2012 National Healthcare Quality and Disparities Reports

Care Coordination

 

Transitions of Care
Hospital patients with heart failure discharged home with written instructions or educational material

Effective Care Coordination
People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors
Children with special health care needs who received effective care coordination
Children with special health care needs who received coordinated, ongoing, comprehensive care within a medical home


  

Transitions of Care

Measure Title

Hospital patients with heart failure discharged home with written instructions or educational material.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Medicare Quality Improvement Organization Program (QIO).

National Tables

6_1_1_1.1 Hospital patients with heart failure who were given complete written discharge instructions, United States, 2005-2010

National Data Source

CMS, QIO.

National Denominator

Heart failure patients age 18 and over discharged to home or home care.

National Numerator

Subset of the denominator with documentation that they or their caregivers were given written discharge instructions or other educational material addressing all of the following: activity level, diet, discharge medications, followup appointment, weight monitoring, and information on what to do if symptoms worsen.

State Table

6_1_1_1.2 Hospital patients with heart failure who were given complete written discharge instructions, by State, 2005-2010

State Data Source

CMS, QIO.

State Denominator

Same as national.

State Numerator

Same as national.

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Effective Care Coordination

Measure Title

People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors.

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_2_1_1.1 People with a usual source of care who usually asks about prescription medications and treatments from other doctors, United States, 2002-2009

6_2_1_1.2a-d People with a usual source of care who usually asks about prescription medications and treatments from other doctors, United States, 2009, by:

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

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

People who had a usual source of care and a valid response to the question, “Does [respondent's usual care provider] usually ask about prescription medications and treatments other doctors may give you?”

National Numerator

Subset of the denominator who answered “Yes” to the question identified in the denominator.

Comments

Usual source of care is defined as a particular doctor's office, clinic, health center, or other health care facility to which an individual usually would go to obtain health care services.

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Effective Care Coordination

Measure Title

Children with special health care needs who received effective care coordination.

Measure Source

Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB) and Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Survey of Children With Special Health Care Needs (NSCSHCN).

National Table

6_2_1_2.1 Children with special health care needs who needed and received effective care coordination, United States, 2009-2010

National Data Source

HRSA, MCHB and CDC, NCHS, NSCSHCN.

National Denominator

Children ages 0-17 with special health care needs who were reported to use more than one service during the survey period.

National Numerator

Subset of the denominator who needed and received effective care coordination.

State Table

6_2_1_2.2 Children with special health care needs who needed and received effective care coordination, by State, 2009-2010

State Data Source

Same as national.

State Denominator

Same as national.

State Numerator

Same as national.

Comments

Special health care need is defined as a specific chronic condition with a functional limitation or other consequence.

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Effective Care Coordination

Measure Title

Children with special health care needs who received coordinated, ongoing, comprehensive care within a medical home.

Measure Source

Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB) and Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Survey of Children With Special Health Care Needs (NSCSHCN).

National Tables

6_2_1_3.1_1 Children with special health care needs who received coordinated, ongoing, comprehensive care within a medical home, United States, 2009-2010

National Data Source

HRSA, MCHB and CDC, NCHS, NSCSHCN.

National Denominator

Civilian noninstitutionalized population ages 0-17 with special health care needs.

National Numerator

Subset of the denominator who had a medical home.

State Table

6_2_1_3.2 Children with special health care needs who received coordinated, ongoing, comprehensive care within a medical home, by State, 2009-2010

State Data Source

Same as national.

State Denominator

Same as national.

State Numerator

Same as national.

Comments

Special health care need is defined as a specific chronic condition with a functional limitation or other consequence.

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Page last reviewed June 2013
Internet Citation: 2012 National Healthcare Quality and Disparities Reports : Care Coordination . June 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr12/measurespec/care_coordination.html