NationalChronic Care Quality Measures Trend Over Time

Trending information is available for NHQR 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
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-6.66
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults-4.08
Adults who reported that home health providers talk about pain in the last 2 months of care-3.10
Adults with hypertension with blood pressure less than 140/90 mm/Hg-2.64
People with a usual source of care who usually asks about prescription medications and treatments from other doctors-1.97
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-1.63
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy-1.51
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-1.50
Adults who reported being told what care and services they would get when they first started getting home health care-1.30
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care-1.04
Measures That Are Unchanged
MeasureAverage Annual Percent Change
Adults age 40 and over with diabetes whose condition was diagnosed-2.54
Adults age 40 and over with diagnosed diabetes with blood pressure less than 130/80 mm Hg-1.82
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access-1.48
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms-1.23
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year-0.96
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-0.86
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months-0.83
Adults who reported that home health providers always listen carefully to them in the last 2 months of care-0.82
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-0.81
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months-0.52
Adults age 40 and over with diagnosed diabetes with hemoglobin A1c less than 8.0% (optimal control)-0.34
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care-0.30
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year-0.28
Dialysis patients who were registered on a waiting list for transplantation-0.22
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 care-0.19
Adults who reported having any problems with the care they received from their home health providers in the last 2 months of care-0.02
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 care0.62
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure0.64
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year0.65
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 care0.71
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care0.76
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year0.85
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care0.93
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)1.03
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 care1.62
Percent of hemodialysis patients whose hemoglobin level is less than 10 g/dL33.4
Measures With No Available Trend Information
MeasureAverage Annual Percent Change
Composite measure: Adults age 40 and over with diagnosed diabetes who received all four recommended services for diabetes in the calendar year (two or more hemoglobin A1c measurement, dilated eye examination, foot examination, and flu vaccination)
Composite: People age 12 and over who needed treatment for illicit drug use or an alcohol problem and who received such treatment at a specialty facility in the last 12 months
Adults age 18 and over with diagnosed diabetes with hemoglobin A1c more than 9.0%
Adults age 18 and over with diagnosed diabetes whose LDL cholesterol is under control