Effectiveness: Maternal and Child Health

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.

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
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 or more 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
 


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, United States, 2004-2007

6_2_1.2 Birth trauma-injury to neonate per 1,000 live births, 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

Live birth discharges in the United States, excluding preterm infants with subdural or cerebral hemorrhage and osteogenesis imperfecta births with injury to skeleton.

National Numerator

Subset of the denominator with any diagnosis of birth trauma.

State Table

6_2_1.3 Birth trauma-injury to neonate per 1,000 live births, by State, 2004-2007

State Data Source

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

State Denominator

Live birth discharges in participating States, excluding preterm infants with subdural or cerebral hemorrhage and osteogenesis imperfecta births with injury to skeleton.

State Numerator

Same as National.

Comments

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

Live birth discharges in any diagnosis field (ICD-9-CM codes 767.0, 767.11, 767.3, 767.4, 767.7, 767.8, 767.9), excluding preterm infants with subdural or cerebral hemorrhage and osteogenesis imperfecta births with injury to skeleton.

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 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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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, 2004-2007

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

National Numerator

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

State Table

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

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 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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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, 2004-2007

6_2_3.2 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries, 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 instrument assisted vaginal deliveries discharged from hospital.

National Numerator

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

State Table

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

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 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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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, 2004-2007

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

National Numerator

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

State Table

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

No risk-adjustment is performed for this outcome of interest.

This measure was estimated 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 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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Childhood Immunization

Measure Title

Children ages 19-35 months who received all recommended vaccines.

Measure Source

Healthy People 2010.

National Tables

6_2_1.1 Children ages 19-35 months who received all recommended vaccines (4:3:1:3:3), United States, 1998-2008

6_2_1.2a-c Children ages 19-35 months who received all recommended vaccines (4:3:1:3:3), 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 Immunization Program (NIP), National Immunization Survey (NIS).

National Denominator

U.S. civilian noninstitutionalized population of children age 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 type B (Hib), and at least 3 doses of hepatitis B antigens.

State Table

6_3_1.3 Children ages 19-35 months who received all recommended vaccines (4:3:1:3:3), by State, 2000-2001, 2003-2008

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as National.

State Numerator

Same as National.

Comments

This is a composite measure; it 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 diphtheria, tetanus, and pertussis vaccine; at least 3 doses of polio vaccine; at least 1 dose of measles, mumps and rubella vaccine; at least 3 doses of H. influenzae type B 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 not added to this 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 are not included in this measure.

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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.

National Tables

6_3_2.1 Children ages 19-35 months who received 4 doses of diphtheria-tetanus-pertussis vaccine, United States, 2001-2008

6_3_2.2a-c Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine, 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 Immunization Program (NIP), National Immunization Survey (NIS).

National Denominator

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

National Numerator

Subset of denominator receiving at least 4 or more doses of the combination of diphtheria, tetanus, and acellular pertussis antigens.

State Table

6_3_2.3 Children ages 19-35 months who received 4 or more doses of diphtheria-pertussis-tetanus vaccine, by State, 2000-2001, 2003-2008

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as National.

State Numerator

Same as National.

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 with 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 antigens (DTaP) as well as those children who received the combination of diphtheria, tetanus, and pertussis antigens (DTP).

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 or more doses of polio vaccine.

Measure Source

Healthy People 2010.

National Tables

6_3_3.1 Children ages 19-35 months who received 3 or more doses of polio vaccine, United States, 2001-2008

6_3_3.2a-c Children ages 19-35 months who received 3 or more doses of polio vaccine, 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 Immunization Program (NIP), National Immunization Survey (NIS).

National Denominator

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

National Numerator

Subset of the denominator receiving at least 3 doses of the polio antigen.

State Table

6_3_3.3 Children ages 19-35 months who received 3 or more doses of polio vaccine, by State, 2000-2001, 2003-2008

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as National.

State Numerator

Same as National.

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.

National Tables

6_3_4.1 Children ages 19-35 months who received 1 dose of measles-mumps-rubella vaccine, United States, 2001- 2008

6_3_4.2a-c Children ages 19-35 months who received 1 dose of measles-mumps-rubella vaccine, 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 Immunization Program (NIP), National Immunization Survey (NIS).

National Denominator

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

National Numerator

Subset of the denominator receiving at least 1 dose of the combination of measles, mumps, and rubella antigens.

State Table:

6_3_4.3 Children ages 19-35 months who received 1 dose of measles-mumps-rubella vaccine, by State, 2000-2001, 2003-2008

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as National.

State Numerator

Same as National.

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.

National Tables

6_3_5.1 Children ages 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine, United States, 2001-2008

6_3_5.2a-c Children ages 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine, 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 Immunization Program (NIP), National Immunization Survey (NIS).

National Denominator

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

National Numerator

Subset of the denominator receiving at least 3 doses of the Haemophilus influenzae type B antigen.

State Table

6_3_5.3 Children ages 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine, United States, 2000-2001, 2003-2008

State Data Source

CDC, NCHS, NIP, NIS.

Denominator

Same as National.

Numerator

Same as National.

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.

National Tables

6_3_6.1 Children ages 19-35 months who received 3 doses of hepatitis B vaccine, United States, 2001- 2008

6_3_6.2a-c Children ages 19-35 months who received 3 doses of hepatitis B vaccine, 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 Immunization Program (NIP), National Immunization Survey (NIS).

Denominator

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

Numerator

Subset of denominator receiving at least 3 doses of the hepatitis B antigen.

State Table

6_3_6.3 Children ages 19-35 months who received 3 doses of hepatitis B vaccine, United States, 2000-2001, 2003-2008

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as National.

State Numerator

Same as National.

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.

National Tables

6_3_7.1 Children ages 19-35 months who received 1 dose of varicella vaccine, United States, 2001- 2008

6_3_7.2a-c Children ages 19-35 months who received 1 dose of varicella vaccine, 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 Immunization Program (NIP), National Immunization Survey (NIS).

National Denominator

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

National Numerator

Subset of denominator receiving at least 1 dose of the varicella antigen.

State Table

6_3_7.3 Children ages 19-35 months who received 1 dose of varicella vaccine, by State, 2000-2001, 2003-2008

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as National.

State Numerator

Same as National.

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).

National Tables

6_4_1.1 Children who had their height and weight measured by a health provider within the past 2 years, United States, 2002-2007

6_4_1.2a-c Children who had their height and weight measured by a health provider within the past 2 years, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family Income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children under age 18.

National Numerator

Subset of the denominator who had both height and weight measurements taken within the past 2 years.

Comments

This is a composite measure combining responses to both height and weight measurements.

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

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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.

National Tables

6_4_2.1 Children ages 2-17 who had a dental visit in the calendar year, United States, 2002-2007

6_4_2.2a-c Children ages 2-17 who had a dental visit in the calendar year, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family Income.

National Data Source

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

National Denominator

U.S. population ages 2-17 years.

National Numerator

Subset of denominator who had a dental visit in the survey year.

Comments

The age used to subset the child population for the "children with special health care needs" category is the age at the interview rounds when the questions about special health care needs 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.

National Tables

6_4_3.1 Children ages 12-17 with untreated dental caries, United States, 1999-2004 and 2005-2008

6_4_3.2 Children ages 5-11 with untreated dental caries, United States, 2005-2008

6_4_3.3 Children ages 5-17 with untreated dental caries, United States, 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).

National Denominator

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

National Numerator

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

Comment

This measure is referred to as measure 21-2 in Health 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).

National Table

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, 2001-2004 and 2005-2008

National Data Source

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

National Denominator

Persons 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.

National Numerator

Subset of 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).

National 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, 2002-2007

6_4_5.2a-c 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, 2007, by:

  • Race.
  • Ethnicity.
  • Family Income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children ages 2-17.

National Numerator

Subset of the denominator for whom a doctor or other health provider had ever given advice about amount and kind of physical activity.

Comments

Estimates exclude nonrespondents to the question: "Has a doctor or other health provider ever given advice about amount and kind of exercise, sports, or physically active hobbies you should have?" "Don't know" responses were also excluded.

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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).

National Tables

6_4_6.1 Children ages 2-17 for whom a health provider gave advice about healthy eating, United States, 2002-2007

6_4_6.2 a-c Children ages 2-17 for whom a health provider gave advice about healthy eating, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family Income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children ages 2-17.

National Numerator

Subset of the denominator for whom a doctor or other health provider had ever given advice about healthy eating.

Comments

Estimates exclude nonrespondents to the question: "Has a doctor or other health provider ever given advice about eating healthy?" "Don't know" responses were further excluded.

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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).

National Tables

6_4_7.1 Children ages 3-6 who ever had their vision checked by a health provider, United States, 2002-2007.

6_4_7.2a-c Children ages 3-6 who ever had their vision checked by a health provider, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family Income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Population of children between the ages of 3 and 6.

National Numerator

Subset of the denominator whose vision had ever been checked by a doctor or other health provider.

Comments

Estimates exclude nonrespondents and "don't know" responses.

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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).

National Tables

6_4_8.1 Children for whom a health provider gave advice within the past 2 years about how smoking in the house can be bad for a child, United States, 2002-2007

6_4_8.2a-c Children for whom a health provider gave advice within the past 2 years about how smoking in the house can be bad for a child, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family Income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children under age 18.

National Numerator

Subset of the denominator for whom a doctor or other health provider had ever given advice about how smoking in the house can be harmful.

Comments

Estimates exclude nonrespondents and "don't know" responses.

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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).

National 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 a car, United States, 2002-2007

6_4_9.2a-c Children 0-40 lb for whom a health provider ever gave advice about using child safety seats when riding in a car, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family Income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Population of U.S. children under 40 lb.

National Numerator

Subgroup of 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).

National Tables

6_4_10.1 Children 41-80 lb for whom a health provider ever gave advice about using booster seats when riding in a car, United States, 2002-2007

6_4_10.2a-c Children 41-80 lb for whom a health provider gave advice about using booster seats when riding in a car, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family Income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Population of U.S. children 41-80 lb.

National Numerator

Subset of 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).

National 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, 2002-2007

6_4_11.2a-c Children over 80 lb for whom a health provider gave advice about using lap or shoulder belts when riding in a car, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family Income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. population of children over 80 lb.

National Numerator

Subset of 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).

National Tables

6_4_12.1 Children ages 2-17 for whom a health provider gave advice about using a helmet when riding a bicycle or motorcycle, United States, 2002-2007

6_4_12.2a-c Children ages 2-17 for whom a health provider gave advice about using a helmet when riding a bicycle or motorcycle, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family Income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children ages 2-17.

National Numerator

Subset of the denominator for whom a doctor or other health provider had ever given advice about using a helmet when riding a bicycle or motorcycle.

Comments

Estimates exclude nonrespondents and "don't know" responses.

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Return to Measure Specifications

Page last reviewed February 2011
Internet Citation: Effectiveness: Maternal and Child Health: 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/maternal_and_child_health.html