NationalBlack 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
Acute stroke patients for whom IV thrombolytic therapy was initiated at hospital within 3 hours of time last known well-30.9
Long-stay nursing home residents with physical restraints-27.7
Adolescents ages 16-17 who received 1 or more doses of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years-20.8
Adolescents ages 13-15 who received 1 or more doses of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years-18.7
Doctor's office, emergency department, and outpatient department visits where antibiotics were prescribed for a diagnosis of common cold per 10,000 population-18.3
Hospital patients who received influenza vaccination-17.3
Long-stay nursing home residents with a urinary tract infection-15.9
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine-15.7
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine-14.7
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined-13.0
Long-stay nursing home residents with moderate to severe pain-11.6
Short-stay nursing home patients with pressure ulcers that are new or worsened-11.3
Hospital patients with an anticoagulant-related adverse drug event to low-molecular-weight heparin (LMWH) and factor Xa-11.1
Adverse drug event with IV heparin in adult hospital patients who received an anticoagulant-10.6
Adolescent males ages 16-17 who received 3 or more doses of human papillomavirus (HPV) vaccine-9.7
Short-stay home health patients who had diabetic foot care and patient education-9.7
Short-stay nursing home residents with moderate to severe pain-9.1
Home health care patients whose ability to walk or move around improved-8.6
Home health care patients whose ability to get in and out of bed improved-8.3
Home health care patients whose shortness of breath decreased-8.2
HIV infection deaths per 100,000 population-7.8
Home health care patients whose management of oral medications improved-7.7
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis-7.5
Home health care patients whose bathing improved-7.4
Home health care patients whose pain when moving around decreased-6.5
Long-stay nursing home residents have depressive symptoms-6.5
Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival-6.3
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine-6.2
Adults who received a blood cholesterol measurement in the last 5 years-6.1
Adult surgery patients with catheter-associated urinary tract infection-6.0
Hospital patients who received a hypoglycemic agent who had an adverse drug events with hypoglycemic agents-5.9
Adult hospital patients who did not receive good communication about discharge information-5.8
Home health patients who had timely initiation of care-5.8
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine-5.6
Home health patients who had improvement in upper body dressing-5.4
Children ages 19-35 months who received 1 or more doses of varicella vaccine-5.0
New HIV cases per 100,000 population age 13 and over-4.9
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment-4.8
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults-4.5
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder-4.4
Children ages 0-17 with wellness checkup in the past 12 months-4.3
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)-3.8
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine-3.8
People with a specific source of ongoing care-3.7
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-3.6
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital-3.6
Persons age 13 and over living with HIV who know their serostatus-3.4
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-3.4
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over-3.1
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-3.0
Children ages 19-35 months who received 3 or more doses of polio vaccine-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-2.9
Lung cancer deaths per 100,000 population per year-2.8
Colorectal cancer deaths per 100,000 population per year-2.7
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over-2.7
Children who had their height and weight measured by a health provider within the past 2 years-2.6
Adults age 65 and over who received an influenza vaccination in the last flu season-2.6
People under age 65 with health insurance-2.6
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-2.4
Infants born in the calendar year who received breastfeeding through 3 months-2.3
Children ages 3-5 who ever had their vision checked by a health provider-2.3
Adults age 65 and over who ever received pneumococcal vaccination-2.3
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy-2.3
Adjusted incident rates of end stage renal disease (ESRD) due to diabetes per million population-2.2
Adults ages 18 and over who received influenza vaccination in the last flu season-2.2
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-2.1
Adults who reported that home health providers talk about pain in the last 2 months of care-2.1
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
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-2.0
Adults with obesity who ever received advice from a health professional to exercise more-2.0
People under age 65 who were uninsured all year-1.8
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-1.7
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months-1.7
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-1.6
Breast cancer deaths per 100,000 female population per year-1.5
High-risk, long-stay nursing home patients with pressure ulcer-1.4
People with a usual source of care who usually asks about prescription medications and treatments from other doctors-1.4
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy-1.4
Adults who reported being told what care and services they would get when they first started getting home health care-1.3
Home health care patients who had to be admitted to the hospital-1.3
Infant mortality per 1,000 live births, birth weight 2,500 grams or more-1.3
Home health care patients who stayed at home after an episode of home health care-1.2
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone-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-1.1
Adults who reported that home health providers always seem informed and up-to-date about all the cares or treatments they got at home in the last 2 months of care-1.1
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons-1.1
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-1.0
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access-1.0
Adults who reported a home health provider talking with them about how to set up their home so they can move around safely when they first started getting home health care-1.0
Children ages 2-17 who had a dental visit in the calendar year-1.0
Measures That Are Unchanged
MeasureAverage Annual Percent Change
Adults who filled four or more outpatient opioid prescriptions in the calendar year-9.1
Adults who filled an outpatient opioid prescription in the calendar year-7.6
Mechanical adverse events in adult patients receiving central venous catheter placement-5.1
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-4.6
People in fair or poor health with a specific source of ongoing care-2.4
Adults age 40 and over with diabetes whose condition was diagnosed-2.4
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months-1.9
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine-1.9
Children ages 5-17 with untreated dental caries-1.8
Children ages 6 months to 17 years who received influenza vaccination in the last flu season-1.6
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season-1.6
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine-1.5
Adults with obesity age 20 and over who had been told by a doctor or health professional that they were overweight-1.4
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-1.3
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist-1.1
People who were unable to get or delayed in getting needed medical care in the last 12 months-1.1
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 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 car-1.0
Children ages 2-17 who received a preventive dental service in the calendar year-0.9
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year-0.9
People under age 65 with any period of uninsurance during the year-0.8
People who were unable to get or delayed in getting needed dental care in the last 12 months-0.8
Long-stay nursing home residents with too much weight loss-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-0.8
Long-stay nursing home patients experiencing one or more falls with major injury-0.8
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination-0.7
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income-0.6
Long-stay nursing home residents whose need for help with daily activities increased-0.6
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high-0.6
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods-0.6
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year-0.6
Adults who reported that home health providers always kept them informed about when they would arrive at their home in the last 2 months of care-0.5
Adults with hypertension with blood pressure less than 140/90 mm/Hg-0.5
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
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-0.4
Live-born infants with low birth weight (less than 2,500 g)-0.4
Adults who reported that home health providers always explained things in a way that was easy to understand in the last 2 months of care-0.3
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-0.3
Adults age 40 and over with diagnosed diabetes with blood pressure less than 130/80 mm Hg-0.3
Dialysis patients who were registered on a waiting list for transplantation-0.2
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months-0.2
Adults who received a preventive dental service in the calendar year-0.2
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine-0.2
Adult hospital patients who strongly disagree or disagree that staff took their preferences and those of their family and caregiver into account when deciding what the patients discharge health care would be-0.1
Children with obesity 2-19 years of age who had been told by a doctor or health professional that they were overweight-0.0
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends-0.0
Adults with a dental visit in the calendar year0.0
People age 12 and over treated for substance abuse who completed treatment course0.0
People unable to get or delayed in getting needed medical care due to financial or insurance reasons0.1
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder0.1
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking0.2
Adults age 65 and over with any private health insurance0.2
Adults who reported a home health provider talking with them about all the prescription and over-the-counter medicines they were taking when they first started getting home health care0.2
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure0.2
Women ages 50-74 who received a mammogram in the last 2 years0.2
People unable to get or delayed in getting needed dental care due to financial or insurance reasons0.4
Home health care patients whose surgical wound was improved0.4
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine0.4
Breast cancer diagnosed at advanced stage (regional, distant stage, or local stage with tumor greater than 2 cm) per 100,000 women age 40 and over0.4
People with a usual primary care provider0.5
Adults who reported getting the help or advice they needed the same day they contacted their home health providers0.5
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care0.6
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care0.8
Children ages 2-19 with obesity0.8
Adults home health patients age 18 and over who reported that home health providers talked with them about the side effects of medicines in the last 2 months of care0.8
Adults who reported that home health providers talked with them about the purpose for taking their new or changed prescription medicines in the last 2 months of care0.8
Adults who reported that home health providers always listen carefully to them in the last 2 months of care0.9
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care0.9
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler)0.9
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms0.9
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care0.9
Short-stay nursing home patients who had flu vaccination appropriately given1.4
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist2.2
Long-stay nursing home residents who were assessed for pneumococcal vaccination3.0
Short-stay nursing home residents who were assessed for pneumococcal vaccination3.3
Hospital patients with an anticoagulant-related adverse drug event to warfarin5.8
Hospital patients who received pneumococcal immunization12.7
Measures That Are Worsening
MeasureAverage Annual Percent Change
People under age 65 with any private health insurance1.0
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care1.1
Home health care patients who had an emergency department visit without a hospitalization1.4
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year1.6
Suicide deaths among persons age 12 and over per 100,000 population1.7
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year2.1
Long-stay nursing home residents whose ability to move independently worsened2.1
Children ages 2-19 who visited emergency department for asthma2.2
People without a usual source of care who indicated a financial or insurance reason for not having a source of care2.3
Women ages 21-65 who received a Pap smear in the last 3 years3.2
Home health care patients who had an emergency department visit and then hospitalized3.4
Adults who reported a home health provider asking to see all the prescription and over-the-counter medicines they were taking, when they first started getting home health care3.8
Drug overdose deaths involving any opioid per 100,000 resident population5.3
Children 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 treatment6.4
Drug overdose deaths involving natural and semisynthetic opioids per 100,000 resident population8.9
Drug overdose deaths involving other synthetic opioids (other than methadone) per 100,000 resident population20.6