T12_2_8_1

2011 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.

Table 12_2_8.1
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling,a age 18 and over,b United States, 2000, 2004, 2005, 2007, and 2008
  20082007200520042000
Population groupRateSERateSERateSERateSERateSE
Total 0.200.010.210.010.230.010.260.010.300.01
Age18-440.010.000.010.000.010.000.010.000.010.00
45-640.040.010.040.010.040.010.060.010.060.01
65 and over1.130.021.170.021.360.021.540.021.660.02
  65-690.120.020.150.020.230.020.160.020.270.02
  70-740.380.030.350.030.330.030.510.030.410.03
  75-790.640.040.580.040.830.040.820.041.060.04
  80-841.740.072.240.071.940.071.830.072.770.07
  85 and over5.210.154.900.156.680.158.630.168.450.16
GenderMale0.310.010.440.010.390.010.410.010.440.01
Female0.600.010.520.010.700.010.820.010.920.01
Median income of patient's ZIP CodeFirst quartile (lowest income)0.230.010.230.010.250.010.330.010.350.01
Second quartile0.220.010.200.010.250.010.270.010.350.01
Third quartile0.160.010.220.010.210.010.200.010.210.01
Fourth quartile (highest income)0.160.010.180.010.210.010.230.010.250.01
Location of patient residenceLarge central metropolitan0.190.010.210.010.190.010.250.010.290.01
Large fringe metropolitan0.190.010.200.010.250.010.220.010.250.01
Medium metropolitan0.210.010.190.010.250.010.260.010.310.02
Small metropolitan0.200.020.170.020.230.020.220.020.260.02
Micropolitan0.180.020.270.020.300.020.340.020.380.02
Noncore0.210.020.200.020.240.020.340.020.370.02
Expected payment sourcePrivate insurance0.040.010.080.010.040.010.060.010.080.01
Medicare0.380.010.370.010.450.010.470.010.560.01
Medicaid0.150.020.080.020.150.020.270.020.180.03
Other insurance0.150.04DSUDSUDSUDSU0.200.04DSUDSU
Uninsured/self-pay/no chargeDSUDSUDSUDSUDSUDSU0.120.030.150.03
Region of inpatient treatmentNortheast0.160.010.210.010.220.010.260.010.290.01
Midwest0.180.010.190.010.240.010.240.010.350.01
South0.210.010.220.010.260.010.290.010.300.01
West0.230.010.190.010.180.010.210.020.230.02
Ownership/control of hospitalPrivate, not for profit0.190.010.220.010.230.010.260.010.280.01
Private, for profit0.230.020.200.020.250.020.240.020.360.02
Public0.170.020.160.020.220.020.270.020.330.02
Teaching status of hospitalTeaching0.200.010.160.010.220.010.270.010.250.01
Nonteaching0.190.010.240.010.240.010.250.010.320.01
Location of hospitalLarge central metropolitan0.200.010.180.010.200.010.250.010.270.01
Large fringe metropolitan0.190.020.250.020.280.020.220.010.270.01
Medium metropolitan0.190.010.220.010.230.010.300.010.310.01
Small metropolitan0.200.020.190.020.230.020.230.020.350.02
Micropolitan0.230.020.220.020.320.020.290.020.390.03
NoncoreDSUDSU0.200.050.270.050.360.050.460.05
Bed size of hospitalLess than 1000.170.020.280.020.280.020.230.020.380.02
100-2990.210.010.200.010.210.010.230.010.340.01
300-4990.200.010.220.010.260.010.290.010.290.01
500 or more0.180.010.170.010.220.010.270.010.220.01

a. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software requires that the hip fracture be reported as a secondary diagnosis (rather than the principal diagnosis), but unlike the AHRQ PSI software, the secondary diagnosis could be present on admission. In addition, the hip fracture repair is not verifiable as following surgery. Consistent with the AHRQ PSI software, the following cases are excluded: obstetric cases; admissions for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, anoxic brain injury, metastatic cancer, lymphoid/bone malignancy, or self-inflicted injury; admissions for diseases and disorders of the musculoskeletal system and connective tissue; and admissions in which hip fracture repair is the only operating room procedure.

b. Rates are adjusted by major diagnostic category (MDC). The AHRQ PSI software was modified to not use the present on admission (POA) indicators (or estimates of the likelihood of POA for secondary diagnosis).

DSU - Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

Key: SE: standard error.

Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, modified version 4.1.

 

Page last reviewed March 2012
Internet Citation: T12_2_8_1: 2011 National Healthcare Quality and Disparities Reports. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr11/12_patientsafety/T12_2_8_1.html