Table 12_3_6-2a

2009 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 12_3_6.2a
Decubitus ulcers per 1,000 discharges of length 5 or more days (excluding transfers; patients admitted from long-term care facilities; patients with diseases of the skin, subcutaneous tissue, and breast; and obstetric admissions),^a age 18 and over, by race/ethnicity, United States, 2006
				Non-Hispanic
		Total		White		Black		API		Hispanic, all races
Population group		Rate^b	SE	Rate^b	SE	Rate^b	SE	Rate^b	SE	Rate^b	SE
Total		24.3	0.0	22.4	0.1	33.2	0.1	20.5	0.3	24.1	0.2
Age	18–44	6.3	0.1	6.1	0.1	7.2	0.1	6.0	0.4	5.4	0.2
	45–64	15.9	0.1	16.1	0.1	17.0	0.1	11.5	0.5	12.4	0.2
	65 and over	34.6	0.1	31.9	0.1	48.8	0.2	29.9	0.5	35.5	0.3
	65–69	24.9	0.2	23.4	0.2	31.7	0.4	19.9	1.1	23.6	0.5
	70–74	25.8	0.2	23.9	0.2	34.9	0.4	21.5	1.1	25.2	0.5
	75–79	33.8	0.2	31.2	0.2	48.5	0.4	31.6	1.1	34.1	0.6
	80–84	33.5	0.2	30.2	0.2	53.8	0.5	29.6	1.1	38.4	0.6
	85 and over	49.0	0.2	44.1	0.2	80.5	0.6	41.4	1.3	57.8	0.8
Gender	Male	24.1	0.1	24.7	0.1	23.8	0.1	22.0	0.5	18.9	0.2
Gender	Female	25.3	0.1	24.4	0.1	28.8	0.1	20.7	0.5	22.4	0.2
Median income of patient's ZIP code	First quartile (lowest income)	25.1	0.1	21.9	0.1	32.6	0.2	21.8	0.9	23.8	0.2
	Second quartile	23.9	0.1	22.1	0.1	33.5	0.3	19.1	0.7	24.2	0.4
	Third quartile	23.5	0.1	22.1	0.1	34.0	0.3	21.9	0.6	25.0	0.4
	Fourth quartile (highest income)	24.3	0.1	23.6	0.1	35.1	0.4	19.7	0.6	24.0	0.5
Location of patient residence	Large central metropolitan	29.5	0.1	27.8	0.1	36.4	0.2	22.3	0.4	26.1	0.2
	Large fringe metropolitan	24.5	0.1	23.0	0.1	34.0	0.3	21.6	0.9	23.6	0.5
	Medium metropolitan	21.3	0.1	20.6	0.1	26.8	0.3	15.6	0.8	21.6	0.4
	Small metropolitan	20.9	0.2	20.0	0.2	27.3	0.5	13.1	2.4	22.5	0.7
	Micropolitan (nonmetro)	19.8	0.1	18.8	0.2	28.9	0.5	15.9	1.4	20.7	0.8
	Noncore (nonmetro)	19.1	0.2	18.1	0.2	28.4	0.5	DSU	DSU	18.9	1.0
Expected payment source	Private insurance	20.4	0.1	20.0	0.2	24.6	0.4	17.9	1.0	16.4	0.5
	Medicare	24.6	0.1	22.4	0.1	35.2	0.1	20.9	0.4	26.2	0.2
	Medicaid	31.8	0.2	34.0	0.3	35.9	0.4	21.2	0.9	24.5	0.4
	Other insurance	20.2	0.4	21.3	0.5	20.9	1.0	19.5	2.8	15.4	1.1
	Uninsured/self-pay/no charge	16.1	0.4	17.4	0.5	15.4	0.7	15.5	2.4	14.5	0.8
Region of inpatient treatment	Northeast	27.2	0.1	25.5	0.1	37.6	0.3	22.1	0.9	26.3	0.4
	Midwest	21.9	0.1	19.6	0.1	33.0	0.2	14.6	1.6	20.3	1.0
	South	23.1	0.1	21.1	0.1	30.5	0.2	26.1	0.8	22.9	0.3
	West	26.7	0.1	26.6	0.2	40.8	0.4	19.1	0.4	24.8	0.3
Ownership/control of hospital	Private, not for profit	24.5	0.1	22.6	0.1	33.7	0.1	22.2	0.4	24.4	0.2
	Private, for profit	24.1	0.1	22.4	0.1	31.7	0.3	17.7	0.7	25.0	0.3
	Public	23.2	0.1	21.2	0.2	32.7	0.3	16.5	0.8	21.4	0.5
Teaching status	Teaching	29.2	0.1	27.3	0.1	36.3	0.2	21.8	0.6	26.4	0.3
Teaching status	Nonteaching	22.2	0.1	20.7	0.1	31.0	0.2	19.9	0.4	23.1	0.2
Location of hospital	Large central metropolitan	28.8	0.1	26.9	0.1	36.4	0.2	22.4	0.4	25.9	0.2
	Large fringe metropolitan	24.9	0.1	23.2	0.1	33.9	0.3	20.2	1.0	24.6	0.5
	Medium metropolitan	21.3	0.1	20.6	0.1	26.7	0.3	15.5	0.8	21.6	0.3
	Small metropolitan	20.7	0.2	19.9	0.2	27.4	0.5	13.1	2.6	21.4	0.7
	Micropolitan (nonmetro)	18.9	0.1	17.8	0.2	29.1	0.5	15.1	1.4	18.6	0.9
	Noncore (nonmetro)	19.3	0.2	18.0	0.3	29.8	0.7	DSU	DSU	21.5	2.1
Bed size of hospital	Less than 100	21.2	0.1	19.9	0.1	32.5	0.5	18.1	1.3	27.1	0.6
	100–299	23.2	0.1	21.5	0.1	33.0	0.2	19.9	0.4	21.9	0.3
	300–499	24.8	0.1	22.6	0.1	33.6	0.2	22.1	0.7	24.8	0.4
	500 or more	27.5	0.1	25.9	0.1	33.3	0.2	21.6	0.9	26.6	0.3

^a Also excludes admissions specifically for such problems, such as cases from earlier admissions or from other hospitals.

^b Rates are adjusted by age, gender, age-gender interactions, comorbidities, and diagnosis-related group (DRG) clusters. When reporting is by age, the adjustment is by gender, comorbidities, and DRG clusters; when reporting is by gender, the adjustment is by age, comorbidities, and DRG clusters.

DSU - 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 (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, State Inpatient Databases, disparities analysis file, 2006, and AHRQ Quality Indicators, version 3.1. The analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 25 States: AR, AZ, CA, CO, CT, FL, GA, HI, KS, MA, MD, MI, MO, NH, NJ, NY, OK, RI, SC, TN, TX, UT, VA, VT, and WI.

Current as of March 2010

Internet Citation: Table 12_3_6-2a: 2009 National Healthcare Quality and Disparities Reports. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr09/12_patientsafety/T12_3_6-2a.html