T12_3_9_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_3_9.2
Deaths per 1,000 hospital admissions with expected low mortality,a age 18 and over or obstetric admissions,b by race/ethnicity, United States, 2008
    Non-Hispanic  
  TotalWhiteBlackAPIHispanic, all races
Population groupRateSERateSERateSERateSERateSE
Total 0.450.010.430.010.580.020.470.050.450.03
Age18-440.200.010.160.010.360.010.160.030.190.01
45-640.650.030.570.030.800.06DSUDSU0.820.09
65 and over1.970.052.090.051.420.132.530.321.260.17
  65-690.830.070.850.080.880.19DSUDSUDSUDSU
  70-741.200.081.280.09DSUDSU2.000.57DSUDSU
  75-791.540.101.650.111.110.28DSUDSUDSUDSU
  80-842.320.122.320.132.600.37DSUDSU1.800.52
  85 and over3.850.133.980.142.650.455.270.973.820.62
GenderMale1.000.031.100.040.610.061.010.240.890.09
Female0.380.010.400.010.480.020.280.040.230.01
Median income of patient's ZIP CodeFirst quartile (lowest income)0.570.010.530.020.660.030.540.130.540.04
Second quartile0.440.020.430.020.570.050.450.120.360.05
Third quartile0.380.020.370.020.310.050.490.100.380.06
Fourth quartile (highest income)0.380.020.370.020.580.060.440.080.420.07
Location of patient residenceLarge central metropolitan0.440.010.410.020.470.030.310.070.430.04
Large fringe metropolitan0.390.020.360.020.540.040.800.110.420.07
Medium metropolitan0.430.020.350.020.990.070.770.130.580.06
Small metropolitan0.460.030.450.030.640.09DSUDSUDSUDSU
Micropolitan0.530.020.540.030.630.10DSUDSU0.460.13
Noncore0.640.030.630.030.870.11DSUDSUDSUDSU
Expected payment sourcePrivate insurance0.480.020.420.020.760.050.570.090.400.06
Medicare0.410.010.410.010.400.030.430.070.350.04
Medicaid0.600.020.570.030.760.050.530.130.550.05
Other insurance0.370.050.280.070.440.13DSUDSUDSUDSU
Uninsured/self-pay/no charge0.720.050.610.061.150.10DSUDSU0.750.11
Region of inpatient treatmentNortheast0.430.020.380.020.640.050.600.120.410.07
Midwest0.380.020.390.020.350.04DSUDSU0.480.13
South0.530.010.510.020.700.030.600.130.450.04
West0.410.020.390.020.370.070.450.070.450.04
Ownership/control of hospitalPrivate, not for profit0.430.010.390.010.560.030.510.060.480.04
Private, for profit0.470.020.490.020.480.05DSUDSU0.480.06
Public0.580.020.570.030.780.060.450.130.300.06
Teaching status of hospitalTeaching0.470.010.420.020.530.030.520.080.520.04
Nonteaching0.450.010.430.010.610.030.440.060.400.03
Location of hospitalLarge central metropolitan0.440.010.410.020.480.030.370.070.460.04
Large fringe metropolitan0.400.020.360.020.570.040.760.120.300.07
Medium metropolitan0.460.020.390.020.960.070.620.130.570.06
Small metropolitan0.380.020.370.030.400.08DSUDSUDSUDSU
Micropolitan0.470.030.480.030.610.10DSUDSUDSUDSU
Noncore0.900.040.890.041.390.14DSUDSUDSUDSU
Bed size of hospitalLess than 1000.520.020.530.020.690.09DSUDSUDSUDSU
100-2990.440.010.430.010.470.040.570.080.420.04
300-4990.410.010.360.020.650.040.540.090.420.05
500 or more0.500.020.440.020.610.04DSUDSU0.540.05

a. Consistent with the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software, admissions with expected low mortality are identified by Medicare Severity Diagnosis Related Group (MS-DRG) or diagnosis-related group (DRG), depending on the date of discharge. Exclusions include admissions with cancer, admissions in an immunocompromised state, or admissions involving a traumatic injury.

b. Rates are adjusted by age, gender, age-gender interactions, comorbidities, DRG, and transfers into the hospital. When reporting is by age, the adjustment is by gender, comorbidities, DRG, and transfers into the hospital; when reporting is by gender, the adjustment is by age, comorbidities, DRG, and transfers into the hospital. 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.

 

Current as of March 2012
Internet Citation: T12_3_9_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_3_9_2.html