Priority Populations: Women

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.


Women
Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI)
New AIDS cases per 100,000 population age 13 and over
People with a specific source of ongoing care
People without a usual source of care who indicated a financial or insurance reason for not having a source of care
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance
 


Women

Measure Title

Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods.

Measure Source

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

Tables

9_1_4.2 Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods, United States, 2006, by:

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

Data Source

AHRQ, CFACT, MEPS,

Denominator

Adults age 18 and over with a body mass index (BMI) of 30 or greater.

Numerator

Subset of denominator who reported they were advised by a doctor or health professional about restricting foods high in fat and cholesterol.

Comments

Body mass index is based on reported height and weight.

Nonresponses and “Don't know” responses to the Diabetes Care Survey question were excluded from the analysis.

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Women

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).

Table

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.

Data Source

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

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.

Numerator

Number of deaths with a principal diagnosis code of AMI.

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.

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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Women

Measure Title

New AIDS cases per 100,000 population age 13 and over.

Measure Source

Healthy People 2010.

Table

5_2_1.2 New AIDS cases per 100,000 population age 13 and over, United States, 2007, by:

  • Ethnicity.

Data Source

Centers for Disease Control and Prevention (CDC), The National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), National HIV/AIDS Surveillance System (HIV/AIDS-SS).

Denominator

U.S. population: adolescents and adults age 13 and over.

Numerator

Number of reported new AIDS cases among adolescents and adults age 13 and over.

Comments

AIDS case definition used by the HIV/AIDS Reporting System for an AIDS case is provided by CDC. Data are adjusted for reporting delay. Data exclude cases from U.S. dependencies, possessions, and independent nations in free association with the United States, CDC Adult HIV/AIDS Confidential Case Report, Form 50.42A, Rev. 7/93.

This measure is referred to as measure 13-1 in Healthy People 2010 documentation.

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Women

Measure Title

People with a specific source of ongoing care.

Measure Source

Healthy People 2010.

Tables

16_3_2.2 People with a specific source of ongoing care, United States, 2007, 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. civilian noninstitutionalized population.

Numerator

Number of people who reported having a specific source of primary care.

Comments

A specific source of primary care includes urgent care/walk-in clinic, doctor's office, clinic, health center facility, hospital outpatient clinic, health maintenance organization/preferred provider organization, military or other Veterans Affairs health care, or some other place. A hospital emergency room is not included as a specific source of primary care.

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 1-4 in Healthy People 2010 documentation

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Women

Measure Title

People without a usual source of care who indicated a financial or insurance reason for not having a source of care.

Measure Source

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

Tables

16_3_1.1 People without a usual source of care who indicate a financial or insurance reason for not having a source of care, United States, 2006, by:

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

Data Source

AHRQ, CFACT, MEPS.

Denominator

U.S. civilian noninstitutionalized population who reported having no usual source of care.

Numerator

U.S. civilian noninstitutionalized population who indicated financial or insurance reasons for not having a usual source of care.

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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_2.2 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, 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.

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.

Current as of March 2010
Internet Citation: Priority Populations: Women: 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/women.html