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 | -16.8 |
| 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 | -16.4 |
| Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine | -14.4 |
| Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine | -13.4 |
| Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined | -12.5 |
| Adults who filled an outpatient opioid prescription in the calendar year | -9.3 |
| Adults who filled four or more outpatient opioid prescriptions in the calendar year | -9.2 |
| Adults with limited English proficiency who had a usual source of care | -6.8 |
| Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis | -6.2 |
| Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine | -6.2 |
| 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 | -5.4 |
| Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine | -5.4 |
| Adults who received a blood cholesterol measurement in the last 5 years | -5.3 |
| Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults | -4.6 |
| Children who had their height and weight measured by a health provider within the past 2 years | -4.4 |
| Children ages 19-35 months who received 1 or more doses of varicella vaccine | -4.3 |
| Children ages 0-17 with wellness checkup in the past 12 months | -4.2 |
| 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) | -4.2 |
| 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 | -3.9 |
| Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine | -3.9 |
| People under age 65 who were uninsured all year | -3.5 |
| 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 | -3.2 |
| People under age 65 with health insurance | -3.2 |
| 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 | -3.1 |
| 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 | -2.9 |
| Adult current smokers who had a doctor's office or clinic visit in the last 12 months who received advice to quit smoking from their providers | -2.8 |
| People with a specific source of ongoing care | -2.7 |
| People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income | -2.5 |
| Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy | -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 |
| Children ages 5-17 with untreated dental caries | -2.4 |
| People under age 65 with any period of uninsurance during the year | -2.4 |
| People in fair or poor health with a specific source of ongoing care | -2.4 |
| People who were unable to get or delayed in getting needed medical care in the last 12 months | -2.3 |
| People unable to get or delayed in getting needed medical care due to financial or insurance reasons | -2.3 |
| Adults ages 18 and over who received influenza vaccination in the last flu season | -2.3 |
| Children ages 3-5 who ever had their vision checked by a health provider | -2.2 |
| Children ages 19-35 months who received 3 or more doses of polio vaccine | -2.1 |
| Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season | -2.0 |
| 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 | -2.0 |
| Adults with obesity who ever received advice from a health professional to exercise more | -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 | -2.0 |
| 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 | -2.0 |
| Infants born in the calendar year who received breastfeeding exclusively through 3 months | -1.9 |
| Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year | -1.9 |
| Adults age 65 and over who received an influenza vaccination in the last flu season | -1.9 |
| 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 | -1.7 |
| People who were unable to get or delayed in getting needed prescription medicines in the last 12 months | -1.7 |
| People who were unable to get or delayed in getting needed dental care in the last 12 months | -1.7 |
| 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 |
| 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 | -1.6 |
| 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 | -1.5 |
| 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 | -1.4 |
| People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone | -1.2 |
| Children ages 2-17 who had a dental visit in the calendar year | -1.2 |
| 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 | -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 rated their healthcare received in the last 12 months as poor (0-6) on a scale of 0-10 (where 0 is the worst and 10 is the best) | -1.1 |
| Adults age 65 and over who ever received pneumococcal vaccination | -1.1 |
| Children ages 2-17 who received a preventive dental service in the calendar year | -1.1 |
| 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 | -1.1 |
| People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons | -1.1 |
| Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms | -1.1 |
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