A Federal Government Web site managed by the Agency for Healthcare Research and Quality
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||
||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.