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<div><ul><li><a href="/research/findings/nhqrdr/nhdr10/index.html">Contents</a></li><li><a href="/research/findings/nhqrdr/nhdr10/Ackno.html">Acknowledgments</a></li><li><a href="/research/findings/nhqrdr/nhdr10/Key.html">Key Themes and Highlights From the National Healthcare Disparities Report</a></li><li><a href="/research/findings/nhqrdr/nhdr10/Chap1.html">Chapter 1. Introduction and Methods</a></li><li><a href="/research/findings/nhqrdr/nhdr10/Chap2.html">Chapter 2. Effectiveness</a></li><li><a href="/research/findings/nhqrdr/nhdr10/Chap3.html">Chapter 3. Patient Safety</a></li><li><a href="/research/findings/nhqrdr/nhdr10/Chap4.html">Chapter 4. Timeliness</a></li><li><a href="/research/findings/nhqrdr/nhdr10/Chap5.html">Chapter 5. Patient Centeredness</a></li><li><a href="/research/findings/nhqrdr/nhdr10/Chap6.html">Chapter 6. Care Coordination</a></li><li><a href="/research/findings/nhqrdr/nhdr10/Chap7.html">Chapter 7. Efficiency</a></li><li><a href="/research/findings/nhqrdr/nhdr10/Chap8.html">Chapter 8. Health Systems Infrastructure</a></li><li><a href="/research/findings/nhqrdr/nhdr10/Chap9.html">Chapter 9. Access to Health Care</a></li><li><a href="/research/findings/nhqrdr/nhdr10/Chap10.html">Chapter 10. Priority Populations</a></li><li><a href="/research/findings/nhqrdr/nhdr10/Core.html">List of Core Measures</a></li></ul></div>
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<h1>Chapter 1. Introduction and Methods (continued, 2)</h1>
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<h2>National Healthcare Disparities Report, 2010</h2> <div id="basic-modal"><!-- start: Basic Modal -->
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<h4 class="figcaption">Table 1.3. Core measures included in the 2010 NHQR and NHDR, by measure characteristic</h4><table border="1" cellpadding="2" cellspacing="0" width="90%"><tbody><tr valign="top"><th rowspan="2" scope="col">Measure</th><th colspan="5" scope="col">Dimension or Type of Care</th><th rowspan="2" scope="col">Composite Measure</th></tr><tr valign="top"><th scope="col">Access</th><th scope="col">Prevention</th><th scope="col">Acute Care</th><th scope="col">Chronic Care</th><th scope="col">Outcome</th></tr><tr valign="top"><td colspan="7" scope="row"><strong>Effectiveness</strong></td></tr><tr valign="top"><td colspan="7" scope="row"><em>Cancer (alternating measures)</em><sup><a href="#notexiii">xiii</a></sup></td></tr><tr valign="top"><td scope="row">Adults age 50 and over who ever received colorectal cancer screening</td><td> </td><td align="center">√</td><td> </td><td> </td><td> </td><td align="center">√</td></tr><tr valign="top"><td scope="row">Rate of advanced stage colorectal cancer per 100,000 adults age 50 and over</td><td> </td><td align="center">√</td><td> </td><td> </td><td align="center">√</td><td> </td></tr><tr valign="top"><td colspan="7" scope="row"><em>Diabetes</em></td></tr><tr valign="top"><td scope="row">Hospital admissions for lower extremity amputations per 1,000 adult patients with diagnosed diabetes</td><td> </td><td> </td><td> </td><td> </td><td align="center">√</td><td> </td></tr><tr valign="top"><td scope="row">Adults age 40 and over with diagnosed diabetes who received all three recommended services for diabetes in the calendar year (hemoglobin A1c measurement, dilated eye examination, and foot examination)</td><td> </td><td> </td><td> </td><td align="center">√</td><td> </td><td align="center">√</td></tr><tr valign="top"><td colspan="7" scope="row"><em>End Stage Renal Disease</em></td></tr><tr valign="top"><td scope="row">Adult hemodialysis patients with adequate dialysis (urea reduction ratio 65% or greater)</td><td> </td><td> </td><td> </td><td align="center">√</td><td align="center">√</td><td> </td></tr><tr valign="top"><td scope="row">Dialysis patients under age 70 who were registered on a waiting list for transplantation</td><td> </td><td> </td><td> </td><td align="center">√</td><td> </td><td> </td></tr><tr valign="top"><td colspan="7" scope="row"><em>Heart Disease</em></td></tr><tr valign="top"><td scope="row">Hospital patients with heart attack and left ventricular systolic dysfunction who received ACE inhibitor or ARB</td><td> </td><td> </td><td align="center">√</td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">Hospital patients with heart failure who received recommended hospital care (evaluation of left ventricular ejection fraction and ACE inhibitor or ARB prescription at discharge, if indicated)</td><td> </td><td> </td><td align="center">√</td><td> </td><td> </td><td align="center">√</td></tr><tr valign="top"><td scope="row">Deaths per 1,000 adult hospital admissions with heart attack</td><td> </td><td> </td><td> </td><td> </td><td align="center">√</td><td> </td></tr><tr valign="top"><td colspan="7" scope="row"><em>HIV/AIDS</em></td></tr><tr valign="top"><td scope="row">New AIDS cases per 100,000 population age 13 and over</td><td> </td><td> </td><td> </td><td> </td><td align="center">√</td><td> </td></tr><tr valign="top"><td colspan="7" scope="row"><em>Maternal and Child Health</em></td></tr><tr valign="top"><td scope="row">Women who completed a pregnancy in the last 12 months who first received prenatal care in the first trimester<a href="#ast">*</a></td><td> </td><td align="center">√</td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">Children ages 19-35 months who received all recommended vaccines</td><td> </td><td align="center">√</td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">Children ages 3-6 who ever had their vision checked by a health provider (alternating measure)</td><td> </td><td align="center">√</td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should have</td><td> </td><td align="center">√</td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">Children ages 2-17 for whom a health provider ever gave advice about healthy eating</td><td> </td><td align="center">√</td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">Infant deaths per 1,000 live births, birth weight less than 1,500 g<a href="#ast">*</a></td><td> </td><td> </td><td> </td><td> </td><td align="center">√</td><td> </td></tr><tr valign="top"><td colspan="7" scope="row"><em>Mental Health and Substance Abuse</em></td></tr><tr valign="top"><td scope="row">Adults with a major depressive episode in the last 12 months who received treatment for depression</td><td> </td><td> </td><td align="center">√</td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">People age 12 and over who needed treatment for illicit drug use or an alcohol problem and who received such treatment at a specialty facility in the last 12 months</td><td> </td><td> </td><td align="center">√</td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">Suicide deaths per 100,000 population</td><td> </td><td align="center">√</td><td> </td><td> </td><td align="center">√</td><td> </td></tr><tr valign="top"><td colspan="7" scope="row"><em>Respiratory Diseases</em></td></tr><tr valign="top"><td scope="row">Adults age 65 and over who ever received pneumococcal vaccination</td><td> </td><td align="center">√</td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler)</td><td> </td><td> </td><td> </td><td align="center">√</td><td> </td><td> </td></tr><tr valign="top"><td scope="row">Hospital patients with pneumonia who received recommended hospital care (initial antibiotics within 6 hours of hospital arrival; antibiotics consistent with current recommendations; blood culture before antibiotics are administered; influenza vaccination status assessment/vaccine provision; and pneumococcal vaccination status assessment/vaccine provision</td><td> </td><td> </td><td align="center">√</td><td> </td><td> </td><td align="center">√</td></tr><tr valign="top"><td scope="row">Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment</td><td> </td><td> </td><td align="center">√</td><td> </td><td align="center">√</td><td> </td></tr><tr valign="top"><td scope="row"><em>Lifestyle Modification</em></td><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">Adult current smokers with a checkup in the last 12 months who received advice to quit smoking</td><td> </td><td align="center">√</td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">Adults with obesity who ever received advice from a health provider to exercise more</td><td> </td><td align="center">√</td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td colspan="7" scope="row"><em>Functional Status Preservation and Rehabilitation</em></td></tr><tr valign="top"><td scope="row">Older women who reported ever being screened for osteoporosis</td><td> </td><td align="center">√</td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">Adult home health care patients whose ability to walk or move around improved</td><td> </td><td> </td><td> </td><td align="center">√</td><td align="center">√</td><td> </td></tr><tr valign="top"><td scope="row">Long-stay nursing home residents whose need for help with daily activities increased</td><td> </td><td> </td><td> </td><td align="center">√</td><td align="center">√</td><td> </td></tr><tr valign="top"><td scope="row"><em>Supportive and Palliative Care</em></td><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">Adult home health care patients with shortness of breath</td><td> </td><td> </td><td> </td><td align="center">√</td><td align="center">√</td><td> </td></tr><tr valign="top"><td scope="row">High-risk long-stay nursing home residents with pressure sores</td><td> </td><td> </td><td> </td><td align="center">√</td><td align="center">√</td><td> </td></tr><tr valign="top"><td scope="row">Short-stay nursing home residents with pressure sores</td><td> </td><td> </td><td> </td><td align="center">√</td><td align="center">√</td><td> </td></tr><tr valign="top"><td scope="row">Long-stay nursing home residents with physical restraints</td><td> </td><td> </td><td> </td><td align="center">√</td><td> </td><td> </td></tr><tr valign="top"><td colspan="7" scope="row"><strong>Patient Safety</strong></td></tr><tr valign="top"><td scope="row">Adult surgery patients who received appropriate timing of antibiotics (prophylactic antibiotics begun at the right time and ended at the right time)</td><td> </td><td> </td><td align="center">√</td><td> </td><td> </td><td align="center">√</td></tr><tr valign="top"><td scope="row">Adults age 65 and over who received potentially inappropriate prescription medications</td><td> </td><td> </td><td align="center">√</td><td> </td><td align="center">√</td><td> </td></tr><tr valign="top"><td scope="row">Adult surgery patients with postoperative complications</td><td> </td><td> </td><td> </td><td> </td><td align="center">√</td><td> </td></tr><tr valign="top"><td scope="row">Bloodstream infections or mechanical adverse events associated with central venous catheter placement</td><td> </td><td> </td><td> </td><td> </td><td align="center">√</td><td> </td></tr><tr valign="top"><td scope="row">Deaths per 1,000 discharges potentially resulting from care (failure to rescue)</td><td> </td><td> </td><td> </td><td> </td><td align="center">√</td><td> </td></tr><tr valign="top"><td colspan="7" scope="row"><strong>Timeliness</strong></td></tr><tr valign="top"><td scope="row">Adults who needed care right away for an illness, injury, or condition in the last 12 months who got care as soon as wanted</td><td> </td><td> </td><td> </td><td> </td><td align="center">√</td><td> </td></tr><tr valign="top"><td scope="row">Emergency department visits in which patients left without being seen</td><td> </td><td> </td><td> </td><td> </td><td align="center">√</td><td> </td></tr><tr valign="top"><td colspan="7" scope="row"><strong>Patient Centeredness</strong></td></tr><tr valign="top"><td scope="row">Children with ambulatory visits whose parents reported poor communication with health providers</td><td> </td><td> </td><td> </td><td> </td><td align="center">√</td><td align="center">√</td></tr><tr valign="top"><td scope="row">Adults with ambulatory visits who reported poor communication with health providers</td><td> </td><td> </td><td> </td><td> </td><td align="center">√</td><td align="center">√</td></tr><tr valign="top"><td scope="row"><strong>Access</strong></td><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">People under age 65 with health insurance</td><td align="center">√</td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">People under age 65 who were uninsured all year</td><td align="center">√</td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">People with a usual primary care provider</td><td align="center">√</td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">People without a usual source of care who indicated a financial or insurance reason for not having a source of care</td><td align="center">√</td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">People with a specific source of ongoing care</td><td align="center">√</td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr valign="top"><td scope="row">People who were unable to get or delayed in getting needed medical care, dental care, or prescription medicines in the last 12 months</td><td align="center">√</td><td> </td><td> </td><td> </td><td> </td><td align="center">√</td></tr></tbody></table><p class="size2"><a id="notexiii" name="notexii"></a><sup>xiii</sup> Cancer measures alternate by year. Data on colorectal cancer are presented in "even year" reports, and data on breast cancer are presented in "odd year" reports.<br>
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<a id="ast" name="ast"></a>* No new data</p>
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<p class="size2"><br />
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<a href="/research/findings/nhqrdr/nhdr10/Chap2.html">Proceed to Next Section</a></p>
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<div class="current-as-of">Page last reviewed October 2014</div>
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<div class="citation">
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<span>Internet Citation: Chapter 1. Introduction and Methods (continued, 2): National Healthcare Disparities Report, 2010.
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October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhdr10/Chap1b.html</span>
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