NationalNon-Hispanic White 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
Long-stay nursing home residents with physical restraints-27.3
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-21.0
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-17.6
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine-14.6
Long-stay nursing home residents with a urinary tract infection-14.2
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined-14.1
Inpatient adverse events in adults receiving knee replacement-14.0
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine-12.4
Short-stay nursing home patients with pressure ulcers that are new or worsened-12.0
Hospital patients with an anticoagulant-related adverse drug event to low-molecular-weight heparin (LMWH) and factor Xa-11.7
Short-stay home health patients who had diabetic foot care and patient education-11.4
Home health care patients whose ability to get in and out of bed improved-10.0
Inpatient adverse events in adults receiving hip joint replacement due to degenerative conditions-9.9
Home health care patients whose ability to walk or move around improved-9.6
Home health patients who had timely initiation of care-9.6
Short-stay nursing home residents with moderate to severe pain-9.4
Adolescent males ages 16-17 who received 3 or more doses of human papillomavirus (HPV) vaccine-8.7
Long-stay nursing home residents with moderate to severe pain-8.6
Home health care patients whose shortness of breath decreased-8.5
Home health care patients whose pain when moving around decreased-8.1
Home health care patients whose bathing improved-7.9
Adult surgery patients with postoperative pneumonia events-7.8
Home health care patients whose management of oral medications improved-7.8
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis-7.5
Long-stay nursing home residents have depressive symptoms-7.2
Hospital patients who received a hypoglycemic agent who had an adverse drug events with hypoglycemic agents-7.1
Inpatient adverse events in adults receiving hip joint replacement due to fracture-7.0
HIV infection deaths per 100,000 population-6.8
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine-6.7
Doctor's office, emergency department, and outpatient department visits where antibiotics were prescribed for a diagnosis of common cold per 10,000 population-6.6
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-6.4
Children who had their height and weight measured by a health provider within the past 2 years-6.1
Adverse drug event with IV heparin in adult hospital patients who received an anticoagulant-6.1
Home health patients who had improvement in upper body dressing-5.9
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-5.3
Children ages 19-35 months who received 1 or more doses of varicella vaccine-5.3
Adults who received a blood cholesterol measurement in the last 5 years-4.9
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine-4.7
Children ages 0-17 with wellness checkup in the past 12 months-4.6
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)-4.6
Adult surgery patients with catheter-associated urinary tract infection-4.6
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-4.4
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-4.0
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-3.8
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment-3.7
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-3.6
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-3.3
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over-3.3
New HIV cases per 100,000 population age 13 and over-2.9
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-2.9
Children ages 3-5 who ever had their vision checked by a health provider-2.9
People in fair or poor health with a specific source of ongoing care-2.8
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-2.8
People under age 65 who were uninsured all year-2.7
Persons age 13 and over living with HIV who know their serostatus-2.7
People with a specific source of ongoing care-2.6
High-risk, long-stay nursing home patients with pressure ulcer-2.6
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine-2.6
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy-2.5
People under age 65 with health insurance-2.5
Colorectal cancer deaths per 100,000 population per year-2.4
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-2.4
People with a usual source of care who usually asks about prescription medications and treatments from other doctors-2.3
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine-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
Adults age 65 and over who ever received pneumococcal vaccination-2.0
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone-2.0
Adults ages 18 and over who received influenza vaccination in the last flu season-2.0
Lung cancer deaths per 100,000 population per year-2.0
Children ages 6 months to 17 years who received influenza vaccination in the last flu season-1.9
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-1.9
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-1.8
Breast cancer deaths per 100,000 female population per year-1.8
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high-1.8
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-1.8
Adults with obesity age 20 and over who had been told by a doctor or health professional that they were overweight-1.8
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy-1.7
Children ages 19-35 months who received 3 or more doses of polio vaccine-1.7
People under age 65 with any period of uninsurance during the year-1.6
Adults age 65 and over who received an influenza vaccination in the last flu season-1.5
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 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-1.3
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
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over-1.1
Measures That Are Unchanged
MeasureAverage Annual Percent Change
Adults who filled four or more outpatient opioid prescriptions in the calendar year-8.4
Adults who filled an outpatient opioid prescription in the calendar year-4.5
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder-4.2
Adults age 40 and over with diabetes whose condition was diagnosed-4.0
Mechanical adverse events in adult patients receiving central venous catheter placement-3.3
Hospital patients with an anticoagulant-related adverse drug event to warfarin-2.7
Children ages 2-19 who visited emergency department for asthma-2.0
Long-stay nursing home residents whose need for help with daily activities increased-1.6
Children ages 5-17 with untreated dental caries-1.5
Adults age 40 and over with diagnosed diabetes with blood pressure less than 130/80 mm Hg-1.1
Infant mortality per 1,000 live births, birth weight 2,500 grams or more-0.9
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking-0.9
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access-0.9
Adults with hypertension with blood pressure less than 140/90 mm/Hg-0.9
Long-stay nursing home residents with too much weight loss-0.9
Adults with obesity who ever received advice from a health professional to exercise more-0.9
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-0.9
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
People unable to get or delayed in getting needed medical care due to financial or insurance reasons-0.8
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons-0.8
People who were unable to get or delayed in getting needed medical care in the last 12 months-0.8
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months-0.8
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination-0.7
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season-0.7
Short-stay nursing home patients who had flu vaccination appropriately given-0.7
Home health care patients who had to be admitted to the hospital-0.6
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year-0.6
Home health care patients who stayed at home after an episode of home health care-0.6
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year-0.5
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-0.5
Live-born infants with low birth weight (less than 2,500 g)-0.4
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
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 over-0.4
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms-0.4
Children with obesity 2-19 years of age who had been told by a doctor or health professional that they were overweight-0.4
People who were unable to get or delayed in getting needed dental care in the last 12 months-0.3
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year-0.3
Children ages 2-19 with obesity-0.2
Children ages 2-17 who received a preventive dental service in the calendar year-0.2
Children ages 2-17 who had a dental visit in the calendar year-0.1
Adjusted incident rates of end stage renal disease (ESRD) due to diabetes per million population-0.0
Dialysis patients who were registered on a waiting list for transplantation-0.0
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods0.1
People without a usual source of care who indicated a financial or insurance reason for not having a source of care0.1
Adults who received a preventive dental service in the calendar year0.2
People unable to get or delayed in getting needed dental care due to financial or insurance reasons0.2
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months0.2
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year0.2
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends0.3
Adults with a dental visit in the calendar year0.4
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine0.5
Long-stay nursing home patients experiencing one or more falls with major injury0.6
Home health care patients whose surgical wound was improved0.6
People with a usual primary care provider0.7
People age 12 and over treated for substance abuse who completed treatment course0.8
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months0.9
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder0.9
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure1.0
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine1.1
Long-stay nursing home residents whose ability to move independently worsened1.1
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist1.1
Short-stay nursing home residents who were assessed for pneumococcal vaccination1.3
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist1.5
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 treatment2.5
Bloodstream infection in adult patients receiving central venous catheter placement3.0
Long-stay nursing home residents who were assessed for pneumococcal vaccination4.2
Measures That Are Worsening
MeasureAverage Annual Percent Change
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler)1.1
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income1.3
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine1.3
People under age 65 with any private health insurance1.4
Women ages 50-74 who received a mammogram in the last 2 years1.6
Home health care patients who had an emergency department visit without a hospitalization2.2
Suicide deaths among persons age 12 and over per 100,000 population2.3
Adults age 65 and over with any private health insurance2.8
Home health care patients who had an emergency department visit and then hospitalized3.3
Women ages 21-65 who received a Pap smear in the last 3 years3.4
Adult surgery patients with postoperative venous thromboembolic events6.6
Drug overdose deaths involving any opioid per 100,000 resident population9.9
Drug overdose deaths involving natural and semisynthetic opioids per 100,000 resident population10.0
Drug overdose deaths involving other synthetic opioids (other than methadone) per 100,000 resident population17.5