NationalAdults with Complex Activity Limitations 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
Adults age 65 and over who received in the calendar year at least 1 of 11 prescription medications that should be avoided in older adults-6.1
People under age 65 with health insurance-6.0
People with a specific source of ongoing care-4.7
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults-3.6
People in fair or poor health with a specific source of ongoing care-3.5
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-3.3
People under age 65 who were uninsured all year-3.2
Adults age 65 and over who received an influenza vaccination in the last flu season-3.2
Adults age 65 and over who ever received pneumococcal vaccination-2.9
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-2.3
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income-2.2
Adults ages 18 and over who received influenza vaccination in the last flu season-2.0
Adults with obesity who ever received advice from a health professional to exercise more-1.9
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
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-1.9
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination-1.8
People under age 65 with any period of uninsurance during the year-1.7
People unable to get or delayed in getting needed medical care due to financial or insurance reasons-1.2
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-1.2
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-1.2
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons-1.1
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-1.0
Measures That Are Unchanged
MeasureAverage Annual Percent Change
Adults who filled four or more outpatient opioid prescriptions in the calendar year-8.3
Adults who filled an outpatient opioid prescription in the calendar year-4.5
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-2.1
People without a usual source of care who indicated a financial or insurance reason for not having a source of care-1.6
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season-1.4
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking-1.2
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-1.2
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-1.1
People with a usual source of care who usually asks about prescription medications and treatments from other doctors-1.1
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year-0.9
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-0.9
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone-0.7
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-0.4
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year-0.2
Adults who received a preventive dental service in the calendar year-0.2
People unable to get or delayed in getting needed dental care due to financial or insurance reasons-0.1
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends-0.1
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year-0.1
Adults with a dental visit in the calendar year-0.0
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods0.1
People who were unable to get or delayed in getting needed medical care in the last 12 months0.2
Women ages 50-74 who received a mammogram in the last 2 years0.3
People under age 65 with any private health insurance0.4
People with a usual primary care provider0.4
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high0.5
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months0.7
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler)0.9
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year0.9
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist1.8
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms2.6
Measures That Are Worsening
MeasureAverage Annual Percent Change
Adults age 65 and over with any private health insurance1.4
People who were unable to get or delayed in getting needed dental care in the last 12 months1.7
Women ages 21-65 who received a Pap smear in the last 3 years3.7