National Healthcare Disparities Report, 2013
Chapter 7: Text Descriptions
Figure 7.1. Hospitalized adult patients with heart failure who were given complete written discharge instructions, by race/ethnicity, 2005-2011
| Race / Ethnicity | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 |
|---|---|---|---|---|---|---|---|
| White | 58.6% | 69.5% | 76.6% | 82.2% | 86.3% | 89.6% | 91.9% |
| Black | 56.7% | 68.1% | 75.8% | 81.7% | 86.4% | 89.8% | 92.4% |
| Hispanic | 53.0% | 65.6% | 72.6% | 81.8% | 88.2% | 89.8% | 92.0% |
| AI/AN | 48.2% | 59.7% | 65.0% | 69.8% | 76.3% | 81.9% | 84.1% |
| Asian | 49.1% | 61.5% | 74.6% | 83.7% | 87.1% | 91.6% | 92.9% |
Key: AI/AN = American Indian or Alaska Native.
Source: Centers for Medicare & Medicaid Services, Quality Improvement Organization Program, 2005-2011.
Denominator: Hospitalized adult patients with a principal discharge diagnosis of heart failure.
Note: Complete written discharge instructions needed to address all of the following: activity level, diet, discharge medications, followup appointment, weight monitoring, and actions to take if symptoms worsen.
2010 Achievable Benchmark: 94%
Figure 7.2. People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors, by education and perceived health status, United States, 2002-2010
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | |
|---|---|---|---|---|---|---|---|---|---|
| Any College | 78.1% | 79.0% | 80.6% | 80.6% | 81.6% | 82.3% | 83.6% | 82.2% | 84.7% |
| High School Grad | 76.0% | 76.2% | 79.0% | 77.2% | 78.8% | 81.1% | 80.8% | 78.8% | 82.6% |
| <High School | 75.0% | 77.2% | 76.9% | 77.5% | 78.7% | 80.2% | 78.5% | 78.7% | 82.0% |
| Total | 75.1% | 76.4% | 77.8% | 77.7% | 79.0% | 80.1% | 80.5% | 79.3% | 82.8% |
| Excellent / Very Good / Good | 74.9% | 76.1% | 77.4% | 77.4% | 78.7% | 79.8% | 80.3% | 79.0% | 82.7% |
| Fair / Poor | 77.2% | 78.1% | 80.6% | 80.1% | 81.2% | 82.8% | 81.9% | 81.0% | 83.2% |
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2010.
Denominator: Civilian noninstitutionalized population who report a usual source of care.
Note: Education status applies only to adults age 18 and over.
Figure 7.3. Hospitals with electronic exchange of patient information on medication history, by region and geographic location, 2009-2011, with hospitals outside their system and with ambulatory providers outside their system
| 2009 | 2010 | 2011 | |
|---|---|---|---|
| Hospitals Outside System | |||
| Northeast | 15.6% | 21.0% | 25.3% |
| Midwest | 14.3% | 19.9% | 24.8% |
| South | 10.8% | 17.2% | 21.8% |
| West | 15.0% | 21.1% | 32.9% |
| MSA | 13.3% | 19.4% | 27.8% |
| Non-MSA | 13.5% | 19.4% | 22.0% |
| Ambulatory Providers Outside System | |||
| Northeast | 29.2% | 33.4% | 38.0% |
| Midwest | 32.2% | 30.6% | 30.3% |
| South | 25.4% | 31.2% | 27.1% |
| West | 24.9% | 36.1% | 39.9% |
| MSA | 29.6% | 33.3% | 35.6% |
| Non-MSA | 26.2% | 30.5% | 27.2% |
Key: MSA = metropolitan statistical area.
Source: American Hospital Association Annual Survey Information Technology Supplement, 2009-2011.
Figure 7.4. Information gathering by home health care providers among adults receiving home health care, by race/ethnicity, 2011-2012
| Race / Ethnicity | Talk with you about all the medicines you take | Ask to see all the medicines you take | Always seemed informed about all the care you get at home |
|---|---|---|---|
| Total | 83.8% | 78.8% | 62.2% |
| White | 83.6% | 76.4% | 63.6% |
| Black | 87.0% | 90.6% | 61.9% |
| Asian | 82.6% | 83.2% | 48.3% |
| NHOPI | 84.9% | 86.3% | 59.8% |
| AI/AN | 83.6% | 85.5% | 61.5% |
| >1 Race | 83.9% | 83.5% | 58.8% |
| Hispanic | 87.7% | 89.2% | 59.6% |
Key: NHOPI = Native Hawaiian or Other Pacific Islander; AI/AN = American Indian or Alaska Native.
Source: Centers for Medicare & Medicaid Services, Home Health Care CAHPS (Consumer Assessment of Healthcare Providers and Systems) Survey, 2011-2012.
Denominator: Adults who had at least two visits from a Medicare-certified home health agency during a 2-month look-back period. Patients receiving hospice care and who had "maternity" as the primary reason for receiving home health care are excluded.
Figure 7.5. Effective care coordination among children with special health care needs, by race/ethnicity, 2005-2006 and 2009-2010
| Race / Ethnicity | 2005-2006 | 2009-2010 |
|---|---|---|
| White | 62.0% | 58.8% |
| Black | 56.2% | 51.7% |
| Other | 50.3% | 51.3% |
| Hispanic | 49.9% | 51.7% |
Source: Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health Web site, using the 2005/06 and 2009/10 National Survey of Children With Special Health Care Needs
Denominator: CSHCN who were reported to use more than one service during the survey period.
Note: White, Black, and Other are non-Hispanic. Hispanic includes all races.
Figure 7.6. Children with special health care needs with a medical home, by race/ethnicity, 2005-2006 and 2009-2010
| Race / Ethnicity | 2005-2006 | 2009-2010 |
|---|---|---|
| White | 52.8% | 48.8% |
| Black | 36.6% | 33.5% |
| Other | 40.0% | 39.1% |
| Hispanic | 32.2% | 33.2% |
Source: Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health Web site, using the 2005/06 and 2009/10 National Survey of Children With Special Health Care Needs.
Denominator: Civilian noninstitutionalized population ages 0-17 with special health care needs.
Note: White, Black, and Other are non-Hispanic. Hispanic includes all races. Medical home outcome is defined by having at least one personal doctor or nurse; received family-centered care in previous 12 months; no referral problems; usual source or sources of sick and well care; and effective care coordination.
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