Effectiveness of Care: Maternal and Child Health

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.

Maternity Care
Women who received prenatal care in the first trimester

Birth-Related Complications
Low-birth-weight births
Infant deaths per 1,000 live births
Maternal deaths
Birth trauma—injury to newborn
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance
Obstetric trauma per 1,000 instrument-assisted deliveries
Obstetric trauma per 1,000 cesarean deliveries

Childhood Immunization
Composite measure: Children ages 19-35 months who received all recommended vaccines
Children ages 19-35 months who received 4 doses of diphtheria-tetanus-pertussis vaccine
Children ages 19-35 months who received 3 or more doses of polio vaccine
Children ages 19-35 months who received 1 dose of measles-mumps-rubella vaccine
Children ages 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine
Children ages 19-35 months who received 3 doses of hepatitis B vaccine
Children ages 19-35 months who received 1 dose of varicella vaccine
Adolescents ages 13-17 years who received at least 1 dose of meningococcal conjugate vaccine
Adolescents ages 13-15 who received at least three doses of human papillomavirus vaccine, either quadrivalent or bivalent
Adolescents ages 13-15 who received at least 1 dose of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of 10 years

Other Childhood Preventive Care
Children who had their height and weight measured by a health provider within the past 2 years
Children ages 2-17 who had a dental visit in the calendar year
Children ages 2-17 with untreated dental caries
People ages 2-19 who were overweight who were told by a health provider they were overweight
Children ages 3-6 who ever had their vision checked by a health provider
Children for whom a health provider gave advice in the past 2 years about how smoking in the house can be bad for a child
Children 0-40 lb for whom a health provider gave advice in the past 2 years about using child safety seats when riding in a car
Children 41-80 lb for whom a health provider gave advice within the past 2 years about using booster seats when riding in a car
Children over 80 lb for whom a health provider gave advice within the past 2 years about using lap or shoulder belts when riding in a car
Children ages 2-17 years for whom a health provider gave advice within the past 2 years about using a helmet when riding a bicycle or motorcycle
Children age 17 and under with a wellness checkup in the past 12 months
Children who visited the emergency department for asthma
Females ages 16-20 years who were screened for genital chlamydia infections
 

 

Maternity Care

Measure Title

Women who received prenatal care in the first trimester.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS).

National Tables

6_1_1.1 Women who completed a pregnancy in the last 12 months who received prenatal care in the first trimester, United States, 2008

6_1_1.2 a-b Women who completed a pregnancy in the last 12 months who received prenatal care in the first trimester, United States, 2008, by:

  1. Race.
  2. Ethnicity.

National Data Source

CDC, NCHS, NVSS.

National Denominator

Women who were pregnant in the previous 12-month period.

National Numerator

Subset of the denominator who received prenatal care in the first trimester.

State Table

6_1_1.3 Women who completed a pregnancy in the last 12 months who received prenatal care in the first trimester, by State, United States, 2008

State Data Source

CDC, NCHS, NVSS.

State Denominator

Same as national.

State Numerator

Same as national.

Comments

Alabama, Alaska, Arizona, Arkansas, Connecticut, District of Columbia, Hawaii, Illinois, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, Nevada, New Jersey, North Carolina, Oklahoma, Rhode Island, Utah, Virginia, West Virginia, and Wisconsin are excluded from these analyses as they did not use the 2003 Revision to Birth Certificate.

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Birth-Related Complications

Measure Title

Low-birth-weight births.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS).

National Tables

6_1_2.1_1 Live-born infants with low birth weight (less than 2,500 grams), United States, 2007-2008

6_1_2.1_2 a-b Live-born infants with low birth weight (less than 2,500 grams), United States, 2008; by:

  1. Race.
  2. Ethnicity.

6_1_2.2_1 Live-born infants with very low birth weight (less than 1,500 grams), United States, 2007-2008

6_1_2.2_2 a-b Live-born infants with very low birth weight (less than 1,500 grams), United States, 2008; by:

  1. Race.
  2. Ethnicity.

National Data Source

CDC, NCHS, NVSS.

National Denominator

Population of live-born infants.

National Numerator

Subset of the denominator who were low birth weight or very low birth weight.

Comments

Alabama, Alaska, Arizona, Arkansas, Connecticut, District of Columbia, Hawaii, Illinois, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, Nevada, New Jersey, North Carolina, Oklahoma, Rhode Island, Utah, Virginia, West Virginia, and Wisconsin are excluded from these analyses as they used the unrevised 1989 Revision to Birth Certificate.

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Birth-Related Complications

Measure Title

Infant deaths per 1,000 live births.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)—Linked Birth and Infant Death Data.

National Tables

6_1_3.1_1 Infant mortality per 1,000 live births, birth weight less than 1,500 grams, United States, 2000-2005

6_1_3.1_2a-c Infant mortality per 1,000 live births, birth weight less than 1,500 grams, United States, 2005, by:

  1. Race.
  2. Ethnicity.
  3. Education.

National Data Source

CDC, NCHS, NVSS.

National Denominator

Population of live births, birth weight less than 1,500 grams.

National Numerator

Subset of the denominator who died within the first year.

State Table

6_1_3.1_3 Infant mortality per 1,000 live births, birth weight less than 1,500 grams, by State, United States, 2002-2005

State Data Source

CDC, NCHS, NVSS.

State Denominator

Population of live births, birth weight less than 1,500 grams, by State.

State Numerator

Same as national.

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Birth-Related Complications

Measure Title

Maternal deaths.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System (NVSS)—Linked Birth and Infant Death Data.

National Tables

6_1_4.1 Maternal deaths per 100,000 live births, United States, 2000-2005

6_1_4.2a-c Maternal deaths per 100,000 live births, United States, 2005, by:

  1. Race.
  2. Ethnicity.
  3. Mother's education.

National Data Source

CDC, NCHS, NVSS.

National Denominator

Population of mothers with a live birth.

National Numerator

Subset of the denominator who died.

State Table

6_1_4.3 Maternal deaths per 100,000 live births, by State, 2000-2005

State Data Source

CDC, NCHS, NVSS.

State Denominator

Same as national.

State Numerator

Same as national.

Comments

Estimates are age adjusted to the 2000 U.S. standard population.

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Birth-Related Complications

Measure Title

Birth trauma—injury to newborn.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Patient Safety Indicators (PSIs).

National Tables

6_2_1.1 Birth trauma—injury to newborn per 1,000 live births, United States, 2004, 2005, 2007, and 2008

6_2_1.2 Birth trauma—injury to newborn per 1,000 live births, by race/ethnicity, United States, 2008

6_2_1.4 Birth trauma—injury to newborn per 1,000 live births, by income, United States, 2004-2008

National Data Source

AHRQ, CDOM, HCUP, Nationwide Inpatient Sample (NIS) and AHRQ Quality Indicators, modified version 4.1.

National Denominator

All newborns.

National Numerator

Subset of the denominator with any diagnosis of birth trauma, excluding preterm infants with a birth weight less than 2,000 grams, infants with any diagnosis of injury to brachial plexus, and infants with any diagnosis code of osteogenesis imperfecta.

State Table

6_2_1.3 Birth trauma—injury to newborn per 1,000 live births, by State, United States, 2004, 2007, and 2008

State Data Source

AHRQ, CDOM, HCUP, State Inpatient Databases (SID).

State Denominator

Same as national.

State Numerator

Same as national.

Comments

Estimates are observed rates and are not adjusted for gender or severity.

Although not all States participate in the HCUP database, NIS is weighted to give national estimates using weights based on all U.S. community, nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

SID includes a powerful set of hospital databases from data organizations in participating States. SID contains the universe of the inpatient discharge abstracts in participating States, translated into a uniform format to facilitate multi-State comparisons and analyses. Together, SID encompasses about 90% of all U.S. community hospital discharges. SID contains a core set of clinical and nonclinical information on all patients, regardless of payer, including people covered by Medicare, Medicaid, and private insurance, as well as uninsured people. In addition to the core set of uniform data elements common to all SID, some databases within SID include other elements, such as the patient's race.

The SID disparities analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 31 States: Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Jersey, New York, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, and Wyoming.

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Birth-Related Complications

Measure Title

Obstetric trauma per 1,000 vaginal deliveries without instrument assistance.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Patient Safety Indicators (PSIs).

National Tables

6_2_2.1 Obstetric trauma per 1,000 vaginal deliveries without instrument assistance, United States, 2000, 2004, 2005, 2007, and 2008

6_2_2.2 Obstetric trauma per 1,000 vaginal deliveries without instrument assistance, by race/ethnicity, United States, 2008

6_2_2.4 Obstetric trauma per 1,000 vaginal deliveries without instrument assistance, by income, United States, 2000-2008

National Data Source

AHRQ, CDOM, HCUP, Nationwide Inpatient Sample (NIS) and AHRQ Quality Indicators, modified version 4.1.

National Denominator

All hospital discharges with a diagnosis of vaginal delivery without instrument assistance.

National Numerator

Subset of the denominator with any diagnosis or procedure indicating obstetric trauma with 3rd or 4th degree lacerations.

State Table

6_2_2.3 Obstetric trauma per 1,000 vaginal deliveries without instrument assistance, by State, United States, 2000, 2004, 2007, and 2008

State Data Source

AHRQ, CDOM, HCUP, State Inpatient Databases (SID).

State Denominator

Same as national.

State Numerator

Same as national.

Comments

Rates are adjusted by age and comorbidities.

Although not all States participate in the HCUP database, NIS is weighted to give national estimates using weights based on all U.S. community, nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

SID includes a powerful set of hospital databases from data organizations in participating States. SID contains the universe of the inpatient discharge abstracts in participating States, translated into a uniform format to facilitate multi-State comparisons and analyses. Together, SID encompasses about 90% of all U.S. community hospital discharges. SID contains a core set of clinical and nonclinical information on all patients, regardless of payer, including people covered by Medicare, Medicaid, and private insurance, as well as uninsured people. In addition to the core set of uniform data elements common to all SID, some databases within SID include other elements, such as the patient's race.

The SID disparities analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 31 States: Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Jersey, New York, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, and Wyoming.

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Birth-Related Complications

Measure Title

Obstetric trauma per 1,000 instrument-assisted deliveries.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Patient Safety Indicators (PSIs).

National Tables

6_2_3.1 Obstetric trauma per 1,000 instrument-assisted vaginal deliveries, United States, 2000, 2004, 2005, 2007, and 2008

6_2_3.2 Obstetric trauma per 1,000 instrument-assisted vaginal deliveries, by race/ethnicity, United States, 2008

6_2_3.4 Obstetric trauma per 1,000 instrument-assisted vaginal deliveries, by income, United States, 2000-2008

National Data Source

AHRQ, CDOM, HCUP, Nationwide Inpatient Sample (NIS) and AHRQ Quality Indicators, modified version 4.1.

National Denominator

All instrument-assisted vaginal deliveries discharged from hospital.

National Numerator

Subset of the denominator with any diagnosis or procedure indicating obstetric trauma with 3rd or 4th degree lacerations.

State Table

6_2_3.3 Obstetric trauma per 1,000 instrument-assisted vaginal deliveries, by State, United States, 2000, 2004, 2007, and 2008

State Data Source

AHRQ, CDOM, HCUP, State Inpatient Databases (SID).

State Denominator

Same as national.

State Numerator

Same as national.

Comments

Rates are adjusted by age.

Although not all States participate in the HCUP database, NIS is weighted to give national estimates using weights based on all U.S. community, nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

SID includes a powerful set of hospital databases from data organizations in participating States. SID contains the universe of the inpatient discharge abstracts in participating States, translated into a uniform format to facilitate multi-State comparisons and analyses. Together, SID encompasses about 90% of all U.S. community hospital discharges. SID contains a core set of clinical and nonclinical information on all patients, regardless of payer, including people covered by Medicare, Medicaid, and private insurance, as well as uninsured people. In addition to the core set of uniform data elements common to all SID, some databases within SID include other elements, such as the patient's race.

The SID disparities analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 31 States: Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Jersey, New York, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, and Wyoming.

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Birth-Related Complications

Measure Title

Obstetric trauma per 1,000 cesarean deliveries.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center on Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Patient Safety Indicators (PSIs).

National Tables

Not reported in the 2011 NHQR and NHDR.

National Data Source

AHRQ, CDOM, HCUP, Nationwide Inpatient Sample (NIS) and AHRQ Quality Indicators.

National Denominator

Hospital discharges for cesarean deliveries.

National Numerator

Subset of the denominator with diagnosis or procedure indicating obstetric trauma with 3rd or 4th degree lacerations.

State Table

Not reported in the 2011 NHQR and NHDR.

State Data Source

AHRQ, CDOM, HCUP, State Inpatient Databases (SID).

State Denominator

Same as national.

State Numerator

Same as national.

Comments

More information about the AHRQ Quality Indicators is available at http://www.qualityindicators.ahrq.gov.

Although not all States participate in the HCUP database, NIS is weighted to give national estimates using weights based on all U.S. community, nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

SID includes a powerful set of hospital databases from data organizations in participating States. SID contains the universe of the inpatient discharge abstracts in participating States, translated into a uniform format to facilitate multi-State comparisons and analyses. Together, SID encompasses about 90% of all U.S. community hospital discharges. SID contains a core set of clinical and nonclinical information on all patients, regardless of payer, including people covered by Medicare, Medicaid, and private insurance, as well as uninsured people. In addition to the core set of uniform data elements common to all SID, some databases within SID include other elements, such as the patient's race.

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Childhood Immunization

Measure Title

Composite measure: Children ages 19-35 months who received all recommended vaccines.

Measure Source

Healthy People 2020.

National Tables

6_3_1.1 Children ages 19-35 months who received all recommended vaccines, United States, 2007-2009

6_3_1.2a-c Children ages 19-35 months who received all recommended vaccines, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Immunization Program (NIP), National Immunization Survey (NIS).

National Denominator

U.S. civilian noninstitutionalized population of children ages 19-35 months.

National Numerator

Number of children ages 19-35 months receiving at least 4 doses of diphtheria-tetanus-acellular pertussis (DTaP), at least 3 doses of polio, at least 1 dose of measles-mumps-rubella (MMR), at least 3 doses of Haemophilus influenzae B (Hib), and at least 3 doses of hepatitis B antigens.

State Table

6_3_1.3 Children ages 19-35 months who received all recommended vaccines, by State, United States, 2009

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as national.

State Numerator

Same as national.

Comments

This is a composite measure; it is referred to as measure IID-8 in Healthy People 2020 documentation.

The vaccines included in this measure are based on the corresponding Healthy People 2020 objective. These include at least 4 doses of DTaP; at least 3 doses of polio; at least 1 dose of MMR; at least 3 doses of Hib; and at least 3 doses of hepatitis B. Between 1998 and 2005, the following vaccines were added to the list of recommended vaccines for children up to 35 months of age but were not added to this measure: pneumococcal conjugate vaccine (PCV) added in 2001 and influenza vaccine added in 2004. Varicella vaccine and vaccines added after 1998 to the recommended schedule for children up to 35 months of age are not included in this measure.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 4 doses of diphtheria-tetanus-pertussis vaccine.

Measure Source

Healthy People 2020

National Tables

6_3_2.1 Children ages 19-35 months who received 4 doses of diphtheria-tetanus-pertussis vaccine, United States, 2009

6_3_2.2 Children ages 19-35 months who received 4 doses of diphtheria-tetanus-pertussis vaccine, United States, 2001-2008

6_3_2.3a-c Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Immunization Program (NIP), National Immunization Survey (NIS).

National Denominator

U.S. civilian noninstitutionalized population of children ages 19-35 months.

National Numerator

Subset of the denominator receiving at least 4 or more doses of the combination of diphtheria, tetanus, and acellular pertussis antigens.

State Table

6_3_2.4 Children ages 19-35 months who received 4 or more doses of diphtheria-pertussis-tetanus vaccine, by State, United States, 2000-2001 and 2003-2009

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as national.

State Numerator

Same as national.

Comments

Statistical adjustments are made to minimize bias due to (1) lower coverage among children living in households without telephones, (2) discrepancies between vaccinations reported by household compared with immunization providers, and (3) differences in racial/ethnic population distribution in the sample compared with racial/ethnic population distribution at birth.

This baseline measure tracks the number of children ages 19-35 months receiving 4 or more doses of the combination of diphtheria, tetanus, and acellular pertussis antigens, as well as those children who received the combination of diphtheria, tetanus, and pertussis antigens.

This measure is referred to as measure IID-7.1 in Healthy People 2020 documentation.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 3 or more doses of polio vaccine.

Measure Source

Healthy People 2020.

National Tables

6_3_3.1 Children ages 19-35 months who received 3 or more doses of polio vaccine, United States, 2009

6_3_3.2 Children ages 19-35 months who received 3 or more doses of polio vaccine, United States, 2001-2008

6_3_3.3a-c Children ages 19-35 months who received 3 doses of polio vaccine, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Immunization Program (NIP), National Immunization Survey (NIS).

National Denominator

U.S. civilian noninstitutionalized population of children ages 19-35 months.

National Numerator

Subset of the denominator receiving at least 3 doses of the polio antigen.

State Table

6_3_3.4 Children ages 19-35 months who received 3 or more doses of polio vaccine, by State, United States, 2000-2001 and 2003-2009

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as national.

State Numerator

Same as national.

Comments

This measure is referred to as measure IID-7.5 in Healthy People 2020 documentation.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received at least 1 dose of measles-mumps-rubella vaccine.

Measure Source

Healthy People 2020.

National Tables

6_3_4.1 Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine, United States, 2009

6_3_4.2 Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine, United States, 2001-2008

6_3_4.3a-c Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Immunization Program (NIP), National Immunization Survey (NIS).

National Denominator

U.S. civilian noninstitutionalized population of children ages 19-35 months.

National Numerator

Subset of the denominator receiving at least 1 dose of the combination of measles, mumps, and rubella antigens.

State Table:

6_3_4.4 Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine, by State, United States, 2000-2001 and 2003-2009

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as national.

State Numerator

Same as national.

Comments

This measure is referred to as measure IID-7.4 in Healthy People 2020 documentation.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine.

Measure Source

Healthy People 2020.

National Tables

6_3_5.1 Children ages 19-35 months who received 3 or more doses of Haemophilus influenzae type B vaccine, United States, 2009

6_3_5.2 Children ages 19-35 months who received 3 or more doses of Haemophilus influenzae type B vaccine, United States, 2001-2008

6_3_5.3a-c Children ages 19-35 months who received 3 or more doses of Haemophilus influenzae type B vaccine, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Immunization Program (NIP), National Immunization Survey (NIS).

National Denominator

U.S. civilian noninstitutionalized population of children ages 19-35 months.

National Numerator

Subset of the denominator receiving at least 3 doses of the Haemophilus influenzae B antigen.

State Table

6_3_5.4 Children ages 19-35 months who received 3 or more doses of Haemophilus influenzae type B vaccine, by State, United States, 2000-2001 and 2003-2009

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as national.

State Numerator

Same as national.

Comments

This measure is referred to as measure IID-7.2 in Healthy People 2020 documentation.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 3 doses of hepatitis B vaccine.

Measure Source

Healthy People 2020.

National Tables

6_3_6.1 Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine, United States, 2009

6_3_6.2 Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine, United States, 2001-2008

6_3_6.3a-c Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Immunization Program (NIP), National Immunization Survey (NIS)

National Denominator

U.S. civilian noninstitutionalized population of children ages 19-35 months.

National Numerator

Subset of denominator receiving at least 3 doses of the hepatitis B antigen.

State Table

6_3_6.4 Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine, by State, United States, 2000-2001 and 2003-2009

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as national.

State Numerator

Same as national.

Comments

This measure is referred to as measure IID-7.3 in Healthy People 2020 documentation.

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Childhood Immunization

Measure Title

Children ages 19-35 months who received 1 dose of varicella vaccine.

Measure Source

Healthy People 2020.

National Tables

6_3_7.1 Children ages 19-35 months who received 1 or more doses of varicella vaccine, United States, 2009

6_3_7.2 Children ages 19-35 months who received 1 or more doses of varicella vaccine, United States, 2001-2008

6_3_7.3a-c Children ages 19-35 months who received 1 or more doses of varicella vaccine, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Immunization Program (NIP), National Immunization Survey (NIS).

National Denominator

U.S. civilian noninstitutionalized population of children ages 19-35 months.

National Numerator

Subset of denominator receiving at least 1 dose of the varicella antigen.

State Table

6_3_7.4 Children ages 19-35 months who received 1 or more doses of varicella vaccine, by State, United States, 2000-2001 and 2003-2009

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as national.

State Numerator

Same as national.

Comments

This measure is referred to as measure IID-7.6 in Healthy People 2020 documentation.

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Childhood Immunization

Measure Title

Adolescents ages 13-17 years who received at least 1 dose of meningococcal conjugate vaccine.

Measure Source

Healthy People 2020.

National Tables

6_3_8.1 Adolescents ages 13-17 years who received 1 or more doses of meningococcal conjugate vaccine, United States, 2009

6_3_8.2 Adolescents ages 13-17 years who received 1 or more doses of meningococcal conjugate vaccine, United States, 2009, by ethnicity

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Immunization Program (NIP), National Immunization Survey (NIS).

National Denominator

U.S. civilian noninstitutionalized population ages 13-17 years.

National Numerator

Subset of the denominator who received at least 1 dose of meningococcal conjugate vaccine.

State Table

6_3_8.3 Adolescents ages 13-17 years who received 1 or more doses of meningococcal conjugate vaccine, by State, United States, 2009

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as national.

State Numerator

Same as national.

Comments

This measure is referred to as measure IID-11.3 in Healthy People 2020.

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Childhood Immunization

Measure Title

Adolescents ages 13-15 who received at least three doses of human papillomavirus vaccine, either quadrivalent or bivalent.

Measure Source

Healthy People 2020.

National Tables

6_3_9.1 Adolescent females ages 13-15 years who received three or more doses of human papillomavirus vaccine, United States, 2008-2009

6_3_9.2a-c Adolescent females ages 13-15 years who received three or more doses of human papillomavirus vaccine, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Immunization Program (NIP), National Immunization Survey (NIS).

National Denominator

U.S. civilian noninstitutionalized population of females ages 13-15 years.

National Numerator

Subset of the denominator who received 3 or more doses of human papillomavirus vaccine.

State Table

6_3_9.3 Adolescent females ages 13-15 years who received 3 or more doses of human papillomavirus vaccine, by State, United States, 2008-2009

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as national.

State Numerator

Same as national.

Comments

This measure is referred to as measure IID-11.4 in Healthy People 2020 documentation.

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Childhood Immunization

Measure Title

Adolescents ages 13-15 who received at least 1 dose of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of 10 years.

Measure Source

Healthy People 2020.

National Tables

6_3_11.1 Adolescents ages 13-15 who received 1 or more doses of tetanus-diphtheria-acellular pertussis (Tdap) vaccine, United States, 2008-2009

6_3_11.2a-c Adolescents 13-15 who received 1 or more doses of tetanus-diphtheria-acellular pertussis (Tdap) vaccine, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Immunization Program (NIP), National Immunization Survey (NIS).

National Denominator

Adolescents ages 13-15 years at the time of the NIS Teen household interview.

National Numerator

Subset of the denominator who reported being vaccinated with 1 or more doses of a Tdap booster.

State Table

6_3_11.3 Adolescents 13-15 years who received 1 or more doses of tetanus-diphtheria-acellular pertussis (Tdap) vaccine, by State, United States, 2008-2009

State Data Source

CDC, NCHS, NIP, NIS.

State Denominator

Same as national.

State Numerator

Same as national.

Comments

This measure is referred to as measure IID-11.1 in Healthy People 2020 documentation.

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Other Childhood Preventive Care

Measure Title

Children who had their height and weight measured by a health provider within the past 2 years.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

6_4_1.1 Children who had their height and weight measured by a health provider within the past 2 years, United States, 2002-2008

6_4_1.2a-c Children who had their height and weight measured by a health provider within the past 2 years, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children under age 18.

National Numerator

Subset of the denominator who had both height and weight measurements taken within the past 2 years by a health provider.

Comments

This is a composite measure combining responses to both height and weight measurements.

"Don't Know" responses to the questions of when the weight and height were measured were excluded.

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Other Childhood Preventive Care

Measure Title

Children ages 2-17 who had a dental visit in the calendar year.

Measure Source

Healthy People 2020.

National Tables

6_4_2.1 Children ages 2-17 who had a dental visit in the calendar year, United States, 2002-2008

6_4_2.2a-c Children ages 2-17 who had a dental visit in the calendar year, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Denominator

U.S. population ages 2-17 years.

National Numerator

Subset of denominator who had a dental visit in the survey year.

Comments

The age used to subset the child population for the "children with special health care needs" category is the age at the interview rounds when the questions about special health care needs were asked. For other categories, it is the age at the end of the year.

This measure is referred to as measure OH-7 in Healthy People 2020 documentation.

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Other Childhood Preventive Care

Measure Title

Children ages 2-17 with untreated dental caries.

Measure Source

Healthy People 2020.

National Tables

6_4_3.1_1 Children ages 12-17 with untreated dental caries, United States, 1999-2004 and 2005-2008

6_4_3.2_1 Children ages 5-11 with untreated dental caries, United States, 2005-2008

6_4_3.3_1 Children ages 13-17 with untreated dental caries, United States, 2005-2008

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health and Nutrition Examination Survey (NHANES).

National Denominator

Children ages 5-11, 13-17, and 12-17 years, as appropriate.

National Numerator

Subset of denominator with a clinical diagnosis of dental decay in at least one tooth that has not been restored.

Comments

This measure is referred to as measure OH-2 in Healthy People 2020 documentation. The age ranges have been modified from the original specification.

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Other Childhood Preventive Care

Measure Title

People ages 2-19 who were overweight and who were told by a health provider they were overweight.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

National Tables

6_4_4.1 Overweight children and teens ages 2-19 who were told by a doctor or health professional that they were overweight, United States, 2001-2004 and 2005-2008

National Data Source

CDC, NCHS, National Health and Nutrition Examination Survey (NHANES).

National Denominator

People ages 2-19 with a body mass index (BMI) greater than or equal to the 95th percentile on the BMI-for-age, sex-specific 2000 CDC growth charts for the United States.

National Numerator

Subset of denominator who reported they were told by a doctor or health professional that they were overweight.

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Other Childhood Preventive Care

Measure Title

Children ages 3-6 who ever had their vision checked by a health provider.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

6_4_7.1 Children ages 3-6 who ever had their vision checked by a health provider, United States, 2002-2008

6_4_7.2a-c Children ages 3-6 who ever had their vision checked by a health provider, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children ages 3-6 years.

National Numerator

Subset of the denominator whose vision had ever been checked by a doctor or other health provider.

Comments

Estimates exclude nonrespondents as well as "Don't Know" responses.

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Other Childhood Preventive Care

Measure Title

Children for whom a health provider gave advice in the past 2 years about how smoking in the house can be bad for a child.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

6_4_8.1 Children for whom a health provider gave advice within the past 2 years about how smoking in the house can be bad for a child, United States, 2002-2008

6_4_8.2a-c Children for whom a health provider gave advice within the past 2 years about how smoking in the house can be bad for a child, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children under age 18.

National Numerator

Subset of the denominator for whom a doctor or other health provider within the past 2 years had given advice about how smoking in the house can be harmful.

Comments

Estimates exclude nonrespondents and "Don't Know" responses.

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Other Childhood Preventive Care

Measure Title

Children 0-40 lb for whom a health provider gave advice in the past 2 years about using child safety seats when riding in a car.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

6_4_9.1 Children 0-40 lb for whom a health provider gave advice in the past 2 years about using child safety seats when riding in a car, United States, 2002-2008

6_4_9.2a-c Children 0-40 lb for whom a health provider gave advice in the past 2 years about using child safety seats when riding in a car , United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Population of U.S. children weighing 0-40 lb.

National Numerator

Subgroup of the denominator for whom a doctor or other health provider had given advice within the past 2 years about using child car safety seats.

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Other Childhood Preventive Care

Measure Title

Children 41-80 lb for whom a health provider gave advice within the past 2 years about using booster seats when riding in a car.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

6_4_10.1 Children 41-80 lb for whom a health provider gave advice within the past 2 years about using booster seats when riding in a car , United States, 2002-2008

6_4_10.2a-c Children 41-80 lb for whom a health provider gave advice within the past 2 years about using booster seats when riding in a car , United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. children weighing 41-80 lb.

National Numerator

Subset of the denominator for whom a doctor or other health provider had given advice in the past 2 years about using booster seats.

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Other Childhood Preventive Care

Measure Title

Children over 80 lb for whom a health provider gave advice within the past 2 years about using lap or shoulder belts when riding in a car.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

6_4_11.1 Children over 80 lb for whom a health provider gave advice within the past 2 years about using lap or shoulder belts when riding in a car, United States, 2002-2008

6_4_11.2a-c Children over 80 lb for whom a health provider gave advice within the past 2 years about using lap or shoulder belts when riding in a car, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. population of children weighing over 80 lb.

National Numerator

Subset of the denominator for whom a doctor or other health provider had given advice within the past 2 years about using lap and shoulder belts.

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Other Childhood Preventive Care

Measure Title

Children ages 2-17 years for whom a health provider gave advice within the past 2 years about using a helmet when riding a bicycle or motorcycle.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

6_4_12.1 Children ages 2-17 for whom a health provider gave advice within the past 2 years about using a helmet when riding a bicycle or motorcycle, United States, 2002-2008

6_4_12.2a-c Children ages 2-17 for whom a health provider gave advice within the past 2 years about using a helmet when riding a bicycle or motorcycle, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children ages 2-17 years.

National Numerator

Subset of the denominator for whom a doctor or other health provider had given advice within the past 2 years about using a helmet when riding a bicycle or motorcycle.

Comments

Estimates exclude nonrespondents and "Don't Know" responses.

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Other Childhood Preventive Care

Measure Title

Children age 17 and under with a wellness checkup in the past 12 months.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS).

National Tables

6_4_13.1 Adolescents ages 10-17 who had a wellness checkup in the past 12 months, United States, 2009

6_4_13.2_1a-c Children ages 0-17 with a wellness checkup in the past 12 months, United States, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

CDC, NCHS, NHIS.

National Denominator

Children ages 10-17 and under 17 years, where appropriate.

National Numerator

Subset of the denominator who received a wellness checkup in the past 12 months.

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Other Childhood Preventive Care

Measure Title

Children who visited the emergency department for asthma.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS).

National Tables

6_4_14.1_1 Children ages 2-19 with hospital emergency department visit for asthma, per 10,000 population, United States, 2005-2007

6_4_14.2_1 Children ages 2-9 with hospital emergency department visit for asthma, per 10,000 population, United States, 2005-2007

6_4_14.3_1 Children ages 10-19 with hospital emergency department visit for asthma, per 10,000 population, United States, 2005-2007

National Data Source

CDC, NCHS, NAMCS and NHAMCS.

National Denominator

Population of children ages 2-19, 2-9, and 10-19, where appropriate.

National Numerator

Subset of the denominator with a hospital emergency department visit for asthma.

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Other Childhood Preventive Care

Measure Title

Females ages 16-20 years who were screened for genital chlamydia infections.

Measure Source

National Committee for Quality Assurance (NCQA). Health Plan Employer Data and Information Set (HEDIS).

National Tables

6_4_15.1 Females ages 16-20 years who were screened for genital chlamydia infections during the measurement year, United States, 2001-2009

National Data Source

NCQA, HEDIS.

National Denominator

Population of females ages 16-20 years.

National Numerator

Subset of the denominator who were screened for genital chlamydia infections during the measurement year.

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Current as of March 2012
Internet Citation: Effectiveness of Care: Maternal and Child Health: 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/measurespec/maternal_and_child_health.html