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

Measures

People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors
People with usual source of care, primary health care provider, and a chronic condition, who had care coordination
Hospitals that electronically exchange patient data with hospitals outside of their system
Hospitals that electronically exchange patient data with hospitals inside of their system
Hospitals that electronically exchange patient data with ambulatory providers inside of their system
Hospitals that electronically exchange patient data with ambulatory providers outside of their system
 

Measure Title

People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors

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, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

AHRQ, CFACT, MEPS

Denominator

People who had a usual source of care and a valid response to the question, "Does [respondent's usual care provider] usually ask about prescription medications and treatments other doctors may give you?"

Numerator

Subset of the denominator who answered "Yes" to the question identified in the denominator

Comments

Usual source of care is defined as a particular doctor's office, clinic, health center, or other health care facility to which an individual usually would go to obtain health care service.

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Measure Title

People with usual source of care, primary health care provider, and a chronic condition, who had care coordination

Measure Source

University of California, Los Angeles (UCLA), Center for Health Policy Research (CHPR), California Health Interview Survey (CHIS)

Table Description

Geographic Representation

California

Years Available

2009, 2011-2012

Population Subgroups

Geographic location (residence), education, income, insurance, preferred language, English proficiency, race/ethnicity, sexual orientation, U. S. born

Data Sources

University of California, Los Angeles (UCLA), Center for Health Policy Research (CHPR), California Health Interview Survey (CHIS)

Denominator

California civilian noninstitutionalized population adults with asthma, diabetes, or heart disease, who have a usual source of care

Numerator

Subset of the denominator who report having care coordinated across doctors or services

Comments

This measure is based on responses to the CHIS adult measure AJ80, teen measure TI17, and child measure CD36 which asked respondents, "Is there anyone at your doctor's office or clinic who helps coordinate your care with other doctors or services such as tests or treatments?"

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Measure Title

Hospitals that electronically exchange patient data with hospitals outside of their system

Measure Source

American Hospital Association (AHA) Survey, Information Technology (IT) Supplement

Table Description

Geographic Representation

National, State

Years Available

State: 2011

National: 2011

Population Subgroups

Hospital bed size, control, geographic location, graduate medical education program, hospital type, medical school affiliation, member of Council of Teaching Hospitals, region

Data Sources

National & State

AHA Survey, IT Supplement

Denominator

Number of hospitals that responded to the question, "Does your hospital electronically exchange/share medication history with hospitals outside of your system?"

Numerator

Subset of the denominator that responded positively to both the question of exchanging/sharing patient data and the ED notification of patient's primary care physician the question

Comments

The 2011 AHA IT Supplement was sent to 6,253 non-Federal acute care hospitals in the United States, including non-AHA member hospitals. The response rate was 54.8%. If data are missing, the hospital is not included in the numerator or denominator of measures.

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Measure Title

Hospitals that electronically exchange patient data with hospitals inside of their system

Measure Source

American Hospital Association (AHA) Survey, Information Technology (IT) Supplement

Table Description

Geographic Representation

National, State

Years Available

State: 2011

National: 2011

Population Subgroups

Hospital bed size, control, geographic location, graduate medical education program, hospital type, medical school affiliation, member of Council of Teaching Hospitals, region

Data Sources

National & State

AHA Survey, IT Supplement

Denominator

Number of hospitals that responded to the question, "Does your hospital electronically exchange/share medication history with hospitals inside of your system?"

Numerator

Subset of the denominator that responded positively to both the question of exchanging/sharing patient data and the ED notification of patient's primary care physician parts of the question

Comments

The 2011 AHA IT Supplement was sent to 6,253 non-Federal acute care hospitals in the United States, including non-AHA member hospitals. The response rate was 54.8%. If data are missing, the hospital is not included in the numerator or denominator of measures.

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Measure Title

Hospitals that electronically exchange patient data with ambulatory providers inside of their system

Measure Source

American Hospital Association (AHA) Survey, Information Technology (IT) Supplement

Table Description

Geographic Representation

National, State

Years Available

State: 2011

National: 2011

Population Subgroups

Hospital bed size, control, geographic location, graduate medical education program, hospital type, medical school affiliation, member of Council of Teaching Hospitals, region

Data Sources

National & State

AHA Survey, IT Supplement

Denominator

Number of hospitals that responded to the question, "Does your hospital electronically exchange/share medication history with ambulatory providers inside of your system?"

Numerator

Subset of the denominator that responded positively to the question

Comments

The 2011 AHA IT Supplement was sent to 6,253 non-Federal acute care hospitals in the United States, including non-AHA member hospitals. The response rate was 54.8%. If data are missing, the hospital is not included in the numerator or denominator of measures.

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Measure Title

Hospitals that electronically exchange patient data with ambulatory providers outside of their system

Measure Source

American Hospital Association (AHA) Survey, Information Technology (IT) Supplement

Table Description

Geographic Representation

National, State

Years Available

State: 2011

National: 2011

Population Subgroups

Hospital bed size, control, geographic location, graduate medical education program, hospital type, medical school affiliation, member of Council of Teaching Hospitals, region

Data Sources

National & State

AHA Survey, IT Supplement

Denominator

Number of hospitals that responded to the question, "Does your hospital electronically exchange/share medication history with ambulatory providers outside of your system?"

Numerator

Subset of the denominator that responded positively to the question

Comments

The 2011 AHA IT Supplement was sent to 6,253 non-Federal acute care hospitals in the United States, including non-AHA member hospitals. The response rate was 54.8%. If data are missing, the hospital is not included in the numerator or denominator of measures.

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