T12_2_8_3

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_8.3
Postoperative hip fracture per 1,000 surgical admissions among patients who were not susceptible to falling,a age 18 and over,b by income, 2000-2008
    Median income of patient's ZIP Code
  TotalFirst quartile (lowest income)Second quartileThird quartileFourth quartile (highest income)
Data year RateSERateSERateSERateSERateSE
Data year20080.200.010.230.010.220.010.160.010.160.01
 20070.210.010.230.010.200.010.220.010.180.01
 20060.240.010.280.010.270.010.180.010.240.01
 20050.230.010.250.010.250.010.210.010.210.01
 20040.260.010.330.010.270.010.200.010.230.01
 20030.260.010.270.010.280.010.240.010.230.01
 20020.250.010.270.010.230.010.230.010.260.01
 20010.260.010.290.010.230.010.280.010.270.01
 20000.300.010.350.010.350.010.210.010.250.01

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.� Excludes obstetric cases; admissions for seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium and other psychoses, anoxic brain injury, metastatic cancer, lymphoid/bone malignancy malignancy, or self-inflicted injury; 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).

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_3: 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_3.html