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<h1 class="page__title title" id="page-title">National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013</h1>
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<div class="field field-name-field-subtitle field-type-text field-label-hidden"><div class="field-items"><div class="field-item even">Efficiency: Inappropriate Treatment</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"><p><a id="top" name="top"> </a></p>
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<h3>Measures</h3>
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<p><a href="#it1">Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year (11 medications)</a><br />
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<a href="#it2">Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year (33 medications)</a><br />
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<a href="#it3">Ambulatory medical care visits where an antibiotic was prescribed for a diagnosis of a common cold</a><br />
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</p>
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<hr />
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<p><a id="it1" name="it1"> </a></p>
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<h3>Measure Title</h3>
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<p>Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year (11 medications)</p>
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<h3>Measure Source</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Table Description</h3>
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<h4>Geographic Representation</h4>
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<p>National</p>
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<h4>Years Available</h4>
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<p>2002-2010</p>
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<h4>Population Subgroups</h4>
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<p>Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born</p>
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<h3>Data Source</h3>
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<p>AHRQ, CFACT, MEPS</p>
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<h3>Denominator</h3>
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<p>U.S. population age 65 and over</p>
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<h3>Numerator</h3>
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<p>Subset of the denominator who received at least 1 of the 11 medications that are potentially inappropriate for older adults</p>
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<h3>Comments</h3>
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<p>Prescription medications received include all prescribed medications initially purchased or otherwise obtained during the calendar year, as well as any refills. For additional information concerning potentially inappropriate medications, refer to: Zhan C, Sangl J, Bierman AS, et al. Potentially inappropriate medication use in the community-dwelling elderly: findings from 1996 Medical Expenditure Panel Survey. <em>JAMA</em> 2001;286(22):2823-29.</p>
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<p class="size2"><a href="#top">Top of Page</a></p>
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<hr />
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<p><a id="it2" name="it2"> </a></p>
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<h3>Measure Title</h3>
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<p>Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year (33 medications)</p>
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<h3>Measure Source</h3>
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<p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)</p>
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<h3>Table Description</h3>
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<h4>Geographic Representation</h4>
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<p>National</p>
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<h4>Years Available</h4>
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<p>2002-2010</p>
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<h4>Population Subgroups</h4>
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<p>Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born</p>
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<h3>Data Source</h3>
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<p>AHRQ, CFACT, MEPS</p>
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<h3>Denominator</h3>
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<p>U.S. population age 65 and over</p>
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<h3>Numerator</h3>
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<p>People age 65 and over who received 1 or more of the 33 potentially inappropriate medications</p>
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<h3>Comments</h3>
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<p>Prescription medications received include all prescribed medications initially purchased or otherwise obtained during the calendar year, as well as any refills. For additional information concerning potentially inappropriate medications, refer to: Zhan C, Sangl J, Bierman AS, et al. Potentially inappropriate medication use in the community-dwelling elderly: findings from 1996 Medical Expenditure Panel Survey. <em>JAMA</em> 2001;286(22):2823-29.</p>
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<p class="size2"><a href="#top">Top of Page</a></p>
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<hr />
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<p><a id="it3" name="it3"> </a></p>
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<h3>Measure Title</h3>
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<p>Ambulatory medical care visits where an antibiotic was prescribed for a diagnosis of a common cold</p>
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<h3>Measure Source</h3>
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<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS)</p>
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<h3>Table Description</h3>
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<h4>Geographic Representation</h4>
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<p>National</p>
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<h4>Years Available</h4>
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<p>1999- 2009</p>
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<h4>Population Subgroups</h4>
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<p>Age, geographic location (residence), race/ethnicity, sex</p>
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<h3>Data Sources</h3>
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<p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS)</p>
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<h3>Denominator</h3>
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<p>U.S. civilian noninstitutionalized population</p>
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<h3>Numerator</h3>
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<p>Subset of the denominator with a sole diagnosis of common cold for which antibiotics were prescribed or continued</p>
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<h3>Comments</h3>
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<p>Population used for calculation is U.S. Census Bureau estimated civilian noninstitutionalized population on July 1 each year. Ambulatory medical care visits include visits to office-based physicians, community health centers, hospital outpatient departments, and emergency departments. For consistency with previous years, visits to midlevel providers at community health centers were excluded.</p>
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<p class="size2"><a href="#top">Top of Page</a></p>
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<p class="size2"><a href="/research/findings/nhqrdr/nhqrdr13/measurespec/index.html">Return to Contents</a><br />
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<a href="/research/findings/nhqrdr/nhqrdr13/measurespec/efficiency-preved.html">Proceed to Next Section</a></p>
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</div></div></div><div class="field field-name-field-last-reviewed field-type-datestamp field-label-hidden">
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Page last reviewed <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2014-07-01T00:00:00-04:00">July 2014</span> <br />Page originally created July 2014 </div>
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Internet Citation: National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013. Content last reviewed July 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/research/findings/nhqrdr/nhqrdr13/measurespec/efficiency-intreat.html<div class="citation-flag"></div>
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