T2_3_5_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 2_3_5.1
Deaths per 1,000 hospital admissions with congestive heart failure,^a age 18 and over,^b United States, 2000, 2004, 2005, 2007, and 2008
		2008		2007		2005		2004		2000
Population group		Rate	SE	Rate	SE	Rate	SE	Rate	SE	Rate	SE
Total		28.7	0.2	31.2	0.2	39.9	0.2	42.5	0.2	56.9	0.2
Age	18-44	11.6	0.5	12.7	0.5	12.9	0.5	15.0	0.5	18.2	0.6
	45-64	13.1	0.2	14.6	0.2	17.4	0.2	19.2	0.2	23.8	0.3
	65 and over	35.4	0.2	38.2	0.2	48.9	0.2	51.1	0.2	67.9	0.2
	65-69	15.9	0.4	16.7	0.4	23.0	0.4	24.6	0.4	32.5	0.4
	70-74	20.4	0.4	21.3	0.4	28.8	0.4	31.0	0.4	43.2	0.4
	75-79	27.5	0.4	29.0	0.4	38.9	0.4	43.0	0.4	58.7	0.4
	80-84	42.3	0.5	47.6	0.5	60.7	0.5	63.6	0.5	85.4	0.6
	85 and over	49.5	0.4	54.1	0.4	67.7	0.5	70.7	0.5	95.0	0.5
Gender	Male	29.2	0.2	30.5	0.2	40.3	0.2	42.7	0.2	57.9	0.3
Gender	Female	29.8	0.2	32.8	0.2	41.1	0.2	42.6	0.2	56.6	0.2
Median income of patient's ZIP Code	First quartile (lowest income)	30.0	0.3	32.6	0.3	40.7	0.3	42.1	0.3	55.1	0.3
	Second quartile	29.0	0.3	30.8	0.3	40.7	0.3	43.5	0.3	58.5	0.3
	Third quartile	27.2	0.3	30.2	0.3	38.8	0.3	41.6	0.4	55.6	0.4
	Fourth quartile (highest income)	27.8	0.3	30.5	0.4	39.1	0.4	42.9	0.4	58.6	0.4
Location of patient residence	Large central metropolitan	24.9	0.3	28.0	0.3	35.4	0.3	39.1	0.3	51.0	0.3
	Large fringe metropolitan	27.1	0.3	29.0	0.3	37.0	0.3	41.1	0.3	56.5	0.4
	Medium metropolitan	29.0	0.4	28.2	0.4	41.5	0.4	41.4	0.4	59.5	0.5
	Small metropolitan	32.8	0.6	36.2	0.5	44.2	0.6	43.0	0.6	64.1	0.6
	Micropolitan	32.9	0.5	39.3	0.5	46.6	0.5	48.2	0.5	61.4	0.6
	Noncore	38.5	0.6	40.8	0.6	48.1	0.6	53.1	0.6	61.4	0.6
Expected payment source	Private insurance	35.8	0.5	38.5	0.5	49.7	0.6	47.8	0.6	58.0	0.6
	Medicare	27.4	0.2	29.9	0.2	39.0	0.2	41.5	0.2	57.3	0.2
	Medicaid	27.3	0.8	30.0	0.8	32.9	0.8	39.1	0.8	42.6	0.9
	Other insurance	53.8	1.3	61.7	1.5	67.1	1.7	75.1	1.5	71.6	1.9
	Uninsured/self-pay/no charge	32.4	1.3	34.3	1.3	43.1	1.3	51.9	1.3	58.1	1.6
Region of inpatient treatment	Northeast	31.6	0.3	35.7	0.4	44.2	0.4	47.5	0.4	60.0	0.4
	Midwest	25.8	0.3	28.0	0.3	38.1	0.3	39.3	0.3	58.1	0.4
	South	28.4	0.2	30.6	0.3	39.2	0.3	42.4	0.3	56.0	0.3
	West	29.6	0.4	31.7	0.4	38.8	0.4	41.6	0.4	52.9	0.5
Ownership/control of hospital	Private, not for profit	28.0	0.2	30.3	0.2	39.4	0.2	42.7	0.2	57.5	0.2
	Private, for profit	26.8	0.4	32.0	0.4	39.4	0.4	38.6	0.4	52.6	0.5
	Public	35.5	0.5	35.4	0.5	44.2	0.5	46.5	0.5	58.3	0.6
Teaching status of hospital	Teaching	26.1	0.3	28.6	0.3	37.7	0.3	41.3	0.3	53.9	0.4
Teaching status of hospital	Nonteaching	29.8	0.2	32.3	0.2	40.8	0.2	43.0	0.2	58.0	0.2
Location of hospital	Large central metropolitan	24.7	0.3	27.8	0.3	35.9	0.3	39.2	0.3	51.4	0.3
	Large fringe metropolitan	27.6	0.3	29.5	0.3	36.4	0.3	41.5	0.4	56.4	0.4
	Medium metropolitan	28.5	0.3	28.4	0.4	41.0	0.4	41.1	0.4	58.7	0.4
	Small metropolitan	32.3	0.5	34.4	0.5	44.4	0.6	42.9	0.5	65.4	0.6
	Micropolitan	33.7	0.5	40.2	0.5	47.1	0.5	50.5	0.5	62.0	0.6
	Noncore	54.3	0.9	51.8	0.8	58.5	0.8	61.4	0.8	62.2	0.8
Bed size of hospital	Less than 100	40.5	0.4	42.2	0.5	51.2	0.5	50.6	0.5	61.7	0.5
	100-299	27.8	0.3	30.5	0.3	39.2	0.3	42.2	0.3	56.0	0.3
	300-499	26.2	0.3	29.4	0.3	36.3	0.3	39.6	0.3	58.0	0.4
	500 or more	26.7	0.4	28.0	0.4	39.0	0.4	42.3	0.4	53.4	0.5

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

^b. Rates are adjusted by age, gender, age-gender interactions, 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 gender, MDC, APR-DRG risk of mortality score, and transfers into the hospital; when reporting is by gender, the adjustment is by age, 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).

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 October 2014

Internet Citation: T2_3_5_1: 2011 National Healthcare Quality and Disparities Reports. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr11/2_heartdiseases/T2_3_5_1.html