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<li><a href="/research/findings/nhqrdr/nhqr12/index.html">Main Page</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/acknow.html">Acknowledgments</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/highlights.html">Highlights</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap1.html">Chapter 1. Introduction and Methods</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap2.html">Chapter 2. Effectiveness</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap3.html">Chapter 3. Patient Safety</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap4.html">Chapter 4. Timeliness</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap5.html">Chapter 5. Patient Centeredness</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap6.html">Chapter 6. Care Coordination</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap7.html">Chapter 7. Efficiency</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap8.html">Chapter 8. Health Systems Infrastructure</a></li>
<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&nbsp;MB]</span>
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<h1>2012 National Healthcare Quality Report</h1>
<h2>Chapter 7, Text Descriptions for Figures</h2> <div id="basic-modal"><!-- start: Basic Modal -->
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<h4 class="figcaption"><a id="fig71" name="fig71"></a>Figure 7.1. Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year, by age and insurance, 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">65-69</td><td align="center">16.2</td><td align="center">18.4</td><td align="center">16.4</td><td align="center">18.4</td><td align="center">15.5</td><td align="center">15.2</td><td align="center">12.8</td><td align="center">14.1</td></tr><tr valign="top"><td scope="row">70-74</td><td align="center">20.6</td><td align="center">19.1</td><td align="center">16.3</td><td align="center">18.2</td><td align="center">15.1</td><td align="center">15.9</td><td align="center">13.6</td><td align="center">13.9</td></tr><tr valign="top"><td scope="row">75-79</td><td align="center">19.8</td><td align="center">17.2</td><td align="center">18.8</td><td align="center">19.6</td><td align="center">15.2</td><td align="center">15.7</td><td align="center">16.6</td><td align="center">13.7</td></tr><tr valign="top"><td scope="row">80+</td><td align="center">20.8</td><td align="center">18.9</td><td align="center">15.8</td><td align="center">15</td><td align="center">17.1</td><td align="center">15.1</td><td align="center">11.8</td><td align="center">12</td></tr></table><p>&#160;</p><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">65-69</td><td align="center">16.2</td><td align="center">18.4</td><td align="center">16.4</td><td align="center">18.4</td><td align="center">15.5</td><td align="center">15.2</td><td align="center">12.8</td><td align="center">14.1</td></tr><tr valign="top"><td scope="row">70-74</td><td align="center">20.6</td><td align="center">19.1</td><td align="center">16.3</td><td align="center">18.2</td><td align="center">15.1</td><td align="center">15.9</td><td align="center">13.6</td><td align="center">13.9</td></tr><tr valign="top"><td scope="row">75-79</td><td align="center">19.8</td><td align="center">17.2</td><td align="center">18.8</td><td align="center">19.6</td><td align="center">15.2</td><td align="center">15.7</td><td align="center">16.6</td><td align="center">13.7</td></tr><tr valign="top"><td scope="row">80+</td><td align="center">20.8</td><td align="center">18.9</td><td align="center">15.8</td><td align="center">15</td><td align="center">17.1</td><td align="center">15.1</td><td align="center">11.8</td><td align="center">12</td></tr></table><p><strong>Source:</strong> Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2009.<br /><strong>Denominator:</strong> Civilian noninstitutionalized population age 65 and over.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap7.html#fig71">Return to Document</a></p><h4 class="figcaption"><a id="fig72" name="fig72"></a>Figure 7.2. Potentially avoidable emergency department rates, by age and residence location, 2007-2009</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Age Group</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">3621.5</td><td align="center">3641.7</td><td align="center">3681.1</td></tr><tr valign="top"><td scope="row">18-44</td><td align="center">2442.5</td><td align="center">2466.5</td><td align="center">2574.1</td></tr><tr valign="top"><td scope="row">45-64</td><td align="center">3090.8</td><td align="center">3134.7</td><td align="center">3235.3</td></tr><tr valign="top"><td scope="row">65+</td><td align="center">8689.8</td><td align="center">8666.8</td><td align="center">8364.3</td></tr></table><p>&#160;</p><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Location</th><th scope="col">2007</th><th scope="col">2008</th><th scope="col">2009</th></tr><tr valign="top"><td scope="row">Large Metropolitan</td><td align="center">3276.3</td><td align="center">3242.7</td><td align="center">3309.3</td></tr><tr valign="top"><td scope="row">Small Metropolitan</td><td align="center">3783.0</td><td align="center">3865.1</td><td align="center">3849.2</td></tr><tr valign="top"><td scope="row">Micropolitan</td><td align="center">4332.7</td><td align="center">4314.4</td><td align="center">4380.5</td></tr><tr valign="top"><td scope="row">Noncore</td><td align="center">4467.0</td><td align="center">4710.2</td><td align="center">4761.8</td></tr></table><p><strong>Source:</strong> Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2007-2009.<br /><strong>Denominator: Adults age 18 and over.<br />Note:</strong> Annual rates are adjusted for age and gender.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap7.html#fig72">Return to Document</a></p><h4 class="figcaption"><a id="fig73" name="fig73"></a>Figure 7.3. Rate of emergency department visits with a principal diagnosis related to mental health and alcohol or substance abuse, per 100,000 population, by age and residence location, 2009</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Age Group / Location</th><th scope="col">Mental Health</th><th scope="col">Substance Abuse</th></tr><tr valign="top"><td scope="row">Total</td><td align="center">1170</td><td align="center">518</td></tr><tr valign="top"><td scope="row">0-17</td><td align="center">572</td><td align="center">91</td></tr><tr valign="top"><td scope="row">18-44</td><td align="center">1726</td><td align="center">745</td></tr><tr valign="top"><td scope="row">45-64</td><td align="center">1207</td><td align="center">759</td></tr><tr valign="top"><td scope="row">65-84</td><td align="center">621</td><td align="center">206</td></tr><tr valign="top"><td scope="row">85+</td><td align="center">639</td><td align="center">110</td></tr><tr valign="top"><td scope="row">Large Central Metropolitan</td><td align="center">1191</td><td align="center">624</td></tr><tr valign="top"><td scope="row">Large Fringe Metropolitan</td><td align="center">1036</td><td align="center">458</td></tr><tr valign="top"><td scope="row">Medium Metropolitan</td><td align="center">1246</td><td align="center">535</td></tr><tr valign="top"><td scope="row">Small Metropolitan</td><td align="center">1143</td><td align="center">476</td></tr><tr valign="top"><td scope="row">Micropolitan</td><td align="center">1257</td><td align="center">416</td></tr><tr valign="top"><td scope="row">Noncore</td><td align="center">1237</td><td align="center">424</td></tr></table><p><strong>Source:</strong> Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2009.<br /><strong>Denominator:</strong> U.S. population.<br /><strong>Note:</strong> For this measure, lower rates are better. Substance abuse includes visits for co-occurring substance abuse and mental health disorders.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap7.html#fig73">Return to Document</a></p><h4 class="figcaption"><a id="fig74" name="fig74"></a>Figure 7.4. Rate of emergency department visits with a principal diagnosis related to dental issues, per 100,000 population, by age and residence location, 2009</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Age Group / Location</th><th scope="col">2009</th></tr><tr valign="top"><td scope="row">Total</td><td align="center">307</td></tr><tr valign="top"><td scope="row">0-17</td><td align="center">110</td></tr><tr valign="top"><td scope="row">18-44</td><td align="center">611</td></tr><tr valign="top"><td scope="row">45-64</td><td align="center">184</td></tr><tr valign="top"><td scope="row">65-84</td><td align="center">46</td></tr><tr valign="top"><td scope="row">85+</td><td align="center">33</td></tr><tr valign="top"><td scope="row">Large Metropolitan</td><td align="center">217</td></tr><tr valign="top"><td scope="row">Small Metropolitan</td><td align="center">369</td></tr><tr valign="top"><td scope="row">Micropolitan</td><td align="center">478</td></tr><tr valign="top"><td scope="row">Noncore</td><td align="center">480</td></tr></table><p><strong>Source:</strong> Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2009.<br /><strong>Denominator:</strong> U.S. population.<br /><strong>Note:</strong> For this measure, lower rates are better.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap7.html#fig74">Return to Document</a></p><h4 class="figcaption"><a id="fig75" name="fig75"></a>Figure 7.5. Potentially avoidable hospitalization rates for adults, by type of hospitalization, 2000-2009</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Type of Hospitalization</th><th scope="col">2000</th><th scope="col">2001</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">Overall</td><td align="center">1657</td><td align="center">1635</td><td align="center">1684</td><td align="center">1614</td><td align="center">1559</td><td align="center">1562</td><td align="center">1502</td><td align="center">1458</td><td align="center">1433</td><td align="center">1395</td></tr><tr valign="top"><td scope="row">Acute</td><td align="center">714</td><td align="center">702</td><td align="center">745</td><td align="center">713</td><td align="center">686</td><td align="center">717</td><td align="center">656</td><td align="center">650</td><td align="center">638</td><td align="center">605</td></tr><tr valign="top"><td scope="row">Chronic</td><td align="center">943</td><td align="center">933</td><td align="center">939</td><td align="center">900</td><td align="center">873</td><td align="center">845</td><td align="center">846</td><td align="center">809</td><td align="center">795</td><td align="center">790</td></tr></table><p><strong>Source:</strong> Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, and AHRQ Quality Indicators, modified version 4.1, 2000-2009.<br /><strong>Denominator:</strong> Civilian noninstitutionalized adults age 18 and over.<br /><strong>Note:</strong> For this measure, lower rates are better. Annual rates are adjusted for age and gender.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap7.html#fig75">Return to Document</a></p><h4 class="figcaption"><strong><a id="fig76" name="fig76"></a>Figure 7.6. Total national costs associated with potentially avoidable hospitalizations, 2000-2009</strong></h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Year</th><th scope="col">Overall</th><th scope="col">Acute</th><th scope="col">Chronic</th></tr><tr valign="top"><td scope="row">2000</td><td align="center">$25.1</td><td align="center">$10.7</td><td align="center">$14.5</td></tr><tr valign="top"><td scope="row">2001</td><td align="center">$25.5</td><td align="center">$10.6</td><td align="center">$14.9</td></tr><tr valign="top"><td scope="row">2002</td><td align="center">$27.7</td><td align="center">$11.8</td><td align="center">$15.9</td></tr><tr valign="top"><td scope="row">2003</td><td align="center">$28.3</td><td align="center">$11.9</td><td align="center">$16.4</td></tr><tr valign="top"><td scope="row">2004</td><td align="center">$27.7</td><td align="center">$11.6</td><td align="center">$16.1</td></tr><tr valign="top"><td scope="row">2005</td><td align="center">$27.6</td><td align="center">$12.1</td><td align="center">$15.6</td></tr><tr valign="top"><td scope="row">2006</td><td align="center">$27.2</td><td align="center">$11.1</td><td align="center">$16.1</td></tr><tr valign="top"><td scope="row">2007</td><td align="center">$26.9</td><td align="center">$11.3</td><td align="center">$15.5</td></tr><tr valign="top"><td scope="row">2008</td><td align="center">$26.7</td><td align="center">$11.2</td><td align="center">$15.5</td></tr><tr valign="top"><td scope="row">2009</td><td align="center">$26.0</td><td align="center">$10.7</td><td align="center">$15.3</td></tr></table><p><strong>Source:</strong> Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, and AHRQ Quality Indicators, modified version 4.1, 2000-2009.<strong><br />Denominator:</strong> Civilian noninstitutionalized adults age 18 and over.<strong><br />Note:</strong> For this measure, lower rates are better. Annual rates are adjusted for age and gender. Costs are adjusted for inflation and are represented in billions of 2009 dollars.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap7.html#fig76">Return to Document</a></p><h4 class="figcaption"><a id="fig77" name="fig77"></a>Figure 7.7. Home health patients with potentially avoidable hospitalizations within 30 days of start of care, by State, 2008</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Quartile</th><th scope="col">States</th></tr><tr valign="top"><td scope="row">First (best) Quartile</td><td style=" text-align: left;">Washington, Oregon, Idaho, California, Utah, Colorado, New Mexico, Oklahoma, Texas, Florida, Delaware, Vermont, New Hampshire, Rhode Island</td></tr><tr valign="top"><td scope="row">2nd Quartile</td><td style=" text-align: left;">Alaska, Montana, North Dakota, South Dakota, Illinois, Louisiana, Michigan, Virginia, North Carolina, South Carolina, District of Columbia, Connecticut, Maine</td></tr><tr valign="top"><td scope="row">3rd Quartile</td><td style=" text-align: left;">Nevada, Arizona, Nebraska, Kansas, Minnesota, Iowa, Missouri, Arkansas, Mississippi, Alabama, Georgia, Massachusetts</td></tr><tr valign="top"><td scope="row">4th (worst) Quartile</td><td style=" text-align: left;">Hawaii, Wyoming, Wisconsin, Indiana, Ohio, Kentucky, Tennessee, West Virginia, Maryland, Pennsylvania, New York, New Jersey</td></tr><tr valign="top"><td scope="row">Missing</td><td style=" text-align: left;">Puerto Rico</td></tr></table><p><strong>Source:</strong> Centers for Medicare &amp; Medicaid Services, Outcome and Assessment Information Set linked with Medicare Part A claims (100%), 2008.<br /><strong>Denominator:</strong> Adult nonmaternity patients starting an episode of home health care.<br /><strong>Note:</strong> For this measure, lower numbers are better.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap7.html#fig77">Return to Document</a></p><h4 class="figcaption"><a id="fig78" name="fig78"></a>Figure 7.8. Residents with skilled nursing facility stays with potentially avoidable hospitalizations within 30 days of admission, by State, 2008</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Quartile</th><th scope="col">States</th></tr><tr valign="top"><td scope="row">First (best) Quartile</td><td style=" text-align: left;">Hawaii, Washington, Oregon, Idaho, Utah, Montana, Wyoming, North Dakota, South Dakota, Minnesota, Wisconsin, Vermont, New Hampshire</td></tr><tr valign="top"><td scope="row">2nd Quartile</td><td style=" text-align: left;">Alaska, New Mexico, Colorado, Nebraska, Iowa, Indiana, Ohio, West Virginia, North Carolina, South Carolina, Massachusetts, Maine</td></tr><tr valign="top"><td scope="row">3rd Quartile</td><td style=" text-align: left;">Arizona, Kansas, Missouri, Arkansas, Michigan, Kentucky, Tennessee, Alabama, Georgia, Virginia, Connecticut, Rhode Island</td></tr><tr valign="top"><td scope="row">4th (worst) Quartile</td><td style=" text-align: left;">California, Nevada, Oklahoma, Texas, Illinois, Louisiana, Mississippi, Florida, Maryland, Delaware, District of Columbia, New York, New Jersey</td></tr><tr valign="top"><td scope="row">Missing</td><td style=" text-align: left;">Puerto Rico</td></tr></table><p><strong>Source:</strong> Centers for Medicare &amp; Medicaid Services, Minimum Data Set 2.0, linked with Medicare Part A claims (100%), 2008.<br /><strong>Denominator:</strong> Residents who met the skilled nursing facility (SNF) criteria for nursing home admission<br /><strong>Note:</strong> for this measure, lower numbers are better.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap7.html#fig78">Return to Document</a></p><h4 class="figcaption"><a id="fig79" name="fig79"></a>Figure 7.9. Perforated appendixes per 1,000 admissions for appendicitis, by age and gender, 2004, 2005, and 2007-2009</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Age Group</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">18 to 44</td><td align="center">215.6</td><td align="center">206.9</td><td align="center">&#160;</td><td align="center">203.4</td><td align="center">192.7</td><td align="center">197.7</td></tr><tr valign="top"><td scope="row">45 to 64</td><td align="center">401</td><td align="center">398.5</td><td align="center">&#160;</td><td align="center">390.8</td><td align="center">377.0</td><td align="center">385.5</td></tr><tr valign="top"><td scope="row">65+</td><td align="center">543.1</td><td align="center">534.1</td><td align="center">&#160;</td><td align="center">517</td><td align="center">513.7</td><td align="center">510.2</td></tr></table><p>&#160;</p><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Gender</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">Male</td><td align="center">313.1</td><td align="center">305.5</td><td align="center">&#160;</td><td align="center">303.3</td><td align="center">289.0</td><td align="center">299.4</td></tr><tr valign="top"><td scope="row">Female</td><td align="center">267.9</td><td align="center">260.6</td><td align="center">&#160;</td><td align="center">249.2</td><td align="center">246.0</td><td align="center">243.8</td></tr></table><p><strong>Source:</strong> Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases disparities analysis file, 2004, 2005, and 2007-2009.<br /><strong>Note:</strong> For this measure, lower rates are better. Data for 2006 are not included, because a new version of the Prevention Quality Indicators software was used to calculate rates and 2006 was not included in the calculation.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap7.html#fig79">Return to Document</a></p><h4 class="figcaption"><a id="fig710" name="fig710"></a>Figure 7.10. Average estimated relative hospital cost efficiency index for a selected sample of urban general community hospitals (with confidence interval brackets), 2005-2009</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">&#160;</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">Relative Index</td><td align="center">100</td><td align="center">99.65</td><td align="center">99.67</td><td align="center">99.87</td><td align="center">99.73</td></tr></table><p><strong>Source:</strong> Agency for Healthcare Research and Quality. Analysis based on 1,552 urban general community hospitals with data in the Healthcare Cost and Utilization Project, State Inpatient Databases. Go to <a href="/research/findings/nhqrdr/nhqr12/chap1.html">Chapter 1, Introduction and Methods</a>, for further details.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap7.html#fig710">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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<span>Internet Citation: 2012 National Healthcare Quality Report: Chapter 7, Text Descriptions for Figures.
May 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqr12/chap7-text.html</span>
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