Medical Expenditure Panel Survey (MEPS)

Measure ID: MEPS_16, 20101011

Measure Title: Adults who had an appointment for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as wanted

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born.

Data Source:

National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population age 18 and over who made an appointment for regular or routine health care in the past 12 months and had a valid response to the question, "In the last 12 months, how often did you get an appointment for regular or routine health care as soon as you wanted?"

Numerator: Subset of the denominator who answered "Sometimes" or "Never"

Comments: National Table Descriptions report data from the MEPS Self-Administered Questionnaire (SAQ).

Measure ID: MEPS_17, 20101021

Measure Title: Children who had an appointment for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as wanted

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born.

Data Source: National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population under age 18 who had an appointment for regular or routine health care in the past 12 months and with a valid response to the question "In the last 12 months, how often did [the person] get an appointment for regular or routine health care as soon as you wanted?"

Numerator:

Subset of the denominator who, according to their parents or guardians, answered the above question "Sometimes" or "Never"

Comments: Data are from the MEPS Child Health section. The MEPS entry in the Data Sources appendix -- http://www.ahrq.gov/research/data/dataresources/index.html -- has more information.

Nonrespondents and "Don't Know" responses were excluded.

Measure ID: MEPS_18, 20101031

Measure Title: 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 wanted

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born.

Data Source:

National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized adults age 18 and over who in the past 12 months had an illness or injury who needed care right away and had a valid response to the question, "In the last 12 months, when you needed care right away for an illness or injury, how often did you get care as soon as you wanted?"

Numerator: Subset of the denominator who responded "Sometimes" or "Never" to the above question

Comments: Nonrespondents and "Don't Know" responses were excluded.

Measure ID: MEPS_40, 20501071

Measure Title: People under age 65 who were uninsured all year

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, perceived health status, language spoken at home, residence location, and U.S. born.

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population under age 65

Numerator: Subset of the denominator who reported no private or public health insurance coverage at any time during the year

Comments: People who are " full-year uninsured " include those whose number of uninsured months is equal to the number of available months in MEPS.

Measure ID: MEPS_41, 20501081

Measure Title: People under age 65 with any period of uninsurance during the year

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born.

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population under age 65

Numerator: Subset of the denominator who reported they had no public or private health insurance coverage at any month during the year

Measure ID: MEPS_46, 20601021

Measure Title: People with a usual primary care provider

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population

Numerator: Subset of the denominator who had a usual primary care provider

Comments: A person is determined to have had a primary care provider if his or her usual source of care setting was either a physician's office or a hospital (setting other than an emergency room), and he or she reported going to this usual source of care for new health problems, preventive health services, and referrals.

Measure ID: MEPS_42, 20501111

Measure Title: People under age 65 with any period of public insurance during the year

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population under age 65

Numerator: Subset of the denominator who reported they had public health insurance coverage some time during the year

Comments: Public insurance includes Medicare, Medicaid, and other public programs that provide hospital and/or physician coverage.

Measure ID: MEPS_70, 20701011

Measure Title: People unable to get or delayed in getting medical care, dental care, or prescription medications

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Denominator: U.S. civilian noninstitutionalized population

Numerator: Subset of the denominator who indicated difficulties or delays in obtaining medical care, dental care, or prescription medications

Measure ID: MEPS_51, 20701021

Measure Title: People unable to get or delayed in getting medical care in the last 12 months

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population

Numerator: Subset of the denominator who did not receive or delayed receiving needed medical care in the last 12 months

Measure ID: MEPS_52, 20701031

Measure Title: People unable to get or delayed in getting dental care in the last 12 months

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population

Numerator: Subset of the denominator who did not receive or delayed receiving needed dental care in the last 12 months

Measure ID: MEPS_53, 20701041

Measure Title: People unable to get or delayed in getting prescription medicine in the last 12 months

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population

Numerator: Subset of the denominator who did not receive or delayed receiving needed prescription medicine in last 12 months

Measure ID: MEPS_54, 20701051

Measure Title: People with a usual source of care, excluding hospital emergency rooms, whose care source has office hours at night or on weekends

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population who reported having a usual source of care

Numerator: Subset of the denominator who reported that their provider has night or weekend office hours

Measure ID: MEPS_55, 20701061

Measure Title: People with difficulty contacting their usual source of care during regular business hours over the telephone about a health problem

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Denominator: U.S. civilian noninstitutionalized population who report having a usual source of care

Numerator: Subset of the denominator who reported that they have difficulty contacting their provider over the telephone during regular business hours

Measure ID: MEPS_56, 20701071

Measure Title: Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2008 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized age 18 and over who reported that, during the previous 12 months, they or a doctor thought they needed to see a specialist

Numerator: Subset of the denominator who reported problems getting a referralto a specialist in the past year

Comments: Table Descriptions report data from the MEPS Self-Administered Questionnaire (SAQ)

Measure ID: MEPS_58, 20701081

Measure Title: Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2008 to 2016

Population subgroups: Age, gender, ethnicity, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, children with special health care needs, U.S. born

Data Source: National: National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized children under age 18 whose parents reported that, during the previous 12 months, they or a doctor thought they needed to see a specialist

Numerator: Subset of the denominator whose parent reported problems getting a referral to a specialist in the past year

Measure ID: MEPS_59, 20701091

Measure Title: Adults who needed care, tests, or treatments in the last 12 months who sometimes or never found it easy to get the care, tests, or treatments

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2008 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: National: National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized adults (age 18 and over) who needed care, tests, or treatments in the last 12 months

Numerator: Subset of the denominator who sometimes or never found it easy to get the care, tests, or treatments in the last 12 months

Comments: Data were obtained from the MEPS Self-Administered Questionnaire (SAQ).

Measure ID: MEPS_60, 20701101

Measure Title: Children who needed care, tests, or treatments in the last 12 months who sometimes or never found it easy to get the care, tests, or treatments

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2008 to 2016

Population subgroups: Age, gender, ethnicity, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, children with special health care needs, U.S. born

Data Source: National: National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized children under age 18 who needed care, tests, or treatments in the last 12 months

Numerator: Subset of the denominator who sometimes or never found it easy to get the care, tests, or treatments in the last 12 months

Measure ID: MEPS_38, 30601011

Measure Title: Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year (11 medications)

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born.

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population age 65 and over

Numerator: Subset of the denominator who received at least 1 of the 11 medications that are potentially inappropriate for older adults

Comments: Prescription medications received include all prescribed medications initially purchased or otherwise obtained during the calendar year, as well as any refills. For additional information concerning potentially inappropriate medications, refer to:

Zhan C, Sangl J, Bierman AS, et al. Potentially inappropriate medication use in the community-dwelling elderly: findings from 1996 Medical Expenditure Panel Survey. JAMA 2001; 286(22):2823-29.

Measure ID: MEPS_39, 30601021

Measure Title: Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year (33 medications)

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born.

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population age 65 and over

Numerator: Subset of the denominator who received who received 1 or more of the 33 potentially inappropriate medications

Comments: Prescription medications received include all prescribed medications initially purchased or otherwise obtained during the calendar year, as well as any refills

For additional information concerning potentially inappropriate medications, refer to:

Zhan C, Sangl J, Bierman AS, et al. Potentially inappropriate medication use in the community-dwelling elderly: findings from 1996 Medical Expenditure Panel Survey. JAMA 2001; 286(22):2823-29.

Measure ID: MEPS_20, 40101011

Measure Title: Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source:

National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized adults age 18 and over who visited a doctor's office or clinic to get health care in the past 12 months, excluding those with missing or invalid responses to all of the questions that make up this composite measure

Numerator: Subset of the denominator who responded "Sometimes" or "Never" to any of the four questions making up this composite measure

Comments: Estimates are weighted and adjusted for nonresponse based on the number of questions (out of four) with a valid response.

Measure ID: MEPS_22, 40101031

Measure Title: Adults who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully to them

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized adults age 18 and over who visited a doctor's office or clinic to get health care in the past 12 months and had a valid response to the question, "In the last 12 months how often did doctors or other health providers listen carefully to you?"

Numerator: Subset of the denominator who answered "Sometimes" or "Never" to the above question

Comments: Nonrespondents and respondents indicating "Don't Know" were excluded.

Patient Experience of Care

Measure ID: MEPS_24, 40101051

Measure Title: Adults who had a doctor's office or clinic visit whose health providers always explained things in a way they could understand

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized adults age 18 and over who visited a doctor's office or clinic to get health care in the past 12 months and provided a valid response to the question, "In the last 12 months how often did doctors or other health providers explain things in a way you could understand?"

Numerator: Subset of the denominator who responded "Always" to the above question

Comments: Nonrespondents and respondents indicating "Don't Know" were excluded.

Measure ID: MEPS_26, 40101071

Measure Title: Adults who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they had to say

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months and who provided a valid response to the question, "In the last 12 months how often did doctors or other health providers show respect for what you had to say?"

Numerator: Subset of the denominator who responded "Sometimes" or "Never" to the above question

Comments: Nonrespondents and respondents indicating "Don't Know" were excluded.

Measure ID: MEPS_28, 40101091

Measure Title: Adults who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months and who provided a valid response to the question, "In the last 12 months how often did doctors or other health providers spend enough time with you?"

Numerator: Subset of the denominator who responded " Sometimes" or "Never" to the above question

Comments: Nonrespondents and "Don't Know" responses were excluded.

Measure ID: MEPS_30, 40101111

Measure Title: Rating of health care by adults who had a doctor's office or clinic visit

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months and who provided a valid response to the question, "We want to know your rating of all your health care in the last 12 months from all doctors and other health providers. Use any number from 0 to 10 where 0 is the worst health care possible and 10 is the best health care possible. How would you rate all your health care?"

Numerator: Subset of the denominator who rated their health care as 0-6 on a scale from 0 to 10

Comments: Nonrespondents and "Don't Know" responses were excluded.

Measure ID: MEPS_32, 40101131

Measure Title: Adults with limited English proficiency having a usual source of care that offered language assistance

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2014 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized adults age 18 and over with limited English proficiency and a usual source of care

Numerator: Subset of the denominator who received language assistance at their usual source of care

Measure ID: MEPS_33, 40101132

Measure Title: Adults with limited English proficiency and a usual source of care

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2014 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized adults age 18 and over

Numerator: Subset of the denominator who had a usual source of care

Measure ID: MEPS_35, 40101151

Measure Title: People with a usual source of care whose health care providers sometimes or never asked for the person's help to make treatment decisions

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Denominator: Adult US civilian noninstitutionalized population with a usual source of care

Numerator: Subset of the denominator who indicated that their usual source of care "Sometimes" or "Never" discussed decisions with them

Measure ID: MEPS_74, 40101161

Measure Title: 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

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS); Consistent with Healthy People 2020 objective HIT-1.1

Table Descriptions:

Geographic representation: National

Years available: 2011 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population age 18 and over who had a doctor's office or clinic visit in the last 12 months and received instructions about what to do for a specific illness or health condition

Numerator: Number of persons aged 18 years and over who report that in the last 12 months, doctors or other health providers always gave them easy-to-understand instructions about what to do about a specific illness or health condition. Other possible answers include "Usually", "Sometimes", and "Never". For more information, see "Detailed Methods for the Medical Expenditure Panel Survey".

Comments: Missing responses were excluded. This measure is consistent with Health People 2020 objective HIT-1.1. Data for HIT-1.1 are available at https://www.healthypeople.gov/2020/topics-objectives/topic/health-communication-and-health-information-technology/objectives

Measure ID: MEPS_75, 40101171

Measure Title: 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

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2011 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population age 18 and over who had a doctor's office or clinic visit in the last 12 months and received instructions about what to do for a specific illness or health conditions

Numerator: Number of persons aged 18 and over whose health care provider always asks how instructions will be followed. Other possible answers include "Usually", "Sometimes", and "Never". For more information, see "Detailed Methods for the Medical Expenditure Panel Survey".

Comments: Missing responses were excluded. This measure is consistent with CDC's Healthy People 2020 objective HIT-1.2. Data for HIT-1.2 are available at https://www.healthypeople.gov/2020/topics-objectives/topic/health-communication-and-health-information-technology/objectives

Measure ID: MEPS_76, 40101181

Measure Title: Adults who had a doctor's office or clinic in the last 12 months whose health providers' office always offered help in filling out forms

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS); Consistent with Healthy People objective HIT-1.3.

Table Descriptions:

Geographic representation: National

Years available: 2011 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population age 18 and over who visited their doctor's office and had to fill out or sign any forms in the last 12 months

Numerator: Number of persons aged 18 years and over who report having someone at their doctor's office always explain the purpose of a form before they signed it (in the last 12 months). Other possible answers include "Usually", "Sometimes", and "Never". For more information, see "Detailed Methods for the Medical Expenditure Panel Survey".

Comments: Missing responses were excluded. This measure is consistent with Healthy People 2020 objective HIT-1.3. Data for HIT-1.3 are available at https://www.healthypeople.gov/2020/topics-objectives/topic/health-communication-and-health-information-technology/objectives.

Measure ID: MEPS_37, 50201011

Measure Title: People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population who had a usual source of care and a valid response to the question, "Does [respondent's usual care provider] usually ask about prescription medications and treatments other doctors may give you?"

Numerator: Subset of the denominator who answered "Yes" to the question identified in the denominator

Comments: Usual source of care is defined as a particular doctor's office, clinic, health center, or other health care facility to which an individual usually would go to obtain health care service.

Measure ID: MEPS_65, 60401011

Measure Title: 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)

Measure Source: National Diabetes Quality Improvement Alliance

Table Description:

Geographic representation: National

Years available: 2008 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Denominator: U.S. civilian noninstitutionalized adults age 40 and over with diabetes and a positive Diabetes Care Survey weight, excluding records with missing values

Numerator: Subset of the denominator who responded "Yes" to each of the four items related to receipt of diabetes services: (1) received two or more HbA1c measurements, (2) received dilated eye exam, (3) received foot exam, and (4) received flu shot

Comments: The method for defining the numerator and denominator for this measure changed beginning with the 2008 edition of the reports; rates may not be comparable with those reported in earlier editions. The MEPS entry in the Data Sources appendix, http://www.ahrq.gov/research/data/dataresources/index.html, provides more information on the DCS and MEPS panels.

Nonrespondents and "Don't Know" responses to the DCS question were excluded from the analysis.

Estimates are age-adjusted to the 2000 U.S. standard population with two age groups, 40-59 and 60 and over.

Measure ID: MEPS_66, 60401021

Measure Title: Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c tests in the calendar year

Measure Source: Healthy People 2020

Table Description:

Geographic representation: National, State

Years available: National, 2002 to 2016; State, 2013 to 2015

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Sources:

National: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

State: Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System (BRFSS)

National Denominator: U.S. civilian noninstitutionalized adults age 40 and over with diabetes who had a positive Diabetes Care Survey (DCS) weight and who responded to the DCS question, "How many times did a doctor, nurse, or other health professional check for glycosylated hemoglobin or 'hemoglobin A-one-C'?"

National Numerator: Subset of the denominator who had a positive DCS weight and who had a hemoglobin A1c test at least twice in the last calendar year

State Denominator: Adults age 40 and over with diabetes

State Numerator: Adults with diabetes who had at least two hemoglobin A1c test in the survey year

Comments: The MEPS method for defining the numerator and denominator for this measure changed beginning with the 2008 edition of the reports; rates may not be comparable with those reported in earlier editions. The MEPS entry in the Data Sources appendix, http://www.ahrq.gov/research/data/dataresources/index.html, provides more information on the DCS and MEPS panels.

Nonrespondents and "Don't Know" responses to the DCS question were excluded from the analysis.

Estimates are age-adjusted to the 2000 U.S. standard population with two age groups, 40-59 and 60 and over.

This measure is referred to as measure D-11 in Healthy People 2020 documentation.

Measure ID: MEPS_67, 60401031

Measure Title: Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year

Measure Source: Healthy People 2020

Table Description:

Geographic representation: National, State

Years available: National: 2002 to 2016, State, 2013 to 2015

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Sources:

National: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

State: Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System (BRFSS)

National Denominator: U.S. civilian noninstitutionalized adults age 40 and over with diabetes who responded to the Diabetes Care Survey (DCS) question: "When was the last time you had an eye exam in which the pupils were dilated? This would have made you temporarily sensitive to light"

National Numerator: Subset of denominator who indicated they had at least one retinal eye examination in the calendar year

State Denominator: Adults age 40 and over with diabetes

State Numerator: Adults with diabetes who had at least one retinal eye examination in the survey year

Comments: The MEPS method for defining the numerator and denominator for this measure changed beginning with the 2008 edition of the reports; rates may not be comparable with those reported in earlier editions. The MEPS entry in the Data Sources appendix, http://www.ahrq.gov/research/data/dataresources/index.html, provides more information on the DCS and MEPS panels.

Nonrespondents and "Don't Know" responses to the DCS question were excluded from the analysis.

Estimates are age-adjusted to the 2000 U.S. standard population with two age groups, 40-59 and 60 and over.

This measure is referred to as measure D-10 in Healthy People 2020 documentation.

Measure ID: MEPS_68, 60401041

Measure Title: Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year

Measure Source: Healthy People 2020

Table Description:

Geographic representation: National, State

Years available: National: 2002 to 2016, State, 2013 to 2015

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Sources:

National: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

State: Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System (BRFSS)

National Denominator: U.S. civilian noninstitutionalized adults age 40 and over with diabetes who responded to the question: "How many times did a health professional check your feet for any sores or irritations?"

National Numerator: Subset of denominator who had a foot examination one or more times in the calendar year

State Denominator: Adults age 40 and over with diabetes

State Numerator: Subset of denominator who had one or more foot examinations in the survey year

Comments: The method for defining the numerator and denominator for this measure changed beginning with the 2008 edition of the reports; rates may not be comparable with those reported in earlier editions. The MEPS entry in the Data Sources appendix, http://www.ahrq.gov/research/data/dataresources/index.html, provides more information on the DCS and MEPS panels.

Nonrespondents and "Don't Know" responses to the DCS question were excluded from the analysis.

Estimates are age-adjusted to the 2000 U.S. standard population with two age groups, 40-59 and 60 and over.

This measure is referred to as measure D-9 in Healthy People 2020 documentation.

Measure ID: MEPS_69, 60401051

Measure Title: Adults age 40 and over with diagnosed diabetes who received an influenza vaccination

Measure Source: National Diabetes Quality Improvement Alliance, National Quality Forum

Table Description:

Geographic representation: National, State

Years available: National: 2008 to 2016, State, 2013 to 2015

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Sources:

National: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

State: Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System (BRFSS)

National Denominator: U.S. civilian noninstitutionalized adults age 40 and over with diabetes who responded to the question: "How long since you had a flu shot?" Nonrespondents and "Don't Know" responses were excluded

National Numerator: Subset of the denominator who had an influenza immunization in the past year

State Denominator: Adults age 40 and over with diabetes

State Numerator: Subset of the denominator who had an influenza immunization in the survey year

Comments: The method for defining the numerator and denominator for this measure changed beginning with the 2008 edition of the reports; rates may not be comparable with those reported in earlier editions. The MEPS entry in the Data Sources appendix, http://www.ahrq.gov/research/data/dataresources/index.html, provides more information on the DCS and MEPS panels.

Nonrespondents and "Don't Know" responses to the DCS question were excluded from the analysis.

Estimates are age-adjusted to the 2000 U.S. standard population with two age groups, 40-59 and 60 and over.

Measure ID: 60702071

Measure Title: Adults who filled an outpatient opioid prescription in the calendar year

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2013 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Denominator: U.S. civilian noninstitutionalized population age 18 and over

Numerator: Subset of the denominator who filled an outpatient opioid prescription in the calendar year. For more information, see "Detailed Methods for the Medical Expenditure Panel Survey."

Comments: The definition of an opioid prescription of this measure is the same as the one used in Moriya, A.S. and Miller, G.E. Any Use and Frequent Use of Opioids among Elderly Adults in 2015-2016, by Socioeconomic Characteristics. September 2018. Statistical Brief #515. Agency for Healthcare Research and Quality, Rockville, MD. https://meps.ahrq.gov/data_files/publications/st515/stat515.shtml; and Miller, G.E. and Moriya, A.S. Any Use and Frequent Use of Opioids among Non-Elderly Adults in 2015-2016, by Socioeconomic Characteristics. September 2018. Statistical Brief #516. Agency for Healthcare Research and Quality, Rockville, MD. https://meps.ahrq.gov/data_files/publications/st516/stat516.shtml. The differences are that the Stat Briefs used pooled 2015-2016 data and stratified by elderly adults and non-elderly adults. This measure used one year data from 2103-2016 and includes adults age 18 and over.

Measure ID: 60702081

Measure Title: Adults who filled four or more outpatient opioid prescriptions in the calendar year

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2013 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Denominator: U.S. civilian noninstitutionalized population age 18 and over

Numerator: Subset of the denominator who filled four or more outpatient opioid prescriptions in the calendar year. For more information, see "Detailed Methods for the Medical Expenditure Panel Survey."

Comments: The definition of four or more outpatient opioid prescription fills of this measure is the same as the one used in Moriya, A.S. and Miller, G.E. Any Use and Frequent Use of Opioids among Elderly Adults in 2015-2016, by Socioeconomic Characteristics. September 2018. Statistical Brief #515. Agency for Healthcare Research and Quality, Rockville, MD. https://meps.ahrq.gov/data_files/publications/st515/stat515.shtm, and Miller, G.E. and Moriya, A.S. Any Use and Frequent Use of Opioids among Non-Elderly Adults in 2015-2016, by Socioeconomic Characteristics. September 2018. Statistical Brief #516. Agency for Healthcare Research and Quality, Rockville, MD. https://meps.ahrq.gov/data_files/publications/st516/stat516.shtml. The differences are that the Stat Briefs used pooled 2015-2016 data and stratified by elderly adults and non-elderly adults. This measure used one year data from 2103-2016 and includes adults age 18 and over

Measure ID: MEPS_1, 60903011

Measure Title: People with asthma who are taking daily or almost daily preventive medicine

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description:

Geographic representation: National

Years available: 2003 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population who currently have active asthma

Numerator: Subset of the denominator who report taking preventive medicine on a daily or almost daily basis

Comments: Estimates are age-adjusted to the 2000 U.S. standard population using four age groups: 0-17, 18-44, 45-64, and 65 and over. Excludes cases for which information on presence of asthma is missing.

Measure ID: MEPS_71, 60903051

Measure Title: People with current asthma

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2003 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Denominator: U.S. civilian noninstitutionalized population

Numerator: Subset of the denominator with current asthma defined as people ever told by doctor or other health professional that he or she has asthma, and were reported to still have asthma or to have had an asthma attack in the past 12 months.

Comments: Estimates are age-adjusted to the 2000 U.S. standard population using five age groups: 0-17, 18-44, 45-64, 65-74, and 75 and over.

Measure ID: MEPS_15, 70201011

Measure Title: Adult smokers with a checkup who received advice to quit smoking

Measure Source: Healthy People 2010

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source:

National: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Denominator: U.S. civilian noninstitutionalized population age 18 and over who are current smokers and who had a routine checkup in the past 6 or 12 months, as appropriate

Numerator: Subset of the denominator who indicated they had received advice to quit smoking

Comments: The National Table Description reports data from the MEPS Self-Administered Questionnaire (SAQ). Nonrespondents and "Don't Know" responses were excluded from the analysis.

The national estimates are age-adjusted to the 2000 U.S. standard population using three age groups: 18-44, 45-64, and 65 and over.

This measure is referred to as measure 1-3c in Healthy People 2010 documentation.

The allowable responses to MEPS question about smoking changed in 2003. Therefore, reported national rates may not be comparable with earlier years.

Measure ID: MEPS_10, 70201051

Measure Title: Adults with obesity who ever received advice from a health provider to exercise more

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population age 18 and over with a body mass index (BMI) of 30 or greater, excluding pregnant female

Numerator: Subset of the denominator who reported they were given advice about exercise by a doctor or health professional

Comments: Body mass index is based on reported height and weight. Estimates are age-adjusted to the 2000 U.S. standard population using three age groups: 18-44, 45-64, and 65 and over.

Nonrespondents and "Don't Know" responses were excluded from the analysis.

Measure ID: MEPS_11, 70201053

Measure Title: Adults with obesity who did not spend half an hour or more in moderate or vigorous physical activity at least five times a week

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population age 18 and over with a body mass index (BMI) of 30 or greater, excluding pregnant female

Numerator: Subset of the denominator who did not spend half an hour or more in moderate or vigorous physical activity at least five times a week

Comments: Body mass index is based on reported height and weight. Estimates are age-adjusted to the 2000 U.S. standard population using three age groups: 18-44, 45-64, and 65 and over.

Measure ID: MEPS_12, 70201061

Measure Title: Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should pursue

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population ages 2-17

Numerator: Subset of the denominator 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 pursue

Comments: Estimates exclude nonrespondents to the question: "Has a doctor or other health provider ever given advice about amount and kind of exercise, sports, or physically active hobbies you should have?" "Don't Know" responses were also excluded.

Measure ID: MEPS_14, 70201071

Measure Title: Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population age 18 and over with a body mass index (BMI) of 30 or greater, excluding pregnant female

Numerator: Subset of the denominator who reported they were advised by a doctor or health professional about restricting foods high in fat and cholesterol

Comments: Body mass index is based on reported height and weight. Estimates are age-adjusted to the 2000 U.S. standard population using three age groups: 18-44, 45-64, and 65 and over. Nonrespondents and "Don't Know" responses were excluded from the analyses.

Measure ID: MEPS_13, 70201081

Measure Title: Children ages 2-17 for whom a health provider ever gave advice about healthy eating

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population ages 2-17

Numerator: Subset of the denominator for whom a health provider gave advice within the past 2 years about healthy eating

Comments: Estimates exclude nonrespondents and "Don't Know" responses.

Measure ID: MEPS_72, 70201091

Measure Title: Adults with obesity

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Denominator: U.S. civilian noninstitutionalized population age 18 and over

Numerator: Adults with a body mass index (BMI) of 30 or greater, excluding pregnant women

Comments: Race, ethnicity, family income, and education characteristics are those of the family reference person and are used to characterize the entire family unit.

Measure ID: MEPS_73, 70201101

Measure Title: Adults who did not spend half an hour or more in moderate or vigorous physical activity at least five times a week

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2011 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population age 18 and over

Numerator: Subset of the denominator who did not spend half an hour or more in moderate or vigorous physical activity at least five times a week

Comments: Estimates are age-adjusted to the 2000 U.S. standard population using three age groups: 18-44, 45-64, and 65 and over.

Measure ID: MEPS_3c, 70501131

Measure Title: Adults who received any preventive dental service in the calendar year

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS). This measure is consistent with but not exactly the same as the Healthy People 2020 Oral Health Objective OH-8 "Increase the proportion of low-income children and adolescents who received any preventive dental service during the past year." For example OH-8 includes persons ages 2-18 at or below 200 percent of the Federal poverty level. The QDR measure is for all persons age 65 and over. Information and data for OH-8 are available at: https://www.healthypeople.gov/2020/topics-objectives/topic/oral-health/objectives.

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population age 18 and over

Numerator: Subset of denominator who received any preventive dental service in the calendar year. Preventive dental service includes: Cleanings, fluoride, sealants, and periodontal recall visits. For more information, see "Detailed Methods for the Medical Expenditure Panel Survey."

Measure ID: MEPS_3d, 70501132

Measure Title: Adults who had a dental visit in the calendar year

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS). This measure is consistent with but not exactly the same as the Healthy People 2020 Oral Health Objective OH-7 "Increase the proportion of children, adolescents, and adults who used the oral health care system in the past year." For example, HP2020 OH-7 includes persons age 2 and over and the estimates are age-adjusted. This measure includes persons age 18 and over and the estimates are not age-adjusted. Information and data for OH-7 are available at: https://www.healthypeople.gov/2020/topics-objectives/topic/oral-health/objectives.

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

Denominator: U.S. civilian noninstitutionalized population age 18 and over

Numerator: Subset of denominator who had a dental visit in the calendar year. For more information, see "Detailed Methods for the Medical Expenditure Panel Survey."

Measure ID: MEPS_2, 70503011

Measure Title: Children who had their height and weight measured by a health provider within the past 2 years

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population under age 18

Numerator: Subset of the denominator who had both height and weight measurements taken within the past 2 years by a health provider

Comments:

This is a composite measure combining responses to both height and weight measurements.

"Don't Know" responses to the questions of when the weight and height were measured were excluded.

Measure ID: MEPS_3, 70503021

Measure Title: Children ages 2-17 who had a dental visit in the calendar year

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS). This measure is consistent with but not exactly the same as the Healthy People 2020 Oral Health Objective OH-7 "Increase the proportion of children, adolescents, and adults who used the oral health care system in the past year." For example, HP2020 OH-7 includes persons age 2 and over and the estimates are age-adjusted. This measure includes persons ages 2-17 and the estimates are not age-adjusted. Information and data for OH-7 are available at: https://www.healthypeople.gov/2020/topics-objectives/topic/oral-health/objectives.

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Denominator: U.S. civilian noninstitutionalized population ages 2-17 years

Numerator: Subset of denominator who had a dental visit in the calendar year. For more information, see "Detailed Methods for the Medical Expenditure Panel Survey."

Comments: With theexception of the "children with special health care needs" category, the age used to subset the child population was defined as a person's age on December 31 of the data year. Age at the round 2 and 4 interview date was used for "children with special health care needs" because these questions were asked in rounds 2 and 4.

Measure ID: MEPS_3b, 70503025

Measure Title: Children ages 2-17 who received any preventive dental service in the calendar year

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS). This measure is consistent with but not exactly the same as the Healthy People 2020 Oral Health Objective OH-8 "Increase the proportion of low-income children and adolescents who received any preventive dental service during the past year." For example OH-8 includes persons ages 2-18 at or below 200 percent of the Federal poverty level. The QDR measure is for all persons ages 2-17. Information and data for OH-8 are available at: https://www.healthypeople.gov/2020/topics-objectives/topic/oral-health/objectives.

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Denominator: U.S. civilian noninstitutionalized population ages 2-17 years

Numerator: Subset of denominator who received any preventive dental service in the calendar year. Preventive dental service includes: Cleanings, fluoride, sealants, and periodontal recall visits. For more information, see "Detailed Methods for the Medical Expenditure Panel Survey."

Comments: With theexception of the "children with special health care needs" category, the age used to subset the child population was defined as a person's age on December 31 of the data year. Age at the interview date for rounds 2 and 4 was used for "children with special health care needs" because these questions were asked in rounds 2 and 4.

Measure ID: MEPS_4, 70503032

Measure Title: Children ages 3-5 who ever had their vision checked by a health provider

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Denominator: U.S. civilian noninstitutionalized population ages 3-5 years

Numerator: Subset of the denominator whose vision had ever been checked by a doctor or other health provider

Comments: Estimates exclude nonrespondents as well as "Don't Know" responses.

Measure ID: MEPS_5, 70503041

Measure Title: Children for whom a health provider gave advice in the past 2 years about how smoking in the house can be bad for a child

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population under age 18

Numerator: Subset of the denominator for whom a doctor or other health provider within the past 2 years had given advice about how smoking in the house can be harmful

Comments: Estimates exclude nonrespondents and "Don't Know" responses.

Measure ID: MEPS_6, 70503042

Measure Title: Children 0-40 lbs. for whom a health provider gave advice in the past 2 years about using child safety seats when riding in a car

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized child population weighing 0-40 lbs.

Numerator: Subgroup of the denominator for whom a doctor or other health provider had given advice within the past 2 years about using child car safety seats

Measure ID: MEPS_7, 70503043

Measure Title: Children 41-80 lbs. for whom a health provider gave advice within the past 2 years about using booster seats when riding in a car

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized child population weighing 41-80 lbs.

Numerator: Subset of the denominator for whom a doctor or other health provider had given advice in the past 2 years about using booster seats

Measure ID: MEPS_8, 70503044

Measure Title: 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

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized child population weighing over 80 lbs.

Numerator: Subset of the denominator for whom a doctor or other health provider had given advice within the past 2 years about using lap and shoulder belts

Measure ID: MEPS_9, 70503045

Measure Title: Children ages 2-17 years for whom a health provider gave advice within the past 2 years about using a helmet when riding a bicycle or motorcycle

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2010

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population ages 2-17 years

Numerator: Subset of the denominator for whom a doctor or other health provider had given advice within the past 2 years about using a helmet when riding a bicycle or motorcycle

Comments: Estimates exclude nonrespondents and "Don't Know" responses.

Measure ID: MEPS_43, 80101011

Measure Title: People under age 65 whose family's health insurance premiums and out-of-pocket medical expenditures were more than 10% of total family income

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2006 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Denominator: U.S. civilian noninstitutionalized population under age 65

Numerator: Subset of the denominator whose family's out-of-pocket medical expenditures were more than 10% of total family income

Comments: Health insurance premium is determined as the sum of insurance premiums (imputed) and Medicare Part B expenditures. Total family income is the sum of person-level pretax total income, refund income, and sale income. "Family" is defined in terms of health insurance eligibility units (HIEUs), which are composed of individuals who could be covered as a family under most private health insurance plans. For income, insurance, expenditures, and premiums, a family is defined in terms of HIEUs.

Measure ID: MEPS_45, 80201011

Measure Title: People without a usual source of care who indicated a financial or insurance reason for not having a source of care

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population who reported having no usual source of care

Numerator: Subset of the denominator who indicated a financial or insurance reason for not having a usual source of care

Measure ID: MEPS_47, 80201021

Measure Title: People unable to get or delayed in getting medical care, dental care, or prescription medications due to financial or insurance reasons

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population who wereunable to get or delayed in getting needed medical care, dental care, or prescription medications

Numerator: Subset of the denominator reporting at least one of the following reasons for being unable to get or delaying in getting needed medical care, dental care, or prescription medications: 1) could not afford care, (2) insurance company would not approve/cover/pay, or (3) doctor refused family insurance plan

Measure ID: MEPS_48, 80201022

Measure Title: People unable to get or delayed in getting needed medical care due to financial or insurance reasons

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population who were unable to get or delayed in getting needed medical care, tests or treatments

Numerator: Subset of the denominator reporting at least one of the following reasons for being unable to get or delaying in getting needed medical care 1) could not afford care, (2) insurance company would not approve/cover/pay, or (3) doctor refused family insurance plan

Comments: HP2020 measure 6.1 is persons unable to obtain or delaying needed medical care, dental care, or prescription medications (percent)

HP2020 measure 6.2 is persons unable to obtain or delaying needed medical care (percent)

Measure ID: MEPS_49, 80201023

Measure Title: People who were unable to get or delayed in getting needed dental care due to financial or insurance reasons in the last 12 months

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population who wereunable to get or delayed in getting needed dental care

Numerator: Subset of the denominator reporting at least one of the following reasons for being unable to get or delaying in getting needed dental care: 1) could not afford care, (2) insurance company would not approve/cover/pay, or (3) doctor refused family insurance plan

Measure ID: MEPS_50, 80201024

Measure Title: People who were unable to get or delayed in getting needed prescription medications care due to financial or insurance reasons in the last 12 months

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population who wereunable to get or delayed in getting needed prescription medications

Numerator: Subset of the denominator reporting at least one of the following reasons for being unable to get or delaying in getting needed prescription medications: 1) could not afford care, (2) insurance company would not approve/cover/pay, or (3) doctor refused family insurance plan

Measure ID: MEPS_21, 150301021

Measure Title: Children who had a doctor's office or clinic visit in the last 12 months whose health providers always listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source:

National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months, excluding those with missing or invalid responses to all of the questions that make up this composite measure

Numerator: Subset of the denominator whose parents or guardians responded "Always" to any of the four questions making up this composite measure

Comments: Estimates are weighted and adjusted for nonresponse based on the number of questions (out of four) with a valid response.

Before 2017, NHQDR used "Sometimes or never" estimates.

Measure ID: MEPS_23, 150301041

Measure Title: Children who had a doctor's office or clinic visit whose health providers always listened carefully

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months whose parents or guardians provided a valid response to the question, "In the last 12 months how often did doctors or other health providers listen carefully to you?" Nonrespondents and respondents indicating "Don't Know" were excluded

Numerator: Subset of the denominator who, according to their parents or guardians, responded "Always" to the above question

Comments: Nonrespondents and respondents indicating "Don't Know" were excluded.

Before 2017, NHQDR used "Sometimes or never" estimates.

Measure ID: MEPS_25, 150301061

Measure Title: Children who had a doctor's office or clinic visit in the last 12 months whose health providers always explained things in a way they or their parents could understand

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized children under age 18 who had a doctor's office or clinic visit in the last 12 months whose parents or guardians provided a valid response to the question, "In the last 12 months how often did [the person's] doctors or other health providers explain things in a way you could understand?"

Numerator: Subset of the denominator whose parent or guardian responded "Always" to the above question

Comments: Nonrespondents and respondents indicating "Don't Know" were excluded.

Before 2017, NHQDR used "Sometimes or never" estimates.

Measure ID: MEPS_27, 150301081

Measure Title: Children who had a doctor's office or clinic visit whose health providers always showed respect for what they or their parents had to say

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: Children under age 18 who had a doctor's office or clinic visit in the last 12 months and whose parent or guardian provided a valid response to the question, "In the last 12 months how often did doctors or other health providers show respect for what you had to say?"

Numerator: Subset of the denominator whose parent or guardian responded "always" to the above question

Comments: Nonrespondents and respondents indicating "Don't Know" were excluded.

Measure ID: MEPS_29, 150301101

Measure Title: Children who had a doctor's office or clinic visit whose health providers always spent enough time with them

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months and whose parent or guardian provided a valid response to the question, "In the last 12 months how often did doctors or other health providers spend enough time with you?"

Numerator: Subset of the denominator who responded "Always" to the above question

Comments: Nonrespondents and respondents indicating "Don't Know" were excluded.

Before 2017, NHQDR used "Sometimes or never" estimates.

Measure ID: MEPS_36, 300201161

Measure Title: People with a usual source of care for whom health care providers explained and provided all treatment options

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2013

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population with a usual source of care

Numerator: Subset of the denominator who reported that their health care providers explained and provided them with all treatment options

Measure ID: 300206011

Measure Title: Children 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 wanted

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source:

National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized children under age 18 who had an illness or injury that needed care right away in the past 12 months with a valid response to the question, "In the last 12 months, when [the person] needed care right away for an illness or injury, how often did [person] get care as soon as you wanted?"

Numerator: Subset of the denominator whose parents or guardians' answered the above question "sometimes" or "never"

Comments: Nonrespondents and respondents indicating "Don't Know" were excluded.

Measure ID: 300206021

Measure Title: Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source:

National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months, excluding those with missing or invalid responses to all of the questions that make up this composite measure

Numerator: Subset of the denominator whose parents or guardians responded "sometimes" or "never" to any of the four questions making up this composite measure

Comments: Estimates are weighted and adjusted for nonresponse based on the number of questions (out of four) with a valid response.

Before 2017, NHQDR used "Sometimes or never" estimates.

Measure ID: 300206031

Measure Title: Children who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months whose parents or guardians provided a valid response to the question, "In the last 12 months how often did doctors or other health providers listen carefully to you?" Nonrespondents and respondents indicating "Don't Know" were excluded

Numerator: Subset of the denominator who, according to their parents or guardians, responded "sometimes" or "never" to the above question

Comments: Nonrespondents and respondents indicating "Don't Know" were excluded.

Before 2017, NHQDR used "Sometimes or never" estimates.

Measure ID: 300206041

Measure Title: Children 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 or their parents could understand

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source:

National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized children under age 18 who had a doctor's office or clinic visit in the last 12 months whose parents or guardians provided a valid response to the question, "In the last 12 months how often did [the person's] doctors or other health providers explain things in a way you could understand?"

Numerator: Subset of the denominator whose parent or guardian responded "sometimes" or "never" to the above question

Comments: Nonrespondents and respondents indicating "Don't Know" were excluded.

Before 2017, NHQDR used "Sometimes or never" estimates.

Measure ID: 300206051

Measure Title: Children who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they or their parents had to say

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: Children under age 18 who had a doctor's office or clinic visit in the last 12 months and whose parent or guardian provided a valid response to the question, "In the last 12 months how often did doctors or other health providers show respect for what you had to say?"

Numerator: Subset of the denominator whose parent or guardian responded "sometimes" or "never" to the above question

Comments: Nonrespondents and respondents indicating "Don't Know" were excluded.

Measure ID: 300206061

Measure Title: Children who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months and whose parent or guardian provided a valid response to the question, "In the last 12 months how often did doctors or other health providers spend enough time with you?"

Numerator: Subset of the denominator who responded "sometimes" or "never" to the above question

Comments: Nonrespondents and respondents indicating "Don't Know" were excluded.

Before 2017, NHQDR used "Sometimes or never" estimates.

Measure ID: MEPS_31, 300206071

Measure Title: Rating of health care 0-6 on a scale from 0 to 10 (best grade) for children who had a doctor's office or clinic visit in the last 12 months

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: National: 2002 to 2016

Population subgroups: Age, children with special health care needs, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source:

National: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized children under age 18 who had a doctor's office or clinic visit in the last 12 months and whose parents or guardians provided a valid response to the question, "We want to know your rating of all your health care in the last 12 months from all doctors and other health providers. Use any number from 0 to 10 where 0 is the worst health care possible and 10 is the best health care possible. How would you rate all your health care?"

Numerator: Subset of the denominator whose parents or guardians rated their health care as less than 7 on a scale from 0 to 10

Comments: Nonrespondents and "Don't Know" responses were excluded.

Measure ID: MEPS_44, 300811011

Measure Title: People under age 65 with private insurance whose family's health insurance premiums and out-of-pocket medical expenditures were more than 10% of total family income

Measure Source: Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Descriptions:

Geographic representation: National

Years available: 2006 to 2016

Population subgroups: Activity limitations, age, education, employment status, ethnicity, gender, family income, health insurance, perceived health status, language spoken at home, Medicaid/CHIP, race, residence location, and U.S. born

Data Source: AHRQ, CFACT, MEPS

Denominator: U.S. civilian noninstitutionalized population under age 65 who had private insurance, including employer-sponsored and nongroup coverage

Numerator: Subset of the denominator whose family's out-of-pocket medical expenditures were more than 10% of total family income

Comments: Total family income was determined as the sum of person-level pretax total income, refund income, and sale income. "Family" is defined in terms of health insurance eligibility units (HIEUs), which are composed of individuals who could be covered as a family under most private health insurance plans. For income, insurance, expenditures, and premiums, a family is defined in terms of HIEUs. Private health insurance includes:

This measure was retired since the 2016 NHQDR.