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2008 National Healthcare Disparities Report (NHDR)

2008 National Healthcare Disparities Report (NHDR). Disparities persist in health care quality and access. Released May 6, 2009. Health Care Quality. Disparities in health care quality are staying the same or increasing. n=number of core measures. Disparities in Quality.

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2008 National Healthcare Disparities Report (NHDR)

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  1. 2008 National Healthcare Disparities Report (NHDR) Disparities persist in health care quality and access Released May 6, 2009

  2. Health Care Quality • Disparities in health care quality are staying the same or increasing n=number of core measures

  3. Disparities in Quality • For Blacks, Asians, American Indians/Alaska Natives, Hispanics, and poor people, disparities stayed the same or increased in at least 60% of quality measures • For Blacks and Asians, disparities decreased in fewer than 20% of quality measures • For AI/ANs, Hispanics, and poor populations, disparities decreased in approximately one-third of quality measures

  4. Access to Health Care • Disparities in access to care are staying the same or increasing n=number of core measures

  5. Disparities in Access • For American Indians and Alaska Natives, the gap decreased in 75% of core access measures that could be tracked over time • For Blacks and Asians, the gap stayed the same or increased in 60% of core access measures • For Hispanics, disparities stayed the same or increased in 80% of core access measures • For poor people, disparities stayed the same or increased in 57% of core access measures

  6. Differences in Subpopulations • Magnitude and patterns of disparities vary among subpopulations • The NHDR can be used to identify the most important gaps in care as well as improvements for priority populations • The complete picture of disparities is different for each population

  7. Three Largest Disparities in Health Care Quality for Selected Groups Measure and rate relative to reference group, 2005 NHDR versus 2008 NHDR (Measures that have the largest gaps in both the 2005 and 2008 NHDR are in italics.)

  8. Three Largest Disparities in Health Care Quality for Selected Groups Measure and rate relative to reference group, 2005 NHDR versus 2008 NHDR (Measures that have the largest gaps in both the 2005 and 2008 NHDR are in italics.)

  9. Three Largest Disparities in Health Care Quality for Selected Groups Measure and rate relative to reference group, 2005 NHDR versus 2008 NHDR (Measures that have the largest gaps in both the 2005 and 2008 NHDR are in italics.)

  10. Three Largest Disparities in Health Care Quality for Selected Groups Measure and rate relative to reference group, 2005 NHDR versus 2008 NHDR (Measures that have the largest gaps in both the 2005 and 2008 NHDR are in italics.)

  11. Three Largest Disparities in Health Care Quality for Selected Groups Measure and rate relative to reference group, 2005 NHDR versus 2008 NHDR (Measures that have the largest gaps in both the 2005 and 2008 NHDR are in italics.)

  12. Some Disparities Exist Across Multiple Priority Populations • In some cases, several different populations experience the same gaps in care • Gaps may relate to poor quality overall or populations experiencing similar barriers to care

  13. Core Measures Increasing for More Than One Racial and Ethnic Group Note: A complete table of the disparities that worsened for specific populations can be found in Chapter 4, Priority Populations.

  14. Origin of NHDR • Health and Human Services Secretary required to submit annual report to Congress: • National trends in health care quality (National Healthcare Quality Report, or NHQR) • Prevailing disparities in health care delivery as it relates to racial factors and socioeconomic factors in priority populations (NHDR) Mandated by Congress in Healthcare Research and Quality Act (PL. 106-129)

  15. NHQR and NHDR Goals • Provide a snapshot of health care delivery • 45 core measures of quality and access • 220 total measures • Indicate the biggest gaps in care • Show national and State trends • Tell us how we can reach our goals • Help align measures across public and private quality initiatives

  16. NHQR and NHDR Framework Source: Institute of Medicine Committee. “Envisioning the National Health Care Quality Report,” 2001

  17. Relationship Between NHQR and NHDR

  18. NHQR/NHDR Content and Organization • Effectiveness • Cancer • Diabetes • End Stage Renal Disease (ESRD) • Heart Disease • HIV and AIDS • Maternal and Child Health • Mental Health and Substance Abuse • Nursing Home, Home Health, and Hospice Care • Patient Safety • Timeliness • Patient Centeredness • Access to Health Care • Priority Populations *Also includes a chapter on Efficiency NHQR* NHDR

  19. New in the 2008 NHDR • Chapter 2 • Mental Health and Substance Abuse: a new measure for receipt of minimally adequate treatment by adults with mental disorders • Patient Safety: analysis of additional measures • Patient Centeredness: diversity of U.S. nurse professionals (LPNs/LVNs) • Chapter 4 • New summary tables • Supplemental data for Native Hawaiians • New data from the National Survey on Children With Special Healthcare Needs

  20. For more information… NHQR and NHDR Web Page http://www.ahrq.gov/qual/qrdr08.htm NHQRDRnet for data tables and queries http://nhqrnet.ahrq.gov Request a copy (AHRQ publication no. 09-0002) from AHRQ Publications Clearinghouse 1-800-358-9295 or AHRQPubs@ahrq.hhs.gov

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