Priority Populations: Individuals With Special Health Care Needs 2008 National Healthcare Quality and Disparities ReportsThe 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. Priority Populations: Individuals With Special Health Care NeedsIndividuals With Special Health Care Needs Adults age 65 and over who ever received pneumococcal vaccination People under age 65 with any private health insurance People with a specific source of ongoing care People who identified a hospital, emergency room, or clinic as a source of ongoing care Children with special health care needs who received wanted or needed care coordination Children with special health care needs without family-centered care Children with special health care needs who were without health insurance at some point in the last 12 months Currently insured children with special health care needs whose insurance is not adequateIndividuals With Special Health Care NeedsMeasure TitleAdults age 65 and over who ever received pneumococcal vaccination.Measure SourceHealthy People 2010.Tables8_1_5.2 Adults age 65 and over who ever received pneumococcal vaccination, United States, 2006, by:Race.Ethnicity.Family income.Data SourceCenters for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).DenominatorU.S. civilian noninstitutionalized population age 65 and over.NumeratorNumber of adults age 65 and over who had a pneumonia vaccination.CommentsThis measure is one of the components of the Immunization Leading Health Indicators, which further defines the measure as pertaining to high-risk adults. See Appendix H of Tracking Healthy People 2010 for a complete list of Leading Health Indicators.Data are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion of age adjustment, see Part A, Section 5 of Tracking Healthy People 2010.This measure and its tables are also presented in other relevant sections of the National Healthcare Disparities Report.This measure is referred to as measure 14-29b in Healthy People 2010 documentationTop of PageIndividuals With Special Health Care NeedsMeasure TitlePeople under age 65 with any private health insurance.Measure SourceCenters for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).Tables14_1_3.1 People under age 65 with any private health insurance, United States, 2006, by:Race.Ethnicity.Family income.Data SourceCDC, NCHS, National Health Interview Survey (NHIS).DenominatorU.S. civilian noninstitutionalized population under age 65.NumeratorPeople under age 65 who reported coverage by private health insurance only.CommentsData are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion of age adjustment, see Part A, Section 5 of Tracking Healthy People 2010.This measure and its tables are also presented in other relevant sections of the National Healthcare Disparities Report.Top of PageIndividuals With Special Health Care NeedsMeasure TitlePeople with a specific source of ongoing care.Measure SourceHealthy People 2010.Tables14_3_1.2 People with a specific source of ongoing care, United States, 2006, by:Race.Ethnicity.Family income.Data SourceCenters for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).DenominatorU.S. civilian noninstitutionalized population.NumeratorPeople who reported having a specific source of primary care.CommentsData are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion of age adjustment, see Part A, Section 5 of Tracking Healthy People 2010.A specific source of primary care includes urgent care/walk-in clinic, doctor's office, clinic, health center facility, hospital outpatient clinic, health maintenance organization (HMO)/preferred provider organization (PPO), military or other Veterans Affairs health care, or some other place. A hospital emergency room is not included as a specific source of primary care.This measure and its tables are also presented in other relevant sections of the National Healthcare Disparities Report.This measure is referred to as measure 1-4 in Healthy People 2010 documentationTop of PageIndividuals With Special Health Care NeedsMeasure TitlePeople who identified a hospital, emergency room, or clinic as a source of ongoing care.Measure SourceCenters for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).Tables14_3_2.2 People who identified a hospital, emergency room, or clinic as a source of ongoing care, United States, 2006, by:Race.Ethnicity.Family income.Data SourceCDC, NCHS, National Health Interview Survey (NHIS).DenominatorU.S. civilian noninstitutionalized population.NumeratorPeople who reported a hospital, emergency room, or clinic as a source of primary care.CommentsData are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. For a discussion of age adjustment, see Part A, Section 5 of Tracking Healthy People 2010.This measure and its tables are also presented in other relevant sections of the National Healthcare Disparities Report.Top of PageIndividuals With Special Health Care NeedsMeasure TitleChildren with special health care needs who received wanted or needed care coordination.Measure SourceU.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau, in partnership with the Centers for Disease Control and Prevention (MCHB-CDC), National Center for Health Statistics (NCHS), National Survey of Children With Special Health Care Needs (NSCSHCN).Table16_10_5.1 Children with special health care needs who received wanted or needed care coordination, United States, 2005-2006Data SourceMCHB-CDC, NCHS, NSCSHCN.DenominatorChildren under age 18 who had special health care needs.NumeratorSubset of the denominator who usually received help on their behalf with coordination when needed, had effective communication among providers when needed, and had effective communication between health care providers and other programs when needed.CommentsEffective communication is defined as a response of “Very satisfied” on survey questions about care coordination among health providers and between health providers and non-health providers.Top of PageIndividuals With Special Health Care NeedsMeasure TitleChildren with special health care needs without family-centered care.Measure SourceU.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau, in partnership with the Centers for Disease Control and Prevention (MCHB-CDC), National Center for Health Statistics (NCHS), National Survey of Children With Special Health Care Needs (NSCSHCN).Table16_10_6.1 Children with special health care needs without family-centered care, United States, 2005-2006, by:Family income.Data SourceMCHB-CDC, NCHS, NSCSHCN.DenominatorChildren under age 18 who had special health care needs.NumeratorSubset of the denominator who did not receive family-centered care in the 12 months prior to interview, based on responses of “Usually” or “Always” to a set of family-centered care questions.CommentsThe criteria for family-centered care require doctors and other health care providers to usually or always spend enough time with the child, listen carefully, give the specific information needed, help parents feel like a partner in their child's care, be sensitive to a family's values and customs, and, if an interpreter is needed, provide a non-family member as interpreter.Top of PageIndividuals With Special Health Care NeedsMeasure TitleChildren with special health care needs who were without health insurance at some point in the last 12 months.Measure SourceU.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau, in partnership with the Centers for Disease Control and Prevention (MCHB-CDC), National Center for Health Statistics (NCHS), National Survey of Children With Special Health Care Needs (NSCSHCN).Table16_10_7.1 Children with special health care needs who were without health insurance at some point in the last 12 months, United States, 2005-2006Data SourceMCHB-CDC, NCHS, NSCSHCN.DenominatorChildren under age 18 who had special health care needs.NumeratorSubset of the denominator who were without insurance at some point during the 12 months prior to interview.Top of PageIndividuals With Special Health Care NeedsMeasure TitleCurrently insured children with special health care needs whose insurance is not adequate.Measure SourceU.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau, in partnership with the Centers for Disease Control and Prevention (MCHB-CDC), National Center for Health Statistics (NCHS), National Survey of Children With Special Health Care Needs (NSCSHCN).Table16_10_8.1 Currently insured children with special health care needs whose insurance is not adequate, United States, 2005-2006Data SourceMCHB-CDC, NCHS, NSCSHCN.DenominatorChildren under age 18 who had special health care needs and were insured at the time of interview.NumeratorSubset of the denominator whose insurance did not meet the following criteria: allowed the child to see the health care providers needed, offered benefits and covered services that meet their needs, and had reasonable noncovered costs. AHRQ Home | Questions? | Contact AHRQ | Site Map | Accessibility | Privacy Policy | Freedom of Information Act | Disclaimers U.S. Department of Health & Human Services | The White House | USA.gov: The U.S. Government's Official Web PortalAgency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 Telephone: (301) 427-1364 Current as of September 2009 Internet Citation: Priority Populations: Individuals With Special Health Care Needs: 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/measurespec/individuals_with_special_health_care_needs.html