 7.7. Home health patients with potentially avoidable hospitalizations within 30 days of start of care, by State, 2008

QuartileStates
First (best) QuartileWashington, Oregon, Idaho, California, Utah, Colorado, New Mexico, Oklahoma, Texas, Florida, Delaware, Vermont, New Hampshire, Rhode Island
2nd QuartileAlaska, Montana, North Dakota, South Dakota, Illinois, Louisiana, Michigan, Virginia, North Carolina, South Carolina, District of Columbia, Connecticut, Maine
3rd QuartileNevada, Arizona, Nebraska, Kansas, Minnesota, Iowa, Missouri, Arkansas, Mississippi, Alabama, Georgia, Massachusetts
4th (worst) QuartileHawaii, Wyoming, Wisconsin, Indiana, Ohio, Kentucky, Tennessee, West Virginia, Maryland, Pennsylvania, New York, New Jersey
MissingPuerto Rico

Source: Centers for Medicare & Medicaid Services, Outcome and Assessment Information Set linked with Medicare Part A claims (100%), 2008.
Denominator: Adult nonmaternity patients starting an episode of home health care.
Note: For this measure, lower numbers are better.

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Figure 7.8. Residents with skilled nursing facility stays with potentially avoidable hospitalizations within 30 days of admission, by State, 2008

QuartileStates
First (best) QuartileHawaii, Washington, Oregon, Idaho, Utah, Montana, Wyoming, North Dakota, South Dakota, Minnesota, Wisconsin, Vermont, New Hampshire
2nd QuartileAlaska, New Mexico, Colorado, Nebraska, Iowa, Indiana, Ohio, West Virginia, North Carolina, South Carolina, Massachusetts, Maine
3rd QuartileArizona, Kansas, Missouri, Arkansas, Michigan, Kentucky, Tennessee, Alabama, Georgia, Virginia, Connecticut, Rhode Island
4th (worst) QuartileCalifornia, Nevada, Oklahoma, Texas, Illinois, Louisiana, Mississippi, Florida, Maryland, Delaware, District of Columbia, New York, New Jersey
MissingPuerto Rico

Source: Centers for Medicare & Medicaid Services, Minimum Data Set 2.0, linked with Medicare Part A claims (100%), 2008.
Denominator: Residents who met the skilled nursing facility (SNF) criteria for nursing home admission
Note: for this measure, lower numbers are better.

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Figure 7.9. Perforated appendixes per 1,000 admissions for appendicitis, by age and gender, 2004, 2005, and 2007-2009

Age Group200420052006200720082009
18 to 44215.6206.9 203.4192.7197.7
45 to 64401398.5 390.8377.0385.5
65+543.1534.1 517513.7510.2

 

Gender200420052006200720082009
Male313.1305.5 303.3289.0299.4
Female267.9260.6 249.2246.0243.8

Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases disparities analysis file, 2004, 2005, and 2007-2009.
Note: For this measure, lower rates are better. Data for 2006 are not included, because a new version of the Prevention Quality Indicators software was used to calculate rates and 2006 was not included in the calculation.

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Figure 7.10. Average estimated relative hospital cost efficiency index for a selected sample of urban general community hospitals (with confidence interval brackets), 2005-2009

 20052006200720082009
Relative Index10099.6599.6799.8799.73

Source: Agency for Healthcare Research and Quality. Analysis based on 1,552 urban general community hospitals with data in the Healthcare Cost and Utilization Project, State Inpatient Databases. Go to Chapter 1, Introduction and Methods, for further details.

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Page last reviewed May 2013
Internet Citation: 2012 National Healthcare Quality Report: Chapter 7, Text Descriptions for Figures. May 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqr12/chap7-text.html