NationalWhite 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-28.3
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-20.2
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-17.2
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine-15.0
Hospital patients who received influenza vaccination-15.0
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-12.9
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
Doctor's office, emergency department, and outpatient department visits where antibiotics were prescribed for a diagnosis of common cold per 10,000 population-10.0
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
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine-7.0
Inpatient adverse events in adults receiving hip joint replacement due to fracture-7.0
HIV infection deaths per 100,000 population-6.7
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-6.5
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
Adult hospital patients who did not receive good communication about discharge information-5.5
Children who had their height and weight measured by a health provider within the past 2 years-5.3
Children ages 19-35 months who received 1 or more doses of varicella vaccine-5.3
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine-5.2
Adults who received a blood cholesterol measurement in the last 5 years-4.9
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment-4.9
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
Infants born in the calendar year who received breastfeeding through 3 months-4.4
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-4.3
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-4.3
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults-4.2
People in fair or poor health with a specific source of ongoing care-3.9
Children ages 0-17 with wellness checkup in the past 12 months-3.8
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
Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival-3.6
Adults who reported that home health providers talk about pain in the last 2 months of care-3.4
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-3.4
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over-3.3
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital-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 listened carefully to them-3.1
New HIV cases per 100,000 population age 13 and over-2.9
People with a specific source of ongoing care-2.9
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine-2.8
Children ages 3-5 who ever had their vision checked by a health provider-2.7
Persons age 13 and over living with HIV who know their serostatus-2.7
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy-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
Colorectal cancer deaths per 100,000 population per year-2.5
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 whose providers sometimes or never asked them to help make decisions when there was a choice between treatments-2.4
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-2.2
Lung cancer deaths per 100,000 population per year-2.1
Children ages 6 months to 17 years who received influenza vaccination in the last flu season-2.0
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-2.0
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone-1.9
People under age 65 who were uninsured all year-1.9
People with a usual source of care who usually asks about prescription medications and treatments from other doctors-1.9
Adults age 65 and over who ever received pneumococcal vaccination-1.9
Adults ages 18 and over who received influenza vaccination in the last flu season-1.9
People under age 65 with health insurance-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
Children ages 19-35 months who received 3 or more doses of polio vaccine-1.8
Breast cancer deaths per 100,000 female population per year-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-1.6
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-1.5
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
Adults age 65 and over who received an influenza vaccination in the last flu season-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-1.3
People under age 65 with any period of uninsurance during the year-1.3
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-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-1.2
Adults with obesity who ever received advice from a health professional to exercise more-1.2
People who were unable to get or delayed in getting needed medical care in the last 12 months-1.2
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over-1.1
Infant mortality per 1,000 live births, birth weight 2,500 grams or more-1.1
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking-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
Measures That Are Unchanged
MeasureAverage Annual Percent Change
Adults who filled four or more outpatient opioid prescriptions in the calendar year-8.7
Adults who filled an outpatient opioid prescription in the calendar year-4.9
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
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
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access-1.1
Adults age 40 and over with diagnosed diabetes with blood pressure less than 130/80 mm Hg-1.1
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high-1.0
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-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
Adults who reported being told what care and services they would get when they first started getting home health care-0.9
Adults with hypertension with blood pressure less than 140/90 mm/Hg-0.9
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year-0.9
Long-stay nursing home residents with too much weight loss-0.9
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
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
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season-0.7
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care-0.7
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination-0.7
People who were unable to get or delayed in getting needed dental care in the last 12 months-0.7
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-0.7
Short-stay nursing home patients who had flu vaccination appropriately given-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
Home health care patients who had to be admitted to the hospital-0.6
Adults who reported that home health providers always listen carefully to them in the last 2 months of care-0.6
Home health care patients who stayed at home after an episode of home health care-0.6
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms-0.6
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months-0.6
Children ages 2-17 who received a preventive dental service in the calendar year-0.5
Children ages 2-17 who had a dental visit in the calendar year-0.5
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 age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year-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
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods-0.3
Children ages 2-19 with obesity-0.2
Live-born infants with low birth weight (less than 2,500 g)-0.1
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care-0.1
Dialysis patients who were registered on a waiting list for transplantation-0.1
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 care0.1
People unable to get or delayed in getting needed dental care due to financial or insurance reasons0.1
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care0.1
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year0.2
Adults who received a preventive dental service in the calendar year0.2
Adjusted incident rates of end stage renal disease (ESRD) due to diabetes per million population0.2
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months0.2
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 be0.3
People with a usual primary care provider0.3
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends0.3
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine0.4
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months0.4
Adults with a dental visit in the calendar year0.4
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 care0.5
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist0.5
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 care0.6
Long-stay nursing home patients experiencing one or more falls with major injury0.6
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care0.6
Home health care patients whose surgical wound was improved0.6
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year0.8
Adults who reported getting the help or advice they needed the same day they contacted their home health providers0.8
People age 12 and over treated for substance abuse who completed treatment course0.8
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine0.8
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 failure0.9
People without a usual source of care who indicated a financial or insurance reason for not having a source of care0.9
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care0.9
Long-stay nursing home residents whose ability to move independently worsened1.1
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 specialist2.1
Children ages 2-19 who visited emergency department for asthma2.1
Bloodstream infection in adult patients receiving central venous catheter placement3.0
Long-stay nursing home residents who were assessed for pneumococcal vaccination4.2
Hospital patients who received pneumococcal immunization8.0
Measures That Are Worsening
MeasureAverage Annual Percent Change
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine1.0
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 income1.1
Women ages 50-74 who received a mammogram in the last 2 years1.5
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 care1.5
People under age 65 with any private health insurance1.7
Suicide deaths among persons age 12 and over per 100,000 population2.0
Home health care patients who had an emergency department visit without a hospitalization2.2
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 treatment2.4
Adults age 65 and over with any private health insurance2.7
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 hospitalized3.3
Adult surgery patients with postoperative venous thromboembolic events6.6
Drug overdose deaths involving any opioid per 100,000 resident population8.9
Drug overdose deaths involving natural and semisynthetic opioids per 100,000 resident population9.1
Drug overdose deaths involving other synthetic opioids (other than methadone) per 100,000 resident population16.3