Priority Populations: Racial and Ethnic Minorities 2009 National Healthcare Quality and Disparities ReportsThe 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. Priority Populations: Racial and Ethnic MinoritiesAsians Adults age 50 and over who reported they had a sigmoidoscopy, a colonoscopy, or a fecal occult blood test within the past 5 years Adults age 65 and over who received influenza vaccine within the past year. People under age 65 who were uninsured all year. Adults age 18 and over who had difficulty understanding their doctor during last visit. Adults age 18 and over who report language barrier as a reason for having a difficult time understanding their doctor during their last visit within the past 2 years. Native Hawaiians and Other Pacific Islanders Adults who did not receive a cholesterol check in the last 5 years Adults age 50 and over who did not receive a blood stool test in the last 2 years or did not ever have a sigmoidoscopy/colonoscopy. Adults who needed to see a doctor but could not because of cost in the last 12 months. American Indians and Alaska Natives Hospital admissions for uncontrolled diabetes per 100,000 population age 18 and over. Perforated appendixes per 1,000 admissions with appendicitis, age 18 years and over with appendicitis in IHS tribal direct and contract hospitals and community hospitals. Hispanics or Latinos Adults age 50 and over who reported they had a sigmoidoscopy, a colonoscopy, or a fecal occult blood test within the past 5 years. Composite measure: Adults age 40 and over with diagnosed diabetes who received all three recommended services for diabetes in the calendar year (hemoglobin A1c measurement, dilated eye examination, and foot examination). People under age 65 who were uninsured all year. Adults age 18 and over who had difficulty understanding their doctor during their last visit. Adults age 18 and over who report language barrier as a reason for having a difficult time understanding their doctor during their last visit within the past 2 years. Recent Immigrants and Limited-English-Proficient Populations Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment. Composite measure: Adults who had a doctor's office or clinic visit in the last 12 months whose health providers listened carefully, explained things clearly, respected what they had to say, and spent enough time with them. People under age 65 who were uninsured all year. Composite measure: Adults age 40 and over with diagnosed diabetes who received all three recommended services for diabetes in the calendar year (hemoglobin A1c measurement, dilated eye examination, and foot examination). Adults with limited English proficiency, by whether they had a usual source of care with or without language assistance.AsiansMeasure TitleAdults age 50 and over who reported they had a sigmoidoscopy, a colonoscopy, or a fecal occult blood test within the past 5 years.Measure SourceHealthy People 2010.Table18_2_1.1 Adults age 50 and over who reported they had a sigmoidoscopy, a colonoscopy, or a fecal occult blood test within the past 5 years, California, 2007, by:RaceEthnicityFamily incomeEthnicityData SourceUniversity of California, Los Angeles (UCLA), California Health Interview Survey (CHIS).DenominatorU.S. civilian noninstitutionalized population age 50 and over in California.NumeratorSubset of the denominator who reported receiving a colonoscopy, sigmoidoscopy, proctoscopy, or fecal occult blood test within the past 5 years.Top of PageAsiansMeasure TitleAdults age 65 and over who received influenza vaccine within the past year.Measure SourceHealthy People 2010.Table18_2_2.1 Adults age 65 and over who received influenza vaccine within the past year, California, 2007, by:RaceEthnicityFamily incomeEthnicityData SourceUniversity of California, Los Angeles (UCLA), California Health Interview Survey (CHIS).DenominatorU.S. civilian noninstitutionalized population age 65 and over in California.NumeratorSubset of the denominator who report receiving an influenza vaccination in the past year.Top of PageAsiansMeasure TitlePeople under age 65 who were uninsured all year.Measure SourceUniversity of California, Los Angeles (UCLA), California Health Interview Survey (CHIS).Table18_2_3.1 People under age 65 who were uninsured all year, California, 2007, by:RaceEthnicityFamily incomeEthnicityData SourceUCLA, CHIS.DenominatorU.S. civilian noninstitutionalized population under age 65 in California.NumeratorSubset of the denominator who reported no private or public health insurance coverage at any time during the year.Top of PageAsiansMeasure TitleAdults age 18 and over who had difficulty understanding their doctor during their last visit.Measure SourceUniversity of California, Los Angeles (UCLA), California Health Interview Survey (CHIS).Table18_2_4.1 Adults age 18 and over who had difficulty understanding their doctor during their last visit, California, 2007, by:RaceEthnicityFamily incomeEthnicityData SourceUCLA, CHIS.DenominatorU.S. civilian noninstitutionalized population age 18 and over in California.NumeratorSubset of the denominator who had difficulty understanding their doctor during their last visit.Top of PageAsiansMeasure TitleAdults age 18 and over who report language barrier as a reason for having a difficult time understanding their doctor during their last visit within the past 2 years.Measure SourceUniversity of California, Los Angeles (UCLA), California Health Interview Survey (CHIS).Table18_2_5.1 Adults age 18 and over who report language barrier as a reason for having a difficult time understanding their doctor during their last visit within the past 2 years, California, 2007, by:RaceEthnicityFamily incomeEthnicityData SourceUCLA, CHIS.DenominatorU.S. civilian noninstitutionalized population age 18 and over in CaliforniaNumeratorSubset of the denominator who reported language barrier as a reason for having a difficult time understanding their doctor during their last visit within the past 2 years.Top of PageNative Hawaiians and Other Pacific IslandersMeasure TitleAdults who did not receive a cholesterol check in the last 5 years.Measure SourceHealthy People 2010.Table18_3_1.1 Adults who did not receive a cholesterol check in the past 5 years, United States, 2005Data SourceCenters for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Behavioral Risk Factor Surveillance System (BRFSS).DenominatorU.S. residents age 18 and over.NumeratorSubset of denominator who reported they did not receive a cholesterol check.CommentsNHOPI includes people of mixed race who identified NHOPI to be the race that best represents their identity.Top of PageNative Hawaiians and Other Pacific IslandersMeasure TitleAdults age 50 and over who did not receive a blood stool test in the last 2 years or did not ever have a sigmoidoscopy/colonoscopy.Measure SourceHealthy People 2010.Table18_3_2.1 Adults age 50 and over who did not receive a blood stool in the past 2 years or did not ever have a sigmoidoscopy/colonoscopy, United States, 2008Data SourceCenters for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Behavioral Risk Factor Surveillance System (BRFSS).DenominatorU.S. residents age 50 and over.NumeratorSubset of denominator age 50 and over who reported they did not receive a blood stool test or had not ever had a sigmoidoscopy/colonoscopy.CommentsNHOPI includes people of mixed race who identified NHOPI to be the race that best represents their identity.Top of PageNative Hawaiians and Other Pacific IslandersMeasure TitleAdults who needed to see a doctor but could not because of cost in the last 12 months.Measure SourceAgency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).Table18_3_4.1 Adults who needed to see a doctor but could not because of cost in the past 12 months, United States, 2008Data SourceCenters for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Behavioral Risk Factor Surveillance System (BRFSS).DenominatorU.S. residents.NumeratorSubset of denominator who reported they could not see a doctor because of cost.CommentsNHOPI includes people of mixed race who identified NHOPI to be the race that best represents their identity.Top of PageAmerican Indians and Alaska NativesMeasure TitleHospital admissions for uncontrolled diabetes per 100,000 population age 18 and over.Measure SourceAgency for Healthcare Research and Quality (AHRQ), Prevention Quality Indicators (PQIs).National Table2_3_1.3 Hospital admissions for uncontrolled diabetes per 100,000 population age 18 and over in Indian Health Service and tribal direct and contract hospitals and community hospitals, 2007National Data SourceIndian Health Service (IHS), Office of Information Technology/National Patient Information Reporting System (OIT/NPIRS), National Data Warehouse, Workload and Population Data Mart.National DenominatorIHS service population, age 18 and over.National NumeratorDischarges age 18 and over with principal diagnosis of uncontrolled diabetes, without mention of a short-term complication (ketoacidosis, hyperosmolarity, coma) or long-term complications (renal, eye, neurologic, circulatory, other unspecified). Excludes obstetric admissions and transfers from other institutions.CommentsBecause both the California and Portland Areas have no IHS or tribal inpatient facilities, any hospitalizations attributed to either one of these regions were not included; the denominator was correspondingly reduced. Rates were computed using estimates of the American Indian/Alaska Native population as of July 1, 2007, based on the 2000 census.Data for the total were age adjusted using the 2000 standard population provided by NCHS: http://www.cdc.gov/nchs/data/statnt/statnt20.pdf. (Plugin Software Help)The numerator includes hospitalizations in IHS hospitals and contract hospitals with admission dates from January 1, 2007, to December 31, 2007, inclusive.The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes used to identify discharges for uncontrolled diabetes are the same as AHRQ Prevention Quality Indicator 2, but the format of NPIRS did not allow for exclusion of transfers.Top of PageAmerican Indians and Alaska NativesMeasure TitlePerforated appendixes per 1,000 admissions with appendicitis, age 18 years and over with appendicitis in IHS and tribal direct and contract hospitals and community hospitals.Measure SourceAgency for Healthcare Research and Quality (AHRQ), Prevention Quality Indicators (PQIs).Tables18_4_2.1 Perforated appendixes per 1,000 admissions with appendicitis, age 18 and over, in Indian Health Service and tribal direct and contract hospitals and community hospitals, 2007Data SourceIndian Health Service (IHS), Office of Information Technology/National Patient Information Reporting System (OIT/NPIRS), National Data Warehouse, Workload and Population Data Mart.DenominatorNumber of admissions with a primary or secondary diagnosis of appendicitis, excluding maternal and neonatal admissions and transfers from other institutions, age 18 and over, Indian Health Service-service population, 2007.NumeratorSubset of the denominator with principal or secondary diagnosis of perforation or abscess of the appendix, Indian Health Service-service population, 2007.CommentsBecause both the California and Portland Areas have no IHS or tribal inpatient facilities, any hospitalizations attributed to either one of these regions were not included; the denominator was correspondingly reduced. Rates were computed using estimates of the American Indian/Alaska Native population as of July 1, 2007, based on the 2000 census.Data for the total were age-adjusted using the 2000 U.S. standard population provided by NCHS: http://www.cdc.gov/nchs/data/statnt/statnt20.pdf (Plugin Software Help).The numerator and denominator include hospitalizations in IHS hospitals and contract hospitals with admission dates from January 1, 2007 to December 31, 2007 inclusive.Top of PageHispanics or LatinosMeasure TitleAdults age 50 and over who reported they had a sigmoidoscopy, a colonoscopy, or a fecal occult blood test within the past 5 years.Measure SourceHealthy People 2010.Tables18_2_1.1 Adults age 50 and over who reported they had a sigmoidoscopy, a colonoscopy, or a fecal occult blood test within the past 5 years, California, 2007, by:RaceEthnicityFamily incomeEthnicityData SourceUniversity of California, Los Angeles (UCLA), California Health Interview Survey (CHIS).DenominatorU.S. civilian noninstitutionalized population age 50 and over in California.NumeratorSubset of the denominator who reported receiving a colonoscopy, sigmoidoscopy, proctoscopy, or fecal occult blood test within the past 5 years.Top of PageHispanics or LatinosMeasure TitleComposite measure: Adults age 40 and over with diagnosed diabetes who received all three recommended services for diabetes in the calendar year (hemoglobin A1c measurement, dilated eye examination, and foot examination).Measure SourceHealthy People 2010.National Alliance for Diabetes Quality Improvement, National Quality Forum, 2002.Tables18_5_2.1 Diabetes patients age 40 and over who had hemoglobin A1c measurement, dilated eye examination, or foot examination within the past year, California, 2007, by:RaceEthnicityFamily incomeEthnicityData SourceUniversity of California, Los Angeles (UCLA), California Health Interview Survey (CHIS).DenominatorU.S. civilian noninstitutionalized population age 40 and over with diabetes in California.NumeratorSubset of the denominator who had a positive Diabetes Care Survey weight who had a Yes response to all three exams.Top of PageHispanics or LatinosMeasure TitlePeople under age 65 who were uninsured all year.Measure SourceUniversity of California, Los Angeles (UCLA), California Health Interview Survey (CHIS).Tables18_2_3.1 People under age 65 who were uninsured all year, California, 2007, by:RaceEthnicityFamily incomeEthnicityData SourceUCLA, CHIS.DenominatorU.S. civilian noninstitutionalized population under age 65 in California.NumeratorSubset of the denominator who reported no private or public health insurance coverage at any time during the year.Top of PageHispanics or LatinosMeasure TitleAdults age 18 and over who had difficulty understanding their doctor during their last visit.Measure SourceUniversity of California, Los Angeles (UCLA), California Health Interview Survey (CHIS).Tables18_2_4.1 Adults age 18 and over who had difficulty understanding their doctor during their last visit, California, 2007, by:RaceEthnicityFamily incomeEthnicityData SourceUCLA, CHIS.DenominatorU.S. civilian noninstitutionalized population age 18 and over in CaliforniaNumeratorSubset of the denominator who had difficulty understanding their doctor during their last visit.Top of PageHispanics or LatinosMeasure TitleAdults age 18 and over who report language barrier as a reason for having a difficult time understanding their doctor during their last visit within the past 2 years.Measure SourceUniversity of California, Los Angeles (UCLA), California Health Interview Survey (CHIS).Tables18_2_5.1 Adults age 18 and over who report language barrier as a reason for having a difficult time understanding their doctor during their last visit within the past 2 years, California, 2007, by:RaceEthnicityFamily incomeEthnicityData SourceUCLA, CHIS.DenominatorU.S. civilian noninstitutionalized population age 18 and over in California.NumeratorSubset of the denominator who reported language barrier as a reason for having a difficult time understanding their doctor during their last visit within the past 2 years.Top of PageRecent Immigrants and Limited-English-Proficient PopulationsMeasure TitlePatients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment.Measure SourceAmerican Thoracic Society.Centers for Disease Control and Prevention (CDC), Division of Tuberculosis Elimination.Tables8_2_8.2 Patients with tuberculosis who completed a curative course of treatment within one year of initiation of treatment, United States, 2005, by:RaceEthnicityRace (foreign born only)Ethnicity (foreign born only)Data SourceCDC, National Tuberculosis Surveillance System (NTBSS).DenominatorU.S. resident population with verified tuberculosis (TB), eligible to complete therapy within 1 year.NumeratorTB cases completing therapy within 1 year.CommentsSee American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America: Treatment of Tuberculosis, Am J Respir Crit Care Med, 2003, vol. 167, pp. 603-662 for further information regarding current tuberculosis treatment guidelines.See Appendix A of CDC publication Reported Tuberculosis in the United States, 2000 for a discussion of completion of TB therapy.Due to a change in the data source race variable effective in 2003, results have changed slightly from previous year's calculations.Top of PageRecent Immigrants and Limited-English-Proficient PopulationsMeasure TitleComposite measure: Adults who had a doctor's office or clinic visit in the last 12 months whose health providers listened carefully, explained things clearly, respected what they had to say, and spent enough time with them.Measure SourceAgency for Healthcare Research and Quality (AHRQ), Consumer Assessment of Healthcare Providers and Systems (CAHPS®).AHRQ, Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).Tables14_1_1.3 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, United States, 2006, by:RaceEthnicityFamily incomeEducation14_1_1.4 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers usually listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, United States, 2006, by:RaceEthnicityFamily incomeEducation14_1_1.5 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, United States, 2006, by:RaceEthnicityFamily incomeEducationData SourceAHRQ, CFACT, MEPS.DenominatorAdults age 18 and over who visited a doctor's office or clinic to get health care in the past 12 months with valid, nonmissing answer to all 4 questions that make up the composite measure.NumeratorSubset of the denominator population in 3 categories according to their answer to the 4 questions: "Always," "Usually," "Sometimes," or "Never"CommentsSee entries for each of the 4 components of the composite measure for further details about the individual survey questions.Percentage estimates are weighted; percentage weights are adjusted for nonresponse based on how many of the questions had a valid response.Tables report data from the MEPS Self-Administered Questionnaire (SAQ). See the MEPS entry in the Data Sources appendix for more information on the SAQ.Top of PageRecent Immigrants and Limited-English-Proficient PopulationsMeasure TitlePeople under age 65 who were uninsured all year.Measure SourceAgency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).Tables16_1_5.1 People under age 65 who were uninsured all year, United States, 2006, by:RaceEthnicityFamily incomeEducationData SourceAHRQ, CFACT, MEPS.DenominatorU.S. civilian noninstitutionalized population under age 65.NumeratorU.S. civilian noninstitutionalized population under age 65 who reported no private or public health insurance coverage at any time during the year.Top of PageRecent Immigrants and Limited-English-Proficient PopulationsMeasure TitleComposite measure: Adults age 40 and over with diagnosed diabetes who received all three recommended services for diabetes in the calendar year (hemoglobin A1c measurement, dilated eye examination, and foot examination).Measure SourceHealthy People 2010.National Alliance for Diabetes Quality Improvement, National Quality Forum, 2002.Table18_5_2.1 Diabetes patients age 40 and over who had hemoglobin A1c measurement, dilated eye examination, and foot examination within the past year, California, 2007, by:RaceEthnicityFamily incomeEthnicityData SourceUniversity of California, Los Angeles (UCLA), California Health Interview Survey (CHIS).DenominatorU.S. civilian noninstitutionalized population age 40 and over with diabetes in California.NumeratorSubset of the denominator who had a positive Diabetes Care Survey weight who had a Yes response to all three exams.Top of PageRecent Immigrants and Limited-English-Proficient PopulationsMeasure TitleAdults with limited English proficiency, by whether they had a usual source of care with or without language assistance.Measure SourceAgency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPSTable18_6_5.1 Adults with limited English proficiency, by whether they had a usual source of care (USC) with or without language assistance, United States, 2006Data SourceAHRQ, CFACT, MEPS.DenominatorU.S. civilian noninstitutionalized population with limited English proficiency.NumeratorSubset of denominator with and without a usual source of care who offers language assistance.Top of Page Current as of March 2010 Internet Citation: Priority Populations: Racial and Ethnic Minorities: 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/racial_and_ethnic_minorities.html