Priority Populations: Rural Areas

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.

Rural Areas
Women who completed a pregnancy in the last 12 months who first received prenatal care in the first trimester
Composite measure: Adults age 40 and over with diagnosed diabetes who received all three recommended services for diabetes in the calendar year (hemoglobin A1c measurement, dilated eye examination, and foot examination)
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined
Adults who needed care right away for an illness, injury, or condition in the last 12 months who got care as soon as wanted
People under age 65 who were uninsured all year
 


Rural Areas

Measure Title

Women who completed a pregnancy in the last 12 months who first received prenatal care in the first trimester.

Measure Source

Healthy People 2010.

Tables

6_1_1.2 Women who completed a pregnancy in the last 12 months who first received prenatal care in the first trimester, United States, 2005, by:

  • Race.
  • Ethnicity.
  • Nation

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System - Natality (NVSS-N).

Denominator

Live births.

Numerator

Mothers receiving prenatal care in the first trimester (3 months) of pregnancy.

Comments

A description of the primary measurement used to determine fetal gestational age—the interval between the first day of the last normal menstrual period (LMP) and the birth—has been published by NCHS.

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 16.6a in Healthy People 2010 documentation

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Rural Areas

Measure Title

Composite measure: Adults age 40 and over with diagnosed diabetes who received all three recommended services for diabetes in the calendar year (hemoglobin A1c measurement, dilated eye examination, and foot examination).

Measure Source

Healthy People 2010.

National Alliance for Diabetes Quality Improvement, National Quality Forum, 2002.

Tables

2_1_1.2 Adults age 40 and over with diagnosed diabetes who received all three recommended services for diabetes in the calendar year (hemoglobin A1c measurement, dilated eye examination, and foot examination), United States, 2005, by:

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Denominator

U.S. civilian noninstitutionalized adults age 40 and over with diabetes who had a positive Diabetes Care Survey weight, who had at least one “No” response to one of the three exams or who had a “Yes” response to all three exams. Other cases are considered missing values.

Numerator

U.S. civilian noninstitutionalized adults age 40 and over with diabetes who had a positive Diabetes Care Survey weight who had a “Yes” response to all three exams.

Comments

The criteria for selecting the diabetes population from MEPS and the methodology for calculating the diabetes composite measure have changed; reported rates may not be comparable with those found in prior editions of the National Healthcare Disparities Report.

The method for defining the numerator and denominator for the eye exam component of this composite measure changed beginning with the 2008 edition of the reports; rates may not be comparable with those reported in earlier editions.

Missing values for the composite measure were excluded from the analysis.

National estimates are age adjusted to the 2000 standard population with two age groups: 40-59, 60 and over.

See entries for each of the three components of the composite measure for further details about the individual survey questions.

This measure and its tables are also presented in other relevant sections of the National Healthcare Disparities Report.

The measures that make up this composite measure are referred to as measures 5-12, 5-13, and 5-14 in Healthy People 2010 documentation

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Rural Areas

Measure Title

Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined.

Measure Source

American College of Surgeons (ACS), Commission on Cancer (CoC), National Cancer Data Base (NCDB).

Tables

1_3_5.2 Patients with colon cancer who received recommended treatment: resected colon specimen had at least 12 regional lymph nodes pathologically examined, United States, 2005, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

ACS, CoC, NCDB.

Denominator

Adults age 18 and over with American Joint Committee on Cancer Stage I, II, or III primary invasive epithelial colon cancer who underwent surgical resection (surgery more than local excision). Colon cancer diagnoses are known or assumed first or only cancer diagnoses.

Numerator

Subset of the denominator with 12 or more regional lymph nodes pathologically examined.

Comments

This measure and its tables are also presented in other relevant sections of the National Healthcare Disparities Report.

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Rural Areas

Measure Title

Adults who needed care right away for an illness, injury, or condition in the last 12 months who got care as soon as wanted.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

11_1_3.3 Adults who needed care right away for an illness, injury, or condition in the last 12 months who always got care as soon as wanted, United States, 2005, by:

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

11_1_3.4 Adults who needed care right away for an illness, injury, or condition in the last 12 months who usually got care as soon as wanted, United States, 2005, by:

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

11_1_3.5 Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted, United States, 2005, by:

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized adults age 18 and over who reported that they, during the previous 12 months, had an illness or injury that needed care right away from a doctor's office, clinic, or emergency room.

Numerator

Percentage of the denominator population who can always, usually, sometimes, or never, depending on the table, get the appointment for illness or injury care as soon as wanted.

Comments

This measure and its tables are also presented in other relevant sections of the National Healthcare Disparities Report.

Tables report data from the MEPS Self-Administered Questionnaire (SAQ). See the MEPS entry in the Data Sources appendix for more information on the SAQ.

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Rural Areas

Measure Title

People under age 65 who were uninsured all year.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Tables

14_1_5.1 People under age 65 who were uninsured all year, United States, 2005, by:

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population under age 65.

Numerator

U.S. civilian noninstitutionalized population under age 65 who reported no private or public health insurance coverage at any time during the year.

Comments

This measure and its tables are also presented in other relevant sections of the National Healthcare Disparities Report.

Return to Measure Specifications

Current as of September 2009
Internet Citation: Priority Populations: Rural Areas: 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/rural_areas.html