Effectiveness: Heart Disease

2010 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 whose blood pressure is under control
Adults who received a blood cholesterol measurement in the last 5 years
Adults who did not receive 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
Hospital patients with heart failure who received recommended hospital care—evaluation of left ventricular ejection fraction and angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) 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.

National Tables

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, 2003, and 2008

4_1_1.2a-c 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, 2008, 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).

Denominator

U.S. adult population age 18 and over.

Numerator

Subset of the denominator who had their blood pressure measured within the preceding 2 years and can state their blood pressure level.

Comments

This measure is measure 12-12 in Healthy People 2010. 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.

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Prevention of Heart Disease

Measure Title

Adults with hypertension whose blood pressure is under control.

Measure Source

Healthy People 2010.

National Table

4_1_2.1 Adults with hypertension whose blood pressure is under control (less than 140/90 mm Hg), United States, 2001-2004, and 2005-2008

National 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 population age 18 and over who either have elevated blood pressure (average systolic pressure of at least 140 mm Hg or average diastolic pressure of at least 90 mm Hg) and who are taking antihypertensive medication.

Numerator

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

Comments

Estimates are age adjusted to the 2000 standard population using three age groups: 18-39, 40-59, 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, 2003 and 2008

4_1_3.2a-c Adults who received a blood cholesterol measurement in the last 5 years, United States, 2008, 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 Table

4_1_3.4 Adults age 18 and over who have had their blood cholesterol checked within the preceding 5 years, by State, 2001-2005 and 2007

State Data Source

CDC, 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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Prevention of Heart Disease

Measure Title

Adults who did not receive a blood cholesterol measurement in the last 5 years.

Measure Source

Healthy People 2010.

National Table

4_1_3.3 Adults who did not received a cholesterol check in the past 5 years, United States, 2005, 2007, 2009

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Behavioral Risk Factor Surveillance System (BRFSS).

National Denominator

U.S. adult population age 18 and over.

National Numerator

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

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Treatment of Heart Attack

Measure Title

Hospital patients with heart attack and left ventricular systolic dysfunction who were prescribed angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARB) at discharge.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Medicare Quality Improvement Organization (QIO) Program.

National Table

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, 2005-2008

National Data Source

CMS, QIO.

National Denominator

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

National Numerator

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

State Table

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, 2005-2008

State Data Source

CMS, QIO.

State Denominator

Same as National.

State Numerator

Same as National.

Comments

ICD-9-CM 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 age18, 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 of 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, age 18 and over, United States, 2000, 2004-2007

4_2_2.2 Deaths per 1,000 admissions with acute myocardial infarction (AMI) as principal diagnosis, age 18 and over, United States, 2007, by:

  • Race/ethnicity.

National Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample (NIS) and AHRQ Quality Indicators, version 3.1.

National Denominator

All hospital inpatient discharges among persons age 18 and over, with a principal diagnosis code of AMI (ICD-9-CM codes 410.01, 410.11, 410.21, 410.31, 410.41, 410.51, 410.61, 410.71, 410.81, 410.91). Excluded from the denominator are patients transferring to another short-term hospital.

National Numerator

Subset of the denominator who died.

State Table

4_2_2.3 Deaths per 1,000 admissions with AMI as principal diagnosis, age 18 and over, by State, 2000, 2004-2007

State Data Source

AHRQ, CDOM, HCUP, AHRQ Quality Indicators, version 3.1, and 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 risk of mortality score. Transfers to another hospital are excluded.

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 the NHQR/NHDR to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 26 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, WI, and WY.

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Treatment of Heart Failure

Measure Title

Hospital patients with heart failure who received recommended hospital care—evaluation of left ventricular ejection fraction and angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) 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 Table

4_3_1.1 Hospital patients with heart failure who received recommended hospital care, United States, 2005-2008

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 denominator who received recommended processes during the hospital stay: evaluation of left ventricular ejection fraction and an ACE inhibitor or ARB prescription at hospital discharge.

State Table

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, 2005-2008

State Data Source

CMS, QIO.

State Denominator

Same as National.

State Numerator

Same as National.

Comments

ICD-9-CM 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/.

This is a composite measure. Recommended hospital care for heart failure includes receiving evaluation of left ventricular ejection fraction and prescription of ACE inhibitor or ARB at discharge for patients with left ventricular systolic dysfunction.

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

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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 Table

4_3_2.1 Hospital patients with heart failure who received an evaluation of left ventricular ejection fraction, United States, 2005-2008

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 Table

4_3_2.2 Hospital patients with heart failure who received an evaluation of left ventricular ejection fraction, by State, 2005 -2008

State Data Source

CMS, QIO.

State Denominator

Same as National.

State Numerator

Same as National.

Comments

ICD-9-CM 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 in late April each year, from: http://www.medicare.gov/Download/DownloadDB.asp. 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 angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) at discharge.

Measure Source

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

National Table

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, 2005-2008

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 contraindication for ACE inhibitor or ARB.

National Numerator

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

State Table

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, 2005-2008

State Data Source

CMS, QIO.

State Denominator

Hospital patients discharged alive with a principal diagnosis of heart failure and with left ventricular systolic dysfunction and without contraindications for ACE inhibitor or ARB.

State Numerator

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

Comments

ICD-9-CM 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 in late April each year, from: http://www.medicare.gov/Download/DownloadDB.asp. 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 Table

4_3_4.1 Admissions for congestive heart failure per 100,000 population, age 18 and over, by State, 2000, 2004-2007

State Data Source

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

Subset of denominator admitted in the hospital for congestive heart failure.

Comments

Measure excludes patients with cardiac procedures, obstetric conditions, and transfers from other institutions.

Estimates of the civilian population, including institutionalized persons, 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.

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

State estimates are from the SID, and not all States participate in HCUP. Estimates for the total U.S. are from the Nationwide Inpatient Sample, which is drawn from the SID and weighted to give national estimates.

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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, age 18 and over, United States, 2000, 2004-2007

4_3_5.2 Deaths per 1,000 hospital admissions with congestive heart failure as principal diagnosis, age 18 and over, United States, 2007, by:

  • Race/ethnicity.

National Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample (NIS) and AHRQ Quality Indicators, version 3.1.

National Denominator

All discharges among persons age 18 and over, with principal diagnosis code of CHF (ICD-9-CM 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); patients transferring to another short-term hospital and obstetric admissions are excluded.

National Numerator

Subset of denominator who died.

State Table

4_3_5.3 Deaths per 1,000 hospital admissions with congestive heart failure as principal diagnosis, age 18 and over, by State, 2000, 2004-2007

State Data Source

AHRQ, CDOM, HCUP, AHRQ Quality Indicators, version 3.1, and 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 risk of mortality score.

This measure was estimated 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 NIS 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 the NHQR/NHDR to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 26 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, WI, and WY.

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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, age 18 and over, United States, 2000, 2004-2007

4_4_1.2 Deaths per 1,000 admissions with abdominal aortic aneurysm (AAA) repair, age 18 and over, United States, 2007, by:

  • Race/ethnicity.

National Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample (NIS) and AHRQ Quality Indicators, version 3.1.

National Denominator

Hospital inpatient discharges with an AAA repair procedure (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 obstetric and neonatal admissions and transfers to another hospital.

National Numerator

Subset of denominator who died.

State Table

4_4_1.3 Deaths per 1,000 admissions with abdominal aortic aneurysm (AAA) repair, age 18 and over, by State, 2000, 2004-2007

State Data Source

AHRQ, CDOM, HCUP databases, AHRQ Quality Indicators, version 3.1, and 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 risk of mortality score. This measure was estimated 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 NIS 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 the NHQR/NHDR to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 26 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, WI, and WY.

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Surgery for Heart and Vascular Disease

Measure Title

Deaths per 1,000 hospital admissions with coronary artery bypass graft 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, age 40 and over, United States, 2000, 2004-2007

4_4_2.2 Deaths per 1,000 admissions with coronary artery bypass graft, age 40 and over, United States, 2007, by:

  • Race/ethnicity.

National Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample (NIS) and AHRQ Quality Indicators, version 3.1.

National Denominator

Hospital inpatient discharges, age 40 and over, with a CABG (ICD-9-CM codes 36.10-36.19) in any procedure field, excluding obstetric and neonatal admissions and transfers to another hospital.

National Numerator

Subset of denominator who died.

State Table

4_4_2.3 Deaths per 1,000 admissions with coronary artery bypass graft age 40 and over, by State, 2000, 2004-2007

State Data Source

AHRQ, CDOM, HCUP databases, AHRQ Quality Indicators, version 3.1, and 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 risk of mortality score.

This measure was estimated 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 NIS 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 the NHQR/NHDR to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 26 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, WI, and WY.

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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 angioplasty, age 40 and over, United States, 2000, 2004-2007

4_4_3.2 Deaths per 1,000 admissions with percutaneous transluminal coronary angioplasty, age 40 and over, United States, 2007, by:

  • Race/ethnicity.

National Data Source

AHRQ, Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample (NIS) and AHRQ Quality Indicators, version 3.1.

National Denominator

Hospital inpatient discharges, age 40 and over, with PTCA (ICD-9-CM codes 00.66, 36.01, 36.02, or 36.05) in any procedure field, excluding obstetric and neonatal admissions and transfers to another hospital.

National Numerator

Subset of denominator who died.

State Table

4_4_3.3 Deaths per 1,000 admissions with PTCA, age 40 and over, by State, 2000, 2004-2007

State Data Source

AHRQ, CDOM, HCUP databases, AHRQ Quality Indicators, version 3.1, and State Inpatient Databases (SID).

State Denominator

Same as National.

State Numerator

Same as National.

Comments

Rates table are adjusted by age, gender, age-gender interactions, and all patient refined-diagnosis related group risk of mortality score. This measure was estimated using version 3.1 of the AHRQ IQI software. This measure is referred to as 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 NIS 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 the NHQR/NHDR to provide national estimates on disparities, consists of weighted records from a sample of hospitals from the following 26 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, WI, and WY.

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Return to Measure Specifications

Page last reviewed February 2011
Internet Citation: Effectiveness: Heart Disease: 2010 National Healthcare Quality and Disparities Reports. February 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr10/measurespec/heart_disease.html