2012 National Healthcare Quality and Disparities Reports

General Medical Care
People who had an office-based or outpatient department visit in the calendar year
People who received a prescription medication in the calendar year
People who had a dental visit in the calendar year
People who had a hospital emergency room visit in the calendar year
People with a hospital inpatient discharge during the calendar year
Physician office and hospital outpatient visits per 100 population
Emergency department visits per 100 population
Hospitalizations per 100 population

Potentially Avoidable Admissions
Avoidable admissions for hypertension among adults
Avoidable admissions for angina per 100,000 population age 18 and over
Avoidable admissions for chronic obstructive pulmonary disease (COPD) among adults
Avoidable admissions for bacterial pneumonia among adults

Mental Health Care and Substance Abuse Treatment
Adults who received mental health treatment or counseling in the last 12 months
Adults who received outpatient mental health treatment or counseling in the last 12 months
Adults who received prescription medications for mental health treatment in the last 12 months
Adults who received inpatient mental health treatment or counseling in the last 12 months
People age 12 and over who received any treatment for illicit drug or alcohol abuse in the last 12 months
 

General Medical Care

Measure Title

People who had an office-based or outpatient department visit in the calendar year.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

9_2_1_1.1 People who had an office-based or outpatient department visit in the calendar year, United States, 2002-2009

9_2_1_1.2a-d People who had an office-based or outpatient department visit in the calendar year, United States, 2009, by:

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

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population.

National Numerator

Subset of the denominator who reported at least one office-based/outpatient department visit.

Comments

Office-based/outpatient department visits include the following:

• Office-based visits to physician and nonphysician providers.
• Outpatient department visits to physician and nonphysician providers.
• Inpatient visits where the admission date was the same as the discharge date (i.e., "zero-night" stays).

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General Medical Care

Measure Title

People who received a prescription medication in the calendar year.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

9_2_1_2.1 People who received a prescription medication in the calendar year, United States, 2002-2009

9_2_1_2.2a-d People who received a prescription medication in the calendar year, United States, 2009, by:

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

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population.

National Numerator

Subset of the denominator who reported receiving at least one prescribed medication.

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General Medical Care

Measure Title

People who had a dental visit in the calendar year.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

9_2_1_3.1 People who had a dental visit in the calendar year, United States, 2002-2009

9_2_1_3.2a-d People who had a dental visit in the calendar year, United States, 2009, by:

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

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population.

National Numerator

Subset of the denominator who reported at least one dental visit during the calendar year.

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General Medical Care

Measure Title

People who had a hospital emergency room visit in the calendar year.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

9_2_1_4.1 People who had a hospital emergency room visit in the calendar year, United States, 2002-2009

9_2_1_4.2a-d People who had a hospital emergency room visit in the calendar year, United States, 2009, by:

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

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population.

National Numerator

Subset of the denominator who reported at least one emergency room visit during the calendar year.

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General Medical Care

Measure Title

People with a hospital inpatient discharge during the calendar year.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

9_2_1_5.1 People who received a hospital inpatient discharge in the calendar year, United States, 2002-2009

9_2_1_5.2a-d People who received a hospital inpatient discharge in the calendar year, United States, 2009, by:

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

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

U.S. civilian noninstitutionalized population.

National Numerator

Subset of the denominator who reported at least one inpatient discharge during the calendar year.

Comments

Inpatient discharges exclude inpatient visits where the admission date was the same as the discharge date (i.e., "zero-night" stays).

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General Medical Care

Measure Title

Physician office and hospital outpatient visits per 100 population.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS).

National Tables

9_2_1_6.1 Physician office and hospital outpatient department visits per 100 population, United States, 1999-2008

9_2_1_6.2 Physician office and hospital outpatient visits per 100 population, by race, United States, 2007-2008

National Data Source

CDC, NCHS, NAMCS, NHAMCS.

National Denominator

U.S. civilian noninstitutionalized population.

National Numerator

Number of visits to physician offices and hospital outpatient departments among the population represented by the denominator.

Comments

For consistency with previous years, visits to midlevel providers at community health centers were excluded. Population used for calculation is U.S. Census Bureau estimated civilian noninstitutionalized population on July 1 each year.

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General Medical Care

Measure Title

Emergency department visits per 100 population.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Hospital Ambulatory Medical Care Survey (NHAMCS).

National Tables

9_2_1_7.1 Emergency department visits per 100 population, United States, 1999-2008

9_2_1_7.2 Emergency department visits per 100 population, by race, United States, 2007-2008

National Data Source

CDC, NCHS, NHAMCS.

National Denominator

U.S. civilian noninstitutionalized population.

National Numerator

Number of visits to a hospital emergency department among the population in the denominator.

Comments

Population used for rate calculation is U.S. Census Bureau estimated civilian noninstitutionalized population on July 1 each year.

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General Medical Care

Measure Title

Hospitalizations per 100 population.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Hospital Discharge Survey (NHDS).

National Tables

9_2_1_8.1 Hospitalizations per 100 population, United States, 2000-2007

9_2_1_8.2 Hospitalizations per 100 population, by race, United States, 2007

National Data Source

CDC, NCHS, NHDS.

National Denominator

U.S. civilian noninstitutionalized population.

National Numerator

Number of hospital discharges among the population in the denominator.

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Potentially Avoidable Admissions

Measure Title

Avoidable admissions for hypertension among adults.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Prevention Quality Indicators (PQIs).

National Tables

9_2_2_1.1 Admissions with hypertension per 100,000 population, age 18 and over, United States, 2000, 2004-2009

9_2_2_1.2 Admissions with hypertension per 100,000 population, age 18 and over, by race/ethnicity, United States, 2009

9_2_2_1.4 Admissions with hypertension per 100,000 population, age 18 and over, by income, United States, 2000-2009

National Data Source

AHRQ, CDOM, HCUP, Nationwide Inpatient Sample (NIS) and State Inpatient Databases (SID) disparities analysis file, and AHRQ Quality Indicators, modified version 4.1.

National Denominator

U.S. population age 18 and over.

National Numerator

Subset of the denominator with principal diagnosis of hypertension, excluding patients with cardiac procedures, obstetric admissions, and transfers from other institutions.

State Table

9_2_2_1.3 Admissions with hypertension per 100,000 population, age 18 and over, by State, 2000, 2004, 2007-2009

State Data Source

AHRQ, CDOM, HCUP, State Inpatient Databases (SID).

State Denominator

Same as national.

State Numerator

Same as national.

Comments

Consistent with the AHRQ PQI software, hypertension must be the principal diagnosis. The following are excluded: admissions with kidney disease with dialysis access procedures, admissions with cardiac procedures, and transfers from other institutions.

Rates are adjusted by age and gender using the total U.S. resident population for 2000 as the U.S. standard population; when reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

Although not all States participate in the HCUP database, NIS is weighted to give national estimates using weights based on all U.S. community, nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

SID includes a powerful set of hospital databases from data organizations in participating States. SID contains the universe of the inpatient discharge abstracts in participating States, translated into a uniform format to facilitate multi-State comparisons and analyses. Together, SID encompasses about 90% of all U.S. community hospital discharges. SID contains a core set of clinical and nonclinical information on all patients, regardless of payer, including people covered by Medicare, Medicaid, and private insurance, as well as uninsured people. In addition to the core set of uniform data elements common to all SID, some databases within SID include other elements, such as the patient’s race.

The SID disparities analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 31 States: Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Jersey, New York, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, and Wyoming.

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Potentially Avoidable Admissions

Measure Title

Avoidable admissions for angina per 100,000 population age 18 and over.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Prevention Quality Indicators (PQIs).

National Tables

9_2_2_2.1 Admissions for angina without cardiac procedure per 100,000 population, age 18 and over, United States, 2000, 2004-2009

9_2_2_2.2 Admissions for angina without cardiac procedure per 100,000 population, age 18 and over, by race/ethnicity, United States, 2009

9_2_2_2.4 Admissions for angina without cardiac procedure per 100,000 population, age 18 and over, by income, United States, 2000-2009

National Data Source

AHRQ, CDOM, HCUP, Nationwide Inpatient Sample (NIS) and State Inpatient Databases (SID) disparities analysis file, and AHRQ Quality Indicators, modified version 4.1.

National Denominator

U.S. population age 18 and over.

National Numerator

Subset of the denominator with principal diagnosis of angina, excluding patients with cardiac procedures, obstetric admissions, and transfers from other institutions.

State Table

9_2_2_2.3 Admissions for angina without cardiac procedure per 100,000 population, age 18 and over, by State, 2000, 2004, 2007-2009

State Data Source

AHRQ, CDOM, HCUP, State Inpatient Databases (SID).

State Denominator

Same as national.

State Numerator

Same as national.

Comments

Consistent with the AHRQ PQI software, angina must be the principal diagnosis, and transfers from other institutions are excluded.

Rates are adjusted by age and gender using the total U.S. resident population for 2000 as the standard population; when reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

Although not all States participate in the HCUP database, NIS is weighted to give national estimates using weights based on all U.S. community, nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

SID includes a powerful set of hospital databases from data organizations in participating States. SID contains the universe of the inpatient discharge abstracts in participating States, translated into a uniform format to facilitate multi-State comparisons and analyses. Together, SID encompasses about 90% of all U.S. community hospital discharges. SID contains a core set of clinical and nonclinical information on all patients, regardless of payer, including people covered by Medicare, Medicaid, and private insurance, as well as uninsured people. In addition to the core set of uniform data elements common to all SID, some databases within SID include other elements, such as the patient's race.

The SID disparities analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 31 States: Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Jersey, New York, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, and Wyoming.

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Potentially Avoidable Admissions

Measure Title

Avoidable admissions for chronic obstructive pulmonary disease (COPD) among adults.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Prevention Quality Indicators (PQIs).

National Tables

9_2_2_3.1 Admissions with chronic obstructive pulmonary disease per 100,000 population, age 18 and over, United States, 2005-2009

9_2_2_3.2 Admissions with chronic obstructive pulmonary disease per 100,000 population, age 18 and over, by race/ethnicity, United States, 2009

National Data Source

AHRQ, CDOM, HCUP, Nationwide Inpatient Sample (NIS) and State Inpatient Databases (SID) disparities analysis file, and AHRQ Quality Indicators, modified version 4.1.

National Denominator

U.S. population age 18 and over.

National Numerator

Subset of the denominator with principal diagnosis of COPD, excluding obstetric admissions and transfers from other institutions.

State Table

9_2_2_3.3 Admissions with chronic obstructive pulmonary disease per 100,000 population, age 18 and over, by State, 2007-2009

State Data Source

AHRQ, CDOM, HCUP, State Inpatient Databases (SID) and AHRQ Quality Indicators, modified version 4.1.

State Denominator

Same as national.

State Numerator

Same as national.

Comments

Consistent with the AHRQ PQI software, COPD must be the principal diagnosis and transfers from other institutions are excluded. Rates prior to 2005 are not reported because of International Classification of Diseases, Ninth Revision coding changes.

Rates are adjusted by age and gender using the total U.S. resident population for 2000 as the U.S. standard population; when reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

Although not all States participate in the HCUP database, NIS is weighted to give national estimates using weights based on all U.S. community, nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

SID includes a powerful set of hospital databases from data organizations in participating States. SID contains the universe of the inpatient discharge abstracts in participating States, translated into a uniform format to facilitate multi-State comparisons and analyses. Together, SID encompasses about 90% of all U.S. community hospital discharges. SID contains a core set of clinical and nonclinical information on all patients, regardless of payer, including people covered by Medicare, Medicaid, and private insurance, as well as uninsured people. In addition to the core set of uniform data elements common to all SID, some databases within SID include other elements, such as the patient's race.

The SID disparities analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 31 States: Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Jersey, New York, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, and Wyoming.

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Potentially Avoidable Admissions

Measure Title

Avoidable admissions for bacterial pneumonia among adults.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Prevention Quality Indicators (PQIs).

National Tables

9_2_2_4.1 Admissions for bacterial pneumonia per 100,000 population, age 18 and over, United States, 2000-2009

9_2_2_4.2 Admissions for bacterial pneumonia per 100,000 population, age 18 and over, by race/ethnicity, United States, 2009

National Data Source

AHRQ, CDOM, HCUP, Nationwide Inpatient Sample (NIS) and State Inpatient Databases (SID) disparities analysis file, and AHRQ Quality Indicators, modified version 4.1.

National Denominator

U.S. population age 18 and over.

National Numerator

Subset of the denominator with a principal diagnosis of bacterial pneumonia, excluding sickle cell or hemoglobin-S conditions, obstetric admissions, and transfers from other institutions.

State Table

9_2_2_4.3 Admissions for bacterial pneumonia per 100,000 population, age 18 and over, by State, 2000, 2004, 2007-2009

State Data Source

AHRQ, CDOM, HCUP, State Inpatient Databases (SID).

State Denominator

Same as national.

State Numerator

Same as national.

Comments

Rates are adjusted by age and gender using the total U.S. resident population for 2000 as the U.S. standard population; when reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

Consistent with the AHRQ PQI software, bacterial pneumonia must be the principal diagnosis. Admissions for sickle cell disease and transfers from other institutions are excluded.

Although not all States participate in the HCUP database, NIS is weighted to give national estimates using weights based on all U.S. community, nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

SID includes a powerful set of hospital databases from data organizations in participating States. SID contains the universe of the inpatient discharge abstracts in participating States, translated into a uniform format to facilitate multi-State comparisons and analyses. Together, SID encompasses about 90% of all U.S. community hospital discharges. SID contains a core set of clinical and nonclinical information on all patients, regardless of payer, including people covered by Medicare, Medicaid, and private insurance, as well as uninsured people. In addition to the core set of uniform data elements common to all SID, some databases within SID include other elements, such as the patient's race.

The SID disparities analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 31 States: Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Jersey, New York, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, and Wyoming.

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Mental Health Care and Substance Abuse Treatment

Measure Title

Adults who received mental health treatment or counseling in the last 12 months.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

National Tables

9_2_3_1.1 Adults who received mental health treatment or counseling in the last 12 months, 2010

9_2_3_1.2 Adults who received mental health treatment or counseling in the last 12 months, 2002-2009

9_2_3_1.3a-d Adults who received mental health treatment or counseling in the last 12 months, 2010, by:

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

National Data Source

SAMHSA, NSDUH.

National Denominator

U.S. civilian noninstitutionalized population age 18 and over.

National Numerator

Subset of the denominator who reported receipt of mental health treatment or counseling in the past year.

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Mental Health Care and Substance Abuse Treatment

Measure Title

Adults who received outpatient mental health treatment or counseling in the last 12 months.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

National Tables

9_2_3_2.1 Adults who received outpatient mental health treatment or counseling in the last 12 months, 2010

9_2_3_2.2 Adults who received outpatient mental health treatment or counseling in the last 12 months, 2002-2009

9_2_3_2.3a-d Adults who received outpatient mental health treatment or counseling in the last 12 months, 2010, by:

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

National Data Source

SAMHSA, NSDUH.

National Denominator

U.S. civilian noninstitutionalized population age 18 and over.

Numerator

Subset of the denominator who reported receipt of outpatient mental health treatment or counseling in the past year.

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Mental Health Care and Substance Abuse Treatment

Measure Title

Adults who received prescription medications for mental health treatment in the last 12 months.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

National Tables

9_2_3_3.1 Adults who received prescription medications for mental health treatment in the last 12 months, 2010

9_2_3_3.2 Adults who received prescription medications for mental health treatment in the last 12 months, 2002-2009

9_2_3_3.3a-d Adults who received prescription medications for mental health treatment in the last 12 months, 2010, by:

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

National Data Source

SAMHSA, NSDUH.

National Denominator

U.S. civilian noninstitutionalized population age 18 and over.

National Numerator

Subset of the denominator who reported receipt of prescription medications for mental health treatment or counseling in the past year.

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Mental Health Care and Substance Abuse Treatment

Measure Title

Adults who received inpatient mental health treatment or counseling in the last 12 months.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

National Tables

9_2_3_4.1 Adults who received inpatient mental health treatment or counseling in the last 12 months, 2010

9_2_3_4.2 Adults who received inpatient mental health treatment or counseling in the last 12 months, 2002-2009

9_2_3_4.3a-d Adults who received inpatient mental health treatment or counseling in the last 12 months, United States, 2010, by:

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

National Data Source

SAMHSA, NSDUH.

National Denominator

U.S. civilian noninstitutionalized population age 18 and over.

Numerator

Subset of the denominator who reported receipt of inpatient mental health treatment or counseling in the past year.

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Mental Health Care and Substance Abuse Treatment

Measure Title

People age 12 and over who received any treatment for illicit drug or alcohol abuse in the last 12 months.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

National Tables

9_2_3_5.1 People age 12 and over who received any illicit drug or alcohol abuse treatment in the last 12 months, 2010

9_2_3_5.2 People age 12 and over who received any illicit drug or alcohol abuse treatment in the last 12 months, 2002-2009

9_2_3_5.3a-b People age 12 and over who received any illicit drug or alcohol abuse treatment in the last 12 months, 2010, by:

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

National Data Source

SAMHSA, NSDUH.

National Denominator

U.S. civilian noninstitutionalized population age 18 and over.

National Numerator

Subset of the denominator who received treatment for illicit drug or alcohol abuse in the past year.

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