NationalHigh Income 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

Measure	Average 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	-21.8
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	-18.1
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine	-14.9
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined	-14.4
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine	-12.8
Adolescent males ages 16-17 who received 3 or more doses of human papillomavirus (HPV) vaccine	-9.8
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis	-9.5
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine	-7.3
Adults who received a blood cholesterol measurement in the last 5 years	-6.2
Children ages 19-35 months who received 1 or more doses of varicella vaccine	-5.9
Children ages 0-17 with wellness checkup in the past 12 months	-5.6
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine	-5.3
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	-5.2
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)	-5.1
Children who had their height and weight measured by a health provider within the past 2 years	-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	-4.5
Infants born in the calendar year who received breastfeeding through 3 months	-4.4
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults	-4.2
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	-4.2
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	-4.1
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	-3.6
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	-3.4
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	-3.4
People under age 65 with health insurance	-3.3
Children ages 19-35 months who received 3 or more doses of polio vaccine	-2.8
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy	-2.8
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone	-2.5
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	-2.4
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine	-2.4
Adults age 65 and over who received an influenza vaccination in the last flu season	-2.4
People with a usual source of care who usually asks about prescription medications and treatments from other doctors	-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
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 under age 65 who were uninsured all year	-2.1
Children ages 3-5 who ever had their vision checked by a health provider	-2.1
Adults age 65 and over who ever received pneumococcal vaccination	-2.0
Adults ages 18 and over who received influenza vaccination in the last flu season	-1.8
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months	-1.6
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	-1.6
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	-1.5
People under age 65 with any period of uninsurance during the year	-1.3
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	-1.3
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	-1.2

Measures That Are Unchanged

Measure	Average Annual Percent Change
Adults who filled four or more outpatient opioid prescriptions in the calendar year	-16.8
Adults age 40 and over with diabetes whose condition was diagnosed	-4.9
Adults who filled an outpatient opioid prescription in the calendar year	-4.4
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high	-1.9
Children ages 2-19 with obesity	-1.3
Adults with obesity age 20 and over who had been told by a doctor or health professional that they were overweight	-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
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	-0.9
Adults with obesity who ever received advice from a health professional to exercise more	-0.8
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination	-0.7
Adults with hypertension with blood pressure less than 140/90 mm/Hg	-0.7
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	-0.6
Adults age 40 and over with diagnosed diabetes with blood pressure less than 130/80 mm Hg	-0.6
People who were unable to get or delayed in getting needed medical care in the last 12 months	-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
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year	-0.5
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking	-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
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season	-0.4
People with a specific source of ongoing care	-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
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine	-0.3
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year	-0.2
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods	-0.1
People who were unable to get or delayed in getting needed dental care in the last 12 months	-0.1
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms	0.1
People under age 65 with any private health insurance	0.1
Adults who received a preventive dental service in the calendar year	0.2
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year	0.2
Children ages 5-17 with untreated dental caries	0.2
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends	0.3
Children ages 2-17 who received a preventive dental service in the calendar year	0.3
People with a usual primary care provider	0.5
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons	0.5
Adults with a dental visit in the calendar year	0.5
People without a usual source of care who indicated a financial or insurance reason for not having a source of care	0.6
Children ages 2-17 who had a dental visit in the calendar year	0.7
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist	1.1
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine	1.1
Children ages 6 months to 17 years who received influenza vaccination in the last flu season	1.2
People unable to get or delayed in getting needed medical care due to financial or insurance reasons	1.2
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine	1.4
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist	1.5
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months	2.3
People in fair or poor health with a specific source of ongoing care	2.6
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 treatment	5.7

Measures That Are Worsening

Measure	Average Annual Percent Change
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year	1.5
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler)	1.7
People unable to get or delayed in getting needed dental care due to financial or insurance reasons	1.7
Women ages 50-74 who received a mammogram in the last 2 years	2.0
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months	2.0
Adults age 65 and over with any private health insurance	3.0
Women ages 21-65 who received a Pap smear in the last 3 years	3.7
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income	4.5
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population	5.6
Emergency department visits involving opioid-related diagnoses per 100,000 population	10.5