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<li><a href="/research/findings/nhqrdr/nhqr12/acknow.html">Acknowledgments</a></li>
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<li><a href="/research/findings/nhqrdr/nhqr12/highlights.html">Highlights</a></li>
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<li><a href="/research/findings/nhqrdr/nhqr12/chap1.html">Chapter 1. Introduction and Methods</a></li>
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<li><a href="/research/findings/nhqrdr/nhqr12/chap2.html">Chapter 2. Effectiveness</a></li>
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<li><a href="/research/findings/nhqrdr/nhqr12/chap3.html">Chapter 3. Patient Safety</a></li>
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<li><a href="/research/findings/nhqrdr/nhqr12/chap4.html">Chapter 4. Timeliness</a></li>
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<li><a href="/research/findings/nhqrdr/nhqr12/chap5.html">Chapter 5. Patient Centeredness</a></li>
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<li><a href="/research/findings/nhqrdr/nhqr12/chap6.html">Chapter 6. Care Coordination</a></li>
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<li><a href="/research/findings/nhqrdr/nhqr12/chap7.html">Chapter 7. Efficiency</a></li>
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<li><a href="/research/findings/nhqrdr/nhqr12/chap9.html">Chapter 9. Access to Health Care</a><br />
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<span><a href="/research/findings/nhqrdr/nhqr12/2012nhqr.pdf">2012 National Healthcare Quality Report (NHQR) </a> [ <img src="/resources/file_logos/pdf.gif" alt="PDF file" title="PDF file" class="icon" /> - 8.09 MB]</span>
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<h1>2012 National Healthcare Quality Report</h1>
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<h2>Chapter 4, Text Descriptions for Figures</h2> <div id="basic-modal"><!-- start: Basic Modal -->
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<h4 class="figcaption"><a id="fig41" name="fig41"></a>Figure 4.1. Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted, by age and geographic location, 2002-2009</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Age Group</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><th scope="col">2009</th></tr><tr valign="top"><td scope="row">Total</td><td align="center">15.3</td><td align="center">14.3</td><td align="center">14.2</td><td align="center">15.1</td><td align="center">15.3</td><td align="center">13.9</td><td align="center">15.4</td><td align="center">14.7</td></tr><tr valign="top"><td scope="row">18-44</td><td align="center">19.4</td><td align="center">17.9</td><td align="center">18</td><td align="center">19</td><td align="center">19</td><td align="center">17.3</td><td align="center">19</td><td align="center">19.1</td></tr><tr valign="top"><td scope="row">45-64</td><td align="center">13.4</td><td align="center">13.8</td><td align="center">13</td><td align="center">14.3</td><td align="center">14.5</td><td align="center">13.7</td><td align="center">15.4</td><td align="center">13.4</td></tr><tr valign="top"><td scope="row">65+</td><td align="center">8.5</td><td align="center">5.8</td><td align="center">7.4</td><td align="center">7.2</td><td align="center">7.7</td><td align="center">6.5</td><td align="center">7.1</td><td align="center">7.4</td></tr></table><p> </p><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Location</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><th scope="col">2009</th></tr><tr valign="top"><td scope="row">Metropolitan</td><td align="center">15.7</td><td align="center">14.6</td><td align="center">14.5</td><td align="center">15.4</td><td align="center">15.3</td><td align="center">13.9</td><td align="center">15.4</td><td align="center"> </td></tr><tr valign="top"><td scope="row">Large Fringe MSA</td><td align="center">12.4</td><td align="center">12.5</td><td align="center">13</td><td align="center">15.7</td><td align="center">15</td><td align="center">11.6</td><td align="center">12.4</td><td align="center">13.2</td></tr><tr valign="top"><td scope="row">Large Central MSA</td><td align="center">19.5</td><td align="center">18</td><td align="center">16.7</td><td align="center">16</td><td align="center">16.8</td><td align="center">16.9</td><td align="center">16.8</td><td align="center">17.3</td></tr><tr valign="top"><td scope="row">Medium MSA</td><td align="center">14.3</td><td align="center">11.9</td><td align="center">13.6</td><td align="center">14.4</td><td align="center">14.5</td><td align="center">11.6</td><td align="center">16.4</td><td align="center">15</td></tr><tr valign="top"><td scope="row">Small MSA</td><td align="center">15.1</td><td align="center">16.2</td><td align="center">14.2</td><td align="center">15</td><td align="center">13.2</td><td align="center">16</td><td align="center">16.8</td><td align="center">14.4</td></tr><tr valign="top"><td scope="row">Non-MSA</td><td align="center">13.5</td><td align="center">13.1</td><td align="center">12.9</td><td align="center">13.6</td><td align="center">15.1</td><td align="center">13.8</td><td align="center">15.7</td><td align="center">13</td></tr><tr valign="top"><td scope="row">Micropolitan</td><td align="center">13.9</td><td align="center">13.1</td><td align="center">13.2</td><td align="center">14.3</td><td align="center">14.2</td><td align="center">14.2</td><td align="center">15.7</td><td align="center"> </td></tr><tr valign="top"><td scope="row">Noncore</td><td align="center">12.9</td><td align="center">13</td><td align="center">12.4</td><td align="center">12.4</td><td align="center">17</td><td align="center">12.8</td><td align="center">15.6</td><td align="center"> </td></tr></table><p><strong>Key:</strong> MSA = metropolitan statistical area.<br /><strong>Source:</strong> Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2009.<br /><strong>Denominator:</strong> Civilian noninstitutionalized population age 18 and over.<br /><strong>Note:</strong> For this measure, lower rates are better.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap4.html#fig41">Return to Document</a></p><h4 class="figcaption"><a id="fig42" name="fig42"></a>Figure 4.2. Children who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted, by geographic location and insurance, 2002-2009</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Location</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><th scope="col">2009</th></tr><tr valign="top"><td scope="row">MSA</td><td align="center">7.08</td><td align="center">9.55</td><td align="center">7.3</td><td align="center">7.92</td><td align="center">6.62</td><td align="center">7.97</td><td align="center">5.5</td><td align="center"> </td></tr><tr valign="top"><td scope="row">Large Central MSA</td><td align="center">8.2</td><td align="center">10.7</td><td align="center">8.5</td><td align="center">6.3</td><td align="center">8.1</td><td align="center">8.1</td><td align="center">5.4</td><td align="center">5.6</td></tr><tr valign="top"><td scope="row">Large Fringe MSA</td><td align="center">7.1</td><td align="center">7.3</td><td align="center">5.7</td><td align="center">8.2</td><td align="center">3.6</td><td align="center">7.8</td><td align="center"> </td><td align="center">2.3</td></tr><tr valign="top"><td scope="row">Medium MSA</td><td align="center">6.2</td><td align="center">11</td><td align="center">8.3</td><td align="center">8.7</td><td align="center">8.9</td><td align="center">6.1</td><td align="center">5.5</td><td align="center">4.5</td></tr><tr valign="top"><td scope="row">Small MSA</td><td align="center">5.8</td><td align="center">9.3</td><td align="center"> </td><td align="center">9.7</td><td align="center"> </td><td align="center"> </td><td align="center"> </td><td align="center"> </td></tr><tr valign="top"><td scope="row">Non-MSA</td><td align="center">9.7</td><td align="center">7.0</td><td align="center">7.2</td><td align="center">9.2</td><td align="center">9.8</td><td align="center"> </td><td align="center">6.7</td><td align="center"> </td></tr></table><p> </p><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Insurance</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><th scope="col">2009</th></tr><tr valign="top"><td scope="row">Private Insurance</td><td align="center">6.3</td><td align="center">7.4</td><td align="center">6.2</td><td align="center">7</td><td align="center">6.2</td><td align="center">5.6</td><td align="center">4.7</td><td align="center">3.1</td></tr><tr valign="top"><td scope="row">Public Insurance</td><td align="center">10.1</td><td align="center">14.2</td><td align="center">9.7</td><td align="center">10.7</td><td align="center">9.7</td><td align="center">12.7</td><td align="center">6.3</td><td align="center">7.4</td></tr></table><p><strong>Key:</strong> MSA = metropolitan statistical area.<br /><strong>Source:</strong> Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2009.<br /><strong>Denominator:</strong> Civilian noninstitutionalized population under age 18.<br /><strong>Note:</strong> For this measure, lower rates are better. Data for some geographic areas in some years did not meet criteria for statistical reliability, data quality, or confidentiality.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap4.html#fig42">Return to Document</a></p><h4 class="figcaption"><a id="fig43" name="fig43"></a>Figure 4.3. Emergency department visits in which patient had to wait an hour or more by urgency, age, and geographic location, 2009-2010</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Urgency</th><th scope="col">0-17</th><th scope="col">18-44</th><th scope="col">45-64</th><th scope="col">65+</th></tr><tr valign="top"><td scope="row">Immediate/Emergent</td><td align="center">17.6</td><td align="center">24.7</td><td align="center">22.8</td><td align="center">18.6</td></tr><tr valign="top"><td scope="row">Urgent</td><td align="center">27.4</td><td align="center">34</td><td align="center">31.8</td><td align="center">27</td></tr></table><p> </p><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Urgency</th><th scope="col">Total</th><th scope="col">MSA</th><th scope="col">Non-MSA</th></tr><tr valign="top"><td scope="row">Immediate/Emergent</td><td align="center">21.5</td><td align="center">22.9</td><td align="center">12.4</td></tr><tr valign="top"><td scope="row">Urgent</td><td align="center">31</td><td align="center">33</td><td align="center">19.9</td></tr></table><p><strong>Key:</strong> MSA = metropolitan statistical area.<br /><strong>Source:</strong> Centers for Disease Control and Prevention, National Center for Health Statistics, National Hospital Ambulatory Medical Care Survey, 2009-2010.<br /><strong>Denominator (Immediate or Emergent):</strong> Visits to U.S. emergency department with triage assessment of immediate or emergent.<br /><strong>Denominator (Urgent):</strong> Visits to U.S. emergency department with triage assessment of urgent.<br /><strong>Note:</strong> For this measure, lower rates are better.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap4.html#fig43">Return to Document</a></p><h4 class="figcaption"><a id="fig44" name="fig44"></a>Figure 4.4. Hospital patients with heart attack who received percutaneous coronary intervention within 90 minutes, by age, 2005-2010</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Age Group</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><th scope="col">2010</th></tr><tr valign="top"><td scope="row"><65</td><td align="center">44.9</td><td align="center">56.4</td><td align="center">73.9</td><td align="center">82.9</td><td align="center">88.7</td><td align="center">91.9</td></tr><tr valign="top"><td scope="row">65-74</td><td align="center">40.4</td><td align="center">52</td><td align="center">69.9</td><td align="center">79.8</td><td align="center">86.6</td><td align="center">91</td></tr><tr valign="top"><td scope="row">75-84</td><td align="center">35.3</td><td align="center">47.5</td><td align="center">65.7</td><td align="center">77.6</td><td align="center">83.7</td><td align="center">88.2</td></tr><tr valign="top"><td scope="row">85+</td><td align="center">29.2</td><td align="center">41.4</td><td align="center">64.9</td><td align="center">74.2</td><td align="center">83.3</td><td align="center">88.5</td></tr></table><p><strong>Source:</strong> Centers for Medicare & Medicaid Services, Medicare Quality Improvement Organization Program, 2005-2010.<br /><strong>Denominator:</strong> Patients hospitalized with a principal diagnosis of acute myocardial infarction who were appropriate candidates for PCI medication.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap4.html#fig44">Return to Document</a></p><h4 class="figcaption"><a id="fig45" name="fig45"></a>Figure 4.5. Hospital patients with heart attack who received fibrinolytic medication within 30 minutes, by age, 2005-2010</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Age Group</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><th scope="col">2010</th></tr><tr valign="top"><td scope="row"><65</td><td align="center">41.4</td><td align="center">46</td><td align="center">53.3</td><td align="center">52.5</td><td align="center">55.3</td><td align="center">61.8</td></tr><tr valign="top"><td scope="row">65-74</td><td align="center">36.6</td><td align="center">41</td><td align="center">48.1</td><td align="center">48.0</td><td align="center">56.7</td><td align="center">56.5</td></tr><tr valign="top"><td scope="row">75-84</td><td align="center">31.4</td><td align="center">32.5</td><td align="center">40</td><td align="center">43.5</td><td align="center">47.4</td><td align="center">53.3</td></tr><tr valign="top"><td scope="row">85+</td><td align="center">23.6</td><td align="center">27.5</td><td align="center">42.9</td><td align="center">34.5</td><td align="center">50</td><td align="center">41.4</td></tr></table><p><strong>Source:</strong> Centers for Medicare & Medicaid Services, Medicare Quality Improvement Organization Program, 2005-2010.<br /><strong>Denominator:</strong> Patients hospitalized with a principal diagnosis of acute myocardial infarction who were appropriate candidates for fibrinolytic medication.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap4.html#fig45">Return to Document</a></p> </div>
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<div class="current-as-of">Page last reviewed May 2013</div>
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<div class="citation">
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<span>Internet Citation: 2012 National Healthcare Quality Report: Chapter 4, Text Descriptions for Figures.
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May 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqr12/chap4-text.html</span>
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