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<h1 class="page__title title" id="page-title">National Healthcare Quality Report, 2013</h1> <h2>Chapter 8: Text Descriptions</h2><div id="block-book-helper-book-helper-inline-navigation" class="block block-book-helper first odd">
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<h3>Table of Contents</h3>
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<div>
<div class="views-field views-field-title"><span class="field-content"><a href="/research/findings/nhqrdr/nhqr13/index.html" title="National Healthcare Quality Report, 2013">National Healthcare Quality Report, 2013</a></span></div> </div>
<div>
<a href="/research/findings/nhqrdr/nhqr13/acknow.html" title="Acknowledgments">Acknowledgments</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhqr13/highlights.html" title="Highlights From the 2013 National Healthcare Quality and Disparities Reports">Highlights From the 2013 National Healthcare Quality and Disparities Reports</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhqr13/chap1.html" title="Chapter 1. Introduction and Methods">Chapter 1. Introduction and Methods</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhqr13/chap2.html" title="Chapter 2. Effectiveness of Care for Common Clinical Conditions">Chapter 2. Effectiveness of Care for Common Clinical Conditions</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhqr13/chap3.html" title="Chapter 3. Effectiveness of Care Across the Lifespan">Chapter 3. Effectiveness of Care Across the Lifespan</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhqr13/chap4.html" title="Chapter 4. Patient Safety">Chapter 4. Patient Safety</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhqr13/chap5.html" title="Chapter 5. Timeliness">Chapter 5. Timeliness</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhqr13/chap6.html" title="Chapter 6. Patient Centeredness">Chapter 6. Patient Centeredness</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhqr13/chap7.html" title="Chapter 7. Care Coordination">Chapter 7. Care Coordination</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhqr13/chap8.html" title="Chapter 8. Efficiency">Chapter 8. Efficiency</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhqr13/chap9.html" title="Chapter 9. Health System Infrastructure">Chapter 9. Health System Infrastructure</a> </div>
<div>
<a href="/research/findings/nhqrdr/nhqr13/chap10.html" title="Chapter 10. Access to Health Care">Chapter 10. Access to Health Care</a> </div>
</div>
</div> </div>
</div>
</div>
<div class="field field-name-ahrq-generic-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><h4><a id="fig81" name="fig81"> </a>Figure 8.1. Potentially avoidable emergency department visit rates, by age and residence location, 2007-2010</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</th>
<th scope="col">2007</th>
<th scope="col">2008</th>
<th scope="col">2009</th>
<th scope="col">2010</th>
</tr>
<tr>
<td scope="row">Total (per 100,000)</td>
<td>3,621.5</td>
<td>3,641.7</td>
<td>3,681.1</td>
<td>3,706.9</td>
</tr>
<tr>
<td scope="row">18-44 (per 100,000)</td>
<td>2,442.5</td>
<td>2,466.5</td>
<td>2,574.1</td>
<td>2,668.5</td>
</tr>
<tr>
<td scope="row">45-64 (per 100,000)</td>
<td>3,090.8</td>
<td>3,134.7</td>
<td>3,235.3</td>
<td>3,275.4</td>
</tr>
<tr>
<td scope="row">65+ (per 100,000)</td>
<td>8,689.8</td>
<td>8,666.8</td>
<td>8,364.3</td>
<td>8,137.9</td>
</tr>
<tr>
<td scope="row">Large Metropolitan (per 100,000)</td>
<td>3,276.3</td>
<td>3,242.7</td>
<td>3,309.3</td>
<td>3,302.7</td>
</tr>
<tr>
<td scope="row">Small Metropolitan (per 100,000)</td>
<td>3,783.0</td>
<td>3,865.1</td>
<td>3,849.2</td>
<td>3,931.2</td>
</tr>
<tr>
<td scope="row">Micropolitan (per 100,000)</td>
<td>4,332.7</td>
<td>4,314.4</td>
<td>4,380.5</td>
<td>4,451.6</td>
</tr>
<tr>
<td scope="row">Noncore (per 100,000)</td>
<td>4,467.0</td>
<td>4,710.2</td>
<td>4,761.8</td>
<td>4,732.4</td>
</tr>
</tbody>
</table>
<p><strong>Key:</strong> MSA = metropolitan statistical area.<br />
<strong>Source:</strong> Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2007-2010.<br />
<strong>Denominator:</strong> 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/nhqr13/chap8.html#fig81">Return to Document</a></p>
<h4><a id="fig82" name="fig82"> </a>Figure 8.2. 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, 2010</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</th>
<th scope="col">Mental Health (per 100,000)</th>
<th scope="col">Substance Abuse (per 100,000)</th>
</tr>
<tr>
<td scope="row">Total</td>
<td>1,196.7</td>
<td>510.0</td>
</tr>
<tr>
<td scope="row">0-17</td>
<td>564.2</td>
<td>87.0</td>
</tr>
<tr>
<td scope="row">18-44</td>
<td>1,791.4</td>
<td>735.0</td>
</tr>
<tr>
<td scope="row">45-64</td>
<td>1,237.2</td>
<td>755.0</td>
</tr>
<tr>
<td scope="row">65-84</td>
<td>620.9</td>
<td>197.0</td>
</tr>
<tr>
<td scope="row">85+</td>
<td>652.6</td>
<td>103.0</td>
</tr>
<tr>
<td scope="row">Large Central Metropolitan</td>
<td>1,225.6</td>
<td>627.0</td>
</tr>
<tr>
<td scope="row">Large Fringe Metropolitan</td>
<td>1,011.6</td>
<td>455.0</td>
</tr>
<tr>
<td scope="row">Medium Metropolitan</td>
<td>1,281.6</td>
<td>525.0</td>
</tr>
<tr>
<td scope="row">Small Metropolitan</td>
<td>1,263.9</td>
<td>454.0</td>
</tr>
<tr>
<td scope="row">Micropolitan</td>
<td>1,316.4</td>
<td>398.0</td>
</tr>
<tr>
<td scope="row">Noncore</td>
<td>1,214.2</td>
<td>392.0</td>
</tr>
</tbody>
</table>
<p><strong>Key:</strong> MSA = metropolitan statistical area.<br />
<strong>Source:</strong> Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2010.<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/nhqr13/chap8.html#fig82">Return to Document</a></p>
<h4><a id="fig83" name="fig83"> </a>Figure 8.3. National trends in potentially avoidable hospitalization rates for adults, by type of hospitalization, 2000-2010</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</th>
<th scope="col">Overall (per 100,000)</th>
<th scope="col">Acute (per 100,000)</th>
<th scope="col">Chronic (per 100,000)</th>
</tr>
<tr>
<td scope="row">2000</td>
<td>1,656.9</td>
<td>714.2</td>
<td>942.8</td>
</tr>
<tr>
<td scope="row">2001</td>
<td>1,635.3</td>
<td>702.4</td>
<td>933.0</td>
</tr>
<tr>
<td scope="row">2002</td>
<td>1,684.0</td>
<td>745.3</td>
<td>938.9</td>
</tr>
<tr>
<td scope="row">2003</td>
<td>1,613.6</td>
<td>713.3</td>
<td>900.4</td>
</tr>
<tr>
<td scope="row">2004</td>
<td>1,559.1</td>
<td>686.4</td>
<td>872.8</td>
</tr>
<tr>
<td scope="row">2005</td>
<td>1,562.1</td>
<td>716.9</td>
<td>845.3</td>
</tr>
<tr>
<td scope="row">2006</td>
<td>1,502.3</td>
<td>655.9</td>
<td>846.5</td>
</tr>
<tr>
<td scope="row">2007</td>
<td>1,458.3</td>
<td>649.6</td>
<td>808.8</td>
</tr>
<tr>
<td scope="row">2008</td>
<td>1,433.5</td>
<td>638.1</td>
<td>795.4</td>
</tr>
<tr>
<td scope="row">2009</td>
<td>1,395.1</td>
<td>605.0</td>
<td>790.2</td>
</tr>
<tr>
<td scope="row">2010</td>
<td>1,313.0</td>
<td>563.0</td>
<td>750.4</td>
</tr>
</tbody>
</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, 2000-2010.<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.<br />
<strong>2008 Overall Achievable Benchmark:</strong> 818<br />
<strong>2008 Achievable Benchmark:</strong><br />
Acute: 387<br />
Chronic: 394</p>
<p><a href="/research/findings/nhqrdr/nhqr13/chap8.html#fig83">Return to Document</a></p>
<h4><a id="fig84" name="fig84"> </a>Figure 8.4. Total national costs associated with potentially avoidable hospitalizations, 2000-2010</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</th>
<th scope="col">Overall (in Billions)</th>
<th scope="col">Acute (in Billions)</th>
<th scope="col">Chronic (in Billions)</th>
</tr>
<tr>
<td scope="row">2000</td>
<td>$25.44</td>
<td>$10.78</td>
<td>$14.67</td>
</tr>
<tr>
<td scope="row">2001</td>
<td>$25.80</td>
<td>$10.70</td>
<td>$15.10</td>
</tr>
<tr>
<td scope="row">2002</td>
<td>$27.99</td>
<td>$11.91</td>
<td>$16.09</td>
</tr>
<tr>
<td scope="row">2003</td>
<td>$28.66</td>
<td>$12.06</td>
<td>$16.60</td>
</tr>
<tr>
<td scope="row">2004</td>
<td>$28.02</td>
<td>$11.74</td>
<td>$16.28</td>
</tr>
<tr>
<td scope="row">2005</td>
<td>$27.97</td>
<td>$12.19</td>
<td>$15.78</td>
</tr>
<tr>
<td scope="row">2006</td>
<td>$27.49</td>
<td>$11.20</td>
<td>$16.30</td>
</tr>
<tr>
<td scope="row">2007</td>
<td>$27.17</td>
<td>$11.48</td>
<td>$15.70</td>
</tr>
<tr>
<td scope="row">2008</td>
<td>$27.02</td>
<td>$11.37</td>
<td>$15.66</td>
</tr>
<tr>
<td scope="row">2009</td>
<td>$26.33</td>
<td>$10.83</td>
<td>$15.51</td>
</tr>
<tr>
<td scope="row">2010</td>
<td>$26.75</td>
<td>$10.84</td>
<td>$15.92</td>
</tr>
</tbody>
</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, 2000-2010.<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. Costs are adjusted for inflation and are represented in 2010 dollars.</p>
<p><a href="/research/findings/nhqrdr/nhqr13/chap8.html#fig84">Return to Document</a></p>
<h4><a id="fig85" name="fig85"> </a>Figure 8.5. Perforated appendixes per 1,000 admissions for appendicitis, by age and sex, 2004-2010</h4>
<table border="1" cellpadding="3" cellspacing="1" width="95%">
<tbody>
<tr>
<th scope="col">&nbsp;</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>
<th scope="col">2010</th>
</tr>
<tr>
<td scope="row">Total (per 1,000)</td>
<td>293.8</td>
<td>286.2</td>
<td>286.3</td>
<td>280.0</td>
<td>270.1</td>
<td>275.2</td>
<td>287.0</td>
</tr>
<tr>
<td scope="row">18 to 44 (per 1,000)</td>
<td>215.6</td>
<td>206.9</td>
<td>210.1</td>
<td>203.4</td>
<td>192.7</td>
<td>197.7</td>
<td>208.7</td>
</tr>
<tr>
<td scope="row">45 to 64 (per 1,000)</td>
<td>401.0</td>
<td>398.5</td>
<td>394.0</td>
<td>390.8</td>
<td>377.0</td>
<td>385.5</td>
<td>400.9</td>
</tr>
<tr>
<td scope="row">65+ (per 1,000)</td>
<td>543.1</td>
<td>534.1</td>
<td>523.4</td>
<td>517.0</td>
<td>513.7</td>
<td>510.2</td>
<td>520.0</td>
</tr>
<tr>
<td scope="row">Male (per 1,000)</td>
<td>313.1</td>
<td>305.5</td>
<td>307.0</td>
<td>303.3</td>
<td>289.0</td>
<td>299.4</td>
<td>314.0</td>
</tr>
<tr>
<td scope="row">Female (per 1,000)</td>
<td>267.9</td>
<td>260.6</td>
<td>259.2</td>
<td>249.2</td>
<td>246.0</td>
<td>243.8</td>
<td>252.1</td>
</tr>
</tbody>
</table>
<p><strong>Source:</strong> Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, modified version 4.1, 2004-2010.<br />
<strong>Note: </strong>For this measure, lower rates are better.</p>
<p><a href="/research/findings/nhqrdr/nhqr13/chap8.html#fig85">Return to Document</a></p>
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Internet Citation: Chapter 8: Text Descriptions. Content last reviewed May 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/research/findings/nhqrdr/nhqr13/chap8-txt.html<div class="citation-flag"></div>
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