National Healthcare Disparities Report - LDI Health Economist

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Highlights Table H.2. Quality measures with the most rapid pace of improvement and deterioration Quality Improving Adult surgery patients who received prophylactic antibiotics within 1 hour prior to surgical incision Adult surgery patients who had prophylactic antibiotics discontinued within 24 hours after surgery end time Hospital patients with pneumonia who received pneumococcal screening or vaccination Hospital patients with heart attack who received percutaneous coronary intervention within 90 minutes of arrival Hospital patients with pneumonia who received influenza screening or vaccination Hospital patients with pneumonia who had blood cultures collected before antibiotics were administered Hospital patients with heart failure discharged home with written instructions or educational material Hospital patients with heart failure and left ventricular systolic dysfunction who were prescribed ACE inhibitor or ARB at discharge Long-stay nursing home residents who were assessed for pneumococcal vaccination Short-stay nursing home residents who were assessed for pneumococcal vaccination Quality Worsening Children ages 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine Maternal deaths per 100,000 live births Postoperative pulmonary embolism or deep vein thrombosis per 1,000 surgical hospital discharges, adults age 18 and over Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Adults age 40 and over with diagnosed diabetes who received a hemoglobin A1c measurement in the calendar year Decubitus ulcers per 1,000 selected stays of 5 or more days, adults age 18 and over Long-stay nursing home residents with a urinary tract infection Hospital admissions for short-term complications of diabetes per 100,000 population (ages 6-17, 18 and over) Adults age 50 and over with fecal occult blood test in the past 2 years Low-risk long-stay nursing home residents with loss of control of bowels or bladder Key: ACE = angiotensin-converting enzyme; ARB = angiotensin receptor blocker. Note: Blue = CMS Hospital Compare measures; green = CMS nursing home vaccination measures; light green = diabetes measures; gray = adverse events. n Quality changes unevenly across measures: o Of the 10 quality measures that are improving at the fastest pace, 8 are CMS measures reported on Hospital Compare (blue) and 2 are CMS adult vaccination measures reported on Nursing Home Compare (green). o Of the 10 quality measures that are worsening at the fastest pace, 3 relate to diabetes care (light green) and 4 relate to adverse events in health care facilities (gray). The NHDR focuses on disparities related to race, ethnicity, and socioeconomic status. Table H.3 summarizes the disparities for each of these major groups tracked in the reports and for adults age 65 and over. For each group, it shows the measures where disparities are improving at the fastest rate and the measures where disparities favor the comparison group and are worsening. 10 National Healthcare Disparities Report, 2011
Highlights Table H.3. Disparities that are changing over time Groups Disparities Improving Disparities Worsening 65+ compared with 18-44 Cancer deaths per 100,000 population per year Deaths per 1,000 adult hospital admissions with acute myocardial infarction Prostate cancer deaths per 100,000 male population per year Black compared with Hospital admissions for congestive heart failure per Maternal deaths per 100,000 live births White 100,000 population Incidence of end stage renal disease due to Breast cancer diagnosed at advanced stage diabetes per 100,000 population per 100,000 women age 40 and over Long-stay nursing home residents who were assessed for pneumococcal vaccination Asian compared with Hospital patients with pneumonia who received Children 0-40 lb for whom a health provider White pneumococcal screening or vaccination gave advice about using car safety seats Hospital patients with heart failure discharged home with written instructions Hospital patients with pneumonia who received influenza screening or vaccination American Indian/ Incidence of end stage renal disease due to Adults age 50 and over who ever received Alaska Native diabetes per 100,000 population a colonoscopy, sigmoidoscopy, or compared with White proctoscopy Hispanic compared with Non-Hispanic White Infant deaths per 1,000 live births, birth weight People with difficulty contacting their
Page 1: NATIONAL HEALTHCARE DISPARITIES REP
Page 4 and 5: Acknowledgments The NHQR and NHDR a
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Effectiveness of Care Chronic Kidne
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Effectiveness of Care Diabetes Impo
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Effectiveness of Care Multivariate
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Effectiveness of Care HIV and AIDS
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Effectiveness of Care NEW Musculosk
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Effectiveness of Care Lifestyle Mod
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Effectiveness of Care Functional St
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Effectiveness of Care at admission
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Effectiveness of Care n The 2008 to
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Effectiveness of Care References 20
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Effectiveness of Care Centers for M
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Effectiveness of Care Oral health i
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Patient Safety To Err Is Human does
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Patient Safety Figure 3.1. Adult su
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Patient Safety Also, in the NHQR: n
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Patient Safety n From 2006-2007 to
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Patient Safety n From 2004 to 2008,
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Patient Safety Chapter 3 n From 200
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Timeliness Findings Getting Care fo
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Timeliness Chapter 4 n Not all pati
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Timeliness Chapter 4 n Among heart
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Patient Centeredness Chapter 5 Simi
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Patient Centeredness Figure 5.1. Ad
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Patient Centeredness Patient Langua
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Patient Centeredness Providers Aski
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Care Coordination Importance Chapte
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Care Coordination n In 2009, Americ
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Care Coordination Figure 6.3. Paren
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Care Coordination Chapter 6 n Overa
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Efficiency Findings Chapter 7 Inapp
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Efficiency Figure 7.2. Potentially
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Health System Infrastructure Eviden
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U.S. Department of Health and Human
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