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Enhancing Access to Quality Health Services Data Review

Review on access to quality health services among different populations using varied data sources and standard templates to measure progress and disparities.

jameshgarcia
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Enhancing Access to Quality Health Services Data Review

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  1. Healthy People 2010 Focus Area 1 Access to Quality Health Services Progress Review June 4, 2002

  2. Standard population-based data template

  3. Data sources used to measure Access to Quality Health Services objectives • National Health Interview Survey (NHIS) • Medical Expenditure Panel Survey (MEPS) • Annual Data Report, American Association of Schools of Public Health • Annual Survey of RN (Registered Nurse) Programs • AAMC Data Book: Statistical Information Related to Medical Schools and Teaching Hospitals • Survey of Predoctoral Dental Educational Institutions • Profile of Pharmacy Students • Healthcare Cost and Utilization Project (HCUP) • American Association of Poison Control Centers Survey • Survey of State/Local Efforts to Coordinate Trauma Care Delivery • Emergency Medical Services for Children Annual Grantees Survey • National Nursing Home Survey (NNHS)

  4. 1-1. Persons under age 65 with health insurance, by race/ethnicity 2010 target White, not-Hispanic Asian* Total Black, not-Hispanic Native Hawaiian and Pacific Islander* Hispanic or Latino** American Indian or Alaska Native* 0 *Includes persons of Hispanic and non-Hispanic origin. LHI measure **Persons of Hispanic origin may be of any race. ***Early Release data. Source: National Health Interview Survey (NHIS), CDC, NCHS.

  5. 1-1. Persons under age 65 with health insurance, by race/ethnicity, 2000 2010 target Total Asian* Hispanic or Latino** Black, not-Hispanic White, not-Hispanic American Indian or Alaska Native* Native Hawaiian and other Pacific Islander* I 95% Confidence Interval LHI measure *Includes persons of Hispanic and non-Hispanic origin. **Persons of Hispanic origin may be of any race. Source: National Health Interview Survey (NHIS), CDC, NCHS.

  6. 1-1. Persons under age 65 with health insurance, by family income, 2000 2010 target Total Poor (<100% poverty) Middle/high income (≥ 200% poverty) Near poor (100% - 199% poverty) LHI measure I 95% Confidence Interval Source: National Health Interview Survey (NHIS), CDC, NCHS.

  7. 1-1. Persons ages 18 to 64 with health insurance, 2000 Percent with health insurance (quartiles) 91.1-93.7 88.5-91.0 83.6-88.4 77.9-83.2 LHI measure Note: Age-adjusted. Source: Behavioral Risk Factor Surveillance System (BRFSS), CDC.

  8. 1-4a-c. Percent of persons with source of ongoing care, by age 2010 target 1-4b. 17 and under 1-4c. 18 and over 1-4a. All ages 0 LHI measure *Early Release data. Source: National Health Interview Survey (NHIS), CDC, NCHS.

  9. 1-4a. Percent of persons with source of ongoing care, all ages, by race/ethnicity, 2000 2010 target Total Asian* Hispanic or Latino** Black, not-Hispanic White, not-Hispanic American Indian or Alaska Native* Native Hawaiian and other Pacific Islander* I 95% Confidence Interval LHI measure *Includes persons of Hispanic and non-Hispanic origin. **Persons of Hispanic origin may be of any race. Source: National Health Interview Survey (NHIS), CDC, NCHS.

  10. 1-5. Persons with usual primary care provider, by race/ethnicity, 1999 2010 target 81 Total Hispanic or Latino** Black, not-Hispanic White, not-Hispanic Asian or Pacific Islander* American Indian or Alaska Native* I 95% Confidence Interval *Includes persons of Hispanic and non-Hispanic origin. **Persons of Hispanic origin may be of any race. Source: Medical Expenditure Panel Survey (MEPS), AHRQ.

  11. 1-5. Persons with usual primary care provider, by selected demographic characteristics, 1999 2010 target 80 78 Inside MSA Male Total Outside MSA Female At least some college Less than high school High school graduate Source: Medical Expenditure Panel Survey (MEPS), AHRQ.

  12. 1-6. Difficulties or delays in obtaining needed health care, by race/ethnicity 2010 target I 95% Confidence Interval *Includes persons of Hispanic and non-Hispanic origin. **Persons of Hispanic origin may be of any race. Source: Medical Expenditure Panel Survey (MEPS), AHRQ.

  13. 1-6. Difficulties or delays in obtaining needed health care, by selected demographic characteristics, 1999 19 2010 target 10 Male Inside MSA Total Family uninsured Female Outside MSA Family public insurance Family private insurance I 95% Confidence Interval Source: Medical Expenditure Panel Survey (MEPS), AHRQ.

  14. 1-6. Difficulties or delays in obtaining needed health care, by health insurance status 2010 target I 95% Confidence Interval Source: Medical Expenditure Panel Survey (MEPS), AHRQ.

  15. 1-7. Increase the proportion of health professional training schools whose basic curriculum for health care providers includes the core competencies in health promotion and disease prevention Medical schools, 1997-1999 Note: Proposed. No target. Source: Prevention Self-Assessment Analysis, Association of Teachers of Preventive Medicine.

  16. Proportion of population in year 2000. 1-8a-d. Racial and ethnic representation in health professions Academic year Note: Race/ethnic categories for this objective are mutually exclusive. Source: Annual Data Report, American Association of Schools of Public Health.

  17. 2010 target. 1-9a-c. Hospitalizations for ambulatory- care-sensitive conditions 1996 1999 1996 1999 1996 1999 1-9a. Pediatric asthma Under age 18 1-9b. Uncontrolled diabetes ages 18 to 64 1-9c. Immunization-preventable pneumonia or influenza age 65 and over Source: Healthcare Cost and Utilization Project (HCUP), AHRQ.

  18. 2010 target. 1-9a-c. Hospitalizations for ambulatory-care-sensitive conditions, by ZIP code median income, 1996 1-9a. Pediatric asthma Under age 18 1-9b. Uncontrolled diabetes ages 18 to 64 1-9c. Immunization-preventable pneumonia or influenza age 65 and over Source: Healthcare Cost and Utilization Project (HCUP), AHRQ.

  19. 1-14a. Prehospital and hospital EMS needs of children: States with pediatric protocols for real-time medical direction, 2000 States with Protocols Source: Emergency Medical Services for Children Annual Grantees Survey, HRSA..

  20. 1-14b. Prehospital and hospital EMS needs of children: States with pediatric guidelines for emergency and critical care, 2000 States with Guidelines Source: Emergency Medical Services for Children Annual Grantees Survey, HRSA..

  21. Other measurable objectives 1-3f. Counseling about health behaviors – Unintended pregnancy (females aged 15 to 44 years) • Source: National Survey of Family Growth • Baseline: 19 percent (1995) • Update: 2002 data available in 2003 • Target: 50 percent 1-12. Single toll-free number for poison control centers • Source: American Association of Poison Control Centers Survey • Baseline: 15 percent (1999) • Update: 100 percent (2001) • Target: 100 percent; Met

  22. Other measurable objectives 1-13. Trauma care systems • Source: Survey of State/Local Efforts to Coordinate Trauma Care Delivery • Baseline: 5 States (1998) • Update: 2002 data available later in 2002 • Target: 51 States 1-16. Pressure ulcers among nursing home residents • Source: National Nursing Home Survey • Baseline: 16 per 1,000 residents (1997) • Update: 17 per 1,000 residents (1999) • Target: 8 per 1,000 residents

  23. Developmental objectives 1-2. Health insurance coverage for clinical preventive services • Baseline source: MEPS (potential) 1-3. Counseling about health behaviors • Baseline source: 1-3a-e h, NHIS (2001); 1-3g NSFG (2003) 1-7. Core competencies in health provider training • Baseline source: Association of Teachers of Preventive Medicine (1997-1999 proposed) 1-10. Delay or difficulty in getting emergency care • Baseline source: NHIS (2001) 1-11. Rapid prehospital emergency care • Baseline source: National EMS Information System (2002) 1-15. Access to long-term care services • Baseline source: NHIS (2001)

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