Priority Populations: Women

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.

Women
Women who completed a pregnancy in the last 12 months who first received prenatal care in the first trimester
Adults with obesity who ever received advice from a health provider to exercise more
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI)
New AIDS cases per 100,000 population age 13 and over
People with a specific source of ongoing care
People without a usual source of care who indicated a financial or insurance reason for not having a source of care
 


Women

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

Number of live births.

Numerator

Number of 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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Women

Measure Title

Adults with obesity who ever received advice from a health provider to exercise more.

Measure Source

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

Tables

4_1_6.2 Adults with obesity who ever received advice from a health provider to exercise more, United States, 2005, by:

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

Data Source

AHRQ, CFACT, MEPS.

Denominator

Adults age 18 and over with a body mass index (BMI) of 30 or greater.

Numerator

Subset of the denominator who reported they were given advice about exercise by a doctor or health professional.

Comments

Nonresponses and “Don't know” responses to the Diabetes Care Survey (DCS) question were excluded from the analysis.

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

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Women

Measure Title

Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI).

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Inpatient Quality Indicators (IQIs).

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), United States, 2005, by:

  • Race/ethnicity.

Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), State Inpatient Databases (SID), disparities analysis file.

Denominator

All hospital inpatient discharges age 18 and over with a principal diagnosis code of AMI (International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9-CM] codes 410.01, 410.11, 410.21, 410.31, 410.41, 410.51, 410.61, 410.71, 410.81, 410.91). Excludes patients transferring to another short-term hospital.

Numerator

Number of deaths with a principal diagnosis code of AMI.

Comments

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.

This table was created using version 3.1 of the AHRQ IQI software. This measure is referred to as IQI 15 in the software documentation. More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

The SID disparities analysis file, created specifically for this report to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 23 States that participate in HCUP and have high-quality race/ethnicity data: AZ, AR, CA, CO, CT, FL, GA, HI, KS, MD, MA, MI, MO, NH, NJ, NY, OK, RI, SC, TN, TX, VT, and WI.

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

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Women

Measure Title

New AIDS cases per 100,000 population age 13 and over.

Measure Source

Healthy People 2010.

Table

5_2_1.2 New AIDS cases per 100,000 population age 13 and over, United States, 2006, by:

  • Ethnicity.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), National HIV/AIDS Surveillance System.

Denominator

U.S. resident population age 13 and over.

Numerator

Number of reported new AIDS cases among adolescents and adults age 13 and over.

Comments

The AIDS case definition used by the HIV/AIDS Surveillance System for an AIDS case is provided by CDC. Data are adjusted for reporting delay.

CDC Adult HIV/AIDS Confidential Case Report, Form 50.42A, Rev. 7/93.

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 13-1 in Healthy People 2010 documentation

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Women

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

Number of 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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Women

Measure Title

People without a usual source of care who indicated a financial or insurance reason for not having a source of care.

Measure Source

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

Tables

14_2_1.1 People without a usual source of care who indicate a financial or insurance reason for not having a source of care, United States, 2005, by:

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

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population who reported having no usual source of care.

Numerator

U.S. civilian noninstitutionalized population who indicated financial or insurance reasons for not having a usual source of care.

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: Women: 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/women.html