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

2016 National Healthcare Quality and Disparities Report

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

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

Poor Households

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

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

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

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

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

Hispanics

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

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

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

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

Blacks

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

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

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

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

Asians

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

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

American Indians and Alaska Natives

Table Title for Measures Where Disparities Are Improving	APC Reference	APC Comparison	Data Year
End stage renal disease due to diabetes per million population	-0.150	-17.620	2001-2014
Children ages 2-17 for whom a health provider gave advice within the past 2 years about the amount and kind of exercise, sports, or physically active hobbies they should have	-1.169	-3.290	2002-2013
Children ages 2-17 for whom a health provider gave advice within the past 2 years about healthy eating	-0.987	-2.845	2002-2013

Table Title for Measures Where Disparities Are Showing No Change	APC Reference	APC Comparison	Data Year
Home health care patients whose surgical wound was improved	-1.050	-0.500	2010-2013
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them	-0.227	-0.058	2002-2013
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them	-0.427	-0.302	2002-2013
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months	-0.280	0.046	2002-2013
Hospice patients who received the right amount of help for feelings of anxiety or sadness	-0.029	0.086	2008-2014
Family caregivers who did not want more information about what to expect while the patient was dying	-0.086	-0.164	2008-2014
Hospice patients who received care consistent with their stated end-of-life wishes	-0.143	0.079	2008-2014
Hospital patients with heart failure discharged home with written instructions or educational material	-4.235	-4.998	2005-2013
Adult hospital patients who did not receive good communication about discharge information	-0.846	-0.998	2009-2015
Home health care patients who had an emergency department visit and were then hospitalized	0.050	0.370	2010-2013
Home health care patients who received urgent, unplanned medical care	-0.050	0.300	2010-2013
Home health care patients who had to be admitted to the hospital	-0.580	-0.540	2010-2013
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined	-3.886	-4.772	2004-2013
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure	0.726	0.518	2000-2011
Infant mortality per 1,000 live births, birth weight 2,500 g or more	-0.025	-0.076	2001-2013
Infants who received breastfeeding through 3 months	-2.852	-0.584	2009-2012
Home health care patients who stayed at home after an episode of home health care	-0.580	-0.710	2010-2013
Adults who received a blood cholesterol measurement in the last 5 years	-1.064	-1.032	1998-2014