- 8.09 MB]2012 National Healthcare Quality Report
Chapter 7, Text Descriptions for Figures
Figure 7.1. Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year, by age and insurance, 2002-2009
| Age Group | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 |
|---|---|---|---|---|---|---|---|---|
| 65-69 | 16.2 | 18.4 | 16.4 | 18.4 | 15.5 | 15.2 | 12.8 | 14.1 |
| 70-74 | 20.6 | 19.1 | 16.3 | 18.2 | 15.1 | 15.9 | 13.6 | 13.9 |
| 75-79 | 19.8 | 17.2 | 18.8 | 19.6 | 15.2 | 15.7 | 16.6 | 13.7 |
| 80+ | 20.8 | 18.9 | 15.8 | 15 | 17.1 | 15.1 | 11.8 | 12 |
| Age Group | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 |
|---|---|---|---|---|---|---|---|---|
| 65-69 | 16.2 | 18.4 | 16.4 | 18.4 | 15.5 | 15.2 | 12.8 | 14.1 |
| 70-74 | 20.6 | 19.1 | 16.3 | 18.2 | 15.1 | 15.9 | 13.6 | 13.9 |
| 75-79 | 19.8 | 17.2 | 18.8 | 19.6 | 15.2 | 15.7 | 16.6 | 13.7 |
| 80+ | 20.8 | 18.9 | 15.8 | 15 | 17.1 | 15.1 | 11.8 | 12 |
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2009.
Denominator: Civilian noninstitutionalized population age 65 and over.
Figure 7.2. Potentially avoidable emergency department rates, by age and residence location, 2007-2009
| Age Group | 2007 | 2008 | 2009 |
|---|---|---|---|
| Total | 3621.5 | 3641.7 | 3681.1 |
| 18-44 | 2442.5 | 2466.5 | 2574.1 |
| 45-64 | 3090.8 | 3134.7 | 3235.3 |
| 65+ | 8689.8 | 8666.8 | 8364.3 |
| Location | 2007 | 2008 | 2009 |
|---|---|---|---|
| Large Metropolitan | 3276.3 | 3242.7 | 3309.3 |
| Small Metropolitan | 3783.0 | 3865.1 | 3849.2 |
| Micropolitan | 4332.7 | 4314.4 | 4380.5 |
| Noncore | 4467.0 | 4710.2 | 4761.8 |
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2007-2009.
Denominator: Adults age 18 and over.
Note: Annual rates are adjusted for age and gender.
Figure 7.3. Rate of emergency department visits with a principal diagnosis related to mental health and alcohol or substance abuse, per 100,000 population, by age and residence location, 2009
| Age Group / Location | Mental Health | Substance Abuse |
|---|---|---|
| Total | 1170 | 518 |
| 0-17 | 572 | 91 |
| 18-44 | 1726 | 745 |
| 45-64 | 1207 | 759 |
| 65-84 | 621 | 206 |
| 85+ | 639 | 110 |
| Large Central Metropolitan | 1191 | 624 |
| Large Fringe Metropolitan | 1036 | 458 |
| Medium Metropolitan | 1246 | 535 |
| Small Metropolitan | 1143 | 476 |
| Micropolitan | 1257 | 416 |
| Noncore | 1237 | 424 |
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2009.
Denominator: U.S. population.
Note: For this measure, lower rates are better. Substance abuse includes visits for co-occurring substance abuse and mental health disorders.
Figure 7.4. Rate of emergency department visits with a principal diagnosis related to dental issues, per 100,000 population, by age and residence location, 2009
| Age Group / Location | 2009 |
|---|---|
| Total | 307 |
| 0-17 | 110 |
| 18-44 | 611 |
| 45-64 | 184 |
| 65-84 | 46 |
| 85+ | 33 |
| Large Metropolitan | 217 |
| Small Metropolitan | 369 |
| Micropolitan | 478 |
| Noncore | 480 |
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2009.
Denominator: U.S. population.
Note: For this measure, lower rates are better.
Figure 7.5. Potentially avoidable hospitalization rates for adults, by type of hospitalization, 2000-2009
| Type of Hospitalization | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 |
|---|---|---|---|---|---|---|---|---|---|---|
| Overall | 1657 | 1635 | 1684 | 1614 | 1559 | 1562 | 1502 | 1458 | 1433 | 1395 |
| Acute | 714 | 702 | 745 | 713 | 686 | 717 | 656 | 650 | 638 | 605 |
| Chronic | 943 | 933 | 939 | 900 | 873 | 845 | 846 | 809 | 795 | 790 |
Source: Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, and AHRQ Quality Indicators, modified version 4.1, 2000-2009.
Denominator: Civilian noninstitutionalized adults age 18 and over.
Note: For this measure, lower rates are better. Annual rates are adjusted for age and gender.
Figure 7.6. Total national costs associated with potentially avoidable hospitalizations, 2000-2009
| Year | Overall | Acute | Chronic |
|---|---|---|---|
| 2000 | $25.1 | $10.7 | $14.5 |
| 2001 | $25.5 | $10.6 | $14.9 |
| 2002 | $27.7 | $11.8 | $15.9 |
| 2003 | $28.3 | $11.9 | $16.4 |
| 2004 | $27.7 | $11.6 | $16.1 |
| 2005 | $27.6 | $12.1 | $15.6 |
| 2006 | $27.2 | $11.1 | $16.1 |
| 2007 | $26.9 | $11.3 | $15.5 |
| 2008 | $26.7 | $11.2 | $15.5 |
| 2009 | $26.0 | $10.7 | $15.3 |
Source: Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, and AHRQ Quality Indicators, modified version 4.1, 2000-2009.
Denominator: Civilian noninstitutionalized adults age 18 and over.
Note: For this measure, lower rates are better. Annual rates are adjusted for age and gender. Costs are adjusted for inflation and are represented in billions of 2009 dollars.
Figure 7.7. Home health patients with potentially avoidable hospitalizations within 30 days of start of care, by State, 2008
| Quartile | States |
|---|---|
| First (best) Quartile | Washington, Oregon, Idaho, California, Utah, Colorado, New Mexico, Oklahoma, Texas, Florida, Delaware, Vermont, New Hampshire, Rhode Island |
| 2nd Quartile | Alaska, Montana, North Dakota, South Dakota, Illinois, Louisiana, Michigan, Virginia, North Carolina, South Carolina, District of Columbia, Connecticut, Maine |
| 3rd Quartile | Nevada, Arizona, Nebraska, Kansas, Minnesota, Iowa, Missouri, Arkansas, Mississippi, Alabama, Georgia, Massachusetts |
| 4th (worst) Quartile | Hawaii, Wyoming, Wisconsin, Indiana, Ohio, Kentucky, Tennessee, West Virginia, Maryland, Pennsylvania, New York, New Jersey |
| Missing | Puerto Rico |
Source: Centers for Medicare & Medicaid Services, Outcome and Assessment Information Set linked with Medicare Part A claims (100%), 2008.
Denominator: Adult nonmaternity patients starting an episode of home health care.
Note: For this measure, lower numbers are better.
Figure 7.8. Residents with skilled nursing facility stays with potentially avoidable hospitalizations within 30 days of admission, by State, 2008
| Quartile | States |
|---|---|
| First (best) Quartile | Hawaii, Washington, Oregon, Idaho, Utah, Montana, Wyoming, North Dakota, South Dakota, Minnesota, Wisconsin, Vermont, New Hampshire |
| 2nd Quartile | Alaska, New Mexico, Colorado, Nebraska, Iowa, Indiana, Ohio, West Virginia, North Carolina, South Carolina, Massachusetts, Maine |
| 3rd Quartile | Arizona, Kansas, Missouri, Arkansas, Michigan, Kentucky, Tennessee, Alabama, Georgia, Virginia, Connecticut, Rhode Island |
| 4th (worst) Quartile | California, Nevada, Oklahoma, Texas, Illinois, Louisiana, Mississippi, Florida, Maryland, Delaware, District of Columbia, New York, New Jersey |
| Missing | Puerto Rico |
Source: Centers for Medicare & Medicaid Services, Minimum Data Set 2.0, linked with Medicare Part A claims (100%), 2008.
Denominator: Residents who met the skilled nursing facility (SNF) criteria for nursing home admission
Note: for this measure, lower numbers are better.
Figure 7.9. Perforated appendixes per 1,000 admissions for appendicitis, by age and gender, 2004, 2005, and 2007-2009
| Age Group | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 |
|---|---|---|---|---|---|---|
| 18 to 44 | 215.6 | 206.9 | 203.4 | 192.7 | 197.7 | |
| 45 to 64 | 401 | 398.5 | 390.8 | 377.0 | 385.5 | |
| 65+ | 543.1 | 534.1 | 517 | 513.7 | 510.2 |
| Gender | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 |
|---|---|---|---|---|---|---|
| Male | 313.1 | 305.5 | 303.3 | 289.0 | 299.4 | |
| Female | 267.9 | 260.6 | 249.2 | 246.0 | 243.8 |
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases disparities analysis file, 2004, 2005, and 2007-2009.
Note: For this measure, lower rates are better. Data for 2006 are not included, because a new version of the Prevention Quality Indicators software was used to calculate rates and 2006 was not included in the calculation.
Figure 7.10. Average estimated relative hospital cost efficiency index for a selected sample of urban general community hospitals (with confidence interval brackets), 2005-2009
| 2005 | 2006 | 2007 | 2008 | 2009 | |
|---|---|---|---|---|---|
| Relative Index | 100 | 99.65 | 99.67 | 99.87 | 99.73 |
Source: Agency for Healthcare Research and Quality. Analysis based on 1,552 urban general community hospitals with data in the Healthcare Cost and Utilization Project, State Inpatient Databases. Go to Chapter 1, Introduction and Methods, for further details.
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