Access to Care: Health Care Utilization

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.


General Medical Care
People who had an office-based or outpatient department visit in the calendar year
People who received a prescription medication in the calendar year
People who had a dental visit in the calendar year
People who had a hospital emergency room visit in the calendar year
People who received a hospital inpatient discharge in the calendar year
Physician office and hospital outpatient visits per 100 population
Emergency department visits per 100 population
Hospitalizations per 100 population

Potentially Avoidable Admissions
Avoidable admissions for hypertension per 100,000 population age 18 and over
Avoidable admissions for angina per 100,000 population age 18 and over
Avoidable admissions for chronic obstructive pulmonary disease per 100,000 population age 18 and over
Avoidable admissions for bacterial pneumonia per 100,000 population age 18 and over
Perforated appendixes per 1,000 admissions with appendicitis

Mental Health Care and Substance Abuse Treatment
Adults who received mental health treatment or counseling in the last 12 months
Adults who received outpatient mental health treatment or counseling in the last 12 months
Adults who received prescription medications for mental health treatment in the last 12 months
Adults who received inpatient mental health treatment or counseling in the last 12 months
People age 12 and over who received any treatment for illicit drug or alcohol abuse in the last 12 months
 


General Medical Care

Measure Title

People who had an office-based or outpatient department visit in the calendar year.

Measure Source

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

Tables

17_1_1.1 People who had an office-based or outpatient department visit in the calendar year, United States, 2006, by:

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

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population.

Numerator

U.S. civilian noninstitutionalized population who reported at least one office-based/outpatient department visit.

Comments

Office-based/outpatient department visits include the following:

  • Office-based visits (physician and nonphysician)
  • Outpatient department visits (physician and nonphysician)
  • Inpatient visits where the admission date was the same as the discharge date (i.e., “zero-night” stays)

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General Medical Care

Measure Title

People who received a prescription medication in the calendar year.

Measure Source

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

Tables

17_1_2.1 People who received a prescription medication in the calendar year, United States, 2006, by:

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

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population.

Numerator

U.S. civilian noninstitutionalized population who reported at least one prescribed medication.

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General Medical Care

Measure Title

People who had a dental visit in the calendar year.

Measure Source

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

Tables

17_1_3.1 People who had a dental visit in the calendar year, United States, 2006, by:

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

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population.

Numerator

U.S. civilian noninstitutionalized population who reported at least one dental visit.

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General Medical Care

Measure Title

People who had a hospital emergency room visit in the calendar year.

Measure Source

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

Tables

17_1_4.1 People who had a hospital emergency room visit in the calendar year, United States, 2006, by:

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

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population.

Numerator

U.S. civilian noninstitutionalized population who reported at least one emergency room visit.

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General Medical Care

Measure Title

People who received a hospital inpatient discharge in the calendar year.

Measure Source

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

Tables

17_1_5.1 People who received a hospital inpatient discharge in the calendar year, United States, 2006, by:

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

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population.

Numerator

U.S. civilian noninstitutionalized population who reported at least one inpatient discharge.

Comments

Inpatient discharges exclude inpatient visits where the admission date was the same as the discharge date (i.e., “zero-night” stays).

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General Medical Care

Measure Title

Physician office and hospital outpatient visits per 100 population.

Measure Source

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

Table

17_1_6.1 Physican office and hospital outpatient visits per 100 population, United States, 2006-2007, by:

  • Race.

Data Source

CDC, NCHS, National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS).

Denominator

U.S. civilian noninstitutionalized population.

Numerator

Number of visits to physician offices and hospital outpatient departments.

Comments

Year 2006 and 2007 rates use U.S. Census Bureau estimates of the civilian noninstitutionalized population as of July 1, 2006, and July 1, 2007, and are based on data from Census 2000.

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General Medical Care

Measure Title

Emergency department visits per 100 population.

Measure Source

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

Table

17_1_7.1 Emergency department visits per 100 population, United States, 2006-2007, by:

  • Race.

Data Source

CDC, NCHS, National Hospital Ambulatory Medical Care Survey (NHAMCS).

Denominator

U.S. civilian population.

Numerator

Number of visits to hospital emergency departments.

Comments

Estimates of the civilian noninstitutionalized population are from special tabulations developed by the Population Division, U.S. Census Bureau, using estimates as of July 1 of the period of study and are based on Census 2000 data.

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General Medical Care

Measure Title

Hospitalizations per 100 population.

Measure Source

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

Table

Data table will not be presented this year.

Data Source

CDC, NCHS, National Hospital Discharge Survey (NHDS).

Denominator

U.S. civilian noninstitutionalized population.

Numerator

Number of hospital discharges.

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Potentially Avoidable Admissions

Measure Title

Avoidable admissions for hypertension per 100,000 population age 18 and over.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Prevention Quality Indicators (PQIs).

Table

17_2_1.1 Admissions for hypertension (excluding patients with cardiac procedures, obstetric conditions, and transfers from other institutions) per 100,000 population, age 18 and over, United States, 2006, 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

U.S. population age 18 and over by subcategories (e.g., race, age group, gender, median household income level, urbanization, and region).

Numerator

Subset of the denominator with principal diagnosis of hypertension (International Classification of Diseases, Ninth Revision, Clinical Modification codes 401.0, 401.9, 402.00-402.90, 403.00-403.90, 404.00-404.90), excluding patients with cardiac procedures, obstetric admissions, and transfers from other institutions.

Comments

Rates are adjusted by age and gender using the total U.S. population for 2000 as the standard population. When reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

This table was created using version 3.1 of the AHRQ PQI software. This measure is referred to as PQI 7 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 25 States that participate in HCUP and have high-quality race/ethnicity data: 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.

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Potentially Avoidable Admissions

Measure Title

Avoidable admissions for angina per 100,000 population age 18 and over.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Prevention Quality Indicators (PQIs).

Table

17_2_2.1 Admissions for angina without procedure (excluding patients with cardiac procedures, transfers from other institutions, and obstetric admissions) per 100,000 population, age 18 and over, United States, 2006, 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

U.S. population age 18 and over by subcategories (e.g., race, age group, gender, median household income level, urbanization, and region).

Numerator

Subset of the denominator with principal diagnosis of angina (International Classification of Diseases, Ninth Revision, Clinical Modification codes 411.1-411.89, 413.0-413.9), excluding patients with cardiac procedures, obstetric admissions, and transfers from other institutions.

Comments

Rates are adjusted by age and gender using the total U.S. population for 2000 as the standard population. When reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

This table was created using version 3.1 of the AHRQ PQI software. This measure is referred to as PQI 13 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 25 States that participate in HCUP and have high-quality race/ethnicity data: 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.

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Potentially Avoidable Admissions

Measure Title

Avoidable admissions for chronic obstructive pulmonary disease per 100,000 population age 18 and over.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Prevention Quality Indicators (PQIs).

Table

17_2_3.1 Admissions for chronic obstructive pulmonary disease (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 and over, United States, 2006, 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

U.S. population age 18 and over by subcategories (e.g., race, age group, gender, median household income level, urbanization, and region).

Numerator

Subset of the denominator with principal diagnosis of chronic obstructive pulmonary disease (COPD) (International Classification of Diseases, Ninth Revision, Clinical Modification codes 490, 466.0, 491.0-491.21, 491.8, 491.9, 492.0, 492.8, 494, 494.0, 494.1, 496), excluding obstetric admissions and transfers from other institutions.

Comments

Rates are adjusted by age and gender using the total U.S. population for 2000 as the standard population. When reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

This table was created using version 3.1 of the AHRQ PQI software. This measure is referred to as PQI 5 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 25 States that participate in HCUP and have high-quality race/ethnicity data: 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.

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Potentially Avoidable Admissions

Measure Title

Avoidable admissions for bacterial pneumonia per 100,000 population age 18 and over.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Prevention Quality Indicators (PQIs).

Table

17_2_4.1 Bacterial pneumonia admissions (excluding sickle cell or hemoglobin-S conditions, transfers from other institutions, and obstetric admissions) per 100,000 population, age 18 and over, United States, 2006, 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

U.S. population age 18 and over by subcategories (e.g., race, age group, gender, median household income level, urbanization, and region).

Numerator

Adult discharges with principal diagnosis of bacterial pneumonia (International Classification of Diseases, Ninth Revision, Clinical Modification codes 481, 482.2-483.8, 485, 486), excluding sickle cell or hemoglobin-S conditions, obstetric admissions, and transfers from other institutions.

Comments

Rates are adjusted by age and gender using the total U.S. population for 2000 as the standard population. When reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

This table was created using version 3.1 of the AHRQ PQI software. This measure is referred to as PQI 11 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 25 States that participate in HCUP and have high-quality race/ethnicity data: 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.

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Potentially Avoidable Admissions

Measure Title

Perforated appendixes per 1,000 admissions with appendicitis.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Prevention Quality Indicators (PQIs).

Table

17_2_5.1 Admissions with perforated appendix per 1,000 admissions, age 18 and over, with appendicitis (excluding obstetric admissions and transfers from other institutions), United States, 2006, 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

Nonmaternal discharges with principal or secondary diagnosis of appendicitis, excluding transfers from other institutions.

Numerator

Subset of the denominator with principal or secondary diagnosis code for perforation or abscess of appendix.

Comments

Rates are adjusted by age and gender using the total U.S. population for 2000 as the standard population. When reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

This table was created using version 3.1 of the AHRQ PQI software. This measure is referred to as PQI 2 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 25 States that participate in HCUP and have high-quality race/ethnicity data: 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.

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Mental Health Care and Substance Abuse Treatment

Measure Title

Adults who received mental health treatment or counseling in the last 12 months.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

17_3_1.1 Adults who received mental health treatment or counseling in the last 12 months, United States, 2007, by:

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

Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

Adults age 18 and over.

Numerator

Adults age 18 and over who reported receipt of mental health treatment or counseling in the past year.

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Mental Health Care and Substance Abuse Treatment

Measure Title

Adults who received outpatient mental health treatment or counseling in the last 12 months.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

17_3_2.1 Adults who received outpatient mental health treatment or counseling in the last 12 months, United States, 2007, by:

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

Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

Adults age 18 and over.

Numerator

Adults age 18 and over who reported receipt of outpatient mental health treatment or counseling in the past year.

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Mental Health Care and Substance Abuse Treatment

Measure Title

Adults who received prescription medications for mental health treatment in the last 12 months.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

17_3_3.1 Adults who received prescription medications for mental health treatment in the last 12 months, United States, 2007, by:

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

Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

Adults age 18 and over.

Numerator

Adults age 18 and over who reported receipt of prescription medications for mental health treatment or counseling in the past year.

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Mental Health Care and Substance Abuse Treatment

Measure Title

Adults who received inpatient mental health treatment or counseling in the last 12 months.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

17_3_4.1 Adults who received inpatient mental health treatment or counseling in the last 12 months, United States, 2007, by:

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

Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

Adults age 18 and over.

Numerator

Adults age 18 and over who reported receipt of inpatient mental health treatment or counseling in the last year.

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Mental Health Care and Substance Abuse Treatment

Measure Title

People age 12 and over who received any treatment for illicit drug or alcohol abuse in the last 12 months.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

17_3_5.1 People age 12 and over who received any treatment for illicit drug or alcohol abuse in the last 12 months, United States, 2007, by:

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

Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

People age 12 and over.

Numerator

People age 12 and over who received any treatment for illicit drug or alcohol abuse in the past year.

 

Current as of March 2010
Internet Citation: Access to Care: Health Care Utilization: 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/measurespec/health_care_utilization.html