T2_2_2_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 2_2_2.2
Deaths per 1,000 hospital admissions with acute myocardial infarction,a age 18 and over,b by race/ethnicity, United States, 2008
    Non-Hispanic  
  TotalWhiteBlackAPIHispanic, all races
Population groupRateSERateSERateSERateSERateSE
Total 58.70.359.90.348.40.961.11.959.01.2
Age18-4416.20.715.30.816.81.518.94.617.02.0
45-6430.50.330.90.427.80.929.52.233.31.2
65 and over82.10.485.20.559.71.484.52.873.31.8
  65-6942.20.842.70.937.52.254.34.943.22.8
  70-7458.70.960.01.049.52.661.15.460.23.4
  75-7980.41.083.11.161.83.172.06.774.94.0
  80-8491.01.192.41.263.03.6123.77.094.14.6
  85 and over120.11.0123.01.191.43.8107.07.0105.25.1
GenderMale53.40.456.00.437.91.055.62.146.11.2
Female68.50.573.40.644.81.266.03.260.81.8
Median income of patient's ZIP CodeFirst quartile (lowest income)60.00.563.40.646.61.270.94.861.11.7
Second quartile60.40.561.00.653.81.965.04.255.02.5
Third quartile56.00.656.50.746.92.352.13.563.02.5
Fourth quartile (highest income)57.50.657.80.748.63.062.03.052.13.2
Location of patient residenceLarge central metropolitan55.50.556.40.746.51.363.62.560.31.6
Large fringe metropolitan55.30.655.80.650.81.952.94.450.33.2
Medium metropolitan57.70.758.40.746.72.663.14.154.42.6
Small metropolitan62.70.963.91.051.33.3DSUDSU73.44.9
Micropolitan65.30.966.20.953.63.669.68.260.84.9
Noncore68.41.069.41.049.44.2DSUDSU71.96.4
Expected payment sourcePrivate insurance59.50.860.00.953.02.468.04.957.73.3
Medicare57.20.358.70.445.51.058.22.254.51.4
Medicaid65.01.569.62.252.03.358.85.867.23.4
Other insurance75.42.476.92.766.88.677.620.656.59.3
Uninsured/self-pay/no charge82.81.881.62.380.65.189.99.796.84.9
Region of inpatient treatmentNortheast61.70.662.30.749.32.573.15.058.23.4
Midwest53.20.655.20.640.51.6DSUDSU47.05.9
South59.60.561.30.552.41.358.75.358.01.7
West61.40.761.60.853.53.061.12.261.31.8
Ownership/control of hospitalPrivate, not for profit56.90.357.70.447.21.060.92.259.31.5
Private, for profit61.70.765.10.948.22.460.14.754.02.3
Public68.00.970.31.156.22.563.35.066.13.2
Teaching status of hospitalTeaching55.50.556.40.645.71.362.62.958.72.0
Nonteaching60.20.361.30.450.71.260.12.459.11.4
Location of hospitalLarge central metropolitan55.90.556.70.647.11.365.32.560.01.6
Large fringe metropolitan54.70.655.70.648.81.946.74.747.23.4
Medium metropolitan57.00.657.20.749.22.560.53.957.32.4
Small metropolitan62.30.863.50.948.02.8DSUDSU77.64.5
Micropolitan70.71.071.71.053.44.387.210.256.97.4
Noncore91.61.992.52.074.07.7DSUDSUDSUDSU
Bed size of hospitalLess than 10075.61.077.91.160.44.667.17.242.85.4
100-29960.80.561.40.553.31.657.32.865.62.0
300-49955.50.556.50.646.81.560.93.156.62.1
500 or more54.40.655.30.744.61.569.64.856.62.1

a. Consistent with the Agency for Healthcare Research and Quality (AHRQ) Inpatient Quality Indicators (IQI) software, acute myocardial infarction must be the principal diagnosis and the following cases are excluded: obstetric admissions and transfers to another hospital.

b. Rates are adjusted by age, major diagnostic category (MDC), all patient refined-diagnosis related group (APR-DRG) risk of mortality score, and transfers into the hospital.� When reporting is by age, the adjustment is by MDC, APR-DRG risk of mortality score, and transfers into the hospital.� The AHRQ IQI 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: T2_2_2_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/nhqrdr11/2_heartdiseases/T2_2_2_2.html