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

6. Access and Quality Disparities by Geographic Location

Noncore vs. Large Fringe Metro

Table Title for Measures Better Than Reference Relative Difference Z Score Data Year
People with a usual primary care provider -23.66 -2.32 2014
Postoperative sepsis per 1,000 elective-surgery admissions of length 4 or more days, adults -12.80 -4.20 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 -29.41 -8.94 2014
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults -13.77 -10.29 2014
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance -10.58 -2.77 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 -27.27 -2.09 2014
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population -27.45 -2.87 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 -25.60 -3.75 2013
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair -37.35 -3.83 2014
People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months -13.37 -2.08 2015

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
Adults who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed 11.02 0.76 2014
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 needed -5.41 -0.20 2014
Adults age 65 and over with any private health insurance 12.47 1.79 2014
People with a specific source of ongoing care -4.81 -0.71 2014
People in fair or poor health with a specific source of ongoing care -10.98 -0.46 2014
People who were unable to get or delayed in getting needed medical care in the last 12 months 42.42 1.84 2014
People who were unable to get or delayed in getting needed dental care in the last 12 months 2.17 0.08 2014
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months 3.12 0.15 2014
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist -11.81 -0.57 2014
Adults who had a doctor's office or clinic visit in the last 12 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment 25.40 1.23 2014
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults 0.86 0.25 2014
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults -5.97 -2.74 2014

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults -2.27 -0.60 2014
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults 7.69 0.45 2014
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults 21.78 1.49 2014
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults -6.45 -2.68 2014
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions -2.07 -0.99 2014
Deaths per 1,000 hospital admissions with expected low mortality 23.33 1.94 2014
Birth trauma - injury to neonate per 1,000 selected live births -2.19 -0.17 2014
Obstetric trauma per 1,000 instrument-assisted deliveries -3.31 -0.59 2014
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults 21.43 0.87 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 -15.15 -0.82 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 -13.04 -0.55 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 -1.75 -0.08 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 -11.63 -0.88 2014
Children 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 -13.04 -0.43 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 23.96 1.05 2014
Adults with limited English proficiency who had a usual source of care 7.27 0.29 2014
People with a usual source of care who usually asks about prescription medications and treatments from other doctors -11.27 -0.74 2014
Emergency department visits with a principal diagnosis related to mental health only per 100,000 population 12.38 1.15 2014
Emergency department visits with a principal diagnosis related to co-occurring of mental health, alcohol, and substance abuse, per 100,000 population -2.78 -0.18 2014
Potentially avoidable emergency department encounters for asthma, adults 15.58 1.57 2014
Potentially avoidable emergency department encounters for asthma, children ages 2-17 5.81 0.55 2014
Hospital admissions for long-term complications of diabetes per 100,000 population, adults -5.13 -0.69 2014
Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes, HCUP data 16.77 1.73 2014
Hospital admissions for asthma per 100,000 population, ages 18-39 -2.08 -0.23 2014
Hospital admissions for asthma per 100,000 population, ages 2-17 -15.04 -1.09 2014
Avoidable admissions for hypertension per 100,000 population age 18 and over -13.52 -1.62 2014
Admissions for pediatric gastroenteritis per 100,000 population, ages 3 months to 17 years 31.75 1.63 2014

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy (SLNB) at the time of surgery (lumpectomy or mastectomy) -5.45 -0.95 2013
Breast cancer deaths per 100,000 female population per year 3.41 1.57 2014
Hospital admissions for congestive heart failure per 100,000 population 11.95 1.71 2014
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), age 40 and over 3.38 0.86 2014
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 26.33 1.03 2014
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year -20.00 -0.83 2014
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year -6.98 -0.35 2014
HIV infection deaths per 100,000 population -7.69 -0.84 2014
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months -9.62 -0.76 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 10.95 1.07 2015
People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months -3.47 -0.98 2015
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms 4.55 0.39 2014
Persons with current asthma who received written asthma management plans from their health care provider 9.08 1.40 2013
Live-born infants with low birth weight (less than 2,500 g) 3.90 2.81 2014
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking 11.25 0.53 2014
Adults with obesity who ever received advice from a health professional to exercise more 2.96 0.30 2014
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods -1.00 -0.12 2014
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high 14.71 1.02 2014
Adults age 65 and over who received an influenza vaccination in the last 12 months 23.96 1.42 2014
Hospital admissions for immunization-preventable influenza per 100,000 population age 65 and over -7.87 -0.92 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 2.05 0.17 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 19.69 0.84 2014
Children 41-80 lb for whom a health provider gave advice within the past 2 years about using a booster seat when riding in the car 17.34 1.70 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 19.88 1.25 2014
People without a usual source of care who indicated a financial or insurance reason for not having a source of care -27.84 -1.71 2014

 

Table Title for Measures Worse Than Reference Relative Difference Z Score Data Year
People under age 65 with health insurance 44.55 4.76 2014
People under age 65 with any private health insurance 53.90 6.93 2014
People under age 65 who were uninsured all year 53.06 2.35 2014
People under age 65 with any period of uninsurance during the year 32.51 2.73 2014
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends 38.73 6.33 2014
People with a usual source of care who is somewhat to very difficult to contact during regular business hours over the telephone 58.54 2.49 2014
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults 10.70 5.81 2014
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children 62.79 3.55 2014
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults, HCUP data 24.09 2.22 2014
Hospital admissions for short-term complications of diabetes per 100,000 population, adults 31.67 3.74 2014
Hospital admissions for short-term complications of diabetes per 100,000 population, ages 6-17 45.60 2.11 2014
Potentially avoidable hospitalizations and emergency department encounters for congestive heart failure 35.77 3.74 2014
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults 21.93 7.77 2014
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children 14.73 3.00 2014
Admissions for dehydration per 100,000 population, age 18 and over 34.19 4.64 2014
Avoidable admissions for angina per 100,000 population, age 18 and over 30.00 2.58 2014
Avoidable admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, age 40 and over 51.44 5.32 2014
Avoidable admissions for bacterial pneumonia per 100,000 population, age 18 and over 100.68 11.66 2014
Admissions for urinary tract infection (UTI) per 100,000 population, age 18 and over 26.85 3.64 2014
Admissions for urinary tract infection (UTI) per 100,000 population, ages 3 months to 17 years 55.13 3.72 2014
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined 36.67 4.53 2013
Colorectal cancer deaths per 100,000 population per year 24.44 10.44 2014
Lung cancer deaths per 100,000 population per year 26.75 23.93 2014
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) 14.55 6.02 2014
Deaths per 1,000 adult hospital admissions with congestive heart failure 32.92 9.84 2014
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, age 40 and over 42.18 5.55 2014
Suicide deaths per 100,000 population 48.61 16.98 2014
Deaths per 1,000 adult hospital admissions with pneumonia 43.41 13.55 2014
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) 14.23 2.55 2014
Infant mortality per 1,000 live births, birth weight 2,500 grams or more 76.47 11.05 2013
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 23.90 2.33 2014
Children ages 2-17 for whom a health provider gave advice within the past 2 years about healthy eating 51.75 2.76 2014
Women ages 50-74 who received a mammogram in the last 2 years 33.46 2.97 2013

 

Table Title for Measures Worse Than Reference Relative Difference Z Score Data Year
Women ages 21-65 who received a Pap smear in the last 3 years 30.81 2.63 2013
Adults who received a blood cholesterol measurement in the last 5 years 54.26 4.01 2014
Children who had their height and weight measured by a health provider within the past 2 years 155.32 2.11 2014
Children ages 2-17 who had a dental visit in the calendar year 30.19 2.86 2014
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 21.30 2.14 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 29.81 3.87 2014
Children ages 0-17 with a wellness checkup in the past 12 months 104.07 4.88 2014

Micropolitan vs. Large Fringe Metro

Table Title for Measures Better Than Reference Relative Difference Z Score Data Year
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 -13.24 -4.02 2014
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults -16.89 -14.95 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 -30.40 -5.66 2013

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
Adults who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed -14.96 -1.49 2014
Children who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed -24.53 -0.80 2013
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 needed 2.70 0.12 2014
Adults age 65 and over with any private health insurance 3.12 0.49 2014
People under age 65 who were uninsured all year 14.29 1.01 2014
People with a specific source of ongoing care 10.58 1.17 2014
People with a usual primary care provider -6.70 -0.75 2014
People in fair or poor health with a specific source of ongoing care 2.44 0.11 2014
People who were unable to get or delayed in getting needed medical care in the last 12 months 27.27 1.54 2014
People who were unable to get or delayed in getting needed dental care in the last 12 months 36.96 1.73 2014
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months 18.75 1.03 2014
People with a usual source of care who is somewhat to very difficult to contact during regular business hours over the telephone 21.14 1.76 2014
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist 18.90 1.05 2014
Adults who had a doctor's office or clinic visit in the last 12 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment -15.87 -0.94 2014

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
Postoperative sepsis per 1,000 elective-surgery admissions of length 4 or more days, adults -3.05 -1.00 2014
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults 5.58 1.80 2014
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults -6.76 -3.30 2014
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults -3.41 -1.03 2014
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults -15.38 -1.41 2014
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults 4.30 1.79 2014
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions 9.52 5.24 2014
Deaths per 1,000 hospital admissions with expected low mortality 23.33 1.94 2014
Birth trauma - injury to neonate per 1,000 selected live births 11.48 1.14 2014
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance -9.52 -2.50 2014
Obstetric trauma per 1,000 instrument-assisted deliveries -6.36 -1.37 2014
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults 7.14 0.37 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 -15.15 -1.16 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 -10.87 -0.59 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 -8.70 -0.46 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 0.00 0.00 2014
Children 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 34.29 0.77 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 6.25 0.45 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 -9.74 -0.82 2014
People with a usual source of care who usually asks about prescription medications and treatments from other doctors 7.84 0.63 2014
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population -9.62 -0.97 2014
Emergency department visits with a principal diagnosis related to co-occurring of mental health, alcohol, and substance abuse, per 100,000 population 16.67 1.20 2014
Potentially avoidable emergency department encounters for asthma, children ages 2-17 8.60 0.80 2014
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults, HCUP data 10.95 1.06 2014
Hospital admissions for short-term complications of diabetes per 100,000 population, ages 6-17 33.68 1.64 2014
Hospital admissions for long-term complications of diabetes per 100,000 population, adults 4.59 0.61 2014

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
Hospital admissions for asthma per 100,000 population, ages 18-39 0.62 0.07 2014
Hospital admissions for asthma per 100,000 population, ages 2-17 -3.03 -0.21 2014
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children 4.19 0.99 2014
Avoidable admissions for hypertension per 100,000 population, age 18 and over -2.78 -0.32 2014
Admissions for urinary tract infection (UTI) per 100,000 population, age 18 and over 7.58 1.02 2014
Admissions for pediatric gastroenteritis per 100,000 population, ages 3 months to 17 years 33.33 1.78 2014
Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy (SLNB) at the time of surgery (lumpectomy or mastectomy) 3.64 0.63 2013
Breast cancer deaths per 100,000 female population per year 1.46 0.83 2014
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) 6.57 3.25 2014
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair -14.41 -1.65 2014
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), age 40 and over 7.43 2.20 2014
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year 42.93 1.39 2014
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 16.57 0.83 2014
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year -22.00 -1.45 2014
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year -3.88 -0.25 2014
HIV infection deaths per 100,000 population 0.00 0.00 2014
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months -16.62 -1.57 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 18.31 1.91 2015
People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months 1.18 0.30 2015
People age 12 and over who needed treatment for an alcohol problem who received such treatment at a specialty facility in the last 12 months -1.41 -0.49 2015
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms 6.64 0.70 2014
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) -3.86 -0.63 2014
Persons with current asthma who received written asthma management plans from their health care provider 6.60 0.96 2013
Live-born infants with low birth weight (less than 2,500 g) 5.19 7.65 2014
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking 20.36 1.28 2014
Adults with obesity who ever received advice from a health professional to exercise more 14.56 1.63 2014
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods 3.39 0.50 2014
Women ages 50-74 who received a mammogram in the last 2 years 17.29 1.68 2013

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high 27.94 1.93 2014
Adults age 65 and over who received an influenza vaccination in the last 12 months -17.01 -1.50 2014
Hospital admissions for immunization-preventable influenza per 100,000 population, age 65 and over -7.70 -0.84 2014
Children ages 2-17 who had a dental visit in the calendar year 15.33 1.45 2014
Children ages 3-5 who ever had their vision checked by a health provider 8.41 0.35 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 5.64 0.73 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 6.56 0.34 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 -4.35 -0.42 2014
People without a usual source of care who indicated a financial or insurance reason for not having a source of care 10.23 0.56 2014
People unable to get or delayed in getting needed medical care due to financial or insurance reasons -18.76 -1.62 2014
People unable to get or delayed in getting needed dental care due to financial or insurance reasons -8.06 -0.94 2014
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons -11.46 -1.11 2014

 

Table Title for Measures Worse THan Reference Relative Difference Z Score Data Year
People under age 65 with health insurance 34.55 4.03 2014
People under age 65 with any private health insurance 56.03 8.61 2014
People under age 65 with any period of uninsurance during the year 20.69 2.13 2014
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends 31.60 5.46 2014
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults 43.56 3.60 2014
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults 22.22 12.07 2014
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children 83.72 6.17 2014
Emergency department visits with a principal diagnosis related to mental health only per 100,000 population 30.52 2.82 2014
Potentially avoidable emergency department encounters for asthma, adults 29.70 2.89 2014
Hospital admissions for short-term complications of diabetes per 100,000 population, adults 47.64 5.23 2014
Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes, HCUP data 40.37 3.78 2014
Potentially avoidable hospitalizations and emergency department encounters for congestive heart failure 47.64 4.77 2014
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults 15.02 6.45 2014
Admissions for dehydration per 100,000 population, age 18 and over 23.48 3.04 2014
Avoidable admissions for angina per 100,000 population, age 18 and over 34.55 2.79 2014
Avoidable admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, age 40 and over 38.99 4.61 2014

 

Table Title for Measures Worse Than Reference Relative Difference Z Score Data Year
Avoidable admissions for bacterial pneumonia per 100,000 population, age 18 and over 59.02 7.03 2014
Admissions for urinary tract infection (UTI) per 100,000 population, ages 3 months to 17 years 47.01 3.24 2014
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined 26.67 3.79 2013
Colorectal cancer deaths per 100,000 population per year 17.04 10.29 2014
Lung cancer deaths per 100,000 population per year 24.25 26.90 2014
Hospital admissions for congestive heart failure per 100,000 population 16.93 2.22 2014
Deaths per 1,000 adult hospital admissions with congestive heart failure 18.63 6.71 2014
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, age 40 and over 41.50 6.47 2014
Suicide deaths per 100,000 population 36.11 16.44 2014
Deaths per 1,000 adult hospital admissions with pneumonia 22.53 8.20 2014
Infant mortality per 1,000 live births, birth weight 2,500 grams or more 52.94 7.65 2013
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 33.27 4.58 2014
Children ages 2-17 for whom a health provider gave advice within the past 2 years about healthy eating 54.09 3.72 2014
Women ages 21-65 who received a Pap smear in the last 3 years 30.81 2.42 2013
Adults who received a blood cholesterol measurement in the last 5 years 48.84 4.27 2014
Children who had their height and weight measured by a health provider within the past 2 years 172.34 3.88 2014
Children 41-80 lb for whom a health provider gave advice within the past 2 years about using a booster seat when riding in the car 37.27 3.25 2014
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 27.79 3.15 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 26.69 3.68 2014
Children ages 0-17 with a wellness checkup in the past 12 months 65.85 4.31 2014

Small Metro vs. Large Fringe Metro

Table Title for Measures Better Than Reference Relative Difference Z Score Data Year
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults -18.56 -15.05 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 -20.80 -6.13 2013
People unable to get or delayed in getting needed medical care due to financial or insurance reasons -29.89 -2.73 2014
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons -41.26 -4.74 2014

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
Adults who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed 3.15 0.22 2014
Children who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed -24.49 -0.94 2014

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
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 needed 8.11 0.28 2014
Adults age 65 and over with any private health insurance -5.57 -0.99 2014
People under age 65 who were uninsured all year 10.20 0.68 2014
People under age 65 with any period of uninsurance during the year 5.42 0.47 2014
People with a specific source of ongoing care 3.85 0.42 2014
People with a usual primary care provider -0.45 -0.05 2014
People in fair or poor health with a specific source of ongoing care 13.41 0.57 2014
People who were unable to get or delayed in getting needed dental care in the last 12 months 15.22 0.78 2014
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months 34.38 1.64 2014
People with a usual source of care who is somewhat to very difficult to contact during regular business hours over the telephone 17.89 1.20 2014
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist 0.79 0.05 2014
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist 33.04 0.86 2013
Adults who had a doctor's office or clinic visit in the last 12 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment 31.75 1.44 2014
Children who had a doctor's office or clinic visit in the last 12 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment 26.83 0.57 2013
Postoperative sepsis per 1,000 elective-surgery admissions of length 4 or more days, adults -5.49 -1.80 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 -7.35 -2.24 2014
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults 2.15 0.69 2014
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults -1.10 -0.54 2014
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults 0.00 0.00 2014
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults 11.88 0.92 2014
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children 25.58 1.89 2014
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults -3.23 -1.34 2014
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions 8.61 4.56 2014
Birth trauma - injury to neonate per 1,000 selected live births 1.09 0.11 2014
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance -8.47 -2.50 2014
Obstetric trauma per 1,000 instrument-assisted deliveries -0.42 -0.09 2014
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults 16.96 0.88 2014

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
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 1.52 0.08 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 0.00 0.00 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 28.26 1.26 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 17.44 0.93 2014
Children 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 -23.91 -1.03 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 13.54 0.91 2014
Adults with limited English proficiency who had a usual source of care -0.91 -0.04 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 -11.69 -0.98 2014
People with a usual source of care who usually asks about prescription medications and treatments from other doctors -11.27 -1.18 2014
Emergency department visits with a principal diagnosis related to mental health only, per 100,000 population 12.73 0.84 2014
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population -2.27 -0.16 2014
Emergency department visits with a principal diagnosis related to co-occurring mental health, alcohol, and substance abuse, per 100,000 population 25.00 1.25 2014
Potentially avoidable emergency department encounters for asthma, adults 11.94 0.82 2014
Potentially avoidable emergency department encounters for asthma, children ages 2-17 14.05 0.86 2014
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults, HCUP data -15.33 -1.29 2014
Hospital admissions for short-term complications of diabetes per 100,000 population, ages 6-17 21.76 0.97 2014
Hospital admissions for long-term complications of diabetes per 100,000 population, adults -3.69 -0.36 2014
Hospital admissions for lower extremity amputations per 1,000 population, age 18 and over with diabetes, HCUP data 21.12 1.65 2014
Hospital admissions for asthma per 100,000 population, ages 18-39 -9.15 -0.82 2014
Hospital admissions for asthma per 100,000 population, ages 2-17 9.63 0.53 2014
Potentially avoidable hospitalizations and emergency department encounters for congestive heart failure 16.65 1.20 2014
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children 8.01 1.88 2014
Avoidable admissions for hypertension per 100,000 population, age 18 and over -8.70 -0.75 2014
Admissions for dehydration per 100,000 population, age 18 and over 2.57 0.25 2014
Avoidable admissions for angina per 100,000 population, age 18 and over -1.82 -0.13 2014
Avoidable admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, age 40 and over 3.71 0.35 2014
Avoidable admissions for bacterial pneumonia per 100,000 population, age 18 and over 16.11 1.48 2014

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
Admissions for urinary tract infection (UTI) per 100,000 population, age 18 and over -14.26 -1.54 2014
Admissions for pediatric gastroenteritis per 100,000 population, ages 3 months to 17 years 19.68 0.99 2014
Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy (SLNB) at the time of surgery (lumpectomy or mastectomy) 5.45 2.12 2013
Breast cancer deaths per 100,000 female population per year -1.95 -1.11 2014
Colorectal cancer deaths per 100,000 population per year 7.41 4.47 2014
Hospital admissions for congestive heart failure per 100,000 population -2.77 -0.28 2014
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair -4.41 -0.52 2014
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year -9.24 -0.29 2014
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 7.99 0.41 2014
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year -8.67 -0.48 2014
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year -4.65 -0.32 2014
HIV infection deaths per 100,000 population 7.69 0.84 2014
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months -7.58 -0.72 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 7.36 0.84 2015
People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months -4.14 -0.89 2015
People age 12 and over who needed treatment for an alcohol problem who received such treatment at a specialty facility in the last 12 months -0.65 -0.25 2015
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms -17.13 -1.81 2014
Deaths per 1,000 adult hospital admissions with pneumonia 8.79 2.74 2014
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) 4.26 0.75 2014
Persons with current asthma who received written asthma management plans from their health care provider 3.80 0.51 2013
Live-born infants with low birth weight (less than 2,500 g) 2.60 3.83 2014
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking -3.04 -0.16 2014
Adults with obesity who ever received advice from a health professional to exercise more 6.74 0.70 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 9.18 1.21 2014
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods 3.19 0.46 2014
Children ages 2-17 for whom a health provider gave advice within the past 2 years about healthy eating 19.30 1.45 2014
Women ages 50-74 who received a mammogram in the last 2 years -4.51 -0.44 2013
Women ages 21-65 who received a Pap smear in the last 3 years 15.12 1.49 2013

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high 13.24 1.12 2014
Hospital admissions for immunization-preventable influenza per 100,000 population, age 65 and over -19.72 -1.88 2014
Children ages 2-17 who had a dental visit in the calendar year -6.13 -0.72 2014
Children ages 3-5 who ever had their vision checked by a health provider 23.99 1.33 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 -1.88 -0.26 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 26.25 1.23 2014
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 5.66 0.64 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 14.21 1.92 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 14.29 1.14 2014
People without a usual source of care who indicated a financial or insurance reason for not having a source of care -24.43 -1.55 2014
People unable to get or delayed in getting needed dental care due to financial or insurance reasons -9.57 -1.36 2014

 

Table Title for Measures Worse THan Reference Relative Difference Z Score Data Year
People under age 65 with health insurance 14.55 2.05 2014
People under age 65 with any private health insurance 31.91 5.41 2014
People who were unable to get or delayed in getting needed medical care in the last 12 months 60.61 2.98 2014
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends 17.92 2.77 2014
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults 30.77 2.83 2014
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults 11.93 6.48 2014
Deaths per 1,000 hospital admissions with expected low mortality 30.00 2.50 2014
Hospital admissions for short-term complications of diabetes per 100,000 population, adults 29.31 2.34 2014
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults 21.35 8.98 2014
Admissions for urinary tract infection (UTI) per 100,000 population, ages 3 months to 17 years 42.74 2.27 2014
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined 17.78 4.44 2013
Lung cancer deaths per 100,000 population per year 14.75 13.19 2014
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) 10.33 4.66 2014
Deaths per 1,000 adult hospital admissions with congestive heart failure 13.66 4.92 2014
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, age 40 and over 23.13 3.30 2014
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), age 40 and over 10.81 3.20 2014
Suicide deaths per 100,000 population 27.08 12.33 2014
Infant mortality per 1,000 live births, birth weight 2,500 grams or more 41.18 5.95 2013

 

Table Title for Measures Worse Than Reference Relative Difference Z Score Data Year
Adults who received a blood cholesterol measurement in the last 5 years 24.03 2.23 2014
Adults age 65 and over who received an influenza vaccination in the last 12 months 32.64 2.12 2014
Children who had their height and weight measured by a health provider within the past 2 years 78.72 2.17 2014
Children 41-80 lb for whom a health provider gave advice within the past 2 years about using a booster seat when riding in the car 20.85 1.97 2014
Children ages 0-17 with a wellness checkup in the past 12 months 35.77 2.88 2014

Medium Metro vs. Large Fringe Metro

Table Title for Measures Better Than Reference Relative Difference Z Score Data Year
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults -14.77 -5.20 2014
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults, HCUP data -24.09 -2.22 2014
Hospital admissions for long-term complications of diabetes per 100,000 population, adults -18.26 -2.19 2014
Hospital admissions for asthma per 100,000 population, ages 18-39 -23.91 -2.58 2014
Avoidable admissions for hypertension per 100,000 population, age 18 and over -19.26 -1.99 2014
Admissions for dehydration per 100,000 population, age 18 and over -18.33 -2.27 2014
Avoidable admissions for angina per 100,000 population, age 18 and over -21.82 -2.26 2014
Admissions for urinary tract infection (UTI) per 100,000 population, age 18 and over -24.29 -3.01 2014
Hospital admissions for congestive heart failure per 100,000 population -17.90 -2.18 2014
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair -20.88 -2.86 2014
People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months -10.30 -2.66 2015
Hospital admissions for immunization-preventable influenza per 100,000 population, age 65 and over -31.26 -3.39 2014

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
Adults who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed 2.36 0.21 2014
Children who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed 24.49 1.00 2014
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 needed 18.92 1.09 2014
Adults age 65 and over with any private health insurance 9.80 2.22 2014
People under age 65 who were uninsured all year 5.10 0.36 2014
People with a specific source of ongoing care 7.69 1.13 2014
People with a usual primary care provider -5.36 -0.80 2014
People in fair or poor health with a specific source of ongoing care 17.07 0.94 2014
People with a usual source of care who is somewhat to very difficult to contact during regular business hours over the telephone 21.14 1.76 2014
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist 8.66 0.62 2014

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist 20.93 0.62 2014
Adults who had a doctor's office or clinic visit in the last 12 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment 22.22 1.41 2014
Children who had a doctor's office or clinic visit in the last 12 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment 22.45 0.65 2014
Postoperative sepsis per 1,000 elective-surgery admissions of length 4 or more days, adults -6.10 -2.36 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 2.94 0.89 2014
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults 1.72 0.71 2014
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults -6.47 -6.28 2014
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults 1.42 0.79 2014
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults 15.38 1.41 2014
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults 15.84 1.51 2014
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults 9.47 6.38 2014
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults 2.15 0.89 2014
Deaths per 1,000 hospital admissions with expected low mortality 16.67 1.77 2014
Birth trauma - injury to neonate per 1,000 selected live births 3.28 0.33 2014
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance 1.59 0.47 2014
Obstetric trauma per 1,000 instrument-assisted deliveries 9.84 2.16 2014
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults 25.89 1.39 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 0.00 0.00 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 2.17 0.13 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 15.22 0.99 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 17.44 1.25 2014
Children 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 2.17 0.08 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 8.33 0.70 2014
Adults with limited English proficiency and usual source of care (USC) by whether the USC had language assistance -50.00 -1.56 2014
Adults with limited English proficiency who had a usual source of care -5.68 -0.42 2014

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
People with a usual source of care who sometimes or never asked person to help make decisions when there was a choice between treatments -5.84 -0.51 2014
People with a usual source of care who usually asks about prescription medications and treatments from other doctors -1.96 -0.21 2014
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population 22.03 1.76 2014
Hospital admissions for short-term complications of diabetes per 100,000 population, adults -0.14 -0.01 2014
Hospital admissions for short-term complications of diabetes per 100,000 population, ages 6-17 35.75 1.44 2014
Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes, HCUP data 4.35 0.39 2014
Hospital admissions for asthma per 100,000 population, ages 2-17 -8.87 -0.52 2014
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children 7.83 2.15 2014
Avoidable admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, age 40 and over -14.00 -1.65 2014
Avoidable admissions for bacterial pneumonia per 100,000 population, age 18 and over -11.03 -1.35 2014
Admissions for urinary tract infection (UTI) per 100,000 population, ages 3 months to 17 years 5.13 0.29 2014
Admissions for pediatric gastroenteritis per 100,000 population, ages 3 months to 17 years 4.44 0.23 2014
Breast cancer deaths per 100,000 female population per year -1.46 -1.06 2014
Colorectal cancer deaths per 100,000 population per year 2.96 2.83 2014
Lung cancer deaths per 100,000 population per year 6.00 8.49 2014
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) 5.16 2.82 2014
Deaths per 1,000 adult hospital admissions with congestive heart failure 6.83 3.05 2014
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), age 40 and over 7.43 2.59 2014
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 19.82 1.37 2014
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year 0.00 0.00 2014
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year 21.96 1.94 2014
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months -0.29 -0.03 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 12.03 1.82 2015
People age 12 and over who needed treatment for an alcohol problem who received such treatment at a specialty facility in the last 12 months -1.19 -0.60 2015
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms -8.74 -1.07 2014
Deaths per 1,000 adult hospital admissions with pneumonia 9.89 3.60 2014
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) -4.52 -0.85 2014

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
Persons with current asthma who received written asthma management plans from their health care provider -1.49 -0.27 2013
Live-born infants with low birth weight (less than 2,500 g) 5.19 7.65 2014
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking -4.56 -0.31 2014
Adults with obesity who ever received advice from a health professional to exercise more 0.00 0.00 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 4.02 0.67 2014
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods -0.80 -0.14 2014
Children ages 2-17 for whom a health provider gave advice within the past 2 years about healthy eating 13.45 1.44 2014
Women ages 50-74 who received a mammogram in the last 2 years -0.38 -0.05 2013
Women ages 21-65 who received a Pap smear in the last 3 years 14.53 1.67 2013
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high 17.65 1.87 2014
Adults age 65 and over who received an influenza vaccination in the last 12 months -3.12 -0.28 2014
Children who had their height and weight measured by a health provider within the past 2 years 40.43 1.76 2014
Children ages 2-17 who had a dental visit in the calendar year 0.00 0.00 2014
Children ages 3-5 who ever had their vision checked by a health provider 15.58 0.92 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 -6.32 -1.01 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 8.12 0.56 2014
Children 41-80 lb for whom a health provider gave advice within the past 2 years about using a booster seat when riding in the car 5.17 0.56 2014
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 0.17 0.02 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 5.55 0.92 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 -2.48 -0.27 2014
People without a usual source of care who indicated a financial or insurance reason for not having a source of care 23.86 1.03 2014
People unable to get or delayed in getting needed medical care due to financial or insurance reasons -17.49 -1.73 2014
People unable to get or delayed in getting needed dental care due to financial or insurance reasons -10.45 -1.60 2014
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons -14.76 -1.69 2014

 

Table Title for Measures Worse Than Reference Relative Difference Z Score Data Year
People under age 65 with health insurance 16.36 2.55 2014
People under age 65 with any private health insurance 31.91 6.69 2014
People under age 65 with any period of uninsurance during the year 19.70 2.03 2014

 

Table Title for Measures Worse Than Reference Relative Difference Z Score Data Year
People who were unable to get or delayed in getting needed medical care in the last 12 months 51.52 2.92 2014
People who were unable to get or delayed in getting needed dental care in the last 12 months 41.30 2.63 2014
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months 31.25 2.00 2014
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends 16.57 3.55 2014
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children 53.49 4.60 2014
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions 10.92 6.93 2014
Emergency department visits with a principal diagnosis related to mental health only, per 100,000 population 37.66 2.77 2014
Emergency department visits with a principal diagnosis related to co-occurring mental health, alcohol, and substance abuse, per 100,000 population 50.00 2.81 2014
Potentially avoidable emergency department encounters for asthma, adults 33.67 2.83 2014
Potentially avoidable emergency department encounters for asthma, children ages 2-17 32.53 2.42 2014
Potentially avoidable hospitalizations and emergency department encounters for congestive heart failure 27.89 2.43 2014
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults 15.02 7.95 2014
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, age 40 and over 31.97 6.02 2014
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year 70.65 2.69 2014
HIV infection deaths per 100,000 population 38.46 4.19 2014
Suicide deaths per 100,000 population 18.06 11.63 2014
Infant mortality per 1,000 live births, birth weight 2,500 grams or more 29.41 4.25 2013
Adults who received a blood cholesterol measurement in the last 5 years 25.58 2.70 2014
Children ages 0-17 with a wellness checkup in the past 12 months 29.27 2.65 2014

Large Central Metro vs. Large Fringe Metro

Table Title for Measures Better Than Reference Relative Difference Z Score Data Year
Adults with limited English proficiency and usual source of care (USC) by whether the USC had language assistance -70.43 -2.52 2014
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair -15.29 -2.23 2014
Suicide deaths per 100,000 population -11.81 -12.02 2014
Persons with current asthma who received written asthma management plans from their health care provider -11.39 -2.16 2013

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
Children who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed 38.78 1.79 2014
People who were unable to get or delayed in getting needed medical care in the last 12 months 24.24 1.89 2014
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months -15.63 -1.18 2014

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends 3.28 0.86 2014
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist 33.33 1.32 2014
Children who had a doctor's office or clinic visit in the last 12 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment 16.33 0.51 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 7.35 3.54 2014
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults -1.72 -0.80 2014
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults 5.99 7.07 2014
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults 5.66 3.64 2014
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults -7.69 -0.71 2014
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults 7.82 6.72 2014
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children 6.98 0.71 2014
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults 1.08 0.71 2014
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions 8.16 6.09 2014
Deaths per 1,000 hospital admissions with expected low mortality -3.33 -0.45 2014
Birth trauma - injury to neonate per 1,000 selected live births -0.55 -0.07 2014
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance 0.53 0.18 2014
Obstetric trauma per 1,000 instrument-assisted deliveries -1.36 -0.34 2014
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults -21.43 -1.47 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 9.09 0.65 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 21.74 1.28 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 10.87 0.78 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 8.14 0.66 2014
Children 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 4.35 0.22 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 8.33 0.66 2014
Adults with limited English proficiency who had a usual source of care -9.55 -0.86 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 7.14 0.91 2014

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
People with a usual source of care who usually asks about prescription medications and treatments from other doctors -0.98 -0.13 2014
Emergency department visits with a principal diagnosis related to mental health only, per 100,000 population 23.39 1.72 2014
Emergency department visits with a principal diagnosis related to co-occurring mental health, alcohol, and substance abuse, per 100,000 population 0.00 0.00 2014
Potentially avoidable emergency department encounters for asthma, adults 24.09 1.77 2014
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults, HCUP data 26.28 1.94 2014
Hospital admissions for short-term complications of diabetes per 100,000 population, ages 6-17 35.23 1.19 2014
Hospital admissions for asthma per 100,000 population, ages 18-39 9.56 0.97 2014
Potentially avoidable hospitalizations and emergency department encounters for congestive heart failure 13.98 1.26 2014
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults -1.60 -1.08 2014
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children 2.02 0.55 2014
Admissions for dehydration per 100,000 population, age 18 and over -1.03 -0.13 2014
Avoidable admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, age 40 and over 12.20 1.41 2014
Avoidable admissions for bacterial pneumonia per 100,000 population, age 18 and over -9.27 -1.29 2014
Admissions for urinary tract infection (UTI) per 100,000 population, age 18 and over -0.45 -0.05 2014
Admissions for urinary tract infection (UTI) per 100,000 population, ages 3 months to 17 years 11.97 0.63 2014
Admissions for pediatric gastroenteritis per 100,000 population, ages 3 months to 17 years 27.62 1.24 2014
Breast cancer deaths per 100,000 female population per year 2.44 1.77 2014
Colorectal cancer deaths per 100,000 population per year 5.19 4.95 2014
Lung cancer deaths per 100,000 population per year -7.75 -10.96 2014
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) 2.82 1.70 2014
Hospital admissions for congestive heart failure per 100,000 population 7.93 0.99 2014
Deaths per 1,000 adult hospital admissions with congestive heart failure -1.86 -1.06 2014
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), age 40 and over 4.73 1.94 2014
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 19.23 1.56 2014
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year -1.00 -0.08 2014
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year 8.53 0.82 2014
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months -5.25 -0.58 2015
People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months -0.71 -0.21 2015
People age 12 and over who needed treatment for an alcohol problem who received such treatment at a specialty facility in the last 12 months 0.54 0.29 2015

 

Table Title for Measures Same as Reference Relative Difference Z Score Data Year
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms 10.14 1.28 2014
Deaths per 1,000 adult hospital admissions with pneumonia 8.24 3.54 2014
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) 3.59 0.94 2014
Live-born infants with low birth weight (less than 2,500 g) 6.49 9.57 2014
Infant mortality per 1,000 live births, birth weight 2,500 grams or more 5.88 1.14 2013
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking -12.77 -1.01 2014
Adults with obesity who ever received advice from a health professional to exercise more -2.16 -0.35 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 3.06 0.55 2014
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods -3.59 -0.79 2014
Children ages 2-17 for whom a health provider gave advice within the past 2 years about healthy eating 8.48 0.94 2014
Women ages 50-74 who received a mammogram in the last 2 years -1.88 -0.25 2013
Women ages 21-65 who received a Pap smear in the last 3 years 12.21 1.74 2013
Adults who received a blood cholesterol measurement in the last 5 years -3.10 -0.46 2014
Adults age 65 and over who received an influenza vaccination in the last 12 months -6.25 -0.59 2014
Hospital admissions for immunization-preventable influenza per 100,000 population, age 65 and over -13.03 -1.28 2014
Children ages 3-5 who ever had their vision checked by a health provider -11.53 -0.79 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 -6.67 -1.28 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 14.06 1.09 2014
Children 41-80 lb for whom a health provider gave advice within the past 2 years about using a booster seat when riding in the car 7.56 0.92 2014
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 5.32 0.85 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 9.53 1.88 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 -6.83 -0.91 2014
People unable to get or delayed in getting needed medical care due to financial or insurance reasons -13.83 -1.58 2014
People unable to get or delayed in getting needed dental care due to financial or insurance reasons -6.55 -1.24 2014
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons -12.75 -1.59 2014

 

Table Title for Measures Worse Than Reference Relative Difference Z Score Data Year
Adults who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed 18.11 2.02 2014
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 needed 30.63 2.00 2014

 

Table Title for Measures Worse Than Reference Relative Difference Z Score Data Year
People under age 65 with health insurance 36.36 6.25 2014
People under age 65 with any private health insurance 38.30 9.47 2014
Adults age 65 and over with any private health insurance 39.20 9.21 2014
People under age 65 who were uninsured all year 37.76 4.01 2014
People under age 65 with any period of uninsurance during the year 33.00 5.23 2014
People with a specific source of ongoing care 44.23 7.18 2014
People with a usual primary care provider 29.91 5.88 2014
People in fair or poor health with a specific source of ongoing care 39.02 2.06 2014
People who were unable to get or delayed in getting needed dental care in the last 12 months 32.61 2.65 2014
People with a usual source of care who is somewhat to very difficult to contact during regular business hours over the telephone 16.26 2.02 2014
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist 25.98 2.12 2014
Adults who had a doctor's office or clinic visit in the last 12 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment 52.38 2.89 2014
Postoperative sepsis per 1,000 elective-surgery admissions of length 4 or more days, adults 17.07 7.77 2014
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults 24.43 10.14 2014
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults 25.74 2.63 2014
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population 32.52 2.03 2014
Potentially avoidable emergency department encounters for asthma, children ages 2-17 56.31 2.42 2014
Hospital admissions for short-term complications of diabetes per 100,000 population, adults 17.08 1.97 2014
Hospital admissions for long-term complications of diabetes per 100,000 population, adults 30.22 3.12 2014
Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes, HCUP data 30.43 2.99 2014
Hospital admissions for asthma per 100,000 population, ages 2-17 55.09 2.19 2014
Avoidable admissions for hypertension per 100,000 population, age 18 and over 22.96 2.21 2014
Avoidable admissions for angina per 100,000 population, age 18 and over 26.36 2.41 2014
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, age 40 and over 12.93 2.43 2014
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year 79.89 3.45 2014
HIV infection deaths per 100,000 population 153.85 16.77 2014
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months 14.18 2.07 2015
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high 38.24 4.60 2014
Children who had their height and weight measured by a health provider within the past 2 years 68.09 3.47 2014
Children ages 2-17 who had a dental visit in the calendar year 18.63 2.79 2014

 

Table Title for Measures Worse Than Reference Relative Difference Z Score Data Year
Children ages 0-17 with a wellness checkup in the past 12 months 39.84 4.33 2014
People without a usual source of care who indicated a financial or insurance reason for not having a source of care 34.09 2.72 2014

 

Page last reviewed July 2017
Page originally created June 2017
Internet Citation: Appendix B: Trends in Access, Quality and Disparities for Measures in 2016 Report. Content last reviewed July 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqdr16/appendixb6_geographicdisparities.html