National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013

Measures

People with a specific source of ongoing care
People with a usual primary care provider
People who identified a hospital, emergency room, or clinic as a source of ongoing care
People in fair or poor health with a specific source of ongoing care
 

Measure Title

People with a specific source of ongoing care

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National

Years Available

2009-2011

Population Subgroups

Activity limitation, age, education, race/ethnicity, geographic location (residence), income, insurance, race/ethnicity, sex

Data Sources

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS)

Denominator

U.S. civilian noninstitutionalized population

Numerator

Subset of the denominator who reported having a specific source of primary care

Comments

A specific source of primary care includes urgent care/walk-in clinic, doctor’s office, clinic, health center facility, hospital outpatient clinic, health maintenance or preferred provider organization, military or other Veterans Affairs health care facility, or some other place. A hospital emergency room is not included as a specific source of primary care.

This measure is referred to as measure AHS-5.1 in Healthy People 2020 documentation.

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Measure Title

People with a usual primary care provider

Measure Source

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

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Activity limitation, age, education, employment status, race/ethnicity, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, sex, U.S. born

Data Sources

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

Denominator

U.S. civilian noninstitutionalized population

Numerator

Subset of the denominator who have a usual primary care provider

Comments

A person is determined to have had a primary care provider if his or her usual source of care setting was either a physician’s office or a hospital (setting other than an emergency room), and he or she reported going to this usual source of care for new health problems, preventive health services, and referrals.

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Measure Title

People who identified a hospital, emergency room, or clinic as a source of ongoing care

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS)

Table Description

Geographic Representation

National

Years Available

2009-2011

Population Subgroups

Activity limitation, age, education, race/ethnicity, geographic location (residence), insurance, race/ethnicity, sex

Data Sources

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS)

Denominator

U.S. civilian noninstitutionalized population

Numerator

Subset of the denominator who reported a hospital, emergency room, or clinic as their source of primary care

Comments

Estimates are not age adjusted.

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Measure Title

People in fair or poor health with a specific source of ongoing care

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS)

Table Description

Geographic Representation

National

Years Available

2009-2011

Population Subgroups

Activity limitation, age, education, race/ethnicity, geographic location (residence), income, insurance, race/ethnicity, sex

Data Sources

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS)

Denominator

Number of people who reported being in fair or poor health

Numerator

Subset of the denominator who reported having a specific source of ongoing care

Comments

A specific source of ongoing care includes urgent care/walk-in clinic, doctor’s office, clinic, health center facility, hospital outpatient clinic, health maintenance or preferred provider organization, military or other Veterans Affairs health care facilities, or some other place. A hospital emergency room is not included as a specific source of ongoing care.

Estimates are not age adjusted.

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