Effectiveness of Care: Maternal and Child Health

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.


Maternity Care
Women who completed a pregnancy in the last 12 months who received prenatal care in the first trimester
Live-born infants with low birth weight (<2,500 g, <1,500 g)
Infant deaths per 1,000 live births (total, <1,500 g, 1,500-2,499 g, ≥2,500 g)
Maternal deaths per 100,000 live births

Birth-Related Complications
Birth trauma - injury to neonate per 1,000 selected live births
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance
Obstetric trauma per 1,000 instrument-assisted deliveries
Obstetric trauma per 1,000 cesarean deliveries

Childhood Immunization
Composite measure: Children ages 19-35 months who received all recommended vaccines
Children ages 19-35 months who received 4 doses of diphtheria-tetanus-pertussis vaccine
Children ages 19-35 months who received 3 doses of polio vaccine
Children ages 19-35 months who received 1 dose of measles-mumps-rubella vaccine
Children ages 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine
Children ages 19-35 months who received 3 doses of hepatitis B vaccine
Children ages 19-35 months who received 1 dose of varicella vaccine

Other Childhood Preventive Care
Children who ever had their height and weight measured by a health provider
Children ages 2-17 who had a dental visit in the calendar year
Children ages 2-17 with untreated dental caries
People ages 2-19 who were overweight who were told by a health provider they were overweight
Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should have
Children ages 2-17 for whom a health provider ever gave advice about healthy eating
Children ages 3-6 who ever had their vision checked by a health provider
Children for whom a health provider ever gave advice about how smoking in the house can be bad for a child
Children 0-40 lb for whom a health provider ever gave advice about using child safety seats when riding in a car
Children 41-80 lb for whom a health provider ever gave advice about using booster seats when riding in a car
Children over 80 lb for whom a health provider ever gave advice about using lap or shoulder belts when riding in a car
Children ages 2-17 for whom a health provider ever gave advice about using a helmet when riding a bicycle or motorcycle
 


Maternity Care

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.

Table

Data table will not be presented this year.

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

Mothers of liveborn infants receiving prenatal care in the first trimester (3 months) of pregnancy.

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Maternity Care

Measure Title

Live-born infants with low birth weight (<2,500 g, <1,500 g).

Measure Source

Healthy People 2010.

Table

Data table will not be presented this year.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System — Mortality and Natality (NVSS-M and NVSS-N).

Denominator

Number of live births.

Numerator

Number of live births with birth weight of less than 2,500 grams (5 lb, 8 oz) or less than 1,500 grams (3 lb, 3 oz).

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Maternity Care

Measure Title

Infant deaths per 1,000 live births (total, <1,500 g, 1,500-2,499 g, ≥2,500 g).

Measure Source

Healthy People 2010.

Table

Data table will not be presented this year.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System – Mortality and Natality (NVSS-M and NVSS-N).

Denominator

  1. Resident live births.
  2. Resident live births with birth weight less than 1,500 grams.
  3. Resident live births with birth weight of 1,500 to 2,499 grams.
  4. Resident live births with birth weight of 2,500 grams or more.

Numerator

  1. Number of infant deaths within the first year.
  2. Number of infant deaths within the first year among live births with birth weight less than 1,500 grams.
  3. Number of infant deaths within the first year among live births with birth weight of 1,500 to 2,499 grams.
  4. Number of infant deaths within the first year among live births with birth weight of 2,500 grams or more.

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Maternity Care

Measure Title

Maternal deaths per 100,000 live births.

Measure Source

Healthy People 2010.

Table

Data table will not be presented this year.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System — Mortality and Natality (NVSS-M and NVSS-N).

Denominator

U.S. resident live births.

Numerator

Number of female deaths due to obstetric causes (International Classification of Diseases, Tenth Revision, Clinical Modification [ICD-10-CM] codes A34, O00-O95, O98-O99) within 42 days of a pregnancy.

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Birth-Related Complications

Measure Title

Birth trauma - injury to neonate per 1,000 selected live births.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Patient Safety Indicators (PSIs).

National Tables

6_2_1.1 Birth trauma - injury to neonate per 1,000 live births (excluding preterm and osteogenesis imperfecta births), United States, 2004 and 2006.

6_2_1.2 Birth trauma - injury to neonate per 1,000 live births (excluding preterm and osteogenesis imperfecta births), 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

Live birth discharges in the United States.

National Numerator

Subset of the denominator with any diagnosis of birth trauma (International Classification of Diseases, Ninth Revision, Clinical Modification codes 767.0, 767.11, 767.3, 767.4, 767.7, 767.8, 767.9) in any diagnosis field, excluding preterm infants with subdural or cerebral hemorrhage, and osteogenesis imperfecta births with injury to skeleton.

State Tables

6_2_1.3 Birth trauma - injury to neonate per 1,000 live births (excluding preterm and osteogenesis imperfecta births), by State, 2004 and 2006.

State Data Source

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

State Denominator

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

State Numerator

Same as National.

Comments

Rates are adjusted by gender. When reporting is by gender, there is no adjustment.

This table was created using version 3.1 of the AHRQ PSI software. This measure is referred to as PSI 17 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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Birth-Related Complications

Measure Title

Obstetric trauma per 1,000 vaginal deliveries without instrument assistance.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Patient Safety Indicators (PSIs).

National Tables

6_2_2.1 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 vaginal deliveries without instrument assistance, United States, 2000 and 2006.

6_2_2.2 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 vaginal deliveries without instrument assistance, 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 vaginal delivery hospital discharges without indication of instrument assistance.

National Numerator

Subset of the denominator with any diagnosis or procedure indicating obstetric trauma with 3rd or 4th degree lacerations.

State Tables

6_2_2.3 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 vaginal deliveries without instrument assistance, 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 and comorbidities. When reporting is by age, the adjustment is by comorbidities only.

This table was created using version 3.1 of the AHRQ PSI software. This measure is referred to as PSI 19 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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Birth-Related Complications

Measure Title

Obstetric trauma per 1,000 instrument-assisted deliveries.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Patient Safety Indicators (PSIs).

National Tables

6_2_3.1 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries, United States, 2000 and 2006.

6_2_3.2 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries, 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 vaginal delivery hospital discharges with any procedure indicating instrument-assisted delivery.

National Numerator

Subset of the denominator with any diagnosis or procedure indicating obstetric trauma with 3rd or 4th degree lacerations.

State Tables

6_2_3.3 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries, 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 and comorbidities. When reporting is by age, the adjustment is by comorbidities only.

This table was created using version 3.1 of the AHRQ PSI software. This measure is referred to as PSI 18 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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Birth-Related Complications

Measure Title

Obstetric trauma per 1,000 cesarean deliveries.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Patient Safety Indicators (PSIs).

National Tables

6_2_4.1 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 cesarean deliveries, United States, 2000 and 2006.

6_2_4.2 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 cesarean deliveries, 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 vaginal delivery hospital discharges with cesarean section delivery.

National Numerator

Subset of the denominator with any diagnosis or procedure indicating obstetric trauma with 3rd or 4th degree lacerations.

State Tables

6_2_4.3 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 cesarean deliveries, 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

No risk adjustment is performed for this outcome of interest.

This table was created using version 3.1 of the AHRQ PSI software. This measure is referred to as PSI 20 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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Childhood Immunization

Measure Title

Composite measure: Children ages 19-35 months who received all recommended vaccines

Measure Source

Healthy People 2010.

National Tables

6_3_1.1 Children ages 19-35 months who received all recommended vaccines (4:3:1:3:3), United States, 1998 and 2007.

6_3_1.2 Children ages 19-35 months who received all recommended vaccines (4:3:1:3:3), United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family income.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics and National Center for Immunization and Respiratory Diseases (NCHS-NCIRD), National Immunization Survey (NIS).

National Denominator

U.S. civilian noninstitutionalized population: children ages 19-35 months.

National Numerator

Number of children ages 19-35 months receiving at least 4 doses of diphtheria-tetanus-acellular pertussis (DTaP), at least 3 doses of polio, at least 1 dose of measles-mumps-rubella (MMR), at least 3 doses of Haemophilus influenzae B (Hib), and at least 3 doses of hepatitis B antigens.

State Tables

6_3_1.3 Children ages 19-35 months who received all recommended vaccines (4:3:1:3:3), by State, 2000 and 2007.

State Data Source

CDC, NCHS-NCIRD, NIS.

State Denominator

Same as National.

State Numerator

Same as National.

Comments

Race categories changed in 2001. Data for 2001 and later years may not be comparable with data from previous years.

This measure is referred to as measure 14-24a in Healthy People 2010 documentation.

The vaccines included in this measure are based on the corresponding Healthy People 2010 objective. These include at least 4 doses of DTaP vaccine; at least 3 doses of polio vaccine; at least 1 dose of MMR vaccine; at least 3 doses of Hib vaccine; and at least 3 doses of hepatitis B vaccine. Between 1998 and 2005, the following vaccines were added to the list of recommended vaccines for children up to 35 months of age but were not added to this composite measure: pneumococcal conjugate vaccine (PCV) added in 2001 and influenza vaccine added in 2004. Varicella vaccine and vaccines added after 1998 to the recommended schedule for children up to 35 months of age also are not included in this composite measure.

This objective is one of the measures used to track the Immunization Leading Health Indicator.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 4 doses of diphtheria-tetanus-pertussis vaccine.

Measure Source

Healthy People 2010.

Tables

6_3_2.1 Children ages 19-35 months who received 4 doses of diphtheria-tetanus-pertussis vaccine, United States, 2001 and 2007.

6_3_2.2 Children ages 19-35 months who received 4 doses of diphtheria-tetanus-pertussis vaccine, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics and National Center for Immunization and Respiratory Diseases (NCHS-NCIRD), National Immunization Survey (NIS).

Denominator

U.S. civilian noninstitutionalized population: children ages 19-35 months.

Numerator

Number of children ages 19-35 months receiving at least 4 doses of the combination of diphtheria, tetanus, and acellular pertussis antigens.

Comments

Statistical adjustments are made to minimize bias due to (1) lower coverage among children living in households without telephones, (2) discrepancies between vaccinations reported by household compared with immunization providers, and (3) differences in race/ethnic population distribution in the sample compared to race/ethnic population distribution at birth.

This baseline measure tracks the number of children ages 19-35 months receiving 4 or more doses of the combination of diphtheria, tetanus, and acellular pertussis (DTaP) antigens, as well as those children who received the combination of diphtheria, tetanus, and pertussis (DTP) antigens.

This measure is referred to as measure 14-22a in Healthy People 2010 documentation

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 3 doses of polio vaccine.

Measure Source

Healthy People 2010.

Tables

6_3_3.1 Children ages 19-35 months who received 3 doses of polio vaccine, United States, 2001 and 2007.

6_3_3.2 Children ages 19-35 months who received 3 doses of polio vaccine, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics and National Center for Immunization and Respiratory Diseases (NCHS-NCIRD), National Immunization Survey (NIS).

Denominator

U.S. civilian noninstitutionalized population: children ages 19-35 months.

Numerator

Number of children ages 19-35 months receiving at least 3 doses of the polio antigen.

Comments

This measure is referred to as measure 14-22e in Healthy People 2010 documentation.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 1 dose of measles-mumps-rubella vaccine.

Measure Source

Healthy People 2010.

Tables

6_3_4.1 Children ages 19-35 months who received 1 dose of measles-mumps-rubella vaccine, United States, 2001 and 2007

6_3_4.2 Children ages 19-35 months who received 1 dose of measles-mumps-rubella vaccine, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics and National Center for Immunization and Respiratory Diseases (NCHS-NCIRD), National Immunization Survey (NIS).

Denominator

U.S. civilian noninstitutionalized population: children ages 19-35 months.

Numerator

Number of children ages 19-35 months receiving at least 1 dose of the combination of measles, mumps, and rubella antigens.

Comments

This measure is referred to as measure 14-22d in Healthy People 2010 documentation

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine.

Measure Source

Healthy People 2010.

Tables

6_3_5.1 Children ages 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine, United States, 2001 and 2007.

6_3_5.2 Children ages 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics and National Center for Immunization and Respiratory Diseases (NCHS-NCIRD), National Immunization Survey (NIS).

Denominator

U.S. civilian noninstitutionalized population: children ages 19-35 months.

Numerator

Number of children ages 19-35 months receiving at least 3 doses of the Haemophilus influenzae type B antigen.

Comments

This measure is referred to as measure 14-22b in Healthy People 2010 documentation.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 3 doses of hepatitis B vaccine.

Measure Source

Healthy People 2010.

Tables

6_3_6.1 Children ages 19-35 months who received 3 doses of hepatitis B vaccine, United States, 2001 and 2007.

6_3_6.2 Children ages 19-35 months who received 3 doses of hepatitis B vaccine, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics and National Center for Immunization and Respiratory Diseases (NCHS-NCIRD), National Immunization Survey (NIS).

Denominator

U.S. civilian noninstitutionalized population: children ages 19-35 months.

Numerator

Number of children ages 19-35 months receiving at least 3 doses of the hepatitis B antigen.

Comments

This measure is referred to as measure 14-22c in Healthy People 2010 documentation.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 1 dose of varicella vaccine.

Measure Source

Healthy People 2010.

Tables

6_3_7.1 Children ages 19-35 months who received 1 dose of varicella vaccine, United States, 2001 and 2007.

6_3_7.2 Children ages 19-35 months who received 1 dose of varicella vaccine, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics and National Center for Immunization and Respiratory Diseases (NCHS-NCIRD), National Immunization Survey (NIS).

Denominator

U.S. civilian noninstitutionalized population: children ages 19-35 months.

Numerator

Number of children ages 19-35 months receiving at least 1 dose of the varicella antigen.

Comments

This measure is referred to as measure 14-22f in Healthy People 2010 documentation.

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Other Childhood Preventive Care

Measure Title

Children who ever had their height and weight measured by a health provider.

Measure Source

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

Tables

6_4_1.1 Children who ever had their height and weight measured by a health provider, United States, 2006.

6_4_1.2 Children who ever had their height and weight measured by a health provider, United States, 2002.

6_4_1.3 Children who ever had their height and weight measured by a health provider, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children under age 18 for the "Ever given advice" estimates, excluding nonrespondents to the questions of whether height and weight were measured by a doctor or other health provider. "Don't know" responses to the questions of when weight and/or height were measured were further excluded from "Within the past year" and "Within the past 2 years" estimates.

Numerator

Children under age 18 who ever had both height and weight measured for the "Ever had both measures" estimates. Children who had both measurements within the past year for the "Within the past year" estimates. Children who had both measurements either within the past year or 2 years for the "Within the past 2 years" estimates.

Comments

This measure combined weight and height measurements. The denominator and numerator were further modified regarding missing values and the combination.

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Other Childhood Preventive Care

Measure Title

Children ages 2-17 who had a dental visit in the calendar year.

Measure Source

Healthy People 2010.

Tables

6_4_2.1 Children ages 2-17 who had a dental visit in the calendar year, United States, 2002 and 2006.

6_4_2.2 Children ages 2-17 who had a dental visit in the calendar year, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

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

Denominator

U.S. population, children ages 2-17.

Numerator

Number of children ages 2-17 who had a dental visit in the survey year.

Comments

The age used to subset child population for the "children with special health care needs (CSHCN)" category is the age at the interview rounds when the questions about whether the child needs special health care were asked. For other categories, it is the age at the end of the year.

This measure is referred to as measure 21-10 in Healthy People 2010 documentation

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Other Childhood Preventive Care

Measure Title

Children ages 2-17 with untreated dental caries.

Measure Source

Healthy People 2010.

Table

6_4_3.1 Children ages 2-5 with untreated dental caries, United States, 1988-1994 and 1999-2004.

6_4_3.2 Children ages 6-11 with untreated dental caries, United States, 1988-1994 and 1999-2004.

6_4_3.3 Children ages 12-17 with untreated dental caries, United States, 1988-1994 and 1999-2004.

Data Source

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

Denominator

Children ages 2-5, 6-11, and 12-17 years.

Numerator

Subset of denominator with a clinical diagnosis of dental decay in at least one tooth that has not been restored.

Comments

This measure is referred to as measure 21-2 in Healthy People 2010 documentation. The age ranges have been modified from the original specification.

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Other Childhood Preventive Care

Measure Title

People ages 2-19 who were overweight who were told by a health provider they were overweight.

Measure Source

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

Tables

6_4_4.1 Overweight children and teens ages 2-19 who were told by a doctor or health professional that they were overweight, United States, 1999-2002 and 2003-2006.

Data Source

CDC, NCHS, National Health and Nutrition Examination Survey (NHANES).

Denominator

People ages 2-19 with a body mass index (BMI) greater than or equal to the 95th percentile on the BMI-for-age, sex-specific 2000 CDC growth charts for the United States.

Numerator

Subset of the denominator who reported they were told by a doctor or health professional that they were overweight.

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Other Childhood Preventive Care

Measure Title

Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should have.

Measure Source

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

Tables

6_4_5.1 Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should have, United States, 2006.

6_4_5.2 Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should have, United States, 2002.

6_4_5.3 Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should have, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children ages 2-17 for the "Ever given advice" estimates, excluding nonrespondents to the question, "Has a doctor or other health provider ever given advice about the amount and kind of exercise, sports, or physically active hobbies you should have?" "Don't know" responses to the question of when the advice was given were further excluded from "Within the past year" and "Within the past 2 years" estimates.

Numerator

Children ages 2-17 for whom a doctor or other health provider had ever given advice about the amount and kind of physical activity for the "Ever given advice" estimates. Children who were given the advice within the past year for "Within the past year" estimates. Children who were given the advice within the past year or 2 years for "Within the past 2 years" estimates.

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Other Childhood Preventive Care

Measure Title

Children ages 2-17 for whom a health provider ever gave advice about healthy eating.

Measure Source

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

Tables

6_4_6.1 Children ages 2-17 for whom a health provider ever gave advice about eating healthy, United States, 2006.

6_4_6.2 Children ages 2-17 for whom a health provider ever gave advice about eating healthy, United States, 2002.

6_4_6.3 Children ages 2-17 for whom a health provider ever gave advice about eating healthy, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children ages 2-17 for the "Ever given advice" estimates, excluding nonrespondents to the question, "Has a doctor or other health provider ever given advice about eating healthy?" "Don't know" responses to the question of when the advice was given were further excluded for "Within the past year" and "Within the past 2 years" estimates.

Numerator

Children ages 2-17 for whom a doctor or other health provider had ever given advice about eating healthy for the "Ever given advice" estimates. Children who were given the advice within the past year for "Within the past year" estimates. Children who were given the advice within the past year or 2 years for "Within the past 2 years" estimates.

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Other Childhood Preventive Care

Measure Title

Children ages 3-6 who ever had their vision checked by a health provider.

Measure Source

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

Tables

6_4_7.1 Children ages 3-6 who ever had their vision checked by a health provider, United States, 2002 and 2006.

6_4_7.2 Children ages 3-6 who ever had their vision checked by a health provider, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children ages 3-6. Nonresponses, as well as "Don't know" responses, were excluded.

Numerator

Children ages 3-6 whose vision had ever been checked by a doctor or other health provider.

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Other Childhood Preventive Care

Measure Title

Children for whom a health provider ever gave advice about how smoking in the house can be bad for a child.

Measure Source

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

Tables

6_4_8.1 Children for whom a health provider ever gave advice about how smoking in the house can be bad for a child, United States, 2006.

6_4_8.2 Children for whom a health provider ever gave advice about how smoking in the house can be bad for a child, United States, 2002.

6_4_8.3 Children for whom a health provider ever gave advice about how smoking in the house can be bad for a child, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children under age 18 for the "Ever given advice" estimates, excluding nonrespondents to the question of whether a doctor or other health provider had ever given advice about how smoking in the house can be harmful. "Don't know" responses to the question of when the advice was given were further excluded for "Within the past year" and "Within the past 2 years" estimates.

Numerator

For the "Ever given advice" estimates, children under age 18 for whom a doctor or other health provider had ever given advice about how smoking in the house can be harmful. Children for whom advice was given within the past year for "Within the past year" estimates. Children for whom advice was given within the past year or 2 years for "Within the past 2 years" estimates.

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Other Childhood Preventive Care

Measure Title

Children 0-40 lb for whom a health provider ever gave advice about using child safety seats when riding in a car.

Measure Source

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

Tables

6_4_9.1 Children 0-40 lb for whom a health provider ever gave advice about using child safety seats when riding in the car, United States, 2006.

6_4_9.2 Children 0-40 lb for whom a health provider ever gave advice about using child safety seats when riding in the car, United States, 2002.

6_4_9.3 Children 0-40 lb for whom a health provider ever gave advice about using child safety seats when riding in the car, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children under 40 lb or ages 0-17, excluding missing data.

Numerator

Children in the denominator for whom a doctor or other health provider had ever given advice about using child car safety seats.

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Other Childhood Preventive Care

Measure Title

Children 41-80 lb for whom a health provider ever gave advice about using booster seats when riding in a car.

Measure Source

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

Tables

6_4_10.1 Children 41-80 lb for whom a health provider ever gave advice about using booster seats when riding in the car, United States, 2006.

6_4_10.2 Children 41-80 lb for whom a health provider ever gave advice about using booster seats when riding in the car, United States, 2002.

6_4_10.3 Children 41-80 lb for whom a health provider ever gave advice about using booster seats when riding in the car, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children 40-80 lb or ages 5-9, excluding missing data.

Numerator

Children in the denominator for whom a doctor or other health provider had ever given advice about using booster seats.

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Other Childhood Preventive Care

Measure Title

Children over 80 lb for whom a health provider ever gave advice about using lap or shoulder belts when riding in a car.

Measure Source

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

Tables

6_4_11.1 Children over 80 lb for whom a health provider ever gave advice about using lap or shoulder belts when riding in a car, United States, 2006.

6_4_11.2 Children over 80 lb for whom a health provider ever gave advice about using lap or shoulder belts when riding in a car, United States, 2002.

6_4_11.3 Children over 80 lb for whom a health provider ever gave advice about using lap or shoulder belts when riding in a car, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children over 80 lb or ages 10-17, excluding missing data.

Numerator

Children in the denominator for whom a doctor or other health provider had ever given advice about using lap and shoulder belts.

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Other Childhood Preventive Care

Measure Title

Children ages 2-17 for whom a health provider ever gave advice about using a helmet when riding a bicycle or motorcycle.

Measure Source

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

Tables

6_4_12.1 Children ages 2-17 for whom a health provider ever gave advice about using a helmet when riding a bicycle or motorcycle, United States, 2006.

6_4_12.2 Children ages 2-17 for whom a health provider ever gave advice about using a helmet when riding a bicycle or motorcycle, United States, 2002.

6_4_12.3 Children ages 2-17 for whom a health provider ever gave advice about using a helmet when riding a bicycle or motorcycle, United States, 2006, by:

  • Race.
  • Ethnicity.
  • Family income.

Data Source

AHRQ, CFACT, MEPS.

Denominator

Children under age 18 for the "Ever given advice" estimates, excluding nonrespondents to the question of whether a doctor or other health provider had ever given advice about using a helmet when riding a bicycle or motorcycle. "Don't know" responses to the question of when the advice was given were further excluded for "Within the past year" and "Within the past 2 years" estimates.

Numerator

For the "Ever given advice" estimates, children ages 2-17 for whom a doctor or other health provider had ever given advice about using a helmet when riding a bicycle or motorcycle. Children who were given the advice within the past year for "Within the past year" estimates. Children who were given the advice within the past year or 2 years for "Within the past 2 years" estimates.

Current as of March 2010
Internet Citation: Effectiveness of Care: Maternal and Child Health: 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/maternal_and_child_health.html