Table 4_2_2-2a

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 4_2_2.2a
Deaths per 1,000 admissions with acute myocardial infarction (AMI) as principal diagnosis (excluding transfers to another hospital), age 18 and over, by race/ethnicity, United States, 2006
				Non-Hispanic
		Total		White		Black		API		Hispanic, all races
Population group		Rate^a	SE	Rate^a	SE	Rate^a	SE	Rate^a	SE	Rate^a	SE
Total		72.8	0.3	73.8	0.4	61.0	1.0	85.0	2.4	73.7	1.3
Age	18–44	17.3	0.7	17.3	0.9	15.4	1.6	17.9	5.0	18.4	2.3
	45–64	32.6	0.4	32.2	0.5	31.7	1.0	37.9	2.6	34.3	1.3
	65 and over	101.1	0.5	104.3	0.6	76.2	1.5	115.3	3.5	93.6	2.0
	65–69	55.5	1.0	57.3	1.1	41.8	2.7	80.5	5.8	55.8	3.3
	70–74	69.4	1.0	70.0	1.2	55.8	2.8	81.3	7.1	82.8	3.8
	75–79	92.7	1.1	94.3	1.2	77.8	3.2	106.3	7.6	93.0	4.2
	80–84	116.3	1.3	118.7	1.4	95.0	4.2	131.3	8.8	104.2	5.2
	85 and over	148.1	1.2	150.2	1.3	117.6	4.3	164.3	8.8	144.1	5.7
Gender	Male	61.7	0.4	64.7	0.5	41.5	1.1	71.0	2.7	53.7	1.3
Gender	Female	86.6	0.6	91.2	0.7	61.5	1.4	101.9	4.2	78.1	2.1
Median income of patient's ZIP code	First quartile (lowest income)	75.9	0.6	80.1	0.8	62.1	1.4	82.2	6.1	74.6	2.0
	Second quartile	75.6	0.7	76.4	0.8	62.6	2.2	90.6	4.6	76.0	2.9
	Third quartile	69.7	0.7	70.0	0.7	59.1	2.7	78.9	4.6	70.3	3.0
	Fourth quartile (highest income)	68.9	0.7	68.7	0.8	53.2	3.4	86.5	4.1	72.3	3.7
Location of patient residence	Large central metropolitan	69.7	0.6	71.5	0.8	58.4	1.4	78.3	3.2	71.7	1.9
	Large fringe metropolitan	66.6	0.7	67.3	0.7	53.2	2.2	91.7	6.2	74.3	3.8
	Medium metropolitan	71.4	0.8	70.8	0.8	66.1	2.8	99.3	5.2	74.0	2.7
	Small metropolitan	78.6	1.2	77.9	1.3	77.1	4.9	DSU	DSU	97.2	6.0
	Micropolitan (nonmetro)	85.8	1.0	86.5	1.1	86.3	4.6	88.4	7.9	73.8	5.3
	Noncore (nonmetro)	82.0	1.2	83.6	1.3	68.6	5.1	102.9	28.6	62.0	8.1
Expected payment source	Private insurance	70.5	1.0	69.2	1.1	63.6	3.0	91.1	7.1	80.0	4.0
	Medicare	72.4	0.4	73.8	0.4	59.0	1.2	81.7	2.8	72.5	1.6
	Medicaid	73.7	1.9	73.7	2.7	68.8	4.0	80.7	6.9	69.9	4.3
	Other insurance	79.5	3.0	84.3	3.4	53.4	9.3	126.3	20.6	67.1	10.1
	Uninsured/self-pay/no charge	90.8	2.2	93.0	2.8	82.5	5.9	117.7	10.7	84.7	5.6
Region of inpatient treatment	Northeast	74.3	0.7	74.5	0.8	69.8	2.6	80.6	6.9	74.3	3.0
	Midwest	67.5	0.7	70.5	0.7	47.4	1.8	98.7	12.0	53.3	8.4
	South	73.5	0.6	74.8	0.6	66.0	1.5	86.2	5.8	70.0	1.9
	West	77.7	0.9	76.4	1.0	68.2	3.8	84.6	2.9	81.3	2.5
Ownership/control of hospital	Private, not for profit	70.8	0.4	71.9	0.4	58.8	1.2	80.9	2.9	71.7	1.7
	Private, for profit	75.9	0.9	76.3	1.1	67.7	2.8	95.4	5.9	73.9	2.7
	Public	82.9	1.1	85.2	1.2	66.9	2.9	90.9	5.5	84.1	4.0
Teaching status	Teaching	68.1	0.6	68.5	0.7	60.1	1.5	86.5	4.2	72.7	2.3
Teaching status	Nonteaching	75.1	0.4	76.2	0.5	61.7	1.4	84.2	2.8	74.3	1.6
Location of hospital	Large central metropolitan	69.6	0.6	70.6	0.7	58.8	1.4	81.7	3.1	72.2	1.8
	Large fringe metropolitan	66.7	0.7	67.7	0.8	52.8	2.1	81.4	6.9	73.9	4.1
	Medium metropolitan	71.9	0.7	71.2	0.8	71.5	2.7	97.4	5.2	73.9	2.5
	Small metropolitan	78.0	1.1	77.7	1.1	74.4	4.5	DSU	DSU	96.1	6.4
	Micropolitan (nonmetro)	89.2	1.2	90.4	1.3	78.4	5.0	88.5	8.2	61.6	8.2
	Noncore (nonmetro)	104.1	2.3	108.6	2.4	58.0	8.4	DSU	DSU	DSU	DSU
Bed size of hospital	Less than 100	91.0	1.1	92.5	1.2	76.4	5.2	93.8	11.6	69.9	5.7
	100–299	75.7	0.6	76.3	0.6	63.1	1.9	81.6	3.0	80.0	2.2
	300–499	68.2	0.6	68.2	0.7	61.6	1.7	92.9	5.3	73.2	2.6
	500 or more	67.6	0.7	69.1	0.8	56.2	1.8	85.7	6.1	67.2	2.4

^a 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.

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 4_2_2-2a: 2009 National Healthcare Quality and Disparities Reports. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr09/4_heartdiseases/T4_2_2-2a.html