NationalChildren 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
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-20.1
Doctor's office, emergency department, and outpatient department visits where antibiotics were prescribed for a diagnosis of common cold per 10,000 population-20.1
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-17.0
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine-14.9
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine-13.1
People in fair or poor health with a specific source of ongoing care-12.0
Adolescent males ages 16-17 who received 3 or more doses of human papillomavirus (HPV) vaccine-8.7
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine-7.0
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment-6.6
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine-5.4
People under age 65 with health insurance-5.3
People under age 65 who were uninsured all year-5.2
Children ages 19-35 months who received 1 or more doses of varicella vaccine-5.2
Children who had their height and weight measured by a health provider within the past 2 years-5.0
People who were unable to get or delayed in getting needed dental care in the last 12 months-4.3
Children ages 0-17 with wellness checkup in the past 12 months-4.3
People who were unable to get or delayed in getting needed medical care in the last 12 months-3.8
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-3.8
Infants born in the calendar year who received breastfeeding through 3 months-3.2
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine-3.2
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months-3.1
People under age 65 with any period of uninsurance during the year-3.1
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-2.9
Children ages 3-5 who ever had their vision checked by a health provider-2.7
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy-2.7
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone-2.6
Children ages 19-35 months who received 3 or more doses of polio vaccine-2.2
Children ages 6 months to 17 years who received influenza vaccination in the last flu season-2.2
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-2.1
People with a usual source of care who usually asks about prescription medications and treatments from other doctors-1.8
People with a usual primary care provider-1.4
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-1.4
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-1.4
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-1.0
Measures That Are Unchanged
MeasureAverage Annual Percent Change
Children ages 5-17 with untreated dental caries-2.0
People with a specific source of ongoing care-2.0
People without a usual source of care who indicated a financial or insurance reason for not having a source of care-1.1
Infant mortality per 1,000 live births, birth weight 2,500 grams or more-1.0
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months-0.9
Children with obesity 2-19 years of age who had been told by a doctor or health professional that they were overweight-0.7
People unable to get or delayed in getting needed medical care due to financial or insurance reasons-0.7
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-0.7
Children ages 2-17 who had a dental visit in the calendar year-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-0.7
Children ages 2-17 who received a preventive dental service in the calendar year-0.6
People unable to get or delayed in getting needed dental care due to financial or insurance reasons-0.4
Live-born infants with low birth weight (less than 2,500 g)-0.0
HIV infection deaths per 100,000 population0.0
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine0.0
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine0.2
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends0.4
People age 12 and over treated for substance abuse who completed treatment course0.5
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine0.8
Children ages 2-19 with obesity0.8
Children ages 2-19 who visited emergency department for asthma2.0
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist2.2
Measures That Are Worsening
MeasureAverage Annual Percent Change
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income1.0
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler)1.3
People under age 65 with any private health insurance2.0
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 treatment2.3
Suicide deaths among persons age 12 and over per 100,000 population6.0