NationalUninsured Quality Measures Trend Over Time

Trending information is available for NHQDR quality measures with at least four years of data. The time span can vary across measures. Trends are only reported as improving or worsening if the average annual percent change is at least one percent and statistically significant.

Measures That Are Improving
MeasureAverage Annual Percent Change
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined-14.1
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis-5.5
Adults who had a doctor's office or clinic visit in the last 12 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment-5.1
Adults who received a blood cholesterol measurement in the last 5 years-3.8
Children who had their height and weight measured by a health provider within the past 2 years-3.5
People who were unable to get or delayed in getting needed medical care in the last 12 months-3.3
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months-3.0
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say-2.6
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things in a way they could understand-2.5
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year-2.5
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them-2.5
People who were unable to get or delayed in getting needed dental care in the last 12 months-2.4
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always gave them easy-to-understand instructions about what to do for a specific illness or health conditions-2.2
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always asked them to describe how they will follow the instructions-2.0
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them-2.0
People with a usual source of care whose providers sometimes or never asked them to help make decisions when there was a choice between treatments-1.9
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy-1.5
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months-1.5
Adults with obesity who ever received advice from a health professional to exercise more-1.5
People with a specific source of ongoing care-1.4
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income-1.4
People under age 65 with any period of uninsurance during the year-1.3
People with a usual source of care who usually asks about prescription medications and treatments from other doctors-1.2
Measures That Are Unchanged
MeasureAverage Annual Percent Change
Adults who filled four or more outpatient opioid prescriptions in the calendar year-10.1
Adults who filled an outpatient opioid prescription in the calendar year-8.9
Children who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed-2.9
Infants born in the calendar year who received breastfeeding through 3 months-2.3
Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as needed-1.0
Children ages 0-17 with wellness checkup in the past 12 months-0.9
Children ages 2-17 for whom a health provider gave advice within the past 2 years about the amount and kind of exercise, sports, or physically active hobbies they should have-0.9
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods-0.8
Children 41-80 lbs for whom a health provider gave advice within the past 2 years about using a booster seat when riding in the car-0.8
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season-0.8
Children over 80 lbs for whom a health provider gave advice within the past 2 years about using lap or shoulder belts when riding in a car-0.7
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist-0.7
Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy (SLNB) at the time of surgery (lumpectomy or mastectomy)-0.7
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone-0.7
Children ages 2-17 for whom a health provider gave advice within the past 2 years about using a helmet when riding a bicycle or motorcycle-0.6
Adults ages 18 and over who received influenza vaccination in the last flu season-0.6
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always offered help in filling out forms-0.5
Children ages 6 months to 17 years who received influenza vaccination in the last flu season-0.4
Children for whom a health provider gave advice within the past 2 years about how smoking in the house can be bad for a child-0.4
People unable to get or delayed in getting needed medical care due to financial or insurance reasons-0.3
People in fair or poor health with a specific source of ongoing care-0.2
Adults who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed-0.2
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year-0.2
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms-0.2
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons-0.2
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination-0.1
Children ages 2-17 who had a dental visit in the calendar year-0.1
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking0.0
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year0.0
People unable to get or delayed in getting needed dental care due to financial or insurance reasons0.1
Adults who received a preventive dental service in the calendar year0.1
Children ages 2-17 who received a preventive dental service in the calendar year0.1
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler)0.2
Adults with a dental visit in the calendar year0.3
People with a usual primary care provider0.4
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends0.5
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high0.5
Children 0-40 lbs for whom a health provider gave advice within the past 2 years about using a child safety seat while riding in the car1.6
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year1.7
Measures That Are Worsening
MeasureAverage Annual Percent Change
Women ages 50-74 who received a mammogram in the last 2 years1.4
Women ages 21-65 who received a Pap smear in the last 3 years2.5
People without a usual source of care who indicated a financial or insurance reason for not having a source of care3.3