2012 National Healthcare Quality and Disparities Reports
Care Coordination
Transitions of Care
Hospital patients with heart failure discharged home with written instructions or educational material
Effective Care Coordination
People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors
Children with special health care needs who received effective care coordination
Children with special health care needs who received coordinated, ongoing, comprehensive care within a medical home
Transitions of Care
Measure Title
Hospital patients with heart failure discharged home with written instructions or educational material.
Measure Source
Centers for Medicare & Medicaid Services (CMS), Medicare Quality Improvement Organization Program (QIO).
National Tables
6_1_1_1.1 Hospital patients with heart failure who were given complete written discharge instructions, United States, 2005-2010
National Data Source
CMS, QIO.
National Denominator
Heart failure patients age 18 and over discharged to home or home care.
National Numerator
Subset of the denominator with documentation that they or their caregivers were given written discharge instructions or other educational material addressing all of the following: activity level, diet, discharge medications, followup appointment, weight monitoring, and information on what to do if symptoms worsen.
State Table
6_1_1_1.2 Hospital patients with heart failure who were given complete written discharge instructions, by State, 2005-2010
State Data Source
CMS, QIO.
State Denominator
Same as national.
State Numerator
Same as national.
Effective Care Coordination
Measure Title
People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors.
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).
National Tables
6_2_1_1.1 People with a usual source of care who usually asks about prescription medications and treatments from other doctors, United States, 2002-2009
6_2_1_1.2a-d People with a usual source of care who usually asks about prescription medications and treatments from other doctors, United States, 2009, by:
- Race.
- Ethnicity.
- Family income.
- Education.
National Data Source
AHRQ, CFACT, MEPS.
National Denominator
People who had a usual source of care and a valid response to the question, “Does [respondent's usual care provider] usually ask about prescription medications and treatments other doctors may give you?”
National Numerator
Subset of the denominator who answered “Yes” to the question identified in the denominator.
Comments
Usual source of care is defined as a particular doctor's office, clinic, health center, or other health care facility to which an individual usually would go to obtain health care services.
Effective Care Coordination
Measure Title
Children with special health care needs who received effective care coordination.
Measure Source
Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB) and Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Survey of Children With Special Health Care Needs (NSCSHCN).
National Table
6_2_1_2.1 Children with special health care needs who needed and received effective care coordination, United States, 2009-2010
National Data Source
HRSA, MCHB and CDC, NCHS, NSCSHCN.
National Denominator
Children ages 0-17 with special health care needs who were reported to use more than one service during the survey period.
National Numerator
Subset of the denominator who needed and received effective care coordination.
State Table
6_2_1_2.2 Children with special health care needs who needed and received effective care coordination, by State, 2009-2010
State Data Source
Same as national.
State Denominator
Same as national.
State Numerator
Same as national.
Comments
Special health care need is defined as a specific chronic condition with a functional limitation or other consequence.
Effective Care Coordination
Measure Title
Children with special health care needs who received coordinated, ongoing, comprehensive care within a medical home.
Measure Source
Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB) and Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Survey of Children With Special Health Care Needs (NSCSHCN).
National Tables
6_2_1_3.1_1 Children with special health care needs who received coordinated, ongoing, comprehensive care within a medical home, United States, 2009-2010
National Data Source
HRSA, MCHB and CDC, NCHS, NSCSHCN.
National Denominator
Civilian noninstitutionalized population ages 0-17 with special health care needs.
National Numerator
Subset of the denominator who had a medical home.
State Table
6_2_1_3.2 Children with special health care needs who received coordinated, ongoing, comprehensive care within a medical home, by State, 2009-2010
State Data Source
Same as national.
State Denominator
Same as national.
State Numerator
Same as national.
Comments
Special health care need is defined as a specific chronic condition with a functional limitation or other consequence.
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