2016 National Healthcare Quality and Disparities Report

Appendix B: Trends in Access, Quality and Disparities for Measures in 2016 Report

2016 National Healthcare Quality and Disparities Report

5. Changes in Disparities Through 2014 by Income, Ethnicity, and Race

Note: APC Reference = annual percent change for the reference group (e.g., Whites); APC Comparison = annual percent change for the comparison group (e.g., Blacks).

Poor Households

Table Title for Measures Where Disparities Are Improving APC Reference APC Comparison Data Year
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, age 18 and over -0.355 -1.760 2000-2014
Hospital admissions for asthma per 100,000 population, ages 18-39 -1.605 -3.170 2000-2014
Hospital admissions for asthma per 100,000 population, ages 2-17 -2.051 -5.736 2000-2014
Avoidable admissions for angina per 100,000 population, age 18 and over -3.183 -7.769 2000-2014
Avoidable admissions for bacterial pneumonia per 100,000 population, age 18 and over -12.873 -17.682 2000-2014
Admissions for urinary tract infection per 100,000 population, ages 3 months to 17 years -1.203 -2.415 2000-2014
Admissions for pediatric gastroenteritis per 100,000 population, ages 3 months to 17 years -8.816 -16.864 2000-2014
Hospital admissions for congestive heart failure per 100,000 population -13.001 -20.120 2000-2014
Adolescents females ages 13-15 who received 3 or more doses of human papillomavirus vaccine -1.571 -3.986 2008-2014
Children ages 2-17 who had a dental visit in the calendar year 0.240 -0.888 2002-2014
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income 0.167 -0.968 2006-2014
People unable to get or delayed in getting needed medical care due to financial or insurance reasons 0.947 -0.378 2002-2014
People unable to get or delayed in getting needed dental care due to financial or insurance reasons 1.381 -0.005 2002-2014

 

Table Title for Measures Where Disparities Are Showing No Change APC Reference APC Comparison Data Year
Postoperative respiratory failure per 1,000 elective-surgery admissions, age 18 and over -0.068 -0.131 2000-2014
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, age 18 and over -0.003 -0.005 2000-2014
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, age 18 and over -0.078 -0.079 2000-2014
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, age <18 0.001 -0.009 2000-2014
Deaths per 1,000 hospital admissions with expected low mortality, age 18 and over or obstetric admissions -0.028 -0.027 2000-2014
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults -0.516 -0.703 2002-2014
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them -0.248 -0.228 2002-2014

 

Table Title for Measures Where Disparities Are Showing No Change APC Reference APC Comparison Data Year
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things in a way they could understand -0.255 -0.397 2002-2014
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say -0.247 -0.225 2002-2014
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them -0.454 -0.362 2002-2014
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months -0.358 -0.216 2002-2014
People with a usual source of care who sometimes or never asked person to help make decisions when there was a choice between treatments -0.464 -0.623 2002-2014
Emergency department visits with a principal diagnosis related to co-occurring mental health, alcohol, and substance abuse per 100,000 population 1.190 0.286 2007-2014
Hospital admissions for short-term complications of diabetes per 100,000 population, ages 6-17 -0.174 -0.177 2000-2014
Hospital admissions for long-term complications of diabetes per 100,000 population, age 18 and over -1.276 -0.098 2000-2014
Lower extremity amputations among admissions for diabetes per 100,000 population, age 18 and over -0.489 -0.498 2000-2014
Admissions for dehydration per 100,000 population, age 18 and over -6.792 -8.469 2000-2014
Avoidable admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, age 40 and over -10.634 -6.304 2005-2014
Admissions for urinary tract infection per 100,000 population, age 18 and over 1.426 1.771 2000-2014
Deaths per 1,000 adult hospital admissions with acute myocardial infarction -3.946 -4.795 2000-2014
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm repair -1.667 -2.130 2000-2014
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, age 40 and over -2.505 -2.734 2000-2014
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty, age 40 and over -0.675 -0.835 2000-2014
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year -0.168 -0.166 2002-2014
Adults age 40 and over with diagnosed diabetes with blood pressure less than 140/80 mm Hg -0.020 -1.318 2002-2014
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months -0.065 -0.370 2008-2015
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) 1.260 0.784 2003-2014
Infants who received breastfeeding through 3 months -2.200 -1.516 2009-2012
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking -0.268 -0.686 2002-2014
Children ages 12-19 who were obese 0.026 0.284 2002-2014
Adults with obesity who ever received advice from a health professional to exercise more -0.305 -0.897 2002-2014
Children ages 2-17 for whom a health provider gave advice within the past 2 years about the amount and kind of exercise, sports, or physically active hobbies they should have -1.070 -1.057 2002-2014

 

Table Title for Measures Where Disparities Are Showing No Change APC Reference APC Comparison Data Year
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods -0.178 -0.517 2002-2014
Children ages 2-17 for whom a health provider gave advice within the past 2 years about healthy eating -0.882 -1.058 2002-2014
Women ages 50-74 who received a mammogram in the last 2 years 0.232 0.344 2000-2013
Women ages 21-65 who received a Pap smear in the last 3 years 0.330 0.912 2000-2013
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high -0.098 -0.059 1998-2014
Adults who received a blood cholesterol measurement in the last 5 years -0.955 -1.401 1998-2014
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months -1.410 -2.130 2010-2014
Adults age 18 and over who received influenza vaccination -1.820 -1.930 2010-2014
Hospital admissions for immunization-preventable influenza per 100,000 population, age 65 and over 4.499 3.369 2000-2014
Adults age 65 and over who ever received pneumococcal vaccination -0.510 -0.326 2000-2014
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine -0.037 -0.117 2001-2014
Children ages 19-35 months who received 3 or more doses of polio vaccine -0.200 -0.307 2001-2014
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 0.100 0.004 2001-2014
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 0.101 -0.136 2001-2014
Children ages 19-35 months who received 1 or more doses of varicella vaccine -0.664 -0.932 2001-2014
Adolescents ages 13-15 years who received 1 or more doses of meningococcal conjugate vaccine -5.107 -6.025 2008-2014
Adolescents ages 16-17 years who received 1 or more doses of meningococcal conjugate vaccine -6.007 -7.039 2008-2014
Adolescent females ages 16-17 who received 3 or more doses of human papillomavirus vaccine -3.875 -4.831 2009-2014
Adolescents ages 13-15 who received 1 or more doses of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of 10 years -6.154 -7.300 2008-2014
Children who had their height and weight measured by a health provider within the past 2 years -0.305 -0.599 2002-2014
Children ages 3-5 who ever had their vision checked by a health provider -0.716 -1.063 2002-2014
Children 0-40 lb for whom a health provider gave advice within the past 2 years about using a child safety seat while riding in the car -0.507 -0.475 2002-2014
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 -0.068 -0.407 2002-2014
Children ages 0-17 who had a wellness checkup in the past 12 months -0.746 -0.885 1998-2014
People without a usual source of care who indicated a financial or insurance reason for not having a source of care 0.221 0.815 2002-2014
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons -0.008 -0.352 2002-2014

 

Table Title for Measures Where Disparities Are Worsening APC Reference APC Comparison Data Year
Emergency department visits with a principal diagnosis related to mental health only per 100,000 population 68.298 22.631 2007-2014
Emergency department visits with a principal diagnosis related to substance abuse only per 100,000 population 37.464 21.095 2007-2014
Potentially avoidable emergency department encounters for asthma, age 18 and over 17.314 -4.996 2008-2014
Potentially avoidable emergency department encounters for asthma, ages 2-17 46.250 0.546 2008-2014
Hospital admissions for short-term complications of diabetes per 100,000 population, age 18 and over 4.006 0.848 2000-2014
Potentially avoidable hospitalizations and emergency department encounters for congestive heart failure 0.114 -12.893 2008-2014
Avoidable admissions for hypertension per 100,000 population, age 18 and over 1.829 0.641 2000-2014

Hispanics

Table Title for Measures Where Disparities Are Improving APC Reference APC Comparison Data Year
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, age 18 and over -0.417 -2.423 2001-2014
Hospital admissions for short-term complications of diabetes per 100,000 population, age 18 and over 2.261 0.497 2001-2014
Hospital admissions for long-term complications of diabetes per 100,000 population, age 18 and over -0.922 -7.212 2001-2014
Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes -0.314 -1.785 2001-2014
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, ages 1-17 6.285 1.962 2001-2014
Avoidable admissions for angina per 100,000 population, age 18 and over -4.149 -5.457 2001-2014
Admissions for urinary tract infection per 100,000 population, age 18 and over 1.779 -2.379 2001-2014
End stage renal disease due to diabetes per million population -0.584 -8.367 2001-2014
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods -0.061 -1.124 2002-2014
Home health care patients whose bathing improved -1.230 -2.620 2010-2013
Children ages 2-17 who had a dental visit in the calendar year 0.032 -1.107 2002-2014

 

Table Title for Measures Where Disparities Are Showing No Change APC Reference APC Comparison Data Year
Adult surgery patients with postoperative catheter-associated urinary tract infection, age 18 and over -0.102 -0.522 2010-2014
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, age 18 and over -0.089 -0.041 2001-2014
Home health care patients whose management of oral medications improved -1.960 -1.020 2010-2013
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them -0.235 -0.248 2002-2014

 

Table Title for Measures Where Disparities Are Showing No Change APC Reference APC Comparison Data Year
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things in a way they could understand -0.249 -0.459 2002-2014
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say -0.240 -0.181 2002-2014
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them -0.430 -0.496 2002-2014
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months -0.276 -0.425 2002-2014
People with a usual source of care who sometimes or never asked person to help make decisions when there was a choice between treatments -0.515 -0.429 2002-2014
Hospice patients who received the right amount of help for feelings of anxiety or sadness -0.032 -0.139 2008-2014
Family caregivers who did not want more information about what to expect while the patient was dying -0.075 -0.218 2008-2014
Hospice patients who received care consistent with their stated end-of-life wishes -0.168 -0.114 2008-2014
Hospital admissions for asthma per 100,000 population, ages 2-17 -3.415 -3.961 2001-2014
Avoidable admissions for hypertension per 100,000 population, age 18 and over 0.407 -0.323 2001
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis -0.956 -1.568 2004-2013
End stage renal disease patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy, age 18 and over -1.190 -0.819 2005-2014
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 0.742 0.361 2000-2011
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year 0.109 0.660 2002-2014
HIV infection deaths per 100,000 population -0.106 -0.357 2000-2014
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months -0.087 -0.730 2008-2015
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months -0.307 -0.396 2008-2015
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms -0.654 0.091 2009-2014
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking -0.453 -0.835 2002-2014
Adults with obesity who ever received advice from a health professional to exercise more -0.297 -1.185 2002-2014
Home health care patients whose ability to walk or move around improved -2.460 -3.090 2010-2013
Home health care patients whose ability to get in and out of bed improved -1.300 -2.010 2010-2013
Home health care patients whose shortness of breath decreased -0.960 -1.260 2010-2013
Home health care patients whose urinary incontinence decreased 0.410 1.270 2010-2013
Women ages 50-74 who received a mammogram in the last 2 years 0.397 0.093 2000-2013

 

Table Title for Measures Where Disparities Are Showing No Change APC Reference APC Comparison Data Year
Women ages 21-65 who received a Pap smear in the last 3 years 0.495 0.252 2000-2013
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women, age 20 and over -0.170 -0.673 2000-2013
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high -0.131 -0.136 1998-2014
Adults who received a blood cholesterol measurement in the last 5 years -1.024 -1.428 1998-2014
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months -0.670 -1.370 2010-2014
Adults ages 18 and over who received influenza vaccination -1.740 -1.460 2010-2014
Adults age 65 and over who received an influenza vaccination in the last 12 months -0.327 -1.099 2002-2014
Adults age 65 and over who ever received pneumococcal vaccination -0.556 -1.121 2000-2014
Children who had their height and weight measured by a health provider within the past 2 years -0.430 -0.821 2002-2014
Children ages 0-17 who had a wellness checkup in the past 12 months -0.771 -0.909 1998-2014
People without a usual source of care who indicated a financial or insurance reason for not having a source of care 0.375 1.055 2002-2014
People unable to get or delayed in getting needed medical care due to financial or insurance reasons 0.382 -0.371 2002-2014
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons -0.376 -0.218 2002-2014

Blacks

Table Title for Measures Where Disparities Are Improving APC Reference APC Comparison Data Year
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, age 18 and over -0.417 -2.920 2001-2014
Hospital admissions for long-term complications of diabetes per 100,000 population, age 18 and over -0.922 -5.307 2001-2014
Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes -0.314 -2.391 2001-2014
Hospital admissions for asthma per 100,000 population, ages 18-39 -1.561 -5.017 2001-2014
Hospital admissions for asthma per 100,000 population, ages 2-17 -3.415 -9.990 2001-2014
Admissions for dehydration per 100,000 population, age 18 and over -7.568 -13.321 2001-2014
Avoidable admissions for angina per 100,000 population, age 18 and over -4.149 -7.185 2001-2014
Admissions for urinary tract infection per 100,000 population, age 18 and over 1.779 -2.444 2001-2014
Hospital admissions for congestive heart failure per 100,000 population -13.754 -35.012 2001-2014
End stage renal disease due to diabetes per million population -0.150 -10.293 2001-2014
New HIV cases per 100,000 population, age 13 and over -0.136 -2.961 2008-2014
HIV infection deaths per 100,000 population -0.131 -1.206 2000-2014

 

Table Title for Measures Where Disparities Are Showing No Change APC Reference APC Comparison Data Year
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months -0.186 -1.895 2008-2015
Postoperative sepsis per 1,000 elective-surgery admissions of length 4 or more days, age 18 and over -0.316 -0.619 2008-2014
Admissions with central venous catheter-related bloodstream infection per 1,000 medical and surgical discharges of length 2 or more days, age 18 and over or obstetric admissions -0.223 -0.303 2008-2014
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, age 18 and over -0.010 0.007 2001-2014
Postoperative pulmonary embolism or deep vein thrombosis per 1,000 surgical hospital discharges, age 18 and over -0.328 -0.602 2005-2014
Mechanical adverse events in adult patients receiving central venous catheter placement -0.041 -0.484 2009-2014
Deaths per 1,000 hospital admissions with expected low mortality, age 18 and over or obstetric admissions -0.033 -0.054 2001-2014
Hospital patients who received a hypoglycemic agent who had an adverse drug event with hypoglycemic agents, age 18 and over -0.494 -0.866 2009-2014
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things in a way they could understand -0.261 -0.287 2002-2014
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months -0.280 -0.252 2002-2014
People with a usual source of care who sometimes or never asked person to help make decisions when there was a choice between treatments -0.479 -0.617 2002-2014
Hospice patients who received the right amount of help for feelings of anxiety or sadness -0.029 0.136 2008-2014
Hospice patients who received care consistent with their stated end-of-life wishes -0.143 -0.161 2008-2014
Adult hospital patients who did not receive good communication about discharge information -0.846 -1.083 2009-2015
Hospital admissions for short-term complications of diabetes per 100,000 population, age 18 and over 2.261 2.874 2001-2014
Hospital admissions for short-term complications of diabetes per 100,000 population, ages 6-17 -0.133 -0.583 2001-2014
Home health care patients who had an emergency department visit and were then hospitalized 0.050 -0.010 2010-2013
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, ages 1-17 6.285 4.510 2001-2014
Home health care patients who received urgent, unplanned medical care -0.050 -0.110 2010-2013
Home health care patients who had to be admitted to the hospital -0.580 -0.810 2010-2013
Avoidable admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, age 40 and over -7.323 -1.679 2005-2014
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis -0.956 -1.153 2004-2013
Breast cancer deaths per 100,000 female population per year -0.435 -0.469 2000-2014
Colorectal cancer deaths per 100,000 population per year -0.441 -0.664 2000-2014
Lung cancer deaths per 100,000 population per year -0.956 -1.382 2000-2014
Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival -2.199 -3.585 2005-2013

 

Table Title for Measures Where Disparities Are Showing No Change APC Reference APC Comparison Data Year
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 0.726 0.207 2000-2011
Adults age 40 and over with diagnosed diabetes with blood pressure less than 140/80 mm Hg -0.540 -1.098 2002-2014
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months -0.136 -0.842 2008-2015
People age 12 and over treated for substance abuse who completed treatment course 0.351 -0.044 2005-2012
Live-born infants with low birth weight (less than 2,500 g) -0.026 -0.123 2007-2014
Infant mortality per 1,000 live births, birth weight 2,500 g or more -0.025 -0.061 2001-2013
Infants who received breastfeeding through 3 months -2.852 -2.769 2009-2012
Adults with obesity age 20 and over who had been told by a doctor or health professional that they were overweight -0.113 -0.125 2002-2014
Children ages 6-11 who are obese -0.023 0.250 2002-2014
Children ages 12-19 who were obese 0.493 0.103 2002-2014
Home health care patients who stayed at home after an episode of home health care -0.580 -0.940 20102013
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women, age 20 and over -0.172 -0.465 2000-2013
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population, age 50 and over -3.026 -3.240 2000-2013
Adults age 18 and over who received influenza vaccination -1.620 -1.550 2010-2014
Adults age 65 and over who received an influenza vaccination in the last 12 months -0.357 -1.293 2002-2014
Adults age 65 and over who ever received pneumococcal vaccination -0.529 -1.205 2000-2014
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 0.044 -0.046 2001-2014
Children ages 19-35 months who received 3 or more doses of polio vaccine -0.201 -0.381 2001-2014
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 0.111 -0.016 2001-2014
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 0.080 -0.234 2001-2014
Children ages 2-17 who had a dental visit in the calendar year -0.146 -0.728 2002-2014
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons -0.367 -0.553 2002-2014

 

Table Title for Measures Where Disparities Are Worsening APC Reference APC Comparison Data Year
Children ages 2-19 who visited emergency department for asthma -1.330 12.260 2008-2012
Avoidable admissions for hypertension per 100,000 population, age 18 and over 0.407 4.096 2001-2014

Asians

Table Title for Measures Where Disparities Are Showing No Change APC Reference APC Comparison Data Year
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, age 18 and over -0.089 -0.043 2001-2014
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance -1.387 -1.343 2001-2014
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things in a way they could understand -0.261 -0.475 2002-2014
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them -0.427 -0.763 2002-2014
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months -0.280 -0.587 2002-2014
Hospice patients who received the right amount of help for feelings of anxiety or sadness -0.029 -0.032 2008-2014
Family caregivers who did not want more information about what to expect while the patient was dying -0.086 -0.204 2008-2014
Hospice patients who received care consistent with their stated end-of-life wishes -0.143 0.107 2008-2014
Hospital patients with heart failure discharged home with written instructions or educational material -4.235 -5.405 2005-2013
Adult hospital patients who did not receive good communication about discharge information -0.846 -0.860 2009-2015
People with a usual source of care who usually asks about prescription medications and treatments from other doctors -0.485 -0.397 2002-2014
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis -0.956 -1.563 2004-2013
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 0.726 0.250 2000-2011
Deaths per 1,000 adult hospital admissions with pneumonia -4.118 -4.005 2001-2014
Live-born infants with low birth weight (less than 2,500 g) -0.026 0.001 2007-2014
Infant mortality per 1,000 live births, birth weight 2,500 g or more -0.025 -0.143 2002-2013
Women ages 50-74 who received a mammogram in the last 2 years 0.403 -0.654 2000-2013
Women ages 21-65 who received a Pap smear in the last 3 years 0.512 -0.106 2000-2013
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high -0.092 -0.309 1998-2014
Adults age 65 and over who ever received pneumococcal vaccination -0.529 -0.974 2000-2014
Children ages 2-17 who had a dental visit in the calendar year -0.146 -0.639 2002-2014
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 -0.188 -0.453 2002-2014

 

Table Title for Measures Where Disparities Are Worsening APC Reference APC Comparison Data Year
Obstetric trauma per 1,000 instrument-assisted deliveries -5.234 -3.688 2001-2014
End stage renal disease due to diabetes per million population -0.150 1.266 2001-2014

American Indians and Alaska Natives

Table Title for Measures Where Disparities Are Improving APC Reference APC Comparison Data Year
End stage renal disease due to diabetes per million population -0.150 -17.620 2001-2014
Children ages 2-17 for whom a health provider gave advice within the past 2 years about the amount and kind of exercise, sports, or physically active hobbies they should have -1.169 -3.290 2002-2013
Children ages 2-17 for whom a health provider gave advice within the past 2 years about healthy eating -0.987 -2.845 2002-2013
Table Title for Measures Where Disparities Are Showing No Change APC Reference APC Comparison Data Year
Home health care patients whose surgical wound was improved -1.050 -0.500 2010-2013
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them -0.227 -0.058 2002-2013
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them -0.427 -0.302 2002-2013
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months -0.280 0.046 2002-2013
Hospice patients who received the right amount of help for feelings of anxiety or sadness -0.029 0.086 2008-2014
Family caregivers who did not want more information about what to expect while the patient was dying -0.086 -0.164 2008-2014
Hospice patients who received care consistent with their stated end-of-life wishes -0.143 0.079 2008-2014
Hospital patients with heart failure discharged home with written instructions or educational material -4.235 -4.998 2005-2013
Adult hospital patients who did not receive good communication about discharge information -0.846 -0.998 2009-2015
Home health care patients who had an emergency department visit and were then hospitalized 0.050 0.370 2010-2013
Home health care patients who received urgent, unplanned medical care -0.050 0.300 2010-2013
Home health care patients who had to be admitted to the hospital -0.580 -0.540 2010-2013
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined -3.886 -4.772 2004-2013
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 0.726 0.518 2000-2011
Infant mortality per 1,000 live births, birth weight 2,500 g or more -0.025 -0.076 2001-2013
Infants who received breastfeeding through 3 months -2.852 -0.584 2009-2012
Home health care patients who stayed at home after an episode of home health care -0.580 -0.710 2010-2013
Adults who received a blood cholesterol measurement in the last 5 years -1.064 -1.032 1998-2014
Page last reviewed June 2017
Page originally created June 2017
Internet Citation: Appendix B: Trends in Access, Quality and Disparities for Measures in 2016 Report. Content last reviewed June 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqdr16/appendixb5_qualitytrends.html