Table 4_2_8-2

2008 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

Table 4_2_8.2
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) as principal diagnosis (excluding transfers to another hospital), by race/ethnicity, United States, 2005
Population group		Total		Non-Hispanic						Hispanic, all races
		Total		White		Black		API		Hispanic, all races
		Rate^a	SE	Rate^a	SE	Rate^a	SE	Rate^a	SE	Rate^a	SE
Total		78.5	0.3	79.5	0.4	67.7	1.0	78.3	2.1	78.6	1.2
Age	18–44	16.8	0.7	15.2	0.9	19.4	1.7	26.3	4.4	16.7	2.2
	45–64	35.5	0.4	35.2	0.5	34.7	1.0	40.5	2.3	37.5	1.3
	65 and over	109.2	0.5	112.7	0.6	84.9	1.6	101.8	3.2	100.5	1.8
Age	65–69	62.7	0.9	64.6	1.1	54.7	2.7	51.8	5.4	58.8	2.9
	70–74	78.4	1.0	81.4	1.2	60.4	3.1	71.2	6.2	79.2	3.6
	75–79	103.2	1.1	105.6	1.2	77.2	3.4	100.3	6.6	106.9	3.8
	80–84	123.1	1.2	124.8	1.3	100.7	4.2	123.3	8.2	122.4	4.7
	85 and over	155.3	1.2	156.7	1.3	137.5	4.4	156.2	8.4	146.6	5.1
Gender	Male	67.9	0.4	70.8	0.5	48.2	1.1	73.2	2.5	61.5	1.3
Gender	Female	94.8	0.6	100.6	0.7	66.5	1.4	81.7	3.7	83.7	2.0
Median income of patient's ZIP Code	First quartile (lowest income)	82.3	0.6	85.3	0.7	69.9	1.4	85.0	5.3	80.6	1.7
	Second quartile	80.5	0.7	81.9	0.7	67.7	2.3	67.1	4.7	81.3	2.6
	Third quartile	76.3	0.7	77.6	0.7	57.8	2.9	74.9	4.1	74.1	2.8
	Fourth quartile (highest income)	73.3	0.7	72.9	0.8	68.6	3.6	84.5	3.6	71.9	3.8
Location of patient residence	Large central metropolitan	75.7	0.6	77.5	0.7	63.4	1.4	76.0	2.9	80.0	1.6
	Large fringe metropolitan	72.0	0.7	72.6	0.7	60.7	2.4	82.7	6.2	71.9	3.4
	Medium metropolitan	78.0	0.8	78.2	0.8	73.5	2.9	86.1	4.5	74.5	2.8
	Small metropolitan	81.7	1.2	81.2	1.2	83.2	4.4	55.4	16.6	93.7	5.7
	Micropolitan (nonmetro)	88.5	1.0	89.5	1.1	87.7	4.4	63.4	6.5	72.8	5.9
	Noncore (nonmetro)	94.0	1.2	94.1	1.3	88.2	5.5	332.6	36.7	94.2	7.4
Expected payment source	Private insurance	77.1	1.0	77.8	1.1	67.7	3.0	93.7	5.9	78.5	3.6
	Medicare	77.8	0.4	79.0	0.4	66.1	1.2	73.0	2.5	77.4	1.4
	Medicaid	83.8	1.8	87.0	2.6	78.2	3.9	84.9	6.9	78.4	3.9
	Other insurance	83.3	3.0	91.9	3.4	47.2	9.3	67.5	18.2	65.2	11.8
	Uninsured/self-pay/no charge	98.9	2.2	99.8	3.0	87.7	6.0	108.9	10.9	97.3	5.1
Region of inpatient treatment	Northeast	78.4	0.7	79.4	0.8	69.8	2.8	69.8	5.9	73.9	3.2
	Midwest	75.1	0.7	78.2	0.7	55.2	1.8	93.3	13.7	71.1	8.2
	South	80.0	0.5	80.4	0.6	76.3	1.6	69.9	5.8	76.0	1.7
	West	80.1	0.8	80.0	1.0	67.2	3.3	80.8	2.5	85.3	2.1
Ownership/control of hospital	Private, not for profit	77.1	0.4	78.1	0.4	64.9	1.2	80.5	2.5	76.9	1.6
	Private, for profit	81.5	0.8	81.8	1.0	77.7	2.7	82.1	6.7	81.1	2.3
	Public	85.6	1.1	89.3	1.3	72.7	3.2	65.0	5.5	82.8	3.8
Teaching status of hospital	Teaching	72.1	0.6	73.3	0.7	61.4	1.6	78.7	4.2	75.3	2.3
Teaching status of hospital	Nonteaching	81.0	0.4	81.8	0.4	72.0	1.4	78.2	2.5	79.9	1.4
Location of hospital	Large central metropolitan	75.2	0.5	76.0	0.7	64.0	1.4	75.7	2.8	78.9	1.6
	Large fringe metropolitan	71.6	0.7	73.0	0.8	58.0	2.4	82.0	7.2	73.1	3.7
	Medium metropolitan	77.7	0.7	77.6	0.8	71.9	2.8	88.6	4.4	76.6	2.7
	Small metropolitan	85.1	1.0	84.8	1.1	88.6	4.0	*	*	93.8	5.5
	Micropolitan (nonmetro)	92.3	1.1	93.1	1.2	96.7	4.8	64.8	6.6	74.9	7.6
	Noncore (nonmetro)	119.9	2.2	119.7	2.3	105.5	10.4	*	*	130.5	20.5
Bed size of hospital	Less than 100	99.4	1.1	100.6	1.2	94.3	5.0	72.4	10.0	79.1	5.4
	100–299	79.9	0.5	80.3	0.6	74.7	2.0	78.3	2.8	81.4	1.9
	300–499	75.5	0.6	76.6	0.7	62.2	1.7	75.4	4.5	81.1	2.2
	500 or more	71.8	0.7	72.4	0.8	64.1	2.0	85.1	5.8	70.8	2.5

^a Rates are adjusted by age, gender, age-gender interactions, and All Patient Refined-Diagnosis Related Group (APR-DRG) risk of mortality score. When reporting is by age, the adjustment is by gender and APR-DRG risk of mortality score; when reporting is by gender, the adjustment is by age and APR-DRG risk of mortality score.

* - Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

Key: API: Asian or Pacific Islander; SE: standard error.

Source: Agency for Healthcare Research and Quality, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, State Inpatient Databases, disparities analysis file, 2005. This file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 23 States: AR, AZ, CA, CO, CT, FL, GA, HI, KS, MA, MD, MI, MO, NH, NJ, NY, OK, RI, SC, TN, TX, VT, and WI.

Current as of September 2009

Internet Citation: Table 4_2_8-2: 2008 National Healthcare Quality and Disparities Reports. September 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr08/4_heartdiseases/T4_2_8-2.html