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附录E: AHRQ National Healthcare Quality and Disparities Report Measures

Access

Health Insurance

   Adults 18–64 who were uninsured at the time of interview

   People without health insurance coverage at the time of interview, by age

   Adults 18–64 who were uninsured at the time of interview, by race/ethnicity

   Adults 18–64 without health insurance at the time of interview, by region

   Adults 18–64 with private health insurance coverage, by age

Service

People with a place to go for medical care, by age and sex

Age-/sex-adjusted percentage of people with a place to go for medical care, by race/ethnicity

People who were unable to get or delayed getting needed medical care, dental care, or prescription medicines in the last 12 months, by insurance (under age 65) and age

People who were unable to get or delayed getting needed medical care, dental care, or prescription medicines in the last 12 months, by perceived health status and ethnicity

Timeliness

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 insurance (ages 18–64) and ethnicity

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 preferred language and ethnicity

Infrastructure

    Physicians and surgeons per 100,000 population, by race and ethnicity

    Primary care medical residents per 100,000 population, by sex and race/ethnicity

    Characteristics of HRSA-supported health center population versus US population

    Medicaid and uninsured discharges in US short-term acute hospitals, by facility characteristics

Affordability

Access Problems due to Healthcare Costs

People under age 65 whose family’s health insurance premiums and out-of-pocket medical expenses were more than 10% of total family income

People without a usual source of care who indicate a financial or insurance reason for not having a source of care

People unable to get or delayed getting needed medical care, dental care, or prescription medicines who indicate a financial or insurance reason for the problem

Inefficiency

    Ruptured appendix per 1000 adult admissions with appendicitis

    Men age 40+ who had a screening prostate-specific antigen test in the past year

Supplemental

    Per capita national health expenditures

Care Coordination

Transitions

Hospitalized adult patients with heart failure who were given complete written discharge instructions

    Median hospital 30-day risk standardized readmission rate or certain conditions

    Median hospital 30-day risk standardized readmission rate

Potentially Avoidable ER Visits

ER visits with a principal diagnosis related to mental health, alcohol, or substance abuse ED visits with a principal diagnosis of dental conditions

    ER visits for asthma, ages 18–39

    ER visits for asthma, ages 2–17

Integration of Medical Information

People under age 65 with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors

Hospitals with electronic exchange of patient medication history with hospitals outside their system

Hospitals with electronic exchange of patient medication history with ambulatory providers outside their system

Electronic Health Record

Patients who reported that it was very important for them to get their own medical information electronically

Patients who reported that it was very important that doctors and other health providers be able to share their medical information with other providers electronically

    Hospitals with fully implemented electronic medical record system

    Hospitals with computerized systems that allow for electronic clinical documentation

    Hospitals with computerized systems that allow for results viewing

    Hospitals with computerized systems that allow for decision support

    Hospitals with computerized systems that allow for computerized provider order entry

Effective Treatment

Cardiovascular Disease

    Adults with hypertension whose blood pressure is under control

    Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival

    Inpatient deaths per 1000 adult hospital admissions with heart attack

    Adult admissions for congestive heart failure per 100,000 population Total national costs of hospitalizations for congestive heart failure

Cancer

Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined

    Age-adjusted colorectal cancer deaths per 100,000 population

Chronic Kidney Disease

    Nephrology care before kidney failure

    Registration for transplantation

    Hemodialysis death rate

Diabetes

   Receipt of four recommended diabetes services

   People with current diabetes who have a written diabetes management plan Outcome:

   Adults age 40+ with diagnosed diabetes with hemoglobin A1c and blood pressure under control

   Hospital admissions for uncontrolled diabetes

   New cases of end-stage renal disease due to diabetes

HIV and AIDS

    New AIDS cases

    Adult HIV patients who had at least two outpatient visits during the year

    Adult HIV patients with a viral load less than 200 copies/mL

    HIV infection deaths

HIV patients in Ryan White–funded care who were virally suppressed (HIV RNA <200 copies/mL)

HIV patients in Ryan White–funded care who were retained in care (at least two ambulatory visit dates 90 days apart)

Mental Health and Substance Abuse

    Treatment for depression

    Suicide deaths

    Treatment for illicit drug use or alcohol problem

    Completion of substance abuse treatment

    Emergency department visits with a principal diagnosis related to mental health, alcohol or substance abuse, by age and income

Musculoskeletal Disease

Adults with chronic joint symptoms who have ever seen a doctor or health professional for joint symptoms

Respiratory Disease

    Completion of tuberculosis therapy

    Daily asthma medication

    Written asthma management plans

    Emergency department visits for asthma

Healthy Living

Maternal and Child Healthcare

    Access

    Periods without insurance

    Effectiveness

    Prenatal care

    Receipt of recommended immunizations by young children

    Children’s vision screening

    Well-child visits in the last year

    Receipt of meningococcal vaccine by adolescents

    Receipt of human papillomavirus (HPV) vaccination by adolescents Person-centered care

Children who had a doctor’s office or clinic visit in the last 12 months who reported poor communication with health providers

    Patient Safety

    Birth trauma—injury to neonates

    Care Coordination

    Children and adolescents whose health provider usually asks about prescription medications and treatments from other doctors

    Emergency department (ED) visits with a principal diagnosis related to mental health, alcohol, or substance abuse ED visits for asthma

Lifestyle Modification

    Adult current smokers with a checkup in the last 12 months who received advice to quit smoking

    Adults with obesity who ever received advice from a health professional to exercise more

    Adults with obesity who did not spend half an hour or more in moderate or vigorous physical activity at least five times a week

    Children 2–17 for whom a health provider gave advice within the past 2 years about the amount and kind of exercise, sports, or physically active hobbies they should have

    Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods

Children 2–17 for whom a health provider gave advice within the past 2 years about healthy eating

Clinical Preventive Services

    Women 21–65 who received a Pap smear in the last 3 years

    Invasive cervical cancer incidence per 100,000 women age 20+

    Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high

Immunization

Adults 65+ who ever received pneumococcal vaccination

Hospital patients who received

– Pneumococcal immunization

– Influenza immunization

Long-stay nursing home residents who were assessed and appropriately given

– Pneumococcal immunization

– Influenza immunization

Rehabilitation

    Improvement in mobility among home healthcare patients

    Nursing home residents needing more help with daily activities

    Improvement in management of oral medications

Supportive and Palliative Care

    Relief of suffering:

Improvement in shortness of breath among home healthcare patients

Nursing home residents with moderate to severe pain

Nursing home residents who lose too much weight

Help with emotional and spiritual needs

Worsening depression or anxiety in nursing home residents High-quality palliative care:

Home healthcare patients with hospital admission

Home healthcare patients with urgent, unplanned medical care

Nursing home residents receiving antipsychotic medication

Hispanic Healthcare

Breast Cancer

    Women 50–74 who received a mammogram in the last 2 years

    Breast cancer diagnosed at advanced stage per 100,000 women age 40+

    Women with clinical Stage I–IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy at the time of surgery

    Women under 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis

    Breast cancer deaths per 100,000 female population per year

Colorectal Cancer

Men and women 50–75 who report that they had a blood stool test in the past year, sigmoidoscopy in the past 5 years and blood stool test in the past 3 years, or colonoscopy in the past 10 years

    Colorectal cancer diagnosed at advanced stage per 100,000 men and women age 50+

Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined

    Colorectal cancer deaths per 100,000 population per year

Other Cancer

    All cancer deaths per 100,000 population per year

    Women 21–65 who received a Pap smear in the last 3 years

    Invasive cervical cancer incidence per 100,000 women age 20+

    Men age 75+ without prostate cancer who had a PSA test or digital rectal exam for prostate cancer screening within the past year

    Lung cancer deaths per 100,000 population per year

Cardiovascular Care

Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high

Adult admissions for hypertension

Adult admissions for angina without cardiac procedure

Adult admissions for congestive heart failure

Hospital patients with heart failure and left ventricular systolic dysfunction who were prescribed angiotensin-converting enzyme inhibitor or angiotensin receptor blocker at discharge

Hospital patients with heart attack given percutaneous coronary intervention within 90 minutes of arrival

Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival

Deaths per 1000 hospital admissions with acute myocardial infarction, age 18+

Deaths per 1000 hospital admissions with congestive heart failure, age 18+

Deaths per 1000 hospital admissions with abdominal aortic aneurysm repair, age 18+

Deaths per 1000 hospital admissions with coronary artery bypass graft, age 40+

Deaths per 1000 hospital admissions with percutaneous transluminal coronary angioplasty, age 40+

Substance Abuse

People age 12+ who received any illicit drug or alcohol abuse treatment in the last 12 months

People age 12+ who needed treatment for illicit drug use or an alcohol problem and who received such treatment at a specialty facility in the last 12 months

People age 12+ treated for substance abuse who completed treatment course

Diabetes

Adults age 40+ with diabetes whose condition was diagnosed

Adults age 40+ with diagnosed diabetes who received all four recommended services for diabetes in the calendar year

Adults age 40+ with diagnosed diabetes with hemoglobin A1c under control

Adults age 40+ with diagnosed diabetes with blood pressure under control

Mental Health

Adults who received mental health treatment or counseling in the last 12 months

Adults with a major depressive episode in the last 12 months who received treatment

Children 12–17 with a major depressive episode in the last 12 months who received treatment Suicide deaths per 100,000 population

Infant Mortality and Maternity Care

Live-born infants with low birth weight (less than 2500 g)

Live-born infants with very low birth weight (less than 1500 g)

Infant mortality per 1000 live births

Maternal deaths per 100,000 live births

Birth trauma—injury to newborn per 1000 live births

Obstetric trauma per 1000 vaginal deliveries without instrument assistance Obstetric trauma per 1000 instrument-assisted vaginal deliveries

Patient Safety

Healthcare-Associated Infections

Postoperative sepsis per 1000 adult discharges with an elective operating room procedure

Standardized infection ratios for central line-associated bloodstream infections and surgical site infections

Bloodstream infections per 1000 central-line days in neonatal intensive care units

Bloodstream infections per 1000 central-line days in adult intensive care units

Procedure-Related Events

Unadjusted mortality rate 30 days postoperation for colorectal surgeries among US hospitals participating in the American College of Surgeons–National Surgical Quality Improvement Program

Percentage of adult patients receiving hip joint replacement because of fracture or degenerative conditions who experienced adverse events

Percentage of adults with mechanical adverse events associated with central venous catheter placement

Nursing Home Setting

Nursing home residents experiencing urinary tract infections

Nursing home residents experiencing use of restraints

Pooled mean rate of healthcare-associated infections per 1000 resident days in Pennsylvania nursing homes

Home Health Setting

Home health patients with improvement in surgical wounds

Home health patients with improvements in their ability to take medications orally

Ambulatory Setting

Adults with a probable missed stroke in the emergency department

Adults age 65+ who received potentially inappropriate prescription medications during the calendar year

Culture

Average percent positive responses on the AHRQ Hospital Survey on Patient Safety Culture

Average percent positive responses on the AHRQ Medical Office Survey on Patient Safety Culture

Average percent positive responses for patient safety culture composite among participants in the National Center for Patient Safety High Reliability Team training

Percent change from baseline in observed annual mortality rate per 1000 procedures, by medical team training status of Veterans Health Administration facility

Organizations

Distribution of Patient Safety Organizations by category of event reports collected

Reduction in surgical site infections among Vascular Quality Initiative Centers that expanded from sporadic to routine chlorhexidine use

Person- and Family-Centered Care

Communications—Doctor’s Office

Adults who had a doctor’s office or clinic visit in the last 12 months who reported poor communication with health providers, by insurance, 18–64 and 65+

Adults who had a doctor’s office or clinic visit in the last 12 months who reported poor communication with health providers, by ethnicity and education

Children who had a doctor’s office or clinic visit in the last 12 months whose parents reported poor communication with health providers, by ethnicity and language spoken at home

Communications—Hospital

Adult hospital patients who reported poor communication with nurses and doctors, by age

Adult hospital patients who did not receive good communication about discharge information, by race

Communications—Home Health

Provider–patient communication among adults receiving home healthcare, by language spoken at home

Provider–patient communication among adults receiving home healthcare, by race/ethnicity

Engagement in Decision Making

Adults with a usual source of care whose health providers sometimes or never asked for the patient’s help to make treatment decisions, by insurance and education

People with a usual source of care whose health providers sometimes or never asked for the patient’s help to make treatment decisions, by number of chronic conditions and ethnicity

End of Life

Hospice patients who received care consistent with their stated end-of-life wishes, by age and ethnicity

Hospice patients who received the right amount of help for feelings of anxiety or sadness, by ethnicity and race

Hospice patients who received the right amount of medicine for pain, by sex and race

Rural Healthcare

Access to Healthcare

Patient Safety

Person- and Family-Centered Care

Communication and Care Coordination

Prevention and Treatment of Leading Causes of Morbidity and Mortality

Healthy Living

Affordability

Women’s Healthcare

    Access to Healthcare

    Patient Safety

    Person- and Family-Centered Care

    Communication and Care Coordination

    Prevention and Treatment of Leading Causes of Morbidity and Mortality

    Healthy Living Affordability Sources:

2014 National Healthcare Quality & Disparities Report Chartbooks. Content last reviewed October 2015. Rockville, MD: Agency for Healthcare Research and Quality. www.ahrq.gov /research/findings/nhqrdr/2014chartbooks/index.html

2014 National Healthcare Quality & Disparities Report Data Query Tool. Nhqrnet.ahrq.gov / inhqrdr/data/query

2014 National Healthcare Quality and Disparities Report chartbook on access to health care. Rockville, MD: Agency for Healthcare Research and Quality; April 2015. AHRQ Pub. No. 15-0007-1-EF.

2014 National Healthcare Quality and Disparities Report chartbook on care affordability. Rockville, MD: Agency for Healthcare Research and Quality; June 2015. AHRQ Pub. No. 15-0007-6-EF.

2014 National Healthcare Quality and Disparities Report chartbook on care coordination. Rockville, MD: Agency for Healthcare Research and Quality; May 2015. AHRQ Pub. No. 15-0007-5-EF.

2014 National Healthcare Quality and Disparities Report chartbook on effective treatment. Rockville, MD: Agency for Healthcare Research and Quality; July 2015. AHRQ Pub. No. 15-0007-8-EF.

2014 National Healthcare Quality and Disparities Report chartbook on health care for Hispanics. Rockville, MD: Agency for Healthcare Research and Quality; September 2015. AHRQ Pub. No. 15-0007-11-EF.

2014 National Healthcare Quality and Disparities Report chartbook on healthy living. Rockville, MD: Agency for Healthcare Research and Quality; June 2015. AHRQ Pub. No. 15-0007-7-EF.

2014 National Healthcare Quality and Disparities Report chartbook on patient safety. Rockville, MD: Agency for Healthcare Research and Quality; April 2015. AHRQ Pub. No. 15-0007-2-EF.

2014 National Healthcare Quality and Disparities Report chartbook on person- and familycentered care. Rockville, MD: Agency for Healthcare Research and Quality; May 2015. AHRQ Pub. No. 15-0007-4-EF.

2014 National Healthcare Quality and Disparities Report chartbook on rural health care. Rockville, MD: Agency for Healthcare Research and Quality; August 2015. AHRQ Pub. No. 15-0007-9-EF.

2014 National Healthcare Quality and Disparities Report chartbook on women’s health care. Rockville, MD: Agency for Healthcare Research and Quality; September 2015. AHRQ Pub. No. 15-0007-10-EF.

2015 National Healthcare Quality and Disparities Report and 5th Anniversary Update on the National Quality Strategy. Rockville, MD: Agency for Healthcare Research and Quality.

AHRQ; April 2016. AHRQ Pub. No. 16-0015.