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<div><div><ul><li><a href="/research/findings/nhqrdr/nhdr11/index.html">Main Page</a></li><li><a href="/research/findings/nhqrdr/nhdr11/ackno.html">Acknowledgments</a></li><li><a href="/research/findings/nhqrdr/nhdr11/key.html">Highlights From the National Healthcare Quality and Disparities Report</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap1.html">Chapter 1. Introduction and Methods</a></li><li><a href="nhdr11/chap2.htm">Chapter 2. Effectiveness</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap3.html">Chapter 3. Patient Safety</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap4.html">Chapter 4. Timeliness</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap5.html">Chapter 5. Patient Centeredness</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap6.html">Chapter 6. Care Coordination</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap7.html">Chapter 7. Efficiency</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap8.html">Chapter 8. Health Systems Infrastructure</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap9.html">Chapter 9. Access to Health Care</a></li><li><a href="/research/findings/nhqrdr/nhdr11/chap10.html">Chapter 10. Priority Populations</a></li><li><strong>Appendixes</strong></li><li>Data Sources</li><li>Detailed Methods</li><li>Measure Specifications</li><li>Data Tables</li></ul></div></div>
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<h1>Chapter 6. Care Coordination (Text Descriptions)</h1>
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<h2>National Healthcare Disparities Report, 2011</h2> <div id="basic-modal"><!-- start: Basic Modal -->
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<a id="fig61" name="fig61"></a> <h4 class="figcaption">Figure 6.1. Hospitalized adult patients with heart failure who were given complete written discharge instructions, by race/ethnicity, 2005-2009</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Race / Ethnicity</th><th scope="col">2005</th><th scope="col">2006</th><th scope="col">2007</th><th scope="col">2008</th><th scope="col">2009</th></tr><tr><td scope="row">White (percent)</td><td align="center">58.6</td><td align="center">69.5</td><td align="center">76.6</td><td align="center">82.2</td><td align="center">86.3</td></tr><tr><td scope="row">Black (percent)</td><td align="center">56.7</td><td align="center">68.1</td><td align="center">75.8</td><td align="center">81.7</td><td align="center">86.4</td></tr><tr><td scope="row">Hispanic (percent)</td><td align="center">53.0</td><td align="center">65.6</td><td align="center">72.6</td><td align="center">81.8</td><td align="center">88.2</td></tr><tr><td scope="row">AI/AN (percent)</td><td align="center">48.2</td><td align="center">59.7</td><td align="center">65.0</td><td align="center">69.8</td><td align="center">76.3</td></tr><tr><td scope="row">Asian (percent)</td><td align="center">49.1</td><td align="center">61.5</td><td align="center">74.6</td><td align="center">83.7</td><td align="center">87.1</td></tr></tbody></table><p class="size2"><strong>Source:</strong> Centers for Medicare & Medicaid Services, Quality Improvement Organization Program, 2005-2009.<br /><br /><strong>Denominator:</strong> Hospitalized adult patients with a principal discharge diagnosis of heart failure.<br /><br /><strong>Note:</strong> Complete written discharge instructions needed to address all of the following: activity level, diet, discharge medications, followup appointment, weight monitoring, and actions to take if symptoms worsen.<br />2008 Achievable Benchmark: 88%.</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap6.html#fig61">Return to Document</a></p><a id="fig62" name="fig62"></a> <h4 class="figcaption">Figure 6.2. Patients who reported that they always received test results, commercially insured adults ages 18 and over in primary care practices, by race/ethnicity and education, Massachusetts, 2007 and 2009</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Race / Ethnicity</th><th scope="col">2007</th><th scope="col">2009</th></tr><tr><td scope="row">White (percent)</td><td align="center">69</td><td align="center">70</td></tr><tr><td scope="row">Black (percent)</td><td align="center">63</td><td align="center">65</td></tr><tr><td scope="row">Hispanic (percent)</td><td align="center">59</td><td align="center">58</td></tr><tr><td scope="row">Asian (percent)</td><td align="center">53</td><td align="center">53</td></tr></tbody></table><br /><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Education</th><th scope="col">2007</th><th scope="col">2009</th></tr><tr><td scope="row">Total (percent)</td><td align="center">68</td><td align="center">69</td></tr><tr><td scope="row"><High School (percent)</td><td align="center">64</td><td align="center">67</td></tr><tr><td scope="row">High School Grad (percent)</td><td align="center">68</td><td align="center">69</td></tr><tr><td scope="row">Any College (percent)</td><td align="center">69</td><td align="center">68</td></tr></tbody></table><p class="size2"><strong>Source:</strong> Massachusetts Health Quality Partners, Patient Experience Survey, 2007 and 2009.<br /><br /><strong>Note:</strong> Respondents limited to patients who received a test in the past year.</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap6.html#fig62">Return to Document</a></p><a id="fig63" name="fig63"></a> <h4 class="figcaption">Figure 6.3. Parents of patients who reported that they always received test results, commercially insured children under age 18 in primary care practices, by race/ethnicity and parent's education, Massachusetts, 2007 and 2009</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Race / Ethnicity</th><th scope="col">2007</th><th scope="col">2009</th></tr><tr><td scope="row">White (percent)</td><td align="center">71</td><td align="center">73</td></tr><tr><td scope="row">Black (percent)</td><td align="center">59</td><td align="center">64</td></tr><tr><td scope="row">Hispanic (percent)</td><td align="center">65</td><td align="center">61</td></tr><tr><td scope="row">Asian (percent)</td><td align="center">56</td><td align="center">51</td></tr></tbody></table><br /><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Parents' Education</th><th scope="col">2007</th><th scope="col">2009</th></tr><tr><td scope="row">Total (percent)</td><td align="center">69</td><td align="center">70</td></tr><tr><td scope="row"><High School (percent)</td><td align="center">47</td><td align="center">58</td></tr><tr><td scope="row">High School Grad (percent)</td><td align="center">70</td><td align="center">69</td></tr><tr><td scope="row">Any College (percent)</td><td align="center">70</td><td align="center">70</td></tr></tbody></table><p class="size2"><strong>Source:</strong> Massachusetts Health Quality Partners, Patient Experience Survey, 2007 and 2009.<br /><br /><strong>Note:</strong> White, Black, and Asian populations are non-Hispanic. Respondents limited to patients who received a test in the past year. Education refers to the parents. Data were insufficient for this analysis for American Indians and Alaska Natives and Native Hawaiians and Other Pacific Islanders.</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap6.html#fig63">Return to Document</a></p><a id="fig64" name="fig64"></a> <h4 class="figcaption">Figure 6.4. Rehospitalization for congestive heart failure, by race/ethnicity and State, 12 States, 2008</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">State</th><th scope="col">White</th><th scope="col">Black</th><th scope="col">API</th><th scope="col">Hispanic</th></tr><tr><td scope="row">All States</td><td align="center">20.9%</td><td align="center">23.1%</td><td align="center">20.7%</td><td align="center">22.6%</td></tr><tr><td scope="row">State A</td><td align="center">13.9%</td><td align="center">-</td><td align="center">-</td><td align="center">17.3%</td></tr><tr><td scope="row">State B</td><td align="center">17.6%</td><td align="center">-</td><td align="center">-</td><td align="center">-</td></tr><tr><td scope="row">State C</td><td align="center">18.5%</td><td align="center">19.1%</td><td align="center">-</td><td align="center">-</td></tr><tr><td scope="row">State D</td><td align="center">18.1%</td><td align="center">-</td><td align="center">19.3%</td><td align="center">-</td></tr><tr><td scope="row">State E</td><td align="center">20.4%</td><td align="center">21.0%</td><td align="center">12.9%</td><td align="center">17.7%</td></tr><tr><td scope="row">State F</td><td align="center">20.5%</td><td align="center">24.8%</td><td align="center">20.3%</td><td align="center">21.2%</td></tr><tr><td scope="row">State G</td><td align="center">21.3%</td><td align="center">22.2%</td><td align="center">-</td><td align="center">22.5%</td></tr><tr><td scope="row">State H</td><td align="center">20.8%</td><td align="center">23.6%</td><td align="center">21.1%</td><td align="center">22.5%</td></tr><tr><td scope="row">State I</td><td align="center">21.5%</td><td align="center">22.1%</td><td align="center">-</td><td align="center">-</td></tr><tr><td scope="row">State J</td><td align="center">20.7%</td><td align="center">25.9%</td><td align="center">-</td><td align="center">17.1%</td></tr><tr><td scope="row">State K</td><td align="center">21.7%</td><td align="center">23.8%</td><td align="center">25.4%</td><td align="center">26.1%</td></tr><tr><td scope="row">State L</td><td align="center">22.4%</td><td align="center">26.0%</td><td align="center">21.6%</td><td align="center">26.9%</td></tr></tbody></table><p class="size2"><strong>Key:</strong> API = Asian or Pacific Islander.<br /><br /><strong>Source:</strong> Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases, 2008.<br /><br /><strong>Denominator:</strong> Patients hospitalized for congestive heart failure.<br /><br /><strong>Note:</strong> Some States had insufficient data for this analysis for Blacks, APIs, and Hispanics.</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap6.html#fig64">Return to Document</a></p><a id="fig65" name="fig65"></a> <h4 class="figcaption">Figure 6.5. People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors, by race and activity limitations, United States, 2002-2008</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Race</th><th scope="col">2002</th><th scope="col">2003</th><th scope="col">2004</th><th scope="col">2005</th><th scope="col">2006</th><th scope="col">2007</th><th scope="col">2008</th></tr><tr><td scope="row">White (percent)</td><td align="center">75.3</td><td align="center">75.9</td><td align="center">78.1</td><td align="center">78.1</td><td align="center">79.4</td><td align="center">80.0</td><td align="center">80.6</td></tr><tr><td scope="row">Black (percent)</td><td align="center">77.5</td><td align="center">79.5</td><td align="center">76.9</td><td align="center">75.7</td><td align="center">78.2</td><td align="center">83.0</td><td align="center">83.3</td></tr><tr><td scope="row">Asian (percent)</td><td align="center">67.5</td><td align="center">74.2</td><td align="center">76.0</td><td align="center">78.5</td><td align="center">74.2</td><td align="center">76.3</td><td align="center">73.6</td></tr><tr><td scope="row">NHOPI (percent)</td><td align="center">-</td><td align="center">-</td><td align="center">79.3</td><td align="center">86.4</td><td align="center">-</td><td align="center">-</td><td align="center">-</td></tr><tr><td scope="row">AI/AN (percent)</td><td align="center">71.0</td><td align="center">80.9</td><td align="center">77.4</td><td align="center">75.7</td><td align="center">82.2</td><td align="center">76.9</td><td align="center">75.0</td></tr><tr><td scope="row">> 1 Race (percent)</td><td align="center">73.5</td><td align="center">76.6</td><td align="center">75.5</td><td align="center">72.2</td><td align="center">76.8</td><td align="center">77.7</td><td align="center">74.7</td></tr></tbody></table><br /><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Activity Limitations</th><th scope="col">2002</th><th scope="col">2003</th><th scope="col">2004</th><th scope="col">2005</th><th scope="col">2006</th><th scope="col">2007</th><th scope="col">2008</th></tr><tr><td scope="row">Basic (percent)</td><td align="center">74.5</td><td align="center">78.9</td><td align="center">78.9</td><td align="center">79.5</td><td align="center">79.2</td><td align="center">82.1</td><td align="center">80.3</td></tr><tr><td scope="row">Complex (percent)</td><td align="center">75.9</td><td align="center">79.2</td><td align="center">80.5</td><td align="center">81.0</td><td align="center">81.0</td><td align="center">81.8</td><td align="center">80.8</td></tr><tr><td scope="row">Neither Basic nor Complex (percent)</td><td align="center">77.2</td><td align="center">77.6</td><td align="center">79.7</td><td align="center">78.8</td><td align="center">80.4</td><td align="center">81.4</td><td align="center">82.3</td></tr></tbody></table><p class="size2"><strong>Key:</strong> AI/AN = American Indian or Alaska Native, NHOPI = Native Hawaiian or Other Pacific Islander.<br /><br /><strong>Source:</strong> Agency for Healthcare Research and Quality, Center for Financing, Access, and Cost Trends, Medical Expenditure Panel Survey, 2002-2008.<br /><br /><strong>Denominator:</strong> Civilian noninstitutionalized population who report a usual source of care.<br /><br /><strong>Note:</strong> Data for NHOPIs were insufficient for analysis except in 2004 and 2005.</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap6.html#fig65">Return to Document</a></p><a id="fig66" name="fig66"></a> <h4 class="figcaption">Figure 6.6. Hospitals with electronic exchange of patient information on medication history, by teaching status and ownership, 2009</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Location</th><th scope="col">Hospitals in System</th><th scope="col">Hospitals Outside System</th><th scope="col">Ambulatory Providers Outside System</th></tr><tr><td scope="row">Northeast</td><td align="center">72.7</td><td align="center">15.6</td><td align="center">29.2</td></tr><tr><td scope="row">Midwest</td><td align="center">72.9</td><td align="center">14.3</td><td align="center">32.2</td></tr><tr><td scope="row">South</td><td align="center">71.4</td><td align="center">10.8</td><td align="center">25.4</td></tr><tr><td scope="row">West</td><td align="center">73.8</td><td align="center">15.0</td><td align="center">24.9</td></tr><tr><td scope="row">MSA</td><td align="center">78.8</td><td align="center">13.3</td><td align="center">29.6</td></tr><tr><td scope="row">Non-MSA</td><td align="center">63.2</td><td align="center">13.5</td><td align="center">26.2</td></tr></tbody></table><p class="size2"><strong>Source:</strong> American Hospital Association Annual Survey Information Technology Supplement, 2009.</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap6.html#fig66">Return to Document</a></p><a id="fig67" name="fig67"></a> <h4 class="figcaption">Figure 6.7. Potentially avoidable emergency department encounters for asthma, among adults, by income and by geographic location, and among children, by income and by geographic location, 2008</h4><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Income Quartile</th><th scope="col">Adults, ED Visit Plus Hospitalization</th><th scope="col">Adults, ED Visit No Hospitalization</th></tr><tr><td scope="row">Total (rate per 100,000 pop.)</td><td align="center">106.8</td><td align="center">406.5</td></tr><tr><td scope="row">First Quartile (Lowest Income) (rate per 100,000 pop.)</td><td align="center">168.6</td><td align="center">614.1</td></tr><tr><td scope="row">Second Quartile (rate per 100,000 pop.)</td><td align="center">108.6</td><td align="center">452.2</td></tr><tr><td scope="row">Third Quartile (rate per 100,000 pop.)</td><td align="center">86.5</td><td align="center">330.4</td></tr><tr><td scope="row">Fourth Quartile (Highest Income) (rate per 100,000)</td><td align="center">70.4</td><td align="center">239.2</td></tr></tbody></table><br /><table border="1" cellpadding="3" width="80%"><tbody><tr><th scope="col">Income Quartile</th><th scope="col">Children, ED Visit Plus Hospitalization</th><th scope="col">Children, ED Visit No Hospitalization</th></tr><tr><td scope="row">Total (rate per 100,000 pop.)</td><td align="center">98.3</td><td align="center">778.2</td></tr><tr><td scope="row">First Quartile (Lowest Income) (rate per 100,000 pop.)</td><td align="center">143.7</td><td align="center">1136.2</td></tr><tr><td scope="row">Second Quartile (rate per 100,000 pop.)</td><td align="center">101.0</td><td align="center">810.9</td></tr><tr><td scope="row">Third Quartile (rate per 100,000 pop.)</td><td align="center">80.4</td><td align="center">675.8</td></tr><tr><td scope="row">Fourth Quartile (Highest Income) (rate per 100,000 pop.)</td><td align="center">63.5</td><td align="center">459.8</td></tr></tbody></table><p class="size2"><strong>Source:</strong> Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2008.<br /><br /><strong>Denominator:</strong> U.S. population.<br /><br /><strong>Note:</strong> Annual rates are adjusted for age and gender.</p><p class="size2"><a href="/research/findings/nhqrdr/nhdr11/chap6.html#fig67">Return to Document</a></p> </div>
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<span>Internet Citation: Chapter 6. Care Coordination (Text Descriptions): National Healthcare Disparities Report, 2011.
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October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhdr11/chap6txt.html</span>
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