2012 National Healthcare Quality Report

2012 National Healthcare Quality Report

Text Descriptions for Highlights Figures

Figure H.1. Number and proportion of all quality measures for which members of selected groups experienced better, same, or worse quality of care compared with reference group

Quality of Care Black vs. White (n=191) Asian vs. White (n=165) AI/AN vs. White (n=111) Hispanic vs. NHW (n=178) Poor vs. High Income (n=106) Low vs. High Income (n=106) Middle vs. High Income (n=106)
Better 28 43 12 37 5 6 2
Same 81 80 62 66 37 38 49
Worse 82 42 37 75 64 62 55

Key: AI/AN = American Indian or Alaska Native; NHW = non-Hispanic White; n = number of measures.
Better = Population received better quality of care than reference group.
Same = Population and reference group received about the same quality of care.
Worse = Population received worse quality of care than reference group.

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Figure H.2. Number and proportion of all access measures for which members of selected groups experienced better, same, or worse access to care compared with reference group

Access to Care Black vs. White (n=21) Asian vs. White (n=19) AI/AN vs. White (n=14) Hispanic vs. NHW (n=21) Poor vs. High Income (n=21) Low vs. High Income (n=21) Middle vs. High Income (n=21)
Better 3 4 NA 3 NA NA NA
Same 11 11 8 3 NA 3 6
Worse 7 4 6 15 21 18 15

Key: AI/AN = American Indian or Alaska Native; NHW = non-Hispanic White; n = number of measures.
Better = Population had better access to care than reference group.
Same = Population and reference group had about the same access to care.
Worse = Population had worse access to care than reference group.

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Figure H.3. Average performance across a panel of quality of care process measures and access to care measures

Measure 2002 2003 2004 2005 2006 2007 2008 2009
Did Not Receive Indicated Process of Care NA NA NA 33.6 31.7 30.6 30.7 30.1
Encountered Access Problem Seeking Care 24.1 24.2 24.3 24.7 25.2 25.2 25.4 26.3

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Figure H.4. Number and proportion of all quality measures that are improving, not changing, or worsening, overall and for select populations

Population Worsening No Change Improving
Total (n=152) 16 51 85
Black (n=154) 14 58 82
Asian (n=129) 6 54 69
AIAN (n=80) 5 37 38
Hispanic (n=153) 10 67 76
Poor (n=87) 9 36 42
Low Income (n=87) 10 37 40
Middle Income (n=86) 12 38 36

Key:AI/AN = American Indian or Alaska Native; n = number of measures.
Improving = Quality is going in a positive direction at an average annual rate greater than 1% per year.
No Change = Quality is not changing or is changing at an average annual rate less than 1% per year.
Worsening = Quality is going in a negative direction at an average annual rate greater than 1% per year.

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Figure H.5. Number and proportion of all access measures that are improving, not changing, or worsening, overall and for select populations

Population Worsening No Change Improving
Total (n=15) 7 7 1
Black (n=15) 3 10 2
Asian (n=13) NA 13 NA
AI/AN (n=10) 3 7 NA
Hispanic (n=15) 2 11 2
Poor (n=15) 4 8 3
Low Income (n=15) 4 10 1
Middle Income (n=15) 8 5 2

Key:AI/AN = American Indian or Alaska Native; n = number of measures.
Improving = Access is going in a positive direction at an average annual rate greater than 1% per year.
No Change = Access is not changing or is changing at an average annual rate less than 1% per year.
Worsening = Access is going in a negative direction at an average annual rate greater than 1% per year.

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Figure H.6. Number and proportion of all quality measures for which disparities related to race, ethnicity, and income are improving, not changing, or worsening

Change Black vs. White (n=154) Asian vs. White (n=129) AI/AN vs. White (n=80) Hispanic vs. NHW (n=148) Poor vs. High Income (n=85) Low vs. High Income (n=85) Middle vs. High Income (n=85)
Worsening 5 8 5 6 4 1 1
No Change 137 112 73 134 78 80 83
Improving 12 9 2 8 3 4 1

Key: AI/AN = American Indian or Alaska Native; NHW = non-Hispanic White; n = number of measures.
Improving = Disparity is getting smaller at a rate greater than 1% per year.
No Change = Disparity is not changing or is changing at a rate less than 1% per year.
Worsening = Disparity is getting larger at a rate greater than 1% per year.

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Figure H.7. Number and proportion of all access measures for which disparities related to race, ethnicity, and income are improving, not changing, or worsening

Change Black vs. White (n=15) Asian vs. White (n=13) AI/AN vs. White (n=10) Hispanic vs. NHW (n=15) Poor vs. High Income (n=15) Low vs. High Income (n=15) Middle vs. High Income (n=15)
Worsening NA NA 1 1 1 1 NA
No Change 15 12 9 14 14 14 15
Improving NA 1 NA NA NA NA NA

Key: AI/AN = American Indian or Alaska Native; NHW = non-Hispanic White; n = number of measures.
Improving = Disparity is getting smaller at a rate greater than 1% per year.
No Change = Disparity is not changing or is changing at a rate less than 1% per year.
Worsening = Disparity is getting larger at a rate greater than 1% per year.

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Figure H.8. Percentage of quality measures in the 2006, 2011, and 2012 reports for which a reliable estimate could not be generated

Reports Asian NHOPI AI/AN Hispanic Poor
2006 Reports 33 93 47 12 60
2011 Reports 19 85 42 7 46
2012 Reports 14 82 42 7 45

Key: NHOPI = Native Hawaiian or Other Pacific Islander; AI/AN = American Indian or Alaska Native.

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Figure H.9. Number and proportion of measures that are improving, not changing, or worsening, by type of quality measure

Measures Worsening No Change Improving
Process Measures (n=67) 6 25 36
Outcome Measures (n=64) 10 23 31
Preventive Care (n=37) 3 17 17
Acute Treatment (n=25) NA 4 21
Chronic Disease Management (n=46) 8 19 19

Key:n = number of measures.
Improving = Quality is going in a positive direction at an average annual rate greater than 1% per year.
No Change = Quality is not changing or is changing at an average annual rate less than 1% per year.
Worsening = Quality is going in a negative direction at an average annual rate greater than 1% per year.
Note: Preventive care includes screening, counseling, and vaccinations; acute treatment includes hospital
care for cancer, heart attack, and pneumonia; chronic disease management includes ambulatory care
for diabetes, arthritis, and asthma and nursing home care for pressure sores and pain.

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Figure H.10a. Overall quality of care, preventive care, acute care, and chronic care, by State

Overall quality of care
Lowest quality quartile Second quartile Third quartile Highest quality quartile
Alaska California Hawaii Utah
Nevada Oregon Washington North Dakota
New Mexico Arizona Idaho South Dakota
Texas Wyoming Montana Minnesota
Oklahoma Florida Colorado Wisconsin
Louisiana Alabama Nebraska Iowa
Arkansas Georgia Kansas Maine
Mississippi Illinois Missouri New Hampshire
Kentucky Tennessee Michigan Vermont
Indiana Ohio Pennsylvania Massachusetts
West Virginia North Carolina Rhode Island Connecticut
Maryland New York Virginia New Jersey
NA NA South Carolina Delaware

Source: 2011 State Snapshots.
Note: States are divided into quartiles based on overall health care score.

Figure H.10b. Overall quality of care, preventive care, acute care, and chronic care, by State (continued)

Quality of preventive care
Lowest quality quartile Second quartile Third quartile Highest quality quartile
Oregon Alaska Hawaii North Dakota
Nevada California Washington South Dakota
Idaho Utah Arizona Minnesota
New Mexico Colorado Nebraska Iowa
Texas Wyoming Louisiana Wisconsin
Arkansas Montana Michigan Georgia
Missouri Kansas Rhode Island Maine
Illinois Oklahoma New Jersey New Hampshire
Indiana Kentucky Maryland Vermont
Ohio Tennessee Virginia Massachusetts
Pennsylvania Mississippi North Carolina Connecticut
Alabama Florida South Carolina New York
NA West Virginia NA Delaware

Source: 2011 State Snapshots.
Note: States are divided into quartiles based on overall health care score.

Figure H.10c. Overall quality of care, preventive care, acute care, and chronic care, by State (continued)

Quality of acute care
Lowest quality quartile Second quartile Third quartile Highest quality quartile
Alaska Nevada Washington Idaho
California Montana Oregon Utah
Wyoming Arizona Colorado Minnesota
New Mexico North Dakota South Dakota Wisconsin
Oklahoma Kansas Nebraska Michigan
Arkansas Texas Iowa Ohio
Louisiana Illinois Missouri Maine
Alabama Kentucky Indiana New Hampshire
Georgia Mississippi Tennessee Massachusetts
West Virginia Maryland South Carolina New Jersey
Rhode Island Delaware Pennsylvania Virginia
NA New York Connecticut North Carolina
NA Hawaii Vermont Florida

Source: 2011 State Snapshots.
Note: States are divided into quartiles based on overall health care score.

Figure H.10d. Overall quality of care, preventive care, acute care, and chronic care, by State (continued)

Quality of chronic care
Lowest quality quartile Second quartile Third quartile Highest quality quartile
New Mexico Washington California Utah
Texas Oregon Montana North Dakota
Oklahoma Alaska Colorado South Dakota
Louisiana Idaho Arizona Kansas
Indiana Nevada Nebraska Minnesota
Ohio Wyoming Missouri Iowa
Kentucky Arkansas Maine Wisconsin
Tennessee Illinois Vermont Alabama
Florida Mississippi Connecticut New Hampshire
North Carolina Michigan Rhode Island Massachusetts
West Virginia Georgia New Jersey Delaware
New York South Carolina Pennsylvania Hawaii
NA Maryland Virginia NA

Source: 2011 State Snapshots.
Note: States are divided into quartiles based on overall health care score.

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Page last reviewed May 2013
Page originally created May 2013
Internet Citation: 2012 National Healthcare Quality Report. Content last reviewed May 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqr12/highlights-text.html