Effectiveness of Care: Heart Disease

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.


Prevention of Heart Disease
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high
Adults with hypertension with blood pressure <140/90 mm Hg
Adults who received a blood cholesterol measurement in the last 5 years

Treatment of Heart Attack
Hospital patients with heart attack and left ventricular systolic dysfunction who were prescribed ACE inhibitor or ARB at discharge
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI)

Treatment of Heart Failure
Composite measure: Hospital patients with heart failure who received recommended hospital care (evaluation of left ventricular ejection fraction and ACE inhibitor or ARB prescription at discharge, if indicated, for left ventricular systolic dysfunction)
Hospital patients with heart failure who received an evaluation of left ventricular ejection fraction
Hospital patients with heart failure and left ventricular systolic dysfunction who were prescribed ACE inhibitor or ARB at discharge
Hospital admissions for congestive heart failure per 100,000 population
Deaths per 1,000 adult hospital admissions with congestive heart failure (CHF)

Surgery for Heart and Vascular Disease
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair
Deaths per 1,000 hospital admissions with coronary artery bypass surgery (CABG), age 40 and over
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), age 40 and over
 


Prevention of Heart Disease

Measure Title

Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high.

Measure Source

Healthy People 2010.

Table

4_1_1.1 Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high, United States, 1998 and 2003.

4_1_1.2 Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high, United States, 2003, 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. population age 18 and over.

Numerator

Number of adults age 18 and over who had their blood pressure measured within the preceding 2 years and can state their blood pressure level.

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.

This measure is referred to as measure 12-12 in Healthy People 2010 documentation.

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Prevention of Heart Disease

Measure Title

Adults with hypertension with blood pressure <140/90 mm Hg.

Measure Source

Healthy People 2010.

Tables

4_1_2.1 Adults with hypertension whose blood pressure is under control, United States, 1988-1994 and 2003-2006.

Data Source

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

Denominator

U.S. civilian noninstitutionalized adults age 18 and over either having elevated blood pressure (average systolic pressure of at least 140 mm Hg or average diastolic pressure of at least 90 mm Hg) or taking antihypertension medication.

Numerator

Subset of denominator with average systolic blood pressure less than 140 mm Hg and average diastolic blood pressure less than 90 mm Hg based on average of three measurements and taking antihypertension medication.

Comments

Percentages are age adjusted to the 2000 standard population using 3 age groups: 18–39, 40–59, and 60 and over.

This measure is referred to as measure 12-10 in Healthy People 2010 documentation.

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Prevention of Heart Disease

Measure Title

Adults who received a blood cholesterol measurement in the last 5 years.

Measure Source

Healthy People 2010.

National Tables

4_1_3.1 Adults who received a blood cholesterol measurement in the last 5 years, United States, 1998 and 2003.

4_1_3.2 Adults who received a blood cholesterol measurement in the last 5 years, United States, 2003, by:

  • Race
  • Ethnicity
  • Family income

National Data Source

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

National Denominator

U.S. adult population age 18 and over.

National Numerator

Subset of denominator who have had their cholesterol checked within 5 years.

State Tables

4_1_3.3 Adults age 18 and over who have had their blood cholesterol checked within the preceding 5 years, by State, 2001 and 2007.

State Data Source

CDC, National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Behavioral Risk Factor Surveillance System (BRFSS).

State Denominator

Same as National.

State Numerator

Same as National.

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.

This measure is referred to as measure 12-15 in Healthy People 2010 documentation.

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Treatment of Heart Attack

Measure Title

Hospital patients with heart attack and left ventricular systolic dysfunction who were prescribed ACE inhibitor or ARB at discharge.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

National Tables

4_2_1.1 Hospital patients with heart attack and left ventricular systolic dysfunction who were prescribed ACE inhibitor or ARB at discharge, United States, 2005 and 2007.

National Data Source

CMS, Medicare Quality Improvement Organization (QIO) Program.

National Denominator

Discharged hospital patients with a principal diagnosis of acute myocardial infarction (AMI) and documented left ventricular ejection fraction, and without contraindication for angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs).

National Numerator

Subset of the denominator prescribed an ACE inhibitor or ARB medication at hospital discharge.

State Tables

4_2_1.2 Hospital patients with heart attack and left ventricular systolic dysfunction who were prescribed ACE inhibitor or ARB at discharge, by State, 2005 and 2007.

4_2_1.3 Hospital patients with heart attack and left ventricular systolic dysfunction who were prescribed ACE inhibitor or ARB at discharge, by State, 2004 and 2008.

State Data Source

CMS, QIO.

CMS, Hospital Compare (HC).

State Denominator

Discharged hospital patients with a principal diagnosis of acute myocardial infarction (AMI) and documented left ventricular ejection fraction, and without contraindication for angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs).

State Numerator

Subset of the denominator prescribed ACE inhibitor or ARB medication at hospital discharge

Comments

Effective November 2004, CMS revised this measure to incorporate newly recognized treatment.

International Classification of Diseases, Ninth Revision, Clinical Modification codes for AMI include 410.01, 410.11, 410.21, 410.31, 410.41, 410.51, 410.61, 410.71, 410.81, and 410.91. The measure criteria exclude patients under age 18, patients transferred to another acute care or Federal hospital, patients who expired, patients who left against medical advice, patients discharged to hospice, and patients with certain conditions or contraindications pertaining to the medications described in the measure. Further information on this and other heart disease measures is available at http://www.cms.hhs.gov/HospitalQualityInits/.

For State tables, data were downloaded from http://www.medicare.gov/Download/DownloadDB.asp in late April each year. Estimates are calculated using hospital-level scores.

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Treatment of Heart Attack

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).

National Tables

4_2_2.1 Deaths per 1,000 admissions with acute myocardial infarction (AMI) as principal diagnosis (excluding transfers to another hospital), age 18 and over, United States, 2000 and 2006.

4_2_2.2 Deaths per 1,000 admissions with acute myocardial infarction (AMI) as principal diagnosis (excluding transfers to another hospital), age 18 and over, United States, 2006, by:

  • Race/ethnicity.

National Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample (NIS).

AHRQ, CDOM, HCUP, State Inpatient Databases, disparities analysis file.

National Denominator

All hospital inpatient discharges age 18 and over with a principal diagnosis code of AMI (International Classification of Diseases, Ninth Revision, Clinical Modification 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.

National Numerator

Number of deaths with a principal diagnosis code of AMI.

State Tables

4_2_2.3 Deaths per 1,000 admissions with acute myocardial infarction (AMI) as principal diagnosis (excluding transfers to another hospital), age 18 and over, by State, 2000 and 2006.

State Data Source

AHRQ, CDOM, HCUP, State Inpatient Databases (SID).

State Denominator

Same as National.

State Numerator

Same as National.

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.

Although not all States participate in the HCUP database, the Nationwide Inpatient Sample is weighted to give national estimates using weights based on all U.S. community nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

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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Treatment of Heart Failure

Measure Title

Composite measure: Hospital patients with heart failure who received recommended hospital care (evaluation of left ventricular ejection fraction and ACE inhibitor or ARB prescription at discharge, if indicated, for left ventricular systolic dysfunction).

Measure Source

Centers for Medicare & Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

National Tables

4_3_1.1 Hospital patients with heart failure who received recommended hospital care (evaluation of left ventricular ejection fraction and ACE inhibitor or ARB prescription at discharge, if indicated, for left ventricular systolic dysfunction), United States, 2005 and 2007.

National Data Source

CMS, Medicare Quality Improvement Organization (QIO) Program.

National Denominator

Hospital patients discharged alive with a principal diagnosis of heart failure.

National Numerator

Subset of instances in which denominator heart failure patients received recommended processes during the hospital stay: evaluation of left ventricular ejection fraction and prescribed an ACE inhibitor or ARB at hospital discharge.

State Tables

4_3_1.2 Hospital patients with heart failure who received recommended hospital care (evaluation of left ventricular ejection fraction and ACE inhibitor or ARB prescription at discharge, if indicated, for left ventricular systolic dysfunction), by State, 2005 and 2007.

4_3_1.3 Hospital patients with heart failure who received recommended hospital care, by State, 2004 and 2008.

State Data Source

CMS, QIO.

CMS, Hospital Compare (HC).

State Denominator

Same as National.

State Numerator

Same as National.

Comments

International Classification of Diseases, Ninth Revision, Clinical Modification codes for heart failure include 402.01, 402.11, 402.91, 404.01, 404.03, 404.11, 404.13, 404.91, 404.93, 428.0, 428.1, 428.20, 428.21, 428.22, 428.23, 428.30, 428.31, 428.32, 428.33, 428.40, 428.41, 428.42, 428.43, and 428.9.

Further information on this and other heart disease measures is available at http://www.cms.hhs.gov/HospitalQualityInits/.

For State tables, recommended hospital care for heart failure includes receiving evaluation of left ventricular ejection fraction and prescription of angiotensin-converting enzyme (ACE) inhibitor at discharge for patients with left ventricular systolic dysfunction. Data were downloaded from http://www.medicare.gov/Download/DownloadDB.asp in late April each year. Estimates are calculated using hospital-level scores.

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Treatment of Heart Failure

Measure Title

Hospital patients with heart failure who received an evaluation of left ventricular ejection fraction.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

National Tables

4_3_2.1 Hospital patients with heart failure who received an evaluation of left ventricular ejection fraction, United States, 2005 and 2007.

National Data Source

CMS, Medicare Quality Improvement Organization (QIO) Program.

National Denominator

Hospital patients discharged alive with a principal diagnosis of heart failure.

National Numerator

Subset of heart failure patients with documentation in the hospital record that left ventricular ejection fraction was assessed before arrival or during hospitalization or was planned for after discharge.

State Tables

4_3_2.2 Hospital patients with heart failure who received an evaluation of left ventricular ejection fraction, by State, 2005 and 2007.

4_3_2.3 Hospital patients with heart failure who received an evaluation of left ventricular systolic function, by State, 2004 and 2008.

State Data Source

CMS, QIO.

CMS, Hospital Compare (HC).

State Denominator

Same as National.

State Numerator

Same as National.

Comments

International Classification of Diseases, Ninth Revision, Clinical Modification codes for heart failure include 402.01, 402.11, 402.91, 404.01, 404.03, 404.11, 404.13, 404.91, 404.93, 428.0, 428.1, 428.20, 428.21, 428.22, 428.23, 428.30, 428.31, 428.32, 428.33, 428.40, 428.41, 428.42, 428.43, and 428.9.

Further information on this and other heart disease measures is available at http://www.cms.hhs.gov/HospitalQualityInits/.

For State tables, data were downloaded from http://www.medicare.gov/Download/DownloadDB.asp in late April each year. Estimates are calculated using hospital-level scores.

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Treatment of Heart Failure

Measure Title

Hospital patients with heart failure and left ventricular systolic dysfunction who were prescribed ACE inhibitor or ARB at discharge.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

National Tables

4_3_3.1 Hospital patients with heart failure and left ventricular systolic dysfunction who were prescribed ACE inhibitor or ARB at discharge, United States, 2005 and 2007.

National Data Source

CMS, Medicare Quality Improvement Organization (QIO) Program.

National Denominator

Hospital patients discharged alive with a principal diagnosis of heart failure and documented left ventricular systolic dysfunction and without contraindications for angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs).

National Numerator

Subset of the denominator prescribed an ACE inhibitor or ARB medication at hospital discharge.

State Tables

4_3_3.2 Hospital patients with heart failure and left ventricular systolic dysfunction who were prescribed ACE inhibitor or ARB at discharge, by State, 2005 and 2007.

4_3_3.3 Hospital patients with heart failure who were prescribed ACE inhibitor or ARB for left ventricular systolic dysfunction, by State, 2004 and 2008.

State Data Source

CMS, QIO.

CMS, Hospital Compare (HC).

State Denominator

Hospital patients discharged alive with a principal diagnosis of heart failure and with left ventricular systolic dysfunction and without contraindications for angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs).

State Numerator

Subset of the denominator prescribed an ACE inhibitor or ARB medication at hospital discharge.

Comments

Effective November 2004, CMS revised this measure to incorporate newly recognized treatment.

International Classification of Diseases, Ninth Revision, Clinical Modification codes for heart failure include 402.01, 402.11, 402.91, 404.01, 404.03, 404.11, 404.13, 404.91, 404.93, 428.0, 428.1, 428.20, 428.21, 428.22, 428.23, 428.30, 428.31, 428.32, 428.33, 428.40, 428.41, 428.42, 428.43, and 428.9.

Further information on this and other heart disease measures is available at http://www.cms.hhs.gov/HospitalQualityInits/.

For State tables, data were downloaded from http://www.medicare.gov/Download/DownloadDB.asp in late April each year. Estimates are calculated using hospital-level scores.

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Treatment of Heart Failure

Measure Title

Hospital admissions for congestive heart failure per 100,000 population.

Measure Source

Healthy People 2010.

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

State Tables

4_3_4.1 Admissions for congestive heart failure (excluding patients with cardiac procedures, obstetric conditions, and transfers from other institutions) per 100,000 population, age 18 and over, by State, 2000 and 2006.

State Data Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), State Inpatient Databases (SID).

State Denominator

Population age 18 and over, by State.

State Numerator

Same as National.

Comments

Estimates of the civilian population, including institutionalized people, are from unpublished 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 the 2000 census.

Data are age adjusted to the 2000 standard population using the age groups under 18 years, 18-44, 45-64, 65-74, and 75 years and over. Age-adjusted rates are weighted sums of age-specific rates. Race classification changed in 2000. Data for 2000 and later years may not be comparable with data from previous years.

This measure is referred to as measure 12-6 in Healthy People 2010 documentation. The age range has been modified from the original specification.

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Treatment of Heart Failure

Measure Title

Deaths per 1,000 adult hospital admissions with congestive heart failure (CHF).

Measure Source

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

National Tables

4_3_5.1 Deaths per 1,000 hospital admissions with congestive heart failure as principal diagnosis (excluding obstetric admissions and transfers to another hospital), age 18 and over, United States, 2000 and 2006.

4_3_5.2 Deaths per 1,000 hospital admissions with congestive heart failure as principal diagnosis (excluding obstetric admissions and transfers to another hospital), age 18 and over, United States, 2006, by:

  • Race/ethnicity.

National Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample (NIS).

AHRQ, CDOM, HCUP, State Inpatient Databases, disparities analysis file.

National Denominator

All discharges with principal diagnosis code of CHF, age 18 and over (International Classification of Diseases, Ninth Revision, Clinical Modification codes 398.91, 402.01, 402.11, 402.91, 404.01, 404.03, 404.11, 404.13, 404.91, 404.93, 428.0-428.9). Excludes patients transferring to another short-term hospital and obstetric admissions.

National Numerator

Number of deaths with a principal diagnosis code of CHF.

State Tables

4_3_5.3 Deaths per 1,000 hospital admissions with congestive heart failure as principal diagnosis (excluding obstetric admissions and transfers to another hospital), age 18 and over, by State, 2000 and 2006.

State Data Source

AHRQ, CDOM, HCUP, State Inpatient Databases (SID).

State Denominator

Same as National.

State Numerator

Same as National.

Comments

Rates are adjusted by age, gender, age-gender interactions, and 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 16 in the software documentation. More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

Although not all States participate in the HCUP database, the Nationwide Inpatient Sample is weighted to give national estimates using weights based on all U.S. community nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

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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Surgery for Heart and Vascular Disease

Measure Title

Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair.

Measure Source

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

National Tables

4_4_1.1 Deaths per 1,000 hospital admissions with abdominal aortic aneurysm (AAA) repair (excluding obstetric admissions and transfers to another hospital), age 18 and over, United States, 2000 and 2006.

4_4_1.2 Deaths per 1,000 admissions with abdominal aortic aneurysm (AAA) repair (excluding obstetric admissions and transfers to another hospital), age 18 and over, United States, 2006, by:

  • Race/ethnicity.

National Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample (NIS).

AHRQ, CDOM, HCUP, State Inpatient Databases, disparities analysis file.

National Denominator

Hospital inpatient discharges with an AAA repair procedure (International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9-CM] codes 38.34, 38.44, 38.64, and 39.71) in any procedure field and a diagnosis code of AAA (ICD-9-CM 44.13, 44.14) in any field, excluding patients transferring to another short-term hospital and obstetric admissions.

National Numerator

Number of deaths with an AAA repair surgery in any procedure field.

State Tables

4_4_1.3 Deaths per 1,000 admissions with abdominal aortic aneurysm (AAA) repair (excluding obstetric admissions and transfers to another hospital), age 18 and over, by State, 2000 and 2006.

State Data Source

AHRQ, CDOM, HCUP, State Inpatient Databases (SID).

State Denominator

Same as National.

State Numerator

Same as National.

Comments

Rates are adjusted by age, gender, age-gender interactions, and 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 11 in the software documentation. More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

Although not all States participate in the HCUP database, the Nationwide Inpatient Sample is weighted to give national estimates using weights based on all U.S. community nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

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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Surgery for Heart and Vascular Disease

Measure Title

Deaths per 1,000 hospital admissions with coronary artery bypass surgery (CABG), age 40 and over.

Measure Source

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

National Tables

4_4_2.1 Deaths per 1,000 hospital admissions with coronary artery bypass graft (excluding obstetric admissions and transfers to another hospital), age 40 and over, United States, 2000 and 2006.

4_4_2.2 Deaths per 1,000 admissions with coronary artery bypass graft (excluding obstetric admissions and transfers to another hospital), age 40 and over, United States, 2006, by:

  • Race/ethnicity.

National Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample (NIS).

AHRQ, CDOM, HCUP, State Inpatient Databases, disparities analysis file.

National Denominator

Hospital inpatient discharges, age 40 and over, with a coronary artery bypass graft (International Classification of Diseases, Ninth Revision, Clinical Modification codes 36.10-36.19) in any procedure field. Excludes patients transferring to another short-term hospital and obstetric admissions.

National Numerator

Number of deaths with a code of CABG in any procedure field.

State Tables

4_4_2.3 Deaths per 1,000 admissions with coronary artery bypass graft (excluding obstetric admissions and transfers to another hospital), age 40 and over, by State, 2000 and 2006.

State Data Source

AHRQ, CDOM, HCUP, State Inpatient Databases (SID).

State Denominator

Same as National.

State Numerator

Same as National.

Comments

Rates are adjusted by age, gender, age-gender interactions, and 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 12 in the software documentation. More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

Although not all States participate in the HCUP database, the Nationwide Inpatient Sample is weighted to give national estimates using weights based on all U.S. community nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

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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Surgery for Heart and Vascular Disease

Measure Title

Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), age 40 and over.

Measure Source

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

National Tables

4_4_3.1 Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasties (excluding obstetric admissions and transfers to another hospital), age 40 and over, United States, 2000 and 2006.

4_4_3.2 Deaths per 1,000 admissions with percutaneous transluminal coronary angioplasties (excluding obstetric admissions and transfers to another hospital), age 40 and over, United States, 2006, by:

  • Race/ethnicity.

National Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample (NIS).

AHRQ, CDOM, HCUP, State Inpatient Databases, disparities analysis file.

National Denominator

Hospital inpatient discharges, age 40 and over, with percutaneous transluminal coronary angioplasties (International Classification of Diseases, Ninth Revision, Clinical Modification codes 00.66, 36.01, 36.02, and 36.05) in any procedure field, excluding obstetric and admissions and transfers to another hospital.

National Numerator

Number of deaths with a code of PTCA in any procedure field.

State Tables

4_4_3.3 Deaths per 1,000 admissions with percutaneous transluminal coronary angioplasties (excluding obstetric admissions and transfers to another hospital), age 40 and over, by State, 2000 and 2006.

State Data Source

AHRQ, CDOM, HCUP, State Inpatient Databases (SID).

State Denominator

Same as National.

State Numerator

Same as National.

Comments

Rates are adjusted by age, gender, age-gender interactions, and 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 indicator IQI 30 in the software documentation. More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

Although not all States participate in the HCUP database, the Nationwide Inpatient Sample is weighted to give national estimates using weights based on all U.S. community nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

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.

Current as of March 2010
Internet Citation: Effectiveness of Care: Heart Disease: 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/heart_disease.html