Priority Populations: Individuals With Special Health Care Needs

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.

Individuals 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 adequate

Individuals With Special Health Care Needs

Measure Title

Adults age 65 and over who ever received pneumococcal vaccination.

Measure Source

Healthy People 2010.

Tables

8_1_5.2 Adults age 65 and over who ever received pneumococcal vaccination, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

Denominator

U.S. civilian noninstitutionalized population age 65 and over.

Numerator

Number of adults age 65 and over who had a pneumonia vaccination.

Comments

This 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 documentation

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Individuals With Special Health Care Needs

Measure Title

People under age 65 with any private health insurance.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Tables

14_1_3.1 People under age 65 with any private health insurance, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

CDC, NCHS, National Health Interview Survey (NHIS).

Denominator

U.S. civilian noninstitutionalized population under age 65.

Numerator

People under age 65 who reported coverage by private health insurance only.

Comments

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.

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Individuals With Special Health Care Needs

Measure Title

People with a specific source of ongoing care.

Measure Source

Healthy People 2010.

Tables

14_3_1.2 People with a specific source of ongoing care, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

Denominator

U.S. civilian noninstitutionalized population.

Numerator

People who reported having a specific source of primary care.

Comments

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.

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 documentation

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Individuals With Special Health Care Needs

Measure Title

People who identified a hospital, emergency room, or clinic as a source of ongoing care.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Tables

14_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 Source

CDC, NCHS, National Health Interview Survey (NHIS).

Denominator

U.S. civilian noninstitutionalized population.

Numerator

People who reported a hospital, emergency room, or clinic as a source of primary care.

Comments

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.

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Individuals With Special Health Care Needs

Measure Title

Children with special health care needs who received wanted or needed care coordination.

Measure Source

U.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).

Table

16_10_5.1 Children with special health care needs who received wanted or needed care coordination, United States, 2005-2006

Data Source

MCHB-CDC, NCHS, NSCSHCN.

Denominator

Children under age 18 who had special health care needs.

Numerator

Subset 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.

Comments

Effective 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.

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Individuals With Special Health Care Needs

Measure Title

Children with special health care needs without family-centered care.

Measure Source

U.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).

Table

16_10_6.1 Children with special health care needs without family-centered care, United States, 2005-2006, by:

  • Family income.

Data Source

MCHB-CDC, NCHS, NSCSHCN.

Denominator

Children under age 18 who had special health care needs.

Numerator

Subset 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.

Comments

The 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.

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Individuals With Special Health Care Needs

Measure Title

Children with special health care needs who were without health insurance at some point in the last 12 months.

Measure Source

U.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).

Table

16_10_7.1 Children with special health care needs who were without health insurance at some point in the last 12 months, United States, 2005-2006

Data Source

MCHB-CDC, NCHS, NSCSHCN.

Denominator

Children under age 18 who had special health care needs.

Numerator

Subset of the denominator who were without insurance at some point during the 12 months prior to interview.

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Individuals With Special Health Care Needs

Measure Title

Currently insured children with special health care needs whose insurance is not adequate.

Measure Source

U.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).

Table

16_10_8.1 Currently insured children with special health care needs whose insurance is not adequate, United States, 2005-2006

Data Source

MCHB-CDC, NCHS, NSCSHCN.

Denominator

Children under age 18 who had special health care needs and were insured at the time of interview.

Numerator

Subset 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.

Return to Measure Specifications

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