T12_2_8_2

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_8.2
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling,a age 18 and over,b by race/ethnicity, United States, 2008
    Non-Hispanic  
  TotalWhiteBlackAPIHispanic, all races
Population groupRateSERateSERateSERateSERateSE
Total 0.220.010.240.010.190.02DSUDSU0.160.02
Age18-440.010.00DSUDSUDSUDSUDSUDSUDSUDSU
45-640.040.010.040.010.070.01DSUDSU0.050.02
65 and over1.290.021.360.020.960.07DSUDSU1.210.08
  65-690.120.020.100.020.260.05DSUDSUDSUDSU
  70-740.520.030.590.03DSUDSUDSUDSUDSUDSU
  75-790.720.040.740.041.040.14DSUDSUDSUDSU
  80-841.820.071.810.081.430.27DSUDSU2.350.31
  85 and over5.930.156.190.164.440.57DSUDSU7.600.72
GenderMale0.440.010.490.010.250.02DSUDSU0.300.03
Female0.600.010.700.010.320.02DSUDSU0.360.02
Median income of patient's ZIP CodeFirst quartile (lowest income)0.270.010.320.020.240.03DSUDSU0.150.03
Second quartile0.240.010.250.010.170.04DSUDSU0.210.04
Third quartile0.200.010.220.02DSUDSUDSUDSU0.180.05
Fourth quartile (highest income)0.180.010.200.02DSUDSUDSUDSUDSUDSU
Location of patient residenceLarge central metropolitan0.260.010.290.020.250.03DSUDSU0.200.03
Large fringe metropolitan0.190.010.220.01DSUDSUDSUDSUDSUDSU
Medium metropolitan0.210.020.220.020.270.05DSUDSUDSUDSU
Small metropolitan0.190.020.220.02DSUDSUDSUDSUDSUDSU
Micropolitan0.280.020.300.02DSUDSUDSUDSUDSUDSU
Noncore0.210.020.210.02DSUDSUDSUDSUDSUDSU
Expected payment sourcePrivate insurance0.060.010.060.01DSUDSUDSUDSUDSUDSU
Medicare0.420.010.450.010.350.03DSUDSU0.300.04
Medicaid0.120.02DSUDSUDSUDSUDSUDSU0.220.05
Other insuranceDSUDSUDSUDSUDSUDSUDSUDSUDSUDSU
Uninsured/self-pay/no chargeDSUDSUDSUDSUDSUDSUDSUDSUDSUDSU
Region of inpatient treatmentNortheast0.150.010.180.02DSUDSUDSUDSUDSUDSU
Midwest0.250.010.260.010.240.04DSUDSUDSUDSU
South0.240.010.270.010.190.03DSUDSU0.160.03
West0.240.020.240.020.220.06DSUDSU0.200.03
Ownership/control of hospitalPrivate, not for profit0.220.010.230.010.190.02DSUDSU0.170.03
Private, for profit0.260.020.300.020.210.05DSUDSU0.160.05
Public0.200.020.240.02DSUDSUDSUDSUDSUDSU
Teaching status of hospitalTeaching0.210.010.240.010.150.03DSUDSU0.160.03
Nonteaching0.230.010.240.010.230.03DSUDSU0.170.03
Location of hospitalLarge central metropolitan0.230.010.250.010.210.03DSUDSU0.200.03
Large fringe metropolitan0.210.010.240.020.150.04DSUDSUDSUDSU
Medium metropolitan0.200.010.210.020.240.05DSUDSUDSUDSU
Small metropolitan0.270.020.290.02DSUDSUDSUDSUDSUDSU
Micropolitan0.270.020.280.03DSUDSUDSUDSUDSUDSU
NoncoreDSUDSUDSUDSU1.120.22DSUDSUDSUDSU
Bed size of hospitalLess than 1000.240.020.230.030.570.10DSUDSUDSUDSU
100-2990.210.010.230.010.230.04DSUDSU0.150.04
300-4990.240.010.270.010.140.03DSUDSU0.180.04
500 or more0.210.010.230.010.170.03DSUDSU0.180.04

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: API: Asian or Pacific Islander; SE: standard error.

Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, State Inpatient Databases, disparities analysis file, 2007, and AHRQ Quality Indicators, modified version 4.1. The analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 31 States: Arkansas, Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Kansas, Kentucky, Massachusetts, Maryland, Maine, Michigan, Missouri, New Hampshire, New Jersey, Nevada, New York, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, and Wyoming.

 

Page last reviewed March 2012
Internet Citation: T12_2_8_2: 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_2.html