Patient Centeredness

2010 National Healthcare Quality and Disparities Reports

Patient Centeredness

Patient Experience of Care
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
Adults with Medicare or Medicaid 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
Children 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 or their parents had to say, and spent enough time with them
Children who had a doctor's office or clinic visit in the last 6 months whose health providers always listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them
Adults with Medicare or Medicaid who had a doctor's office or clinic visit in the last 12 months whose health providers always listened carefully to them
Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully
Children who had a doctor's office or clinic visit in the last 6 months whose health providers always listened carefully
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things in a way they could understand
Adults with Medicare or Medicaid who had a doctor's office or clinic visit in the last 12 months whose health providers always explained things in a way they could understand
Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things clearly
Children who had a doctor's office or clinic visit in the last 6 months whose health providers always explained things clearly
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say
Adults with Medicare or Medicaid who had a doctor's office or clinic visit in the last 12 months whose health providers always showed respect for what they had to say
Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they or their parents had to say
Children who had a doctor's office or clinic visit in the last 6 months whose health providers always showed respect for what they or their parents had to say
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them
Adults with Medicare or Medicaid who had a doctor's office or clinic visit in the last 12 months whose health providers always spent enough time with them
Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them
Children who had a doctor's office or clinic visit in the last 6 months whose health providers always spent enough time with them and their parents
Rating of health care by adults who had a doctor's office or clinic visit in the last 12 months
Adults with Medicare or Medicaid who had a doctor's office or clinic visit in the last 12 months who gave a best rating for health care they received
Rating of health care for children who had a doctor's office or clinic visit in the last 12 months
Children who had a doctor's office or clinic visit in the last 6 months whose parents gave a best rating for health care received
Adults with limited English proficiency having a usual source of care (USC) that offered language assistance
People with a usual source of care whose health care providers sometimes or never discuss decisions with them
People with limited English Proficiency with a usual source of care for whom health care providers explain and provide all treatment options

Hospital Communication
Adult hospital patients who sometimes or never had good communication with doctors in the hospital
Adult hospital patients who sometimes or never had good communication with nurses in the hospital

Diversity of the Pharmacist Workforce
Racial and ethnic compositions of pharmacists and total U.S. population

Care Coordination
Hospital patients with heart failure discharged home with written instructions or educational material

Patient Experience of Care

Measure Title

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.

Measure Source

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

National Tables

14_1_1.1 Adults 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, 2002-2007

14_1_1.2a-d 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, 2007, by:

• Race.
• Ethnicity.
• Family Income.
• Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Persons age 18 and over who visited a doctor's office or clinic to get health care in the past 12 months, excluding those with missing or invalid responses to any of the questions that make up this composite measure.

National Numerator

Subset of the denominator who responded "sometimes" or "never" to any of the four questions making up the composite measure.

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Patient Experience of Care

Measure Title

Adults with Medicare or Medicaid 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.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQUIPS), National Consumer Assessment of Healthcare Providers (CAHPS) Benchmarking Database.

State Table

14_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, Medicare fee for service, by State, 2007-2009

14_1_1.4 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, Medicare managed care, by State, 2007-2009

14_1_1.5 Adults who had a doctor's office or clinic visit in the last 6 months whose health providers always listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, Medicaid, by State, 2007-2009

State Data Source

AHRQ, CQUIPS, CAHPS.

State Denominator

Adults age 18 and over with Medicaid, Medicare managed care, or Medicare fee-for-service coverage, as appropriate, who visited a doctor's office or clinic to get health care in the past 12 months [6 months for Medicaid], excluding those with missing or invalid responses to any of the questions that make up this composite measure.

State Numerator

Subset of the denominator who responded "always" to all of the four questions making up the composite measure.

Comments

This is a composite measure; see entries for each of the four components of the composite measure for further details about the individual survey questions.

Estimates are weighted; 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.

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Patient Experience of Care

Measure Title

Children 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 or their parents had to say, and spent enough time with them.

Measure Source

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

National Tables

14_1_2.1 Children 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 or their parents had to say, and spent enough time with them, United States, 2002-2007

14_1_2.2a-c Children 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 or their parents had to say, and spent enough time with them, United States, 2007, by:

• Race.
• Ethnicity.
• Family Income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months, excluding those with missing or invalid responses to any of the questions that make up this composite measure.

National Numerator

Subset of the denominator whose parents or guardians reported "sometimes" or "never" to any of the four questions making up the composite measure.

Comments

The National Table reports data from the MEPS Child Health section. See the MEPS entry in the Data Sources appendix for more information.

This is a composite measure; see entries for each of the four components of the composite measure for further details about the individual survey questions.

Estimates are weighted; percent weights are adjusted for nonresponse based on the number of questions with a valid response.

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Patient Experience of Care

Measure Title

Children who had a doctor's office or clinic visit in the last 6 months whose health providers always listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQUIPS), National Consumer Assessment of Healthcare Providers (CAHPS) Benchmarking Database.

State Table

14_1_2.3 Children who had a doctor's office or clinic visit in the last 6 months whose health providers always listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them, Medicaid, by State, 2007-2009

State Data Source

AHRQ, CQUIPS, CAHPS.

State Denominator

Children under age 18 who are covered by Medicaid and who visited a doctor's office or clinic to get health care in the past 6 months, excluding those with missing or invalid responses to any of the questions that make up this composite measure.

State Numerator

Subset of the denominator whose parents or guardians reported "always" to all of the four questions making up the composite measure.

Top of Page

Patient Experience of Care

Measure Title

Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them.

Measure Source

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

National Tables

14_1_3.1 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them, United States, 2002-2007

14_1_3.2a-d Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them, United States, 2007, by:

• Race.
• Ethnicity.
• Family Income.
• Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Adults who visited a doctor's office or clinic to get health care in the past 12 months and had a valid response to the question, "In the last 12 months, how often did doctors or other health providers listen carefully to you?"

National Numerator

Subset of the denominator who answered "sometimes" or "never" to the above question.

Comments

Nonrespondents and respondents indicating "don't know" were excluded.

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Patient Experience of Care

Measure Title

Adults with Medicare or Medicaid who had a doctor's office or clinic visit in the last 12 months whose health providers always listened carefully to them.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQUIPS), National Consumer Assessment of Healthcare Providers (CAHPS) Benchmarking Database.

State Tables

14_1_3.3 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always listened carefully to them, Medicare fee for service, by State, 2007-2009

14_1_3.4 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always listened carefully to them, Medicare managed care, by State, 2007-2009

14_1_3.5 Adults who had a doctor's office or clinic visit in the last 6 months whose health providers always listened carefully to them, Medicaid, by State, 2007-2009

State Data Source

AHRQ, CQUIPS, CAHPS.

State Denominator

Adults covered by Medicare or Medicaid, who visited a doctor's office or clinic to get health care in the past 12 months [6 months for Medicaid] and answered the question, "In the last 12 [6] months, how often did doctors or other health providers listen carefully to you?," excluding nonrespondents and respondents indicating "don't know."

State Numerator

Subset of the denominator who answered "always" to the above question.

Comments

National Tables include data from the MEPS Self-Administered Questionnaire (SAQ). See the MEPS entry in the Data Sources appendix for more information on the SAQ.

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Patient Experience of Care

Measure Title

Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully.

Measure Source

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

National Tables

14_1_4.1 Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully, United States, 2002-2007

14_1_4.2a-c Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them, United States, 2007, by:

• Race.
• Ethnicity.
• Family Income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months, whose parents or guardians provided a valid response to the question, "In the last 12 months, how often did doctors or other health providers listen carefully to you?," excluding nonrespondents and respondents indicating "don't know."

National Numerator

Subset of the denominator who, according to their parents or guardians, responded "sometimes" or "never" to the above question.

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Patient Experience of Care

Measure Title

Children who had a doctor's office or clinic visit in the last 6 months whose health providers always listened carefully.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQUIPS), National Consumer Assessment of Healthcare Providers (CAHPS) Benchmarking Database.

State Table

14_1_4.3 Children who had a doctor's office or clinic visit in the last 6 months whose health providers always listened carefully, Medicaid, by State, 2007-2009

State Data Source

AHRQ, CQUIPS, CAHPS.

State Denominator

Children under age 18 who are covered by Medicaid and who visited a doctor's office or clinic to get health care in the past 6 months whose parents or guardian provided a valid response to the question, "In the last 6 months how often did doctors or other health providers listen carefully to you?," excluding nonrespondents and respondents indicating "don't know."

State Numerator

Subset of the denominator who, according to their parents or guardians, answered "always" to the above question.

Comments

The National Tables include data from the MEPS Child Health section. See the MEPS entry in the Data Sources appendix for more information.

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Patient Experience of Care

Measure Title

Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things in a way they could understand.

Measure Source

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

National Tables

14_1_5.1 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things in a way they could understand, United States, 2002-2007

14_1_5.2a-d Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things clearly, United States, 2007, by:

• Race.
• Ethnicity.
• Family Income.
• Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Adults age 18 and over who visited a doctor's office or clinic to get health care in the past 12 months and provided a valid response to the question, "In the last 12 months, how often did doctors or other health providers explain things in a way you could understand?," excluding nonrespondents and respondents indicating "don't know."

National Numerator

Subset of the denominator who responded "sometimes" or "never" to the above question.

Top of Page

Patient Experience of Care

Measure Title

Adults with Medicare or Medicaid who had a doctor's office or clinic visit in the last 12 months whose health providers always explained things in a way they could understand.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQUIPS), National Consumer Assessment of Healthcare Providers (CAHPS) Benchmarking Database.

State Tables

14_1_5.3 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always explained things in a way they could understand, Medicare fee for service, by State, 2007-2009

14_1_5.4 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always explained things in a way they could understand, Medicare managed care, by State, 2007-2009

14_1_5.5 Adults who had a doctor's office or clinic visit in the last 6 months whose health providers always explained things in a way they could understand, Medicaid, by State, 2007-2009

State Data Source

AHRQ, CQUIPS, CAHPS.

State Denominator

Adults age 18 and over who visited a doctor's office or clinic to get health care in the past 12 months [6 months for Medicaid] and provided a valid response to the question, "In the last 12 [6] months, how often did doctors or other health providers explain things in a way you could understand?," excluding nonrespondents and respondents indicating "don't know."

State Numerator

Subset of the denominator who responded "always" to the above question.

Comments

National Tables include data from the MEPS Self-Administered Questionnaire (SAQ). See the MEPS entry in the Data Sources appendix for more information.

Top of Page

Patient Experience of Care

Measure Title

Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things clearly.

Measure Source

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

National Tables

14_1_6.1 Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things clearly, United States, 2002-2007

14_1_6.2a-c Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things clearly, United States, 2007, by:

• Race.
• Ethnicity.
• Family Income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children under age 18 who had a doctor's office or clinic visit in the last 12 months, whose parents or guardians provided a valid response to the question, "In the last 12 months, how often did [the person's] doctors or other health providers explain things in a way you could understand?," excluding nonrespondents and respondents indicating "don't know."

National Numerator

Subset of the denominator whose parents or guardians responded "sometimes" or "never" to the above question.

Top of Page

Patient Experience of Care

Measure Title

Children who had a doctor's office or clinic visit in the last 6 months whose health providers always explained things clearly.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQUIPS), National Consumer Assessment of Healthcare Providers (CAHPS) Benchmarking Database.

State Tables

14_1_6.3 Children who had a doctor's office or clinic visit in the last 6 months whose health providers always explained things clearly to their parents, Medicaid, by State, 2007-2009

14_1_6.4 Children who had a doctor's office or clinic visit in the last 6 months whose health providers always explained things clearly to them (children), Medicaid, by State, 2007-2009

State Data Source

AHRQ, CQUIPS, CAHPS.

State Denominator

Children under age 18 who are covered by Medicaid and had a doctor's office or clinic visit in the last 6 months with a valid answer to the question, "In the last 6 months how often did [the person's] doctors or other health providers explain things in a way you could understand?" Nonrespondents and "don't know" responses were excluded.

State Numerator

Subset of the denominator whose parents or guardians answered "always" to the above question.

Comments

National Tables include data from the MEPS Child Health section. See the MEPS entry in the Data Sources appendix for more information.

Top of Page

Patient Experience of Care

Measure Title

Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say.

Measure Source

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

National Tables

14_1_7.1 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say, United States, 2002-2007

14_1_7.2a-d Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say, United States, 2007, by:

• Race.
• Ethnicity.
• Family Income.
• Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Adults age 18 and over who reported going to a doctor's office or clinic in the last 12 month and provided a valid response to the question, "In the last 12 months, how often did doctors or other health providers show respect for what you had to say?," excluding nonrespondents and respondents indicating "don't know."

National Numerator

Subset of the denominator who responded "sometimes" or "never" to the above question.

Top of Page

Patient Experience of Care

Measure Title

Adults with Medicare or Medicaid who had a doctor's office or clinic visit in the last 12 months whose health providers always showed respect for what they had to say.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQUIPS), National Consumer Assessment of Healthcare Providers (CAHPS) Benchmarking Database.

State Tables

14_1_7.3 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always showed respect for what they had to say, Medicare fee for service, by State, 2007-2009

14_1_7.4 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always showed respect for what they had to say, Medicare managed care, by State, 2007-2009:

14_1_7.5 Adults who had a doctor's office or clinic visit in the last 6 months whose health providers always showed respect for what they had to say, Medicaid, by State, 2007-2009

State Data Source

AHRQ, CQUIPS, CAHPS.

State Denominator

Adults age 18 and over who are covered by Medicaid, Medicare fee for service, or Medicare managed care, as appropriate, reported going to a doctor's office or clinic in the last 12 months [6 months for Medicaid], and provided a valid response to the question "In the last 12 [6] months, how often did doctors or other health providers show respect for what you had to say?," excluding nonrespondents and respondents indicating "don't know."

State Numerator

Subset of the denominator who responded "always" to the above question.

Comments

National Tables include 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 Page

Patient Experience of Care

Measure Title

Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they or their parents had to say.

Measure Source

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

National Tables

14_1_8.1 Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they or their parents had to say, United States, 2002-2007

14_1_8.2a-c Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they or their parents had to say, United States, 2007, by:

• Race.
• Ethnicity.
• Family Income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children under age 18 who had a doctor's office or clinic visit in the last 12 months and whose parent or guardian provided a valid response to the question, "In the last 12 months, how often did doctors or other health providers show respect for what you had to say?"; nonrespondents and respondents indicating "don't know" were excluded.

National Numerator

Subset of the denominator whose parent or guardian responded "sometimes," or "never" to the above question.

Top of Page

Patient Experience of Care

Measure Title

Children who had a doctor's office or clinic visit in the last 6 months whose health providers always showed respect for what they or their parents had to say.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQUIPS), National Consumer Assessment of Healthcare Providers (CAHPS) Benchmarking Database.

State Table

14_1_8.3 Children who had a doctor's office or clinic visit in the last 6 months whose health providers always showed respect for what they or their parents had to say, Medicaid, by State, 2007-2009

State Data Source

AHRQ, CQUIPS, CAHPS.

State Denominator

Children under age 18 who are covered by Medicaid, had a doctor's office or clinic visit in the last 6 months and whose parent or guardian provided a valid response to the question "In the last 6 months, how often did doctors or other health providers show respect for what you had to say?"; nonrespondents and "don't know" responses were excluded.

State Numerator

Subset of the denominator population whose parent or guardian responded "always" to the above question.

Comments

National Tables include data from the MEPS Child Health section. See the MEPS entry in the Data Sources appendix for more information.

Top of Page

Patient Experience of Care

Measure Title

Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them.

Measure Source

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

National Tables

14_1_9.1 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them, United States, 2002-2007

14_1_9.2a-d Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them, United States, 2007, by:

• Race.
• Ethnicity.
• Family Income.
• Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months and provided a valid response to the question "In the last 12 months, how often did doctors or other health providers spend enough time with you?"; nonrespondents and "don't know" responses were excluded.

National Numerator

Subset of the denominator who responded "sometimes" or "never" to the above question.

Top of Page

Patient Experience of Care

Measure Title

Adults with Medicare or Medicaid who had a doctor's office or clinic visit in the last 12 months whose health providers always spent enough time with them.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQUIPS), National Consumer Assessment of Healthcare Providers (CAHPS) Benchmarking Database.

State Tables

14_1_9.3 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always spent enough time with them, Medicare fee for service, by State, 2007-2009

14_1_9.4 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always spent enough time with them, Medicare managed care, by State, 2007-2009

14_1_9.5 Adults who had a doctor's office or clinic visit in the last 6 months whose health providers always spent enough time with them, Medicaid, by State, 2007-2009

State Data Source

AHRQ, CQUIPS, CAHPS.

State Denominator

Adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months [6 months for Medicaid] and provided a valid response to the question, "In the last 12 [6] months, how often did doctors or other health providers spend enough time with you?"; nonrespondents and "don't know" responses were excluded.

State Numerator

Subset of the denominator who responded "sometimes" or "never" to the above question.

Top of Page

Patient Experience of Care

Measure Title

Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them.

Measure Source

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

National Tables

14_1_10.1 Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them, United States, 2002-2007

14_1_10.2a-c Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them, United States, 2007, by:

• Race.
• Ethnicity.
• Family Income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months and whose parent or guardian provided a valid response to the question, "In the last 12 months, how often did doctors or other health providers spend enough time with you?"

National Numerator

Subset of the denominator who responded "sometimes" or "never" to the above question.

Top of Page

Patient Experience of Care

Measure Title

Children who had a doctor's office or clinic visit in the last 6 months whose health providers always spent enough time with them and their parents.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQUIPS), National Consumer Assessment of Healthcare Providers (CAHPS) Benchmarking Database.

State Table

14_1_10.3 Children who had a doctor's office or clinic visit in the last 6 months whose health providers always spent enough time with them and their parents, Medicaid, by State, 2007-2009

State Data Source

AHRQ, CQUIPS, CAHPS.

State Denominator

Children under age 18 who visited a doctor's office or clinic to get health care in the past 6 months and whose parent or guardian provided a valid response to the question, "In the last 6 months, how often did doctors or other health providers spend enough time with you?"

State Numerator

Subset of the denominator who responded "sometimes" or "never" to the above question.

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Patient Experience of Care

Measure Title

Rating of health care by adults who had a doctor's office or clinic visit in the last 12 months.

Measure Source

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

National Tables

14_1_11.1 Rating of 0-6 on a scale from 0 to 10 (where 10 is the best grade) of health care by adults who had a doctor's office or clinic visit in the last 12 months, United States, 2002-2007

14_1_11.2a-d Rating of 0-6 on a scale from 0 to 10 (where 10 is the best grade) of health care by adults who had a doctor's office or clinic visit in the last 12 months, United States, 2007, by:

• Race.
• Ethnicity.
• Family Income.
• Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months and provided a valid response to the question: "We want to know your rating of all your health care in the last 12 months from all doctors and other health providers. Use any number from 0 to 10 where 0 is the worst health care possible, and 10 is the best health care possible. How would you rate all your health care?" Nonrespondents and "don't know" responses were excluded.

National Numerator

Subset of the denominator who rated their health care as less than 7, on a scale from 0 to 10.

Comments

National Tables include data from the MEPS Self-Administered Questionnaire (SAQ). See the MEPS entry in the Data Sources appendix for more information on the SAQ.

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Patient Experience of Care

Measure Title

Adults with Medicare or Medicaid who had a doctor's office or clinic visit in the last 12 months who gave a best rating for health care they received.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQUIPS), National Consumer Assessment of Healthcare Providers (CAHPS) Benchmarking Database.

State Tables

14_1_11.3 Adults who had a doctor's office or clinic visit in the last 12 months who gave a best rating for health care they received, Medicare fee for service, by State, 2007-2009

14_1_11.4 Adults who had a doctor's office or clinic visit in the last 12 months who gave a best rating for health care they received, Medicare managed care, by State, 2007-2009

14_1_11.5 Adults who had a doctor's office or clinic visit in the last 6 months who gave a best rating for health care they received, Medicaid, by State, 2007-2009:

State Data Source

AHRQ, CQUIPS, National CAHPS Benchmarking Database.

State Denominator

Adults age 18 covered by Medicare fee for service, Medicare managed care, or Medicaid, as appropriate, who reported going to a doctor's office or clinic in the last 12 months [6 months for Medicaid] and provided a valid response to the question: "We want to know your rating of all your health care in the last 12 [6] months from all doctors and other health providers. Use any number from 0 to 10 where 0 is the worst health care possible and 10 is the best health care possible. How would you rate all your health care?" Nonrespondents and "don't know" responses were excluded.

State Numerator

Subset of denominator who rated their health care as 9 or 10 (where 10 is the best grade).

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Patient Experience of Care

Measure Title

Rating of health care for children who had a doctor's office or clinic visit in the last 12 months.

Measure Source

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

National Tables

14_1_12.1 Rating of 0-6 on a scale from 0 to 10 (where 10 is the best grade) of health care for children who had a doctor's office or clinic visit in the last 12 months, United States, 2002-2007

14_1_12.2a-c Rating of 0-6 on a scale from 0 to 10 (where 10 is the best grade) of health care for children who had a doctor's office or clinic visit in the last 12 months, United States, 2007, by:

• Race.
• Ethnicity.
• Family Income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children under age 18 who had a doctor's office or clinic visit in the last 12 months and whose parent or guardian provided a valid response to the question: "We want to know your rating of all your health care in the last 12 months from all doctors and other health providers. Use any number from 0 to 10 where 0 is the worst health care possible and 10 is the best health care possible. How would you rate all your health care?" Nonrespondents and "don't know" responses were excluded.

National Numerator

Subset of the denominator whose parent or guardian rated their health care as less than 7, on a scale from 0 to 10.

Comments

National Tables include data from the MEPS Child Health section. See the MEPS entry in the Data Sources appendix for more information.

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Patient Experience of Care

Measure Title

Children who had a doctor's office or clinic visit in the last 6 months whose parents gave a best rating for health care received.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQUIPS), National Consumer Assessment of Healthcare Providers (CAHPS) Benchmarking Database.

State Table

14_1_12.3 Children who had a doctor's office or clinic visit in the last 6 months whose parents gave a best rating for health care received, Medicaid, by State, 2007-2009

State Data Source

AHRQ, CQUIPS, CAHPS.

State Denominator

Children under age 18 covered by Medicaid who had a doctor's office or clinic visit in the last 6 months and whose parent or guardian provided a valid response to the question: "We want to know your rating of all your health care in the last 6 months from all doctors and other health providers. Use any number from 0 to 10 where 0 is the worst health care possible and 10 is the best health care possible. How would you rate all your health care?" Nonrespondents and "don't know" responses were excluded.

State Numerator

Subset of denominator who rated their health care as 9 or 10 (where 10 is the best grade).

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Patient Experience of Care

Measure Title

Adults with limited English proficiency having a usual source of care (USC) that offered language assistance.

Measure Source

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

National Tables

14_1_13.1 Adults with limited English proficiency and usual source of care who received language assistance at their usual source of care, United States, 2002-2007

14_1_13.2 Adults with limited English proficiency who had usual source of care, United States, 2002-2007

Data Source

AHRQ, CFACT, MEPS.

Denominator

Adult U.S. civilian noninstitutionalized population with limited English proficiency and a usual source of care.

Numerator

Subset of the denominator who received language assistance at their usual source of care.

Comments

For more information, see the MEPS entry in Appendix B: Detailed Methods.

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Patient Experience of Care

Measure Title

People with a usual source of care whose health care providers sometimes or never discuss decisions with them.

Measure Source

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

National Tables

14_1_14.1 People with a usual source of care whose health care providers sometimes or never asked them to help make decisions, United States, 2002-2007

14_1_14.2a-d People with a usual source of care whose health care provider sometimes or never asked them to help make decisions, United States, 2007, by:

• Race.
• Ethnicity.
• Family Income.
• Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Adult U.S. civilian noninstitutionalized population with a usual source of care.

National Numerator

Subset of the denominator who indicated that their usual source of care "sometimes" or "never" discussed decisions with them.

Comments

For more information, see the MEPS entry in Appendix B: Detailed Methods.

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Patient Experience of Care

Measure Title

People with limited English Proficiency with a usual source of care for whom health care providers explain and provide all treatment options.

Measure Source

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

National Tables

14_1_15.1 People with a usual source of care for whom health care providers explain and provide all treatment options, United States, 2002-2007

14_1_15.2a-d People with a usual source of care for whom health care providers explain and provide all treatment options, United States, 2007, by:

• Race.
• Ethnicity.
• Family Income.
• Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Adult U.S. civilian noninstitutionalized population with limited English proficiency and a usual source of care.

National Numerator

Subset of the denominator who reported that their health care providers explained and provided them with all treatment options.

Comments

For more information, see the MEPS entry in the Data Sources appendix.

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Hospital Communication

Measure Title

Adult hospital patients who sometimes or never had good communication with doctors in the hospital.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Hospital CAHPS Survey (HCAHPS).

National Tables

14_2_1.1 Adult hospital patients who sometimes or never had good communication with doctors in the hospital, United States, 2009

14_2_1.2 Adult hospital patients who sometimes or never had good communication with doctors in the hospital, United States, 2009, by:

• Race.

National Data Source

CMS, HCAHPS.

National Denominator

Patients age 18 and over discharged alive who had at least an overnight hospital stay and no psychiatry-related diagnoses.

National Numerator

Subset of the denominator who responded "sometimes" or "never" to any of three survey questions: "During this hospital stay, how often did doctors treat you with courtesy and respect?" "During this hospital stay, how often did doctors listen carefully to you?" and "During this hospital stay, how often did doctors explain things in a way you could understand?"

State Table

14_2_1.3 Adult hospital patients who sometimes or never had good communication with doctors in the hospital, by State, 2009

State Data Source

CMS, HCAHPS.

State Denominator

Same as National.

State Numerator

Same as National.

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Hospital Communication

Measure Title

Adult hospital patients who sometimes or never had good communication with nurses in the hospital.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Hospital CAHPS Survey (HCAHPS).

National Table

14_2_2.1 Adult hospital patients who sometimes or never had good communication with nurses in the hospital, United States, 2009

14_2_2.2 Adult hospital patients who sometimes or never had good communication with nurses in the hospital, United States, 2009, by:

• Race.

National Data Source

CMS, HCAHPS.

National Denominator

Hospital patients age 18 and over discharged alive who had at least an overnight stay and no psychiatry-related diagnoses.

National Numerator

Subset of the denominator who responded "sometimes" or "never" to any of three survey questions: "During this hospital stay, how often did nurses treat you with courtesy and respect?" "During this hospital stay, how often did nurses listen carefully to you?" and "During this hospital stay, how often did nurses explain things in a way you could understand?"

State Table

14_2_2.3 Adult hospital patients who sometimes or never had good communication with nurses in the hospital, by State, 2009

State Data Source

CMS, HCAHPS.

State Denominator

Same as National.

State Numerator

Same as National.

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Diversity of the Pharmacist Workforce

Measure Title

Racial and ethnic compositions of pharmacists and total U.S. population.

Measure Source

U.S. Census Bureau (CENSUS), American Community Survey (ACS).

National Table

14_3_1.2 Pharmacist distribution rate per 100,000 population, by State, 2006-2008.

National Data Source

CENSUS, ACS.

National Denominator

U.S. civilian population.

National Numerator

People in the United States who report their occupation to be pharmacist.

State Table

14_3_1.2 Pharmacist distribution rate per 100,000 population, by State, 2006-2008

State Data Source

CENSUS, ACS.

State Denominator

Same as National.

State Numerator

Same as National.

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Care Coordination

Measure Title

Hospital patients with heart failure discharged home with written instructions or educational material.

Measure Source

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

National Table

14_4_3.1 Hospital patients with heart failure who were given complete written discharge instructions, United States, 2005-2008

National Data Source

CMS, QIO Program.

National Denominator

Heart failure patients age 18 and over discharged to home or home care.

National Numerator

Subset of denominator with documentation that they or their caregivers were given written discharge instructions or other educational material addressing all of the following: activity level, diet, discharge medications, followup appointment, weight monitoring, and information on what to do if symptoms worsen.

State Table

14_4_3.2 Hospital patients with heart failure who were given complete written discharge instructions, by State, 2005-2008

State Data Source

CMS, QIO Program.

State Denominator

Same as National.

State Numerator

Same as National.

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