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Working for Quality > About the NQS > 2012 Annual Progress Report to Congress National Strategy for Quality Improvement in Health Care

2012 Annual Progress Report to Congress National Strategy for Quality Improvement in Health Care (continued)

Appendix A: Key Measures for National Quality Strategy Priorities

The following table summarizes the measure focus; measure name/description; baseline rate; aspirational target; population; and reporting source for the key measures identified for each National Quality Strategy priority.

National Quality Strategy Priority Measure Focus Measure Name/Description Baseline Rate Aspirational Target Population Reported by (Patient/Provider)
1. Making Care Safer by Reducing the Harm Caused in the Delivery of Care Hospital-acquired Conditions Incidence of measurable hospital-acquired conditions 145 HACs per 1,000 admissions13 Reduce preventable HACs by 40% by the end of 2013 All patient admissions Providers
Hospital Readmissions All-payer 30-day readmission rate 14.4%, based on 32.9 million admissions13 Reduce all readmissions by 20% by the end of 2013 All patient admissions Providers
2. Ensuring That Each Person and Family Is Engaged in Their Care Timely Care Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted 14.41%*14   Adult population Adult population
Decision-making People with a usual source of care whose health care providers sometimes or never discuss decisions with them 13.2%*14   Adult population Adult population
3. Promoting Effective Communication and Coordination of Care Patient-Centered Medical Home Percentage of children needing care coordination who receive effective care coordination 69%15   Children Children
3-item Care Transition Measure
  • During this hospital stay, staff took my preferences and those of my family or caregiver into account in deciding what my health care needs would be when I left
  • When I left the hospital, I had a good understanding of the things I was responsible for in managing my health
  • When I left the hospital, I clearly understood the purpose for taking each of my medications
Data available October 201216   All admitted patients Patients
4. Promoting the Most Effective Prevention and Treatment Practices for the Leading Causes of Mortality, Starting with Cardiovascular Disease Aspirin Use People at increased risk of cardiovascular disease who are taking aspirin 47%17 65% by 2017 General population General population
Blood Pressure Control People with hypertension who have adequately controlled blood pressure 46%18 65% by 2017 General population General population
Cholesterol Management People with high cholesterol who have adequately managed hyperlipidemia 33%18 65% by 2017 Provider visits Providers
Smoking Cessation People trying to quit smoking who get help 23%19 65% by 2017 Provider visits Providers
5. Working with Communities to Promote Best Practices for Healthy Living Depression Percentage of adults who reported symptoms of a major depressive episode (MDE) in the last 12 months who received treatment for depression in the last 12 months 68.3%20   General population General population
Obesity Proportion of adults who are obese 35.7%21   General population General population
6. Making Quality Care More Affordable by Developing and Spreading New Health Care Delivery Models Out of Pocket Expenses Percentage of people under 65 with out-of-pocket medical and premium expenses greater than 10 percent of income 17.6%*22   General population General population
Health spending per capita Personal health care expenditures per capita $8,40223   General population Providers

* Corrected May 2014.
13 Source: Agency for Healthcare Research and Quality and Centers for Medicare and Medicaid Services, preliminary findings regarding 2010 baseline data; February 2012.
14Source: Agency for Healthcare Research and Quality, Center for Financing, Access, and Cost Trends, Medical Expenditure Panel Survey, 2010.
15 Source: Health Resources and Services Administration, Maternal and Child Health Bureau; Centers for Disease Control and Prevention, National Center for Health Statistics, National Survey of Children's Health, 2007.
16 This report will be updated online to reflect baseline performance data from the Centers for Medicare and Medicaid Services in October 2012.
17 Source: Centers for Disease Control and Prevention, National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS), 2007-2008.
18 Source: Centers for Disease Control and Prevention, National Health and Nutrition Examination Survey (NHANES), 2005-2008.
19 Source: NAMCS, 2005-2008.
20 Source: Substance Abuse and Mental Health Services Administration, Office of Applied Studies, National Survey on Drug Use and Health, 2010.
21 Source: Centers for Disease Control and Prevention, National Health and Nutrition Examination Survey (NHANES), 2010.
22 Source: Agency for Healthcare Research and Quality, Center for Financing, Access, and Cost Trends, Medical Expenditure Panel Survey, 2010.
23 Source: Center for Medicare and Medicaid Services, Health Expenditure Data, Health Expenditures by State of Residence; 2010.

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