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2019 National Healthcare Quality and Disparities Report Measure Specifications

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2019 National Healthcare Quality and Disparities Report Measure Specifications 2019 National Healthcare Quality and Disparities Report Measure Specifications U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov December 2020 www.ahrq.gov/research/findings/nhqrdr/index.html This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2019 National Healthcare Quality and Disparities Report Measure Specifications. Rockville, MD: Agency for Healthcare Research and Quality; December 2020. Contents Introduction .................................................................................................................................... 1 Chapter 2. Access to Care ............................................................................................................... 1 2.1 Getting Appointments for Care ............................................................................................ 1 2.2 Waiting Time ......................................................................................................................... 3 2.3 Health Insurance ................................................................................................................... 9 2.4 Usual Source of Care ........................................................................................................... 16 2.5 Patient Perceptions of Need ............................................................................................... 18 Chapter 3. Patient Safety .............................................................................................................. 24 3.1 Healthcare-Associated Infections ....................................................................................... 24 3.2 Surgical Care ........................................................................................................................ 27 3.3 Other Complications of Hospital Care ................................................................................ 41 3.4 Complications of Medication .............................................................................................. 53 3.5 Birth-Related Complications ............................................................................................... 58 3.6 Inappropriate Treatment .................................................................................................... 69 3.7 Supportive and Palliative Care ............................................................................................ 71 3.8 Home Health Communication ............................................................................................ 75 Chapter 4. Person-Centered Care ................................................................................................. 78 4.1 Patient Experience of Care .................................................................................................. 78 4.2 Hospital Communication .................................................................................................... 86 4.3 Home Health Communication ............................................................................................ 86 4.4 Hospice Care ....................................................................................................................... 91 Chapter 5. Care Coordination ....................................................................................................... 99 5.1 Transitions of Care .............................................................................................................. 99 5.2 Medication Information .................................................................................................... 100 5.3 Preventable Emergency Department Visits ...................................................................... 101 5.4 Preventable Hospitalizations ............................................................................................ 138 5.5 Preventable Hospitalizations Among Home Health and Nursing Home Patients ............ 146 5.6 Potentially Harmful Services Without Benefit .................................................................. 148 5.7 Supportive & Palliative Care ............................................................................................. 149 5.8 Potentially Avoidable Admissions ..................................................................................... 152 Chapter 6. Effectiveness of Care ................................................................................................. 159 6.1 Cancer ............................................................................................................................... 159 6.1.1 Breast Cancer ............................................................................................................. 159 6.1.2 Cervical Cancer ........................................................................................................... 164 6.1.3 Colorectal Cancer ....................................................................................................... 166 6.1.4 Other Cancers ............................................................................................................ 168 6.2 Cardiovascular Disease ..................................................................................................... 169 6.2.1 Prevention of Heart Disease ...................................................................................... 169 6.2.2 Treatment of Heart Attack ......................................................................................... 170 6.2.3 Treatment of Heart Failure ........................................................................................ 174 6.2.4 Surgery for Heart and Vascular Disease .................................................................... 176 6.2.5 Stroke ......................................................................................................................... 181 6.3 Chronic Kidney Disease ..................................................................................................... 185 6.3.1 Chronic Care of End Stage Renal Disease .................................................................. 185 6.4 Diabetes ............................................................................................................................ 190 6.4.1 Management of Diabetes .......................................................................................... 190 6.4.2 Control of Diabetes .................................................................................................... 196 6.4.3 Hospitalization for Diabetes ...................................................................................... 198 6.5 HIV/AIDS ............................................................................................................................ 200 6.5.1 Management of HIV/AIDS .......................................................................................... 200 6.7 Mental Health and Substance Abuse ................................................................................ 204 6.7.1 Treatment of Depression ........................................................................................... 204 6.7.2 Treatment of Substance Abuse.................................................................................. 208 6.8 Musculoskeletal Disease ................................................................................................... 218 6.9 Respiratory Diseases ......................................................................................................... 218 6.9.1 Treatment of Respiratory Infections ......................................................................... 218 6.9.3 Management of Asthma ............................................................................................ 221 Chapter 7. Healthy Living ............................................................................................................ 224 7.1 Maternal and Child Health ................................................................................................ 224 7.2 Lifestyle Modification ....................................................................................................... 229 7.3 Functional Status Preservation and Rehabilitation .......................................................... 238 7.4 Supportive and Palliative Care .......................................................................................... 242 7.5 Clinical Preventive Services ............................................................................................... 250 7.5.1 Adult Preventive Care ................................................................................................ 250 7.5.2 Childhood Immunization............................................................................................ 262 7.5.3 Other Childhood Preventive Care .............................................................................. 275 7.5.4 Overall Preventive Care ............................................................................................. 281 Chapter 8. Affordable Care ......................................................................................................... 286 8.1 Financial Burden of Health Care Cost ............................................................................... 286 8.2 Usual Source of Care
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