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					Division   Sub-division   Measure Name                                                 Topic or Condition   Sub-topic or Condition       Measure Domain   Setting              Setting - Additional
AHRQ                      Esophageal resection volume (IQI 1).                         Cancer               Lung, Airway, Esophageal     Process          Hospital Inpatient
                                                                                                            Cancers
AHRQ                      Pancreatic resection volume (IQI 2).                         Cancer               Pancreatic Cancer            Process          Hospital Inpatient

AHRQ                      Composite measure: Adults age 40 and over with             Diabetes                                            Process          Ambulatory
                          diagnosed diabetes who received all (3) recommended
                          services for diabetes in the calendar year (hemoglobin A1c
                          measurement, dilated eye examination, and foot
                          examination).
AHRQ                      Adults age 40 and over with diagnosed diabetes who         Diabetes                                            Process          Ambulatory
                          received a hemoglobin A1c measurement in the calendar
                          year.


AHRQ                      Adults age 40 and over with diagnosed diabetes who had       Diabetes                                          Process          Ambulatory
                          their blood cholesterol checked in the last 2 years.



AHRQ                      Adults age 40 and over with diagnosed diabetes who           Diabetes                                          Process          Ambulatory
                          received a dilated eye examination in the calendar year.


AHRQ                      Adults age 40 and over with diagnosed diabetes who had       Diabetes                                          Process          Ambulatory
                          their feet checked for sores or irritation in the calendar
                          year.

AHRQ                      Uncontrolled diabetes admission rate (PQI 14).               Diabetes                                          Outcome          Ambulatory

AHRQ                      Diabetes short-term complications admission rate (PQI 1).    Diabetes                                          Outcome          Ambulatory

AHRQ                      Pediatric perforated appendix admission rate (PQI 2).        Gastrointestinal     Appendicitis                 Outcome          Ambulatory

AHRQ                      Diabetes long-term complications admission rate (PQI 3).     Diabetes                                          Outcome          Ambulatory

AHRQ                      Rate of lower-extremity amputation among patients with       Diabetes                                          Outcome          Ambulatory
                          diabetes (PQI 16).




AHRQ                      Adults age 40 and over with diagnosed diabetes who           Diabetes                                          Process          Ambulatory
                          received a flu shot in the last 12 months.

AHRQ                      Adult current smokers with a visit who received advice to    Behavioral Health    Tobacco Use                  Process          Ambulatory
                          quit smoking from a doctor in the last 12 months.



AHRQ                      Adults with obesity who ever received advice to exercise     Obesity                                           Process          Ambulatory
                          more from a health provider.



AHRQ                      Acute myocardial infarction (AMI) mortality rate (IQI 15).   Cardiovascular       Acute Myocardial             Outcome          Hospital Inpatient
                                                                                                            Infarction/Coronary Artery
                                                                                                            Disease
AHRQ   Acute myocardial infarction (AMI) mortality rate, without   Cardiovascular         Acute Myocardial             Outcome   Hospital Inpatient
       transfer cases (IQI 32).                                                           Infarction/Coronary Artery
                                                                                          Disease



AHRQ   Congestive heart failure (CHF) mortality rate (IQI 16).     Cardiovascular         Heart Failure                Outcome   Hospital Inpatient

AHRQ   Acute stroke mortality rate (IQI 17).                       Cardiovascular         Stroke                       Outcome   Hospital Inpatient


AHRQ   Gastrointestinal hemorrhage mortality rate (IQI 18).        Gastrointestinal       Bleeding                     Outcome   Hospital Inpatient

AHRQ   Hip fracture mortality rate (IQI 19).                       Bone & Joint           Hip Fracture                 Outcome   Hospital Inpatient

AHRQ   Congestive heart failure (CHF) admission rate (PQI 8).      Cardiovascular         Heart Failure                Outcome   Hospital Inpatient


AHRQ   Pediatric heart surgery mortality (PDI 6).                  Cardiovascular         Cardiovascular Surgery       Outcome   Hospital Inpatient


AHRQ   Pediatric heart surgery volume (PDI 7).                     Cardiovascular         Cardiovascular Surgery       Process   Hospital Inpatient


AHRQ   Abdominal aortic aneurysm (AAA) repair volume (IQI 4).      Cardiovascular         Cardiovascular Surgery       Process   Hospital Inpatient

AHRQ   Coronary artery bypass graft (CABG) volume (IQI 5).         Cardiovascular         Cardiovascular Surgery       Process   Hospital Inpatient

AHRQ   Percutaneous transluminal coronary angioplasty (PTCA)       Cardiovascular         Acute Myocardial             Process   Hospital Inpatient
       volume (IQI 6).                                                                    Infarction/Coronary Artery
                                                                                          Disease
AHRQ   Percutaneous transluminal coronary angioplasty (PTCA)       Cardiovascular         Acute Myocardial             Outcome   Hospital Inpatient
       mortality rate (IQI 30).                                                           Infarction/Coronary Artery
                                                                                          Disease
AHRQ   Carotid endarterectomy volume (IQI 7).                      Cardiovascular         Cardiovascular Surgery       Process   Hospital Inpatient

AHRQ   Carotid endarterectomy mortality rate (IQI 31).             Cardiovascular         Cardiovascular Surgery       Outcome   Hospital Inpatient

AHRQ   Esophageal resection mortality rate (IQI 8).                Cancer                 Lung, Airway, Esophageal     Outcome   Hospital Inpatient
                                                                                          Cancers
AHRQ   Pancreatic resection mortality rate (IQI 9).                Cancer                 Pancreatic Cancer            Outcome   Hospital Inpatient

AHRQ   Abdominal aortic artery (AAA) repair mortality rate (IQI 11). Cardiovascular       Cardiovascular Surgery       Outcome   Hospital Inpatient

AHRQ   Coronary artery bypass graft (CABG) mortality rate (IQI     Cardiovascular         Cardiovascular Surgery       Outcome   Hospital Inpatient
       12).
AHRQ   Craniotomy mortality rate (IQI 13).                         Surgery                Neurosurgery                 Outcome   Hospital Inpatient

AHRQ   Hip replacement mortality rate (IQI 14).                    Bone & Joint           Hip Fracture                 Outcome   Hospital Inpatient

AHRQ   Adults with obesity who ever received advice about eating   Obesity                                             Process   Ambulatory
       fewer high fat or high cholesterol foods from a health
       provider.
AHRQ   Accidental puncture or laceration (PDI 1).                  Patient Safety         Complications                Outcome   Hospital Inpatient


AHRQ   Decubitus ulcer (PDI 2).                                    Chronic & Elder Care   Pressure Ulcer               Outcome   Hospital Inpatient

AHRQ   Foreign body left during procedure (PDI 3).                 Patient Safety         Complications                Outcome   Hospital Inpatient

AHRQ   Iatrogenic pneumothorax in neonates (PDI 4) / iatrogenic    Patient Safety         Complications                Outcome   Hospital Inpatient
       pneumothorax (PDI 5).
AHRQ   Postoperative hemorrhage or hematoma (PDI 8).              Surgery                              Complications                  Outcome   Hospital Inpatient




AHRQ   Postoperative respiratory failure (PDI 9).                 Surgery                              Complications                  Outcome   Hospital Inpatient




AHRQ   Postoperative sepsis (PDI 10).                             Surgery                              Complications                  Outcome   Hospital Inpatient

AHRQ   Postoperative wound dehiscence (PDI 11).                   Surgery                              Complications                  Outcome   Hospital Inpatient

AHRQ   Selected infections due to medical care (PDI 12).          Patient Safety                       Hospital Acquired Infections   Outcome   Hospital Inpatient

AHRQ   Transfusion reaction (PDI 13).                             Patient Safety                       Complications                  Outcome   Hospital Inpatient

AHRQ   Diabetes short-term complications admission rate (PDI 15). Diabetes                                                            Outcome   Hospital Inpatient

AHRQ   Perforated appendix admission rate (PDI 17).               Gastrointestinal                     Appendicitis                   Outcome   Hospital Inpatient

AHRQ   Urinary tract infection admission rate (PDI 18).           Population                           Maternal & Child Health        Outcome   Hospital Inpatient

AHRQ   Children who ever had their height and weight measured     Population                           Maternal & Child Health        Process   Ambulatory
       by a health provider.




AHRQ   Children age 2-17 for whom a health provider ever gave     Behavioral Health                    Nutrition & Exercise           Process   Ambulatory
       advice about the amount and kind of exercise, sports, or
       physically active hobbies they should have.


AHRQ   Children age 2-17 for whom a health provider ever gave     Obesity                                                             Process   Ambulatory
       advice about eating healthy.



AHRQ   Children age 3-6 who ever had their vision checked by a    Head, Eyes, Ears, Nose, and Throat   Eye Care                       Process   Ambulatory
       health provider.
AHRQ   Children age 2-17 who received a dental visit in the       Head, Eyes, Ears, Nose, and Throat   Dental                         Process   Ambulatory
       calendar year.


AHRQ   Children for whom a health provider ever gave advice       Behavioral Health                    Tobacco Use                    Process   Ambulatory
       about how smoking in the house can be bad for the child.




AHRQ   Children for whom a health provider ever gave advice       Patient Safety                       Motor Safety                   Process   Ambulatory
       about using car safety restraints.
AHRQ   Children 0-40 lbs for whom a health provider ever gave        Patient Safety        Motor Safety                 Process   Ambulatory
       advice about using child safety seats when riding in the
       car.
AHRQ   Children 41-80 lbs for whom a health provider gave advice     Patient Safety        Motor Safety                 Process   Ambulatory
       about using booster seats when riding in the car.
AHRQ   Children over 80 lbs for whom a health provider gave          Patient Safety        Motor Safety                 Process   Ambulatory
       advice about using lap or shoulder belts when riding in a
       car.
AHRQ   Gastroenteritis admission rate (PDI 16).                      Gastrointestinal      Gastroenteritis              Outcome   Ambulatory




AHRQ   Hospital admissions for immunization-preventable              Infectious Diseases   Influenza                    Outcome   Ambulatory
       influenza per 100,000 population age 65 and over.
AHRQ   Pneumonia mortality rate (IQI 20).                            Infectious Diseases   Pneumonia                    Outcome   Hospital Inpatient

AHRQ   Cesarean delivery rate (IQI 21).                              Population            Maternal & Child Health      Outcome   Hospital Inpatient


AHRQ   Primary cesarean delivery rate (IQI 33).                      Population            Maternal & Child Health      Outcome   Hospital Inpatient


AHRQ   Vaginal birth after cesarean (VBAC) delivery rate,            Population            Maternal & Child Health      Outcome   Hospital Inpatient
       uncomplicated (IQI 22).
AHRQ   Vaginal birth after cesarean (VBAC) delivery, all (IQI 34).   Population            Maternal & Child Health      Outcome   Hospital Inpatient

AHRQ   Laparoscopic cholecystectomy rate (IQI 23).                   Surgery               Gastrointestinal             Outcome   Hospital Inpatient

AHRQ   Incidental appendectomy in the elderly rate (IQI 24).         Surgery               Gastrointestinal             Outcome   Hospital Inpatient

AHRQ   Bilateral cardiac catheterization rate (IQI 25).              Cardiovascular        Acute Myocardial             Outcome   Hospital Inpatient
                                                                                           Infarction/Coronary Artery
                                                                                           Disease
AHRQ   Coronary artery bypass graft (CABG) area rate (IQI 26).       Cardiovascular        Cardiovascular Surgery       Outcome   Hospital Inpatient

AHRQ   Percutaneous transluminal coronary angioplasty (PTCA)         Cardiovascular        Acute Myocardial             Outcome   Hospital Inpatient
       area rate (IQI 27).                                                                 Infarction/Coronary Artery
                                                                                           Disease
AHRQ   Hysterectomy area rate (IQI 28).                              Surgery               Obstetric                    Outcome   Hospital Inpatient

AHRQ   Laminectomy or spinal fusion area rate (IQI 29).              Bone & Joint          Back Pain & Surgery          Outcome   Hospital Inpatient

AHRQ   Asthma admission rate (PDI 14).                               Respiratory           Asthma                       Outcome   Ambulatory




AHRQ   Adult asthma admission rate (PQI 15).                         Respiratory           Asthma                       Outcome   Ambulatory

AHRQ   Hospital admissions for asthma per 100,000 population         Respiratory           Asthma                       Outcome   Ambulatory
       age 65 and over.
AHRQ   Postoperative hemorrhage or hematoma (PSI 9 and 27).         Surgery                Complications           Outcome   Hospital Inpatient




AHRQ   Postoperative septicemia per 1,000 elective surgical         Surgery                Complications           Outcome   Hospital Inpatient
       hospital discharges of 4 or more days age 18 and over.

AHRQ   Postoperative pulmonary embolism or deep vein                Surgery                Complications           Outcome   Hospital Inpatient
       thrombosis (PSI 12).
AHRQ   Postoperative sepsis (PSI 13).                               Surgery                Complications           Outcome   Hospital Inpatient

AHRQ   Postoperative respiratory failure (PSI 11).                  Surgery                Complications           Outcome   Hospital Inpatient




AHRQ   Postoperative physiologic and metabolic derangement (PSI Surgery                    Complications           Outcome   Hospital Inpatient
       10).



AHRQ   Postoperative hip fracture (PSI 8).                          Surgery                Complications           Outcome   Hospital Inpatient

AHRQ   Postoperative wound dehiscence (PSI 14 and 24).              Surgery                Complications           Outcome   Hospital Inpatient

AHRQ   Foreign body left during procedure, secondary diagnosis      Surgery                Complications           Outcome   Hospital Inpatient
       field (PSI 5 and 21).



AHRQ   Complications of anesthesia (PSI 1).                         Surgery                Complications           Outcome   Hospital Inpatient


AHRQ   Birth trauma-injury to neonate (PSI 17).                     Patient Safety         Complications           Outcome   Hospital Inpatient

AHRQ   Obstetric trauma-vaginal delivery with instrument (PSI 18). Patient Safety          Complications           Outcome   Hospital Inpatient

AHRQ   Obstetric trauma-vaginal delivery without instrument (PSI    Patient Safety         Complications           Outcome   Hospital Inpatient
       19).
AHRQ   Obstetric trauma-cesarean delivery (PSI 20).                 Patient Safety         Complications           Outcome   Hospital Inpatient

AHRQ   Children age 2-17 for whom a health provider gave advice     Patient Safety         Motor Safety            Process   Ambulatory
       about using a helmet when riding a bicycle or motorcycle.




AHRQ   Adults age 65 and over who received a prescription for a     Patient Safety         Medication Management   Process   Ambulatory
       potentially inappropriate medication in the calendar year.


AHRQ   Decubitus ulcer (PSI 3).                                     Chronic & Elder Care   Pressure Ulcer          Outcome   Hospital Inpatient
AHRQ   Death among surgical inpatients with serious treatable      Surgery                 Complications   Outcome            Hospital Inpatient
       complications (PSI 4).




AHRQ   Selected infections due to medical care, secondary         Patient Safety           Complications   Outcome            Hospital Inpatient
       diagnosis field (PSI 7 and 23).
AHRQ   Deaths per 1,000 discharges with complications potentially Patient Safety           Complications   Outcome            Hospital Inpatient
       resulting from care (failure to rescue) age 18-74.




AHRQ   Accidental puncture or laceration, secondary diagnosis      Patient Safety          Complications   Outcome            Hospital Inpatient
       field (PSI 15 and 25).

AHRQ   Iatrogenic pneumothorax, secondary diagnosis field (PSI 6 Patient Safety            Complications   Outcome            Hospital Inpatient
       and 22).
AHRQ   Death in low-mortality DRGs (PSI 2).                      Patient Safety            Complications   Outcome            Hospital Inpatient


AHRQ   Transfusion reaction, secondary diagnosis field (PSI 16     Patient Safety          Complications   Outcome            Hospital Inpatient
       and 26).
AHRQ   Composite measure: People who were unable to get or         Health Care Delivery    Access          Structure/Access   Ambulatory
       delayed in getting needed medical care, dental care, or
       prescription medicines in the last 12 months.

AHRQ   People who were unable to get or delayed in getting         Health Care Delivery    Access          Structure/Access   Ambulatory
       needed medical care in the last 12 months.
AHRQ   People who were unable to get or delayed in getting         Health Care Delivery    Access          Structure/Access   Ambulatory
       needed dental care in the last 12 months.
AHRQ   People who were unable to get or delayed in getting         Health Care Delivery    Access          Structure/Access   Ambulatory
       needed prescription medicines in the last 12 months.
AHRQ   Adults who had an appointment for routine health care in    Health Care Delivery    Access          Structure/Access   Ambulatory
       the last 12 months who got appointments for routine care
       as soon as wanted.


AHRQ   Adults who had an appointment for routine health care in   Health Care Delivery     Access          Structure/Access   Ambulatory
       the last 12 months who got appointments for routine care
       as soon as wanted.
AHRQ   Children who had an appointment for routine health care in Health Care Delivery     Access          Structure/Access   Ambulatory
       the last 12 months who got appointments for routine care
       as soon as wanted.


AHRQ   Children who had an appointment for routine health care in Health Care Delivery     Access          Structure/Access   Ambulatory
       the last 12 months who got appointments for routine care
       as soon as wanted.
AHRQ   Adults who needed care right away for an illness, injury, or Health Care Delivery   Access          Structure/Access   Ambulatory
       condition in the last 12 months who got care as soon as
       wanted.



AHRQ   Adults who needed care right away for an illness, injury, or Health Care Delivery   Access          Structure/Access   Ambulatory
       condition in the last 12 months who got care as soon as
       wanted.
AHRQ   Children who needed care right away for an illness, injury, Health Care Delivery        Access                  Structure/Access   Ambulatory
       or condition in the last 12 months who got care as soon as
       wanted.



AHRQ   Children who needed care right away for an illness, injury, Health Care Delivery        Access                  Structure/Access   Ambulatory
       or condition in the last 12 months who got care as soon as
       wanted.
AHRQ   People with a usual source of care that usually asks about Patient Safety               Medication Management   Process            Ambulatory
       prescription medications and treatments from other
       doctors.
AHRQ   Composite measure: Adults who had a doctor's office or       Health Care Delivery       Communication           Process            Ambulatory
       clinic visit in the last 12 months whose health providers
       listened carefully, explained things clearly, respected what
       they had to say, and spent enough time with them.
AHRQ   Composite measure: Adults who had a doctor's office or       Health Care Delivery       Communication           Process            Ambulatory
       clinic visit in the last 12 months whose health providers
       listened carefully, explained things clearly, respected what
       they had to say, and spent enough time with them.
AHRQ   Composite measure: Children who had a doctor's office or Health Care Delivery           Communication           Process            Ambulatory
       clinic visit in the last 12 months whose health providers
       listened carefully, explained things clearly, respected what
       their parents had to say, and spent enough time with them.

AHRQ   Composite measure: Children who had a doctor's office or Health Care Delivery           Communication           Process            Ambulatory
       clinic visit in the last 12 months whose health providers
       listened carefully, explained things clearly, respected what
AHRQ   their parents had to say, and spent clinic visit in the last 12 Health Care Delivery
       Adults who had a doctor's office or enough time with them.                              Communication           Process            Ambulatory
       months whose health providers listened carefully to them.



AHRQ   Adults who had a doctor's office or clinic visit in the last 12 Health Care Delivery    Communication           Process            Ambulatory
       months whose health providers listened carefully to them.

AHRQ   Children who had a doctor's office or clinic visit in the last   Health Care Delivery   Communication           Process            Ambulatory
       12 months whose health providers listened carefully to
       them.

AHRQ   Children who had a doctor's office or clinic visit in the last Health Care Delivery     Communication           Process            Ambulatory
       12 months whose health providers listened carefully to
       them.
AHRQ   Adults who had a doctor's office or clinic visit in the last 12 Health Care Delivery    Communication           Process            Ambulatory
       months whose health providers explained things in a way
       they could understand.


AHRQ   Adults who had a doctor's office or clinic visit in the last 12 Health Care Delivery    Communication           Process            Ambulatory
       months whose health providers explained things in a way
       they could understand.
AHRQ   Children who had a doctor's office or clinic visit in the last Health Care Delivery     Communication           Process            Ambulatory
       12 months whose health providers explained things in a
       way they could understand.


AHRQ   Children who had a doctor's office or clinic visit in the last Health Care Delivery     Communication           Process            Ambulatory
       12 months whose health providers explained things in a
       way they could understand.
AHRQ   Adults who had a doctor's office or clinic visit in the last 12 Health Care Delivery    Communication           Process            Ambulatory
       months whose health providers showed respect for what
       they had to say.
AHRQ   Adults who had a doctor's office or clinic visit in the last 12 Health Care Delivery    Communication          Process            Ambulatory
       months whose health providers showed respect for what
       they had to say.
AHRQ   Children who had a doctor's office or clinic visit in the last Health Care Delivery     Communication          Process            Ambulatory
       12 months whose health providers showed respect for what
       they had to say.

AHRQ   Children who had a doctor's office or clinic visit in the last Health Care Delivery     Communication          Process            Ambulatory
       12 months whose health providers showed respect for what
       they had to say.
AHRQ   Adults who had a doctor's office or clinic visit in the last 12 Health Care Delivery    Access                 Process            Ambulatory
       months whose health providers spent enough time with
       them.


AHRQ   Adults who had a doctor's office or clinic visit in the last 12 Health Care Delivery    Access                 Process            Ambulatory
       months whose health providers spent enough time with
       them.
AHRQ   Children who had a doctor's office or clinic visit in the last Health Care Delivery     Access                 Process            Ambulatory
       12 months whose health providers spent enough time with
       them.
AHRQ   Rating of health care by adults who had a doctor's office or Health Care Delivery       Patient Satisfaction   Outcome            Ambulatory
       clinic visit in the last 12 months.




AHRQ   Rating of health care by adults who had a doctor's office or Health Care Delivery       Patient Satisfaction   Outcome            Ambulatory
       clinic visit in the last 12 months.
AHRQ   Rating of health care for children who had a doctor's office Health Care Delivery       Patient Satisfaction   Outcome            Ambulatory
       or clinic visit in the last 12 months.



AHRQ   Rating of health care for children who had a doctor's office Health Care Delivery       Patient Satisfaction   Outcome            Ambulatory
       or clinic visit in the last 12 months.


AHRQ   Children who had a doctor's office or clinic visit in the last   Health Care Delivery   Access                 Process            Ambulatory
       12 months whose health providers spent enough time with
       them.
AHRQ   Adult hospital patients who sometimes or never had good          Health Care Delivery   Communication          Process            Hospital Inpatient
       communications with doctors in the hospital.


AHRQ   Adult hospital patients who sometimes or never had good          Health Care Delivery   Communication          Process            Hospital Inpatient
       communications with nurses in the hospital.


AHRQ   Adult hospital patients who sometimes or never had good          Health Care Delivery   Communication          Process            Hospital Inpatient
       communications about medications they received in the
       hospital.

AHRQ   People under age 65 who were uninsured all year.                 Health Care Delivery   Access                 Structure/Access   Ambulatory



AHRQ   People under age 65 with any period of uninsurance during Health Care Delivery          Access                 Structure/Access   Ambulatory
       the year.
AHRQ   People under age 65 with any period of public insurance        Health Care Delivery   Access                          Structure/Access   Ambulatory
       during the year.
AHRQ   People without a usual source of care who indicated a          Health Care Delivery   Access                          Structure/Access   Ambulatory
       financial or insurance reason for not having a source of
       care.

AHRQ   People with a usual primary care provider.                     Health Care Delivery   Access                          Structure/Access   Ambulatory



AHRQ   Main reason people were unable to get or delayed in            Health Care Delivery   Access                          Structure/Access   Ambulatory
       getting needed medical care, dental care, or prescription
       medicines in the last 12 months.


AHRQ   People with a usual source of care excluding hospital          Health Care Delivery   Access                          Structure/Access   Ambulatory
       emergency rooms who has office hours nights or
       weekends.
AHRQ   People with difficulty contacting their usual source of care   Health Care Delivery   Access                          Structure/Access   Ambulatory
       over the telephone.
AHRQ   Adults who did not have problems seeing a specialist they      Health Care Delivery   Access                          Structure/Access   Ambulatory
       needed to see in the last 12 months.

AHRQ   Children who did not have problems seeing a specialist         Health Care Delivery   Access                          Structure/Access   Ambulatory
       they needed to see in the last 12 months.

AHRQ   Adult hospital patients who did not receive good               Health Care Delivery   Communication                   Process            Hospital Inpatient
       communication about discharge information.




AHRQ   People who received an office-based or outpatient              Health Care Delivery   Utilization                     Process            Ambulatory
       department visit in the calendar year.
AHRQ   People who received a prescription medication in the           Health Care Delivery   Utilization                     Process            Ambulatory
       calendar year.
AHRQ   People who received a dental visit in the calendar year.       Health Care Delivery   Utilization                     Process            Ambulatory



AHRQ   People who received a hospital emergency room visit in         Health Care Delivery   Utilization                     Process            Ambulatory
       the calendar year.
AHRQ   Hypertension admission rate (PQI 7).                           Cardiovascular         Hypertension                    Outcome            Ambulatory

AHRQ   Low birth weight rate (PQI 9).                                 Population             Maternal & Child Health         Outcome            Ambulatory




AHRQ   Dehydration admission rate (PQI 10).                           Gastrointestinal       Gastroenteritis                 Outcome            Ambulatory

AHRQ   Angina without procedure admission rate (PQI 13).              Cardiovascular         Acute Myocardial                Outcome            Ambulatory
                                                                                             Infarction/Coronary Artery
                                                                                             Disease
AHRQ   Chronic obstructive pulmonary disease (COPD) admission Respiratory                    Chronic Obstructive Pulmonary   Outcome            Ambulatory
       rate (PQI 5).                                                                         Disease
AHRQ   Bacterial pneumonia admission rate (PQI 11).                   Infectious Diseases    Pneumonia                       Outcome            Ambulatory
AHRQ   Urinary tract infection admission rate (PQI 12).              Population             Community                 Outcome            Ambulatory

AHRQ   Perforated appendices per 1,000 admissions with               Gastrointestinal                                 Outcome            Ambulatory
       appendicitis.


AHRQ   Adults with limited English proficiency with and without a    Health Care Delivery   Access                    Structure/Access   Ambulatory
       usual source of care who offers language assistance.
AHRQ   Prevention quality indicator 90: Overall prevention quality   Population             Community                 Outcome            Ambulatory
       indicators (composite indicator).




AHRQ   Prevention quality indicator 91: Acute prevention quality     Population             Community                 Outcome            Ambulatory
       indicators (composite indicator).

AHRQ   Prevention quality indicator 92: Chronic prevention quality   Population             Community                 Outcome            Ambulatory
       indicators (composite indicator).




AHRQ   Mortality for selected procedures.                            Population             Mortality                 Outcome            Hospital Inpatient




AHRQ   Mortality for selected conditions.                            Population             Mortality                 Outcome            Hospital Inpatient




AHRQ   Patient Safety for selected conditions.                       Patient Safety         Complications             Outcome            Hospital Inpatient




AHRQ   Pediatric quality indicator 90: Overall pediatric quality     Population             Maternal & Child Health   Outcome            Ambulatory
       indicators (composite indicator).

AHRQ   Pediatric quality indicator 91: Acute pediatric quality       Population             Maternal & Child Health   Outcome            Ambulatory
       indicators (composite indicator).
AHRQ   Pediatric quality indicator 92: Chronic pediatric quality     Population             Maternal & Child Health   Outcome            Ambulatory
       indicators (composite indicator).
AHRQ   Pediatric patient safety for selected conditions              Patient Safety                      Complications             Outcome            Hospital Inpatient




AoA    Improve well-being and prolong independence for elderly      Chronic & Elder Care                 Functional Status         Outcome            Health System
       individuals as a result of Administration on Aging's (AoA's)
       Title III home and community based services.




AoA    90% of home delivered meal/ congregate meal/ and             Health Care Delivery                 Patient Satisfaction      Patient Satisfaction Home Health
       transportation clients rate services good to excellent.
AoA    Increase the number of clients served per million dollars of Population                           Elderly                   Efficiency         Health System
       Administration on Aging (AoA) funding.

AoA    Increase the % of OAA clients served who live in rural        Population                          Elderly                   Outcome            Health System
       areas to 10% greater than the % of all US elderly who live
       in rural areas.
AoA    Number of states that serve more elderly living below the     Population                          Elderly                   Outcome            Health System
       poverty level than the prior year.

AoA    Increase the number of severely disabled clients who          Health Care Delivery                Access                    Outcome            Health System
       receive selected home and community-based services.

AoA    For Title VI services increase the number of units of         Population                          Elderly                   Efficiency         Health System
       service provided to Native Americans/thousand dollars of
       Administration on Aging (AoA) funding.
AoA    Increase the number of ombudsman complaint resolved or        Health Care Delivery                Patient Satisfaction      Efficiency         Health System
       partially resolved per million dollars of Administration on
       Aging (AoA) funding.
AoA    Number of the Medicare beneficiaries that receive training    Health Care Delivery                Education                 Efficiency         Health System
       from the senior Medicare patrol program per million dollars
       of Administration on Aging (AoA) funding.
CDC    Reduce health disparities in the occurrence of folic acid-    Population                          Maternal & Child Health   Outcome            Health System
       preventable spina bifida and anencephaly by reducing the
       birth prevalence of these conditions among Hispanics.




CDC    Increase the percentage of health providers who screen        Behavioral Health                   Alcohol Abuse             Outcome            Ambulatory
       women of childbearing age for risk of an alcohol-exposed
       pregnancy and provide appropriate, evidence-based
       interventions for those at risk.


CDC    Ensure that 95% of all infants are screened for hearing loss Head, Eyes, Ears, Nose, and Throat   Hearing                   Outcome            Health System
       by 1 month of age.
CDC   Reduce the age-adjusted annual rate of breast cancer       Cancer                 Breast Cancer                   Outcome   Health System
      mortality per 100,000 female population.




CDC   Increase the percentage of women age 40+ who have had      Cancer                 Breast Cancer                   Outcome   Health System
      a mammogram within the previous two years.



CDC   Decrease the age-adjusted rate of invasive cervical cancer Cancer                 Cervical Cancer                 Outcome   Hospital Inpatient
      per 100,000 women ages 20+ screened through the
      National Breast and Cervical Cancer Early Detection
      Program (NBCCEDP) (excludes invasive cervical cancer
      diagnosed on the initial program screen).
CDC   Reduce the age-adjusted annual rate of trachea, bronchus, Cancer                  Lung, Airway, Esophageal        Outcome   Health System
      and lung cancer mortality per 100,000 population.                                 Cancers

CDC   Maintain the age-adjusted rate of incidence of end-stage   Diabetes                                               Outcome   Health System
      renal disease (ESRD) per 100,000 diabetic population at
      no higher than its current rate.



CDC   Increase the age-adjusted percentage of persons with       Diabetes                                               Process   Health System
      diabetes age 18+ who receive an A1C test at least two
      times per year.


CDC   Reduce the age-adjusted annual rate per 100,000            Cardiovascular         Cardiovascular - Other          Outcome   Health System
      population of coronary heart disease and stroke-related
      deaths.
CDC   Increase the age-adjusted proportion of persons age 18+    Cardiovascular         Hypertension                    Outcome   Health System
      with high blood pressure who have it controlled.



CDC   The number of indigenous cases of paralytic polio, rubella, Infectious Diseases   Childhood Infectious Diseases   Outcome   Health System
      measles, Haemophilus influenzae invasive disease (type b
      and unknown types), diphtheria, congenital rubella
      syndrome, and tetanus will remain at or be reduced to 0 by
      2010.



CDC   Reduce the number of indigenous cases of mumps in          Infectious Diseases    Childhood Infectious Diseases   Outcome   Health System
      persons of all ages from 666 (1998 baseline) to 0 by 2010.

CDC   Reduce the number of indigenous cases of pertussis         Infectious Diseases    Childhood Infectious Diseases   Outcome   Health System
      among children under 7 years of age.

CDC   Improve capacity to conduct immunization safety studies by Immunizations          Immunization - Other            Process   Health System
      increasing the total population of managed care
CDC   organization members from which the Vaccine Safety
      Achieve or sustain immunization coverage of at least 90% Immunizations            Child/Adolescent Immunization   Process   Health System
      in children 19- to 35-months of age for: 4 doses of
      diphtheria, tetanus, and acellular pertussis (DTaP) vaccine,
      3 doses haemophilus influenza type B (HiB) vaccine, 1
      dose measles-mumps-rubella (MMR) vaccine, 3 doses
CDC   Achieve or sustain immunization coverage of at least 90% Immunizations            Child/Adolescent Immunization   Process   Health System
      in adolescents 13 to 15 years of age for: 1 dose of Tetanus
      and diphtheria (Td) containing vaccine.
CDC   Increase the rate of flu and pneumococcal pneumonia        Immunizations           Adult Immunization               Process   Health System
      vaccination in persons 65 years of age and older to 90% by
      2010.




CDC   By 2010, reduce the rates of invasive pneumococcal         Infectious Diseases     Pneumonia                        Outcome   Health System
      disease in children under 5 years of age to 46 per 100,000
      and in adults aged 65 years and older to 42 per 100,000.

CDC   By 2010, decrease the number of antibiotic courses           Infectious Diseases   Childhood Infectious Diseases    Outcome   Health System
      prescribed for ear infections in children under 5 years of
      age to 50 per 100 children.

CDC   Reduce the rate of central line associated bloodstream       Patient Safety        Hospital Acquired Infections     Outcome   Hospital Inpatient
      infections in medical/surgical intensive care unit (ICU)
      patients.
CDC   Decrease the number of pediatric AIDS cases.                 Infectious Diseases   HIV/AIDS                         Outcome   Health System


CDC   Reduce the black: White rate ratio of HIV/AIDS diagnoses. Infectious Diseases      HIV/AIDS                         Outcome   Health System

CDC   Reduce the Hispanic: White rate ratio of HIV/AIDS            Infectious Diseases   HIV/AIDS                         Outcome   Health System
      diagnoses.
CDC   Decrease risky sexual and drug using behaviors among         Infectious Diseases   HIV/AIDS                         Outcome   Health System
      persons at risk for acquiring HIV.



CDC   Increase the proportion of persons at risk for HIV who       Infectious Diseases   HIV/AIDS                         Process   Health System
      received HIV prevention interventions.
CDC   Increase the proportion of HIV-infected people in the        Infectious Diseases   HIV/AIDS                         Outcome   Health System
      United States who know they are infected.
CDC   Increase the proportion of persons with HIV-positive test    Infectious Diseases   HIV/AIDS                         Process   Ambulatory
      results from publicly funded counseling and testing sites
      who receive their test results.



CDC   Increase the proportion of people with HIV diagnosed         Infectious Diseases   HIV/AIDS                         Outcome   Health System
      before progression to AIDS.
CDC   Reduce the rate of new cases of hepatitis A (per 100,000     Infectious Diseases   Hepatitis A                      Outcome   Health System
      population).

CDC   Reduce the rate of new cases of hepatitis B (per 100,000     Infectious Diseases   Hepatitis B                      Outcome   Health System
      population).

CDC   Increase the proportion of individuals knowing their         Infectious Diseases   Hepatitis C                      Outcome   Health System
      hepatitis C virus infection status.
CDC   Reduce pelvic inflammatory disease in the United States.     Infectious Diseases   Infectious Diseases - Other      Outcome   Health System


CDC   Reduce the prevalence of chlamydia among high-risk           Infectious Diseases   Sexually Transmitted Infection   Outcome   Health System
      women under age 25.
CDC   Reduce the prevalence of chlamydia among women under          Infectious Diseases    Sexually Transmitted Infection   Outcome            Ambulatory
      age 25, in publicly funded family planning clinics.

CDC   Reduce the incidence of gonorrhea in women aged 15 to         Infectious Diseases    Sexually Transmitted Infection   Outcome            Health System
      44 (per 100,000 population).

CDC   Eliminate syphilis in the United States.                      Infectious Diseases    Sexually Transmitted Infection   Outcome            Health System


CDC   Reduce the incidence of primary & secondary syphilis in       Infectious Diseases    Sexually Transmitted Infection   Outcome            Health System
      men (per 100,000 population).

CDC   Reduce the incidence of primary & secondary syphilis in       Infectious Diseases    Sexually Transmitted Infection   Outcome            Health System
      women (per 100,000 population).

CDC   Reduce the incidence of congenital syphilis per 100,000     Infectious Diseases      Sexually Transmitted Infection   Outcome            Health System
      live births.
CDC   Reduce the racial disparity of primary & secondary syphilis Infectious Diseases      Sexually Transmitted Infection   Outcome            Health System
      (reported ratio is black:white).

CDC   Decrease the rate of cases of tuberculosis (TB) among         Infectious Diseases    Tuberculosis                     Outcome            Health System
      U.S.-born persons (per 100,000 population).

CDC   Increase the percentage of tuberculosis (TB) patients who     Infectious Diseases    Tuberculosis                     Outcome            Health System
      complete a course of curative TB treatment within 12
CDC   months of initiation of treatment (some patients require
      Increase the percentage of tuberculosis (TB) patients with    Infectious Diseases    Tuberculosis                     Outcome            Health System
      initial positive cultures who also have drug susceptibility
      results.
CDC   Increase the percentage of contacts of infectious (Acid-      Infectious Diseases    Tuberculosis                     Outcome            Health System
      Fast Bacillus [AFB] smear-positive) cases that are placed
      on treatment for latent tuberculosis (TB) infection and
      complete a treatment regimen.
CDC   By 2010, reduce the incidence and infection with four key     Infectious Diseases    Infectious Diseases - Other      Outcome            Health System
      foodborne pathogens by 50%.

CDC   Number of children under age 6 with elevated blood lead       Population             Maternal & Child Health          Outcome            Health System
      levels.

CDC   Achieve a vaccination rate of 60% among non-                   Infectious Diseases   Pneumonia                        Process            Health System
      institutionalized high-risk adults aged 18 to 64 years for flu
      and pneumococcal pneumonia by 2010.
CDC   Percent of women 40 years of age and older diagnosed           Cancer                Breast Cancer                    Outcome            Health System
      with breast cancer whose cancer was diagnosed at in situ
      or localized stage.

CDC   The estimated number of cases of invasive Methicillin-        Patient Safety         Hospital Acquired Infections     Outcome            Hospital Inpatient
      resistant Staphylococcus aureus (MRSA) infection.

CMS   Plan membership retention between program years.              Health Care Delivery   Utilization                      Structure/Access   Health System
CMS   Delays in appeals decisions.                                  Health Care Delivery   Administration                   Structure/Access   Health System
CMS   Acute care hospitalization--home health.                      Population             Community                        Outcome            Home Health
CMS   AMI-1: Aspirin at arrival--hospital.                          Cardiovascular         Acute Myocardial                 Process            Hospital Inpatient
                                                                                           Infarction/Coronary Artery
                                                                                           Disease
CMS   AMI-2: Aspirin prescribed at discharge--hospital.             Cardiovascular         Acute Myocardial                 Process            Hospital Inpatient
                                                                                           Infarction/Coronary Artery
                                                                                           Disease
CMS   AMI-3: angiotensin converting enzyme inhibitor (ACEI) or      Cardiovascular         Acute Myocardial                 Process            Hospital Inpatient
      angiotensin receptor blocker (ARB) for left ventricular                              Infarction/Coronary Artery
      systolic dysfunction (LVSD)--hospital.                                               Disease
CMS   AMI-4: Adult smoking cessation advice/counseling--           Cardiovascular          Acute Myocardial             Process   Hospital Inpatient
      hospital.                                                                            Infarction/Coronary Artery
                                                                                           Disease
CMS   AMI-5: Beta-blocker prescribed at discharge--hospital.       Cardiovascular          Acute Myocardial             Process   Hospital Inpatient
                                                                                           Infarction/Coronary Artery
                                                                                           Disease
CMS   AMI-6: Beta-blocker at arrival--hospital.                    Cardiovascular          Acute Myocardial             Process   Hospital Inpatient
                                                                                           Infarction/Coronary Artery
                                                                                           Disease
CMS   AMI-7a: Fibrinolytic therapy received within 30 minutes of   Cardiovascular          Acute Myocardial             Process   Hospital Inpatient
      hospital arrival--hospital.                                                          Infarction/Coronary Artery
                                                                                           Disease
CMS   Any emergent care--home health.                              Population              Community                    Outcome   Home Health
CMS   Dialysis Facility Compare (DFC) facility adequacy of         Renal & Genitourinary   End-Stage Renal Disease      Outcome   End-Stage Renal
      dialysis (end-stage renal disease [ESRD]).                                                                                  Disease/Dialysis
CMS   Dialysis Facility Compare (DFC) facility anemia              Renal & Genitourinary   End-Stage Renal Disease      Outcome   End-Stage Renal
      management (end-stage renal disease [ESRD]).                                                                                Disease/Dialysis


CMS   Dialysis Facility Compare (DFC) facility patient survival    Renal & Genitourinary   End-Stage Renal Disease      Outcome   End-Stage Renal
      classification (end-stage renal disease [ESRD]).                                                                            Disease/Dialysis

CMS   Discharge to the community--home health.                     Health Care Delivery    Management of Care           Outcome   Home Health

CMS   AMI-8a: Primary percutaneous coronary intervention (PCI)     Cardiovascular          Acute Myocardial             Process   Hospital Inpatient
      received within 90 minutes of hospital arrival--hospital.                            Infarction/Coronary Artery
                                                                                           Disease
CMS   ESRD-11a anemia management CPM IIa: Assessment of            Renal & Genitourinary   End-Stage Renal Disease      Process   End-Stage Renal
      iron stores among anemic patients or patients prescribed                                                                    Disease/Dialysis
      Epoetin in hemodialysis patients.
CMS   ESRD-10 anemia management CPM I: Target hemoglobin           Renal & Genitourinary   End-Stage Renal Disease      Outcome   Ambulatory           Home Health
      for Epoetin therapy.
CMS   ESRD-1 hemodialysis (HD) adequacy CPM I: Monthly             Renal & Genitourinary   End-Stage Renal Disease      Process   End-Stage Renal      Ambulatory
      measurement of delivered hemodialysis dose.                                                                                 Disease/Dialysis
CMS   ESRD-12a anemia management CPM IIb: Maintenance of           Renal & Genitourinary   End-Stage Renal Disease      Outcome   End-Stage Renal      Ambulatory
      iron stores at target in hemodialysis patients.                                                                             Disease/Dialysis

CMS   ESRD-12b anemia management CPM IIb: Maintenance of           Renal & Genitourinary   End-Stage Renal Disease      Outcome   End-Stage Renal      Ambulatory, Home Health
      iron stores at target in peritoneal dialysis patients.                                                                      Disease/Dialysis

CMS   ESRD-11b anemia management CPM IIa: Assessment of        Renal & Genitourinary       End-Stage Renal Disease      Process   End-Stage Renal      Ambulatory, Home Health
      iron stores among anemic patients or patients prescribed                                                                    Disease/Dialysis
      Epoetin in peritoneal dialysis patients.
CMS   ESRD-13a anemia management CPM III: Administration of Renal & Genitourinary          End-Stage Renal Disease      Process   End-Stage Renal      Ambulatory
      supplemental iron in hemodialysis patients.                                                                                 Disease/Dialysis



CMS   ESRD-13b anemia management CPM III: Administration of Renal & Genitourinary          End-Stage Renal Disease      Process   End-Stage Renal      Ambulatory, Home Health
      supplemental iron in peritoneal dialysis patients.                                                                          Disease/Dialysis




CMS   ESRD-2 hemodialysis (HD) adequacy CPM II: Method of         Renal & Genitourinary    End-Stage Renal Disease      Process   End-Stage Renal      Ambulatory
      measurement of delivered hemodialysis dose.                                                                                 Disease/Dialysis
CMS   ESRD-3 hemodialysis (HD) adequacy CPM III: Minimum          Renal & Genitourinary    End-Stage Renal Disease      Process   End-Stage Renal      Ambulatory
      delivered hemodialysis dose.                                                                                                Disease/Dialysis
CMS   ESRD-4 peritoneal dialysis (PD) adequacy CPM I:             Renal & Genitourinary    End-Stage Renal Disease      Process   End-Stage Renal      Ambulatory, Home Health
      Measurement of total solute clearance at regular intervals.                                                                 Disease/Dialysis

CMS   ESRD-5 peritoneal dialysis (PD) adequacy CPM II:             Renal & Genitourinary   End-Stage Renal Disease      Process   End-Stage Renal      Ambulatory, Home Health
      Calculate weekly Kt/V urea and creatinine clearance in a                                                                    Disease/Dialysis
      standard way.
CMS   ESRD-6a peritoneal dialysis (PD) adequacy CPM III:         Renal & Genitourinary      End-Stage Renal Disease   Process   End-Stage Renal      Ambulatory, Home Health
      Delivered dose of peritoneal dialysis at target for                                                                       Disease/Dialysis
      continuous ambulatory peritoneal dialysis (CAPD) patients.

CMS   ESRD-6b peritoneal dialysis (PD) adequacy CPM III:            Renal & Genitourinary   End-Stage Renal Disease   Process   End-Stage Renal      Ambulatory, Home Health
      Delivered dose of peritoneal dialysis at target for cycler                                                                Disease/Dialysis
      patients with a day time dwell (continuous cycling
      peritoneal dialysis [CCPD] patients).
CMS   ESRD-6c peritoneal dialysis (PD) adequacy CPM III:            Renal & Genitourinary   End-Stage Renal Disease   Process   End-Stage Renal      Ambulatory, Home Health
      Delivered dose of peritoneal dialysis at target for cycler                                                                Disease/Dialysis
      patients without a day time dwell (nightly intermittent
      peritoneal dialysis [NIPD] patients).

CMS   ESRD-7a vascular access CPM I: Incident patients-             Renal & Genitourinary   End-Stage Renal Disease   Process   End-Stage Renal      Ambulatory
      maximizing placement of arterial venous fistula (AVF).                                                                    Disease/Dialysis
CMS   ESRD-7b vascular access CPM I: Prevalent patients             Renal & Genitourinary   End-Stage Renal Disease   Process   End-Stage Renal      Ambulatory
      maximizing placement of arterial venous fistula (AVF).                                                                    Disease/Dialysis
CMS   ESRD-8 vascular access CPM II: Minimizing use of              Renal & Genitourinary   End-Stage Renal Disease   Process   End-Stage Renal      Ambulatory
      catheters as chronic dialysis access.                                                                                     Disease/Dialysis
CMS   ESRD-9 vascular access CPM III: Monitoring arterial           Renal & Genitourinary   End-Stage Renal Disease   Process   End-Stage Renal      Ambulatory
      venous grafts for stenosis.                                                                                               Disease/Dialysis




CMS   HF-1: Discharge instructions--hospital.                       Cardiovascular          Heart Failure             Process   Hospital Inpatient



CMS   HF-2: Evaluation of left ventricular systolic (LVS) function-- Cardiovascular         Heart Failure             Process   Hospital Inpatient
      hospital.
CMS   HF-3: angiotensin converting enzyme inhibitor (ACEI) or        Cardiovascular         Heart Failure             Process   Hospital Inpatient
      angiotensin receptor blocker (ARB) for left ventricular
      systolic dysfunction (LVSD)--hospital.
CMS   Improvement in ambulation/locomotion--home health.             Chronic & Elder Care   Functional Status         Outcome   Home Health


CMS   Improvement in bathing--home health.                          Chronic & Elder Care    Functional Status         Outcome   Home Health


CMS   Improvement in dyspnea--home health.                          Respiratory             Dyspnea                   Outcome   Home Health


CMS   Improvement in management of oral medications--home           Patient Safety          Medication Management     Outcome   Home Health
      health.

CMS   Improvement in pain interfering with activity--home health.   Pain                                              Outcome   Home Health


CMS   Improvement in status of surgical wounds--home health.        Surgery                 Surgery - Other           Outcome   Home Health




CMS   Improvement in transferring--home health.                     Chronic & Elder Care    Functional Status         Outcome   Home Health


CMS   Improvement in urinary incontinence--home health.             Renal & Genitourinary   Incontinence              Outcome   Home Health
CMS   Mortality-AMI: Acute myocardial infarction 30-day mortality Cardiovascular             Acute Myocardial             Outcome   Hospital Inpatient
      rate--hospital.                                                                        Infarction/Coronary Artery
                                                                                             Disease
CMS   Mortality-HF: Heart failure 30-day mortality rate--hospital.   Cardiovascular          Heart Failure                Outcome   Hospital Inpatient


CMS   Mortality-PN: Pneumonia 30-day mortality rate--hospital.       Infectious Diseases     Pneumonia                    Outcome   Hospital Inpatient


CMS   HF-4: Adult smoking cessation advice/counseling--hospital. Cardiovascular              Heart Failure                Process   Hospital Inpatient


CMS   NH-FLU01: Chronic care influenza vaccination quality           Immunizations           Adult Immunization           Process   Long-term Care
      measure (QM)--nursing home.
CMS   NH-FLUO1: Post-acute care influenza vaccination quality        Immunizations           Adult Immunization           Process   Long-term Care
      measure (QM)--nursing home.
CMS   NH-PNEUMOVAX01: Chronic care pneumococcal                      Immunizations           Adult Immunization           Process   Long-term Care
      vaccination quality measure (QM)--nursing home.
CMS   NH-1: Percent of residents whose need for help with daily      Chronic & Elder Care    Functional Status            Outcome   Long-term Care
      activities has increased--nursing home.
CMS   NH-10: Percent of low-risk residents who lose control of   Renal & Genitourinary       Incontinence                 Outcome   Long-term Care
      their bowels or bladder--nursing home.
CMS   NH-11: Percent of residents whose ability to move about in Chronic & Elder Care        Functional Status            Outcome   Long-term Care
      and around their room got worse--nursing home.
CMS   NH-12: Percent of residents who lose too much weight--     Chronic & Elder Care        Elder Care - Other           Outcome   Long-term Care
      nursing home.
CMS   NH-13: Percent of short stay residents with delirium--         Mental Health           Mental Health - Other        Outcome   Long-term Care
      nursing home.

CMS   NH-14: Percent of short stay residents who had moderate        Pain                                                 Outcome   Long-term Care
      to severe pain--nursing home.

CMS   NH-15: Percent of short stay residents with pressure sores-- Chronic & Elder Care      Pressure Ulcer               Outcome   Long-term Care
      nursing home.




CMS   NH-2: Percent of residents who have moderate to severe         Pain                                                 Outcome   Long-term Care
      pain--nursing home.

CMS   NH-PNEUMOVAX01: Post-acute care pneumococcal                   Immunizations           Adult Immunization           Process   Long-term Care
      vaccination quality measure (QM)--nursing home.
CMS   NH-4: Percent of patients with a urinary tract infection--     Renal & Genitourinary   Incontinence                 Outcome   Long-term Care
      nursing home.
CMS   NH-5: Percent of high-risk residents who have pressure         Chronic & Elder Care    Pressure Ulcer               Outcome   Long-term Care
      sores--nursing home.




CMS   NH-6: Percent of low-risk residents who have pressure          Chronic & Elder Care    Pressure Ulcer               Outcome   Long-term Care
      sores--nursing home.
CMS   NH-7: Percent of residents who have become more                Mental Health           Depression                   Outcome   Long-term Care
      depressed or anxious--nursing home.
CMS   NH-8: Percent of residents who spent most of their time in     Chronic & Elder Care    Functional Status            Outcome   Long-term Care
      bed or in a chair--nursing home.
CMS   NH-9: Percent of residents who have/had a catheter             Renal & Genitourinary   Incontinence                 Outcome   Long-term Care
      inserted and left in their bladder--nursing home.
CMS   NH-3: Percent of residents who were physically restrained--    Chronic & Elder Care    Elder Care - Other           Process   Long-term Care
      nursing home.
CMS   PN-1: Oxygenation assessment--hospital.                         Infectious Diseases                  Pneumonia                    Process   Hospital Inpatient

CMS   PN-2: Pneumococcal vaccination--hospital.                       Infectious Diseases                  Pneumonia                    Process   Hospital Inpatient

CMS   PN-3a: Blood cultures performed within 24 hours prior to or Infectious Diseases                      Pneumonia                    Process   Hospital Inpatient
      24 hours after hospital arrival for patients who were
      transferred or admitted to the intensive care unit (ICU)
      within 24 hours of hospital arrival--hospital.



CMS   PN-3b: Blood cultures performed in the emergency              Infectious Diseases                    Pneumonia                    Process   Hospital Inpatient
      department prior to initial antibiotic received in hospital--
      hospital.
CMS   PN-4: Adult smoking cessation advice/counseling--hospital. Infectious Diseases                       Pneumonia                    Process   Hospital Inpatient

CMS   PN-5b: Initial antibiotic received within 4 hours of hospital   Infectious Diseases                  Pneumonia                    Process   Hospital Inpatient
      arrival--hospital.
CMS   PN-5c: Initial antibiotic received within 6 hours of hospital   Infectious Diseases                  Pneumonia                    Process   Hospital Inpatient
      arrival--hospital.



CMS   PN-6: Initial antibiotic selection for community-acquired       Infectious Diseases                  Pneumonia                    Process   Hospital Inpatient
      pneumonia (CAP) in immunocompetent patients--hospital.

CMS   PQRI 01. Hemoglobin A1c poor control in type 1 or 2             Diabetes                                                          Outcome   Ambulatory           Hospital Inpatient, Home
      diabetes mellitus.                                                                                                                                               Health, Long-term Care
CMS   PQRI 02. Low density lipoprotein control in type 1 or 2         Diabetes                                                          Outcome   Ambulatory           Hospital Inpatient, Home
      diabetes mellitus.                                                                                                                                               Health, Long-term Care
CMS   PQRI 03. High blood pressure control in type 1 or 2             Diabetes                                                          Outcome   Ambulatory           Hospital Inpatient, Home
      diabetes mellitus.                                                                                                                                               Health, Long-term Care
CMS   PN-7: Influenza vaccination--hospital.                          Infectious Diseases                  Pneumonia                    Process   Hospital Inpatient


CMS   PQRI 04. Screening for future fall risk.                        Patient Safety                       Falls                        Process   Ambulatory           Hospital Inpatient, Home
                                                                                                                                                                       Health, Long-term Care

CMS   PQRI 05. Heart failure: Angiotensin-converting enzyme           Cardiovascular                       Heart Failure                Process   Ambulatory           Home Health, Hospital
      (ACE) inhibitor or angiotensin receptor blocker (ARB)                                                                                                            Inpatient, Long-term Care
      therapy of left ventricular systolic dysfunction (LVSD).
CMS   PQRI 06. Oral antiplatelet therapy prescribed for patients      Cardiovascular                       Acute Myocardial             Process   Ambulatory           Home Health, Hospital
      with coronary artery disease (CAD).                                                                  Infarction/Coronary Artery                                  Inpatient, Long-term Care
                                                                                                           Disease
CMS   PQRI 07. Beta-blocker therapy for coronary artery disease Cardiovascular                             Acute Myocardial             Process   Ambulatory           Home Health, Hospital
      (CAD) patients with prior myocardial infarction (MI).                                                Infarction/Coronary Artery                                  Inpatient, Long-term Care
                                                                                                           Disease
CMS   PQRI 08. Heart failure: Beta-blocker therapy for left           Cardiovascular                       Heart Failure                Process   Ambulatory           Home Health, Hospital
      ventricular systolic dysfunction (LVSD).                                                                                                                         Inpatient, Long-term Care

CMS   PQRI 09. Antidepressant medication during acute phase      Mental Health                             Depression                   Process   Ambulatory           Home Health
      for patient with new episode of major depression.
CMS   PQRI 10. Stroke and stroke rehabilitation: computed        Cardiovascular                            Stroke                       Process   Hospital Inpatient
      tomography (CT) or magnetic resonance imaging (MRI)
      reports.
CMS   PQRI 11. Stroke and stroke rehabilitation: Carotid imaging Cardiovascular                            Stroke                       Process   Hospital Inpatient
      reports.

CMS   PQRI 12. Primary open angle glaucoma: Optic nerve               Head, Eyes, Ears, Nose, and Throat   Eye Care                     Process   Ambulatory           Long-term Care
      evaluation.
CMS   PQRI 14. Age-related macular degeneration: Dilated              Head, Eyes, Ears, Nose, and Throat   Eye Care                     Process   Ambulatory           Long-term Care
      macular examination.
CMS   PQRI 18. Diabetic retinopathy: Documentation of presence Diabetes                                                     Process   Ambulatory           Long-term Care
      or absence of macular edema and level of severity of
      retinopathy.
CMS   PQRI 19. Diabetic retinopathy: Communication with the    Diabetes                                                     Process   Ambulatory           Long-term Care
      physician managing ongoing diabetes care.
CMS   PQRI 20. Perioperative care: Timing of antibiotic        Surgery                      Perioperative Care              Process   Hospital Inpatient
      prophylaxis--ordering physician.

CMS   PQRI 21. Perioperative care: Selection of prophylactic        Surgery                 Perioperative Care              Process   Hospital Inpatient
      antibiotic--first OR second generation Cephalosporin.
CMS   PQRI 22. Perioperative care: Discontinuation of               Surgery                 Perioperative Care              Process   Hospital Inpatient
      prophylactic antibiotics (non-cardiac procedures).
CMS   PQRI 23. Perioperative care: Venous thromboembolism           Surgery                 Perioperative Care              Process   Hospital Inpatient
      (VTE) prophylaxis (when indicated in ALL patients).

CMS   PQRI 24. Osteoporosis: Communication with the physician Bone & Joint                  Osteoporosis                    Process   Ambulatory           Hospital Inpatient
      managing ongoing care post fracture.

CMS   PQRI 28. Aspirin at arrival for acute myocardial infarction   Cardiovascular          Acute Myocardial                Process   Hospital Inpatient
      (AMI).                                                                                Infarction/Coronary Artery
                                                                                            Disease
CMS   PQRI 30. Perioperative cCare: Timing of prophylactic          Surgery                 Perioperative Care              Process   Hospital Inpatient
      antibiotic--administering physician.

CMS   PQRI 31. Stroke and stroke rehabilitation: Deep vein          Cardiovascular          Stroke                          Process   Hospital Inpatient
      thrombosis (DVT) prophylaxis for ischemic stroke or
      intracranial hemorrhage.
CMS   PQRI 32. Stroke and stroke rehabilitation: Discharged on      Cardiovascular          Stroke                          Process   Hospital Inpatient
      antiplatelet therapy.
CMS   PQRI 33. Stroke and stroke rehabilitation: Anticoagulant      Cardiovascular          Stroke                          Process   Hospital Inpatient
      therapy prescribed for atrial fibrillation at discharge.
CMS   PQRI 34. Stroke and stroke rehabilitation: Tissue             Cardiovascular          Stroke                          Process   Hospital Inpatient
      plasminogen activator (t-PA) considered.
CMS   PQRI 35. Stroke and stroke rehabilitation: Screening for      Cardiovascular          Stroke                          Process   Hospital Inpatient
      dysphagia.
CMS   PQRI 36. Stroke and stroke rehabilitation: Consideration of   Cardiovascular          Stroke                          Process   Hospital Inpatient
      rehabilitation services.
CMS   PQRI 39. Screening or therapy for osteoporosis for women      Bone & Joint            Osteoporosis                    Process   Ambulatory
      aged 65 years and older.
CMS   PQRI 40. Osteoporosis management following fracture.          Bone & Joint            Osteoporosis                    Process   Ambulatory
CMS   PQRI 41. Osteoporosis pharmacologic therapy.                  Bone & Joint            Osteoporosis                    Process   Ambulatory
CMS   PQRI 43. Use of internal mammary artery (IMA) in coronary     Cardiovascular          Cardiovascular Surgery          Process   Hospital Inpatient
      artery bypass graft (CABG).
CMS   PQRI 44. Pre-operative beta-blocker in patient with           Cardiovascular          Cardiovascular Surgery          Process   Hospital Inpatient
      isolated coronary artery bypass graft (CABG).
CMS   PQRI 45. Perioperative care: Discontinuation of               Surgery                 Perioperative Care              Process   Hospital Inpatient
      prophylactic antibiotics (cardiac procedures).
CMS   PQRI 46. Medication reconciliation.                           Patient Safety          Medication Management           Process   Ambulatory


CMS   PQRI 47. Advance care plan.                                   End of Life                                             Process   Ambulatory           Hospital Inpatient, Long-term
                                                                                                                                                           Care
CMS   PQRI 48. Assessment of presence or absence of urinary         Renal & Genitourinary   Incontinence                    Process   Ambulatory
      incontinence in women aged 65 years and older.
CMS   PQRI 49. Characterization of urinary incontinence in          Renal & Genitourinary   Incontinence                    Process   Ambulatory
      women aged 65 years and older.

CMS   PQRI 50. Plan of care for urinary incontinence in women       Renal & Genitourinary   Incontinence                    Process   Ambulatory
      aged 65 years and older.
CMS   PQRI 51. Chronic obstructive pulmonary disease (COPD):        Respiratory             Chronic Obstructive Pulmonary   Process   Ambulatory
      Spirometry evaluation.                                                                Disease
CMS   PQRI 52. Chronic obstructive pulmonary disease (COPD):        Respiratory             Chronic Obstructive Pulmonary   Process   Ambulatory
      Bronchodilator therapy.                                                               Disease
CMS   PQRI 53. Asthma pharmacologic therapy.                         Respiratory           Asthma                          Process   Ambulatory


CMS   PQRI 54. Electrocardiogram performed for non-traumatic         Cardiovascular        Acute Myocardial                Process   Hospital Inpatient
      chest pain.                                                                          Infarction/Coronary Artery
                                                                                           Disease
CMS   PQRI 55. Electrocardiogram performed for syncope.              Cardiovascular        Acute Myocardial                Process   Hospital Inpatient
                                                                                           Infarction/Coronary Artery
                                                                                           Disease
CMS   PQRI 56. Vital signs for community-acquired bacterial          Infectious Diseases   Pneumonia                       Process   Hospital Inpatient
      pneumonia.
CMS   PQRI 57. Assessment of oxygen saturation for community-        Infectious Diseases   Pneumonia                       Process   Hospital Inpatient
      acquired bacterial pneumonia.
CMS   PQRI 58. Assessment of mental status for community-            Infectious Diseases   Pneumonia                       Process   Ambulatory           Hospital Inpatient
      acquired bacterial pneumonia.
CMS   PQRI 59. Empiric antibiotic for community-acquired             Infectious Diseases   Pneumonia                       Process   Ambulatory           Hospital Inpatient
      bacterial pneumonia.
CMS   PQRI 64. Asthma assessment.                                    Respiratory           Asthma                          Process   Ambulatory

CMS   PQRI 65. Appropriate treatment for children with upper         Infectious Diseases   Childhood Infectious Diseases   Process   Ambulatory           Hospital Inpatient
      respiratory infection (URI).
CMS   PQRI 66. Appropriate testing for children with pharyngitis.    Infectious Diseases   Childhood Infectious Diseases   Process   Ambulatory           Hospital Inpatient

CMS   PQRI 67. Myelodysplastic syndrome (MDS) and acute              Cancer                Blood Cancer                    Process   Ambulatory
      leukemias: Baseline cytogenetic testing performed on bone
      marrow.
CMS   PQRI 68. Myelodysplastic syndrome (MDS):                       Cancer                Blood Cancer                    Process   Ambulatory
      Documentation of iron stores in patients receiving
      erythropoietin therapy.
CMS   PQRI 69. Multiple myeloma: Treatment with                      Cancer                Blood Cancer                    Process   Ambulatory
      bisphosphonates.
CMS   PQRI 70. Chronic Lymphocytic leukemia (CLL): Baseline          Cancer                Blood Cancer                    Process   Ambulatory
      flow cytometry.
CMS   PQRI 71. Hormonal therapy for Stage IC-III, ER/PR              Cancer                Breast Cancer                   Process   Ambulatory
      positive breast cancer.
CMS   PQRI 72. Chemotherapy for Stage III colon cancer               Cancer                Colorectal Cancer               Process   Ambulatory
      patients.
CMS   PQRI 73. Plan for chemotherapy documented before               Cancer                Cancer - Other                  Process   Ambulatory
      chemotherapy administered.
CMS   PQRI 74. Radiation therapy for invasive breast cancer          Cancer                Breast Cancer                   Process   Ambulatory
      patients who have undergone breast conserving surgery.

CMS   SCIP-Inf-1a: Prophylactic antibiotic received within one       Surgery               Perioperative Care              Process   Hospital Inpatient
      hour prior to surgical incision - overall rate--hospital.

CMS   SCIP-Inf-2a: Prophylactic antibiotic selection for surgical    Surgery               Perioperative Care              Process   Hospital Inpatient
      patients - overall rate--hospital.
CMS   SCIP-Inf-4: Cardiac surgery patients with controlled 6 A.M.    Cardiovascular        Cardiovascular Surgery          Outcome   Hospital Inpatient
      postoperative blood glucose.
CMS   SCIP-Inf-3a: Prophylactic antibiotics discontinued within 24   Surgery               Perioperative Care              Process   Hospital Inpatient
      hours after surgery end time - overall rate--hospital.
CMS   SCIP-Inf-6: Surgery patients with appropriate hair removal--   Surgery               Perioperative Care              Process   Hospital Inpatient
      hospital.
CMS   SCIP-VTE-1: Surgery patients with recommended venous           Cardiovascular        Venous Thromboembolism          Process   Hospital Inpatient
      thromboembolism prophylaxis ordered.
CMS   SCIP-VTE-2: Surgery patients who received appropriate    Cardiovascular              Venous Thromboembolism          Process   Hospital Inpatient
      venous thromboembolism prophylaxis within 24 hours prior
      to surgery to 24 hours after surgery.

CMS   PQRI 75. Prevention of ventilator-associated pneumonia – Infectious Diseases         Pneumonia                       Process   Hospital Inpatient
      head elevation.
CMS   PQRI 76. Prevention of catheter-related bloodstream           Patient Safety          Hospital Acquired Infections   Process   Hospital Inpatient
      infections (CRBSI) – central venous catheter insertion
      protocol.
CMS   PQRI 77. Assessment of gastroesophageal reflux disease        Gastrointestinal        Reflux/Peptic Ulcer            Process   Ambulatory
      (GERD) symptoms in patients receiving chronic medication
      for GERD.
CMS   PQRI 78. Vascular access for patients undergoing              Renal & Genitourinary   End-Stage Renal Disease        Process   Hospital Inpatient   Ambulatory, Hospital
      hemodialysis.                                                                                                                                       Outpatient
CMS   PQRI 79. Influenza vaccination in patients with end stage     Renal & Genitourinary   End-Stage Renal Disease        Process   Hospital Inpatient   Ambulatory, Hospital
      renal disease (ESRD).                                                                                                                               Outpatient
CMS   PQRI 80. Plan of care for end stage renal disease (ESRD)      Renal & Genitourinary   End-Stage Renal Disease        Process   Hospital Inpatient   Ambulatory, Hospital
      patients with anemia.                                                                                                                               Outpatient
CMS   PQRI 81. Plan of care for inadequate hemodialysis in end      Renal & Genitourinary   End-Stage Renal Disease        Process   Hospital Inpatient   Ambulatory, Hospital
      stage renal disease (ESRD) patients.                                                                                                                Outpatient
CMS   PQRI 82. Plan of care for inadequate peritoneal dialysis.     Renal & Genitourinary   End-Stage Renal Disease        Process   Hospital Inpatient   Ambulatory, Hospital
                                                                                                                                                          Outpatient
CMS   PQRI 83. Testing of patients with chronic hepatitis C (HCV) Infectious Diseases       Hepatitis C                    Process   Ambulatory
      for hepatitis C viremia.
CMS   PQRI 84. Initial hepatitis C RNA testing.                   Infectious Diseases       Hepatitis C                    Process   Ambulatory

CMS   PQRI 85. Hepatitis C (HCV) genotype testing prior to          Infectious Diseases     Hepatitis C                    Process   Ambulatory
      therapy.
CMS   PQRI 86. Consideration for antiviral therapy in hepatitis C   Infectious Diseases     Hepatitis C                    Process   Ambulatory
      (HCV) patients.
CMS   PQRI 87. Hepatitis C (HCV) RNA testing at week 12 of          Infectious Diseases     Hepatitis C                    Process   Ambulatory
      therapy.
CMS   PQRI 88. Hepatitis A and B vaccination in patients with       Infectious Diseases     Hepatitis C                    Process   Ambulatory
      hepatitis C (HCV).

CMS   PQRI 89. Counseling patients with hepatitis C (HCV)           Infectious Diseases     Hepatitis C                    Process   Ambulatory
      regarding use of alcohol.
CMS   PQRI 90. Counseling of patients regarding use of              Infectious Diseases     Hepatitis C                    Process   Ambulatory
      contraception prior to starting antiviral therapy.
CMS   PQRI 91. Acute otitis externa (AOE): Topical therapy.         Infectious Diseases     Ear Infection                  Process   Ambulatory
CMS   PQRI 92. Acute otitis externa (AOE): Pain assessment.         Infectious Diseases     Ear Infection                  Process   Ambulatory
CMS   PQRI 93. Acute otitis externa (AOE): Systemic                 Infectious Diseases     Ear Infection                  Process   Ambulatory
      antimicrobial therapy – avoidance of inappropriate use.
CMS   PQRI 94. Otitis media with effusion (OME): Diagnostic         Infectious Diseases     Ear Infection                  Process   Ambulatory
      evaluation – assessment of tympanic membrane mobility.

CMS   PQRI 95. Otitis media with effusion (OME): Hearing testing. Infectious Diseases       Ear Infection                  Process   Ambulatory

CMS   PQRI 96. Otitis media with effusion (OME): Antihistamines     Infectious Diseases     Ear Infection                  Process   Ambulatory
      or decongestants – avoidance of inappropriate use.

CMS   PQRI 97. Otitis media with effusion (OME): Systemic           Infectious Diseases     Ear Infection                  Process   Ambulatory
      Antimicrobials – Avoidance of inappropriate use.
CMS   PQRI 98. Otitis media with effusion (OME): Systemic           Infectious Diseases     Ear Infection                  Process   Ambulatory
      corticosteroids – avoidance of inappropriate use.
CMS   PQRI 99. Breast cancer patients who have a pT and pN          Cancer                  Breast Cancer                  Process   Ambulatory           Hospital Inpatient
      category and histologic grade for their cancer.
CMS   PQRI 100. Colorectal cancer patients who have a pT and        Cancer                  Colorectal Cancer              Process   Ambulatory           Hospital Inpatient
      pN category and histologic grade for their cancer.
CMS   PQRI 101. Appropriate initial evaluation of patients with     Cancer                  Prostate Cancer                Process   Ambulatory           Hospital Inpatient
      prostate cancer.

CMS   PQRI 102. Inappropriate use of bone scan for staging low- Cancer                      Prostate Cancer                Process   Ambulatory           Hospital Inpatient
      risk prostate cancer patients.
CMS   PQRI 103. Review of treatment options in patients with         Cancer                  Prostate Cancer              Process            Ambulatory   Hospital Inpatient
      clinically localized prostate cancer.

CMS   PQRI 104. Adjuvant hormonal therapy for high-risk prostate Cancer                      Prostate Cancer              Process            Ambulatory   Hospital Inpatient
      cancer patients.
CMS   PQRI 105. Three-dimensional radiotherapy for patients      Cancer                      Prostate Cancer              Process            Ambulatory   Hospital Inpatient
      with prostate cancer.
CMS   PQRI 106. Patients who have major depressive disorder      Mental Health               Depression                   Process            Ambulatory
      who meet DSM IV criteria.

CMS   PQRI 107. Patients who have major depressive disorder          Mental Health           Depression                   Process            Ambulatory
      who are assessed for suicide risks.
CMS   PQRI 108. Disease modifying anti-rheumatic drug therapy        Bone & Joint            Arthritis                    Process            Ambulatory   Hospital Inpatient
      in rheumatoid arthritis.
CMS   PQRI 109. Patients with osteoarthritis who have an             Bone & Joint            Osteoporosis                 Process            Ambulatory
      assessment of their pain and function.
CMS   PQRI 110. Influenza vaccination for patients > 50 years        Immunizations           Adult Immunization           Process            Ambulatory
      old.
CMS   PQRI 111. Pneumonia vaccination for patients 65 years          Immunizations           Adult Immunization           Process            Ambulatory   Hospital Inpatient
      and older.
CMS   PQRI 112. Screening mammography.                               Cancer                  Breast Cancer                Process            Ambulatory
CMS   PQRI 113. Colorectal cancer screening.                         Cancer                  Colorectal Cancer            Process            Ambulatory

CMS   PQRI 114. Inquiry regarding tobacco use.                       Behavioral Health       Tobacco Use                  Process            Ambulatory
CMS   PQRI 115. Advising smokers to quit.                            Behavioral Health       Tobacco Use                  Process            Ambulatory
CMS   PQRI 116. Inappropriate antibiotic treatment for adults with   Respiratory             Bronchitis                   Process            Ambulatory   Hospital Inpatient, Home
      acute bronchitis.                                                                                                                                   Health
CMS   PQRI 117. Dilated eye exam in diabetic patient.                Diabetes                                             Process            Ambulatory   Hospital Inpatient
CMS   PQRI 118. Angiotensin-converting enzyme inhibitor (ACEI)       Cardiovascular          Acute Myocardial             Process            Ambulatory   Home Health, Hospital
      or angiotensin receptor blocker (ARB) therapy for patients                             Infarction/Coronary Artery                                   Inpatient, Long-term Care
      with coronary artery disease (CAD) and diabetes and/or left                            Disease
      ventricular systolic dysfunction (LSVD).

CMS   PQRI 119. Urine screening for microalbumin or medical          Diabetes                                             Process            Ambulatory   Hospital Inpatient
      attention for nephropathy in diabetic patients.
CMS   PQRI 120. Angiotensin-converting enzyme (ACE) inhibitor        Renal & Genitourinary   Chronic Kidney Disease       Process            Ambulatory
      or angiotensin receptor blocker (ARB) therapy in patients
      with chronic kidney disease (CKD).
CMS   PQRI 121. Chronic kidney disease (CKD): Laboratory             Renal & Genitourinary   Chronic Kidney Disease       Process            Ambulatory
      testing (calcium, phosphorus, intact parathyroid hormone
      (iPTH), and lipid profile).
CMS   PQRI 122. Chronic kidney disease (CKD): Blood pressure         Renal & Genitourinary   Chronic Kidney Disease       Process            Ambulatory
      management.
CMS   PQRI 124. HIT - adoption/use of health information             Health Care Delivery    Health Care Information      Structure/Access   Ambulatory
      technology (electronic health records).                                                Technology
CMS   PQRI 125. HIT - adoption/use of e-prescribing.                 Health Care Delivery    Health Care Information      Structure/Access   Ambulatory
                                                                                             Technology
CMS   PQRI 123. Chronic kidney disease (CKD): Plan of care:          Renal & Genitourinary   Chronic Kidney Disease       Process            Ambulatory
      Elevated hemoglobin for patients receiving erythropoiesis -
      stimulating agents (ESA).
CMS   PQRI 126. Diabetic foot and ankle care, peripheral             Diabetes                                             Process            Ambulatory   Hospital Inpatient, Home
      neuropathy: Neurological evaluation.                                                                                                                Health, Long-term Care
CMS   PQRI 127. Diabetic foot and ankle care, ulcer prevention:      Diabetes                                             Process            Ambulatory   Hospital Inpatient, Home
      Evaluation of footwear.                                                                                                                             Health, Long-term Care
CMS   PQRI 128. Universal weight screening and follow-up.            Obesity                                              Process            Ambulatory   Home Health

CMS   PQRI 129. Universal influenza vaccine screening and            Immunizations           Adult Immunization           Process            Ambulatory   Home Health
      counseling.
CMS   PQRI 130. Universal documentation and verification of          Patient Safety          Medication Management        Process            Ambulatory   Hospital Inpatient, Home
      current medications in the medical record.                                                                                                          Health, Long-term Care
CMS   PQRI 131. Pain assessment prior to initiation of patient       Pain                                                 Process            Ambulatory   Hospital Inpatient, Home
      treatment.                                                                                                                                          Health, Long-term Care
CMS   PQRI 132. Patient co-development of treatment plan/plan       Health Care Delivery                 Communication                   Process                Ambulatory      Hospital Inpatient, Home
      of care.                                                                                                                                                                  Health, Long-term Care
CMS   PQRI 133. Screening for cCognitive impairment.                Mental Health                        Cognitive Impairment            Process                Ambulatory      Hospital Inpatient, Home
                                                                                                                                                                                Health, Long-term Care
CMS   Emergent care for wound infections, deteriorating wound       Chronic & Elder Care                 Chronic & Elder Care - Other    Outcome                Home Health
      status.
CMS   PQRI 134. Screening for clinical depression.                  Mental Health                        Depression                      Process                Ambulatory      Hospital Inpatient, Home
                                                                                                                                                                                Health, Long-term Care
CMS   Breast cancer screening.                                      Cancer                               Breast Cancer                   Process                Ambulatory
CMS   Colorectal cancer screening.                                  Cancer                               Colorectal Cancer               Process                Ambulatory
CMS   Persistence of beta-blocker treatment after a heart attack.   Cardiovascular                       Acute Myocardial                Process                Ambulatory
                                                                                                         Infarction/Coronary Artery
                                                                                                         Disease
CMS   Cholesterol management for patients with cardiovascular       Cardiovascular                       Cholesterol                     Process                Ambulatory
      conditions.
CMS   Use of spirometry testing in assessment of chronic            Respiratory                          Chronic Obstructive Pulmonary   Process                Ambulatory
      obstructive pulmonary disease (COPD).                                                              Disease
CMS   Antidepressant medication management (6 months).              Mental Health                        Depression                      Process                Ambulatory
CMS   Diabetes: Hemoglobin A1c (HbA1c) poor control.                Diabetes                                                             Outcome                Ambulatory
CMS   Antidepressant medication management (doctor follow-up).      Mental Health                        Depression                      Process                Ambulatory

CMS   Diabetes: Low-density lipoprotein (LDL) control.              Diabetes                                                             Outcome                Ambulatory
CMS   Diabetes: Retinal eye exam.                                   Diabetes                                                             Process                Ambulatory
CMS   Diabetes: Low-density lipoprotein (LDL) screening.            Diabetes                                                             Process                Ambulatory
CMS   Diabetes: Medical attention for nephropathy.                  Diabetes                                                             Process                Ambulatory
CMS   Controlling high blood pressure.                              Cardiovascular                       Hypertension                    Outcome                Ambulatory
CMS   Glaucoma screening in older adults.                           Head, Eyes, Ears, Nose, and Throat   Eye Care                        Process                Ambulatory
CMS   Annual monitoring for patients on persistent medications.     Patient Safety                       Medication Management           Process                Ambulatory

CMS   Follow-up after hospitalization for mental illness.           Mental Health                        Mental Health - Other           Process                Ambulatory
CMS   Osteoporosis management in women who had fracture.            Bone & Joint                         Osteoporosis                    Process                Ambulatory
CMS   Disease modifying anti-rheumatic drug therapy in              Bone & Joint                         Arthritis                       Process                Ambulatory
      rheumatoid arthritis.
CMS   Flu shots for older adults.                                   Immunizations                        Adult Immunization              Process                Ambulatory
CMS   Access to primary care doctor visits.                         Health Care Delivery                 Access                          Patient Satisfaction   Ambulatory
CMS   Call answer timeliness.                                       Health Care Delivery                 Communication                   Patient Satisfaction   Health System
CMS   Doctors who communicate well.                                 Health Care Delivery                 Communication                   Patient Satisfaction   Health System
CMS   Getting appointments and care quickly.                        Health Care Delivery                 Access                          Patient Satisfaction   Health System
CMS   Getting needed care without delays.                           Health Care Delivery                 Access                          Patient Satisfaction   Health System
CMS   Overall rating of health care quality.                        Health Care Delivery                 Patient Satisfaction            Patient Satisfaction   Health System
CMS   Overall rating of health plan.                                Health Care Delivery                 Patient Satisfaction            Patient Satisfaction   Health System
CMS   Plan makes timely decisions about appeals.                    Health Care Delivery                 Administration                  Patient Satisfaction   Health System
CMS   Reviewing appeals decisions.                                  Health Care Delivery                 Administration                  Patient Satisfaction   Health System
CMS   Health plan customer service.                                 Health Care Delivery                 Patient Satisfaction            Patient Satisfaction   Health System
CMS   Pneumonia vaccination status for older adults.                Immunizations                        Adult Immunization              Process                Ambulatory
CMS   Availability of drug coverage and cost information.           Health Care Delivery                 Communication                   Process                Health System
CMS   Calls disconnected when customer calls drug plan.             Health Care Delivery                 Communication                   Process                Health System
CMS   Complaints about joining and leaving the plan.                Health Care Delivery                 Patient Satisfaction            Patient Satisfaction   Health System
CMS   Complaints about the drug plan.                               Health Care Delivery                 Patient Satisfaction            Patient Satisfaction   Health System
CMS   Complaints about the plan's benefits and access to            Health Care Delivery                 Patient Satisfaction            Patient Satisfaction   Health System
      prescription drugs.
CMS   Complaints about the plan's drug pricing and out-of-pocket    Health Care Delivery                 Patient Satisfaction            Patient Satisfaction Health System
      costs.
CMS   Percent of generic drugs dispensed to members                 Health Care Delivery                 Utilization                     Outcome                Ambulatory
CMS   Getting prescriptions easily                                  Health Care Delivery                 Access                          Patient Satisfaction   Health System
CMS   How helpful is your plan when you need information.           Health Care Delivery                 Access                          Patient Satisfaction   Health System
CMS   Calls disconnected when pharmacist calls drug plan.           Health Care Delivery                 Communication                   Process                Health System
CMS   How often the plan's drug prices change.                      Health Care Delivery                 Cost                            Process                Health System
CMS   Pharmacists have up-to-date information on plan members       Health Care Delivery                 Communication                   Process                Ambulatory
      who need extra help.
CMS   Rating of drug plan.                                          Health Care Delivery                 Patient Satisfaction            Patient Satisfaction Health System
CMS   Pharmacists have up-to-date plan enrollment information.    Health Care Delivery                 Communication                   Process            Ambulatory

CMS   Reviewing appeals decisions.                                Health Care Delivery                 Administration                  Process            Health System
CMS   Time on hold when customer calls drug plan.                 Health Care Delivery                 Communication                   Process            Health System
CMS   Relative resource use for people with cardiovascular (CV)   Cardiovascular                       Cardiovascular - Other          Efficiency         Health System
      conditions.
CMS   Time on hold when pharmacist calls drug plan.               Health Care Delivery                 Communication                   Process            Health System
CMS   Median time to fibrinolysis.                                Cardiovascular                       Acute Myocardial                Process            Hospital Outpatient
                                                                                                       Infarction/Coronary Artery
                                                                                                       Disease
CMS   Fibrinolytic therapy received within 30 minutes.            Cardiovascular                       Acute Myocardial                Process            Hospital Outpatient
                                                                                                       Infarction/Coronary Artery
                                                                                                       Disease
CMS   Median time to transfer to another facility for acute       Cardiovascular                       Acute Myocardial                Process            Hospital Outpatient
      coronary intervention.                                                                           Infarction/Coronary Artery
                                                                                                       Disease
CMS   Aspirin at arrival.                                         Cardiovascular                       Acute Myocardial                Process            Hospital Outpatient
                                                                                                       Infarction/Coronary Artery
                                                                                                       Disease
CMS   Median time to electrocardiogram (ECG).                     Cardiovascular                       Acute Myocardial                Process            Hospital Outpatient
                                                                                                       Infarction/Coronary Artery
                                                                                                       Disease
CMS   Antibiotic timing.                                          Infectious Diseases                  Pneumonia                       Process            Hospital Outpatient
CMS   Antibiotic selection.                                       Infectious Diseases                  Pneumonia                       Process            Hospital Outpatient
CMS   Melanoma: Coordination of care.                             Cancer                               Skin Cancer                     Process            Ambulatory
CMS   Age-related macular degeneration (AMD): Counseling on       Head, Eyes, Ears, Nose, and Throat   Eye Care                        Process            Ambulatory
      antioxidant supplement.
CMS   Cataracts: Comprehensive preoperative assessment for        Head, Eyes, Ears, Nose, and Throat   Eye Care                        Process            Hospital Outpatient
      cataract surgery with intraocular lens (IOL) placement.
CMS   Melanoma: Continuity of care – recall system.               Cancer                               Skin Cancer                     Structure/Access   Ambulatory
CMS   Chronic kidney disease (CKD): Influenza immunization.       Renal & Genitourinary                Chronic Kidney Disease          Process            Ambulatory
CMS   Melanoma: Follow-up aspects of care.                        Cancer                               Skin Cancer                     Process            Ambulatory
CMS   Oncology: Medical and radiation – plan of care for pain.    Cancer                               Cancer - Other                  Process            Ambulatory
CMS   Primary open-angle glaucoma (POAG): Reduction of            Head, Eyes, Ears, Nose, and Throat   Eye Care                        Outcome            Ambulatory
      intraocular pressure (IOP) by 15% OR documentation of a
      plan of care.
CMS   Osteoarthritis (OA): Assessment for use of anti-            Bone & Joint                         Osteoporosis                    Process            Ambulatory
      inflammatory or analgesic over-the-counter (OTC)
      medications.
CMS   Radiology: Computed tomography (CT) radiation dose          Diagnostics                          Radiology                       Process            Hospital Outpatient
      reduction.
CMS   Relative resource use for people with uncomplicated         Cardiovascular                       Hypertension                    Efficiency         Health System
      hypertension (HTN).
CMS   Medicare prescription drug plan finder prices versus        Health Care Delivery                 Cost                            Structure/Access   Health System
      prescription drug event cost-sharing.
CMS   Radiology: Exposure time reported for procedures using      Diagnostics                          Radiology                       Process            Hospital Outpatient
      fluoroscopy.
CMS   Relative resource use for people with chronic obstructive   Respiratory                          Chronic Obstructive Pulmonary   Process            Health System
      pulmonary disease (COPD).                                                                        Disease
CMS   Improving physical health.                                  Population                           Community                       Outcome            Ambulatory
CMS   Pharmacotherapy of chronic obstructive pulmonary disease    Respiratory                          Chronic Obstructive Pulmonary   Process            Ambulatory
      (COPD) exacerbation.                                                                             Disease
CMS   Improving mental health.                                    Mental Health                        Mental Health - Other           Outcome            Hospital Outpatient
CMS   Reducing the risk of falling.                               Patient Safety                       Falls                           Process            Home Health
CMS   Reducing urinary incontinence.                              Renal & Genitourinary                Incontinence                    Process            Ambulatory
CMS   Osteoporosis testing.                                       Bone & Joint                         Osteoporosis                    Process            Ambulatory
CMS   Improving physical activity.                                Behavioral Health                    Nutrition & Exercise            Process            Ambulatory
CMS   Colorectal cancer screening.                                Cancer                               Colorectal Cancer               Process            Long-term Care
CMS   Glaucoma testing.                                           Head, Eyes, Ears, Nose, and Throat   Eye Care                        Process            Long-term Care
CMS   Testing to confirm chronic obstructive pulmonary disease    Respiratory                          Chronic Obstructive Pulmonary   Process            Long-term Care
      (COPD).                                                                                          Disease
CMS                         Drugs to control chronic obstructive pulmonary disease           Respiratory            Chronic Obstructive Pulmonary   Process            Long-term Care
                            (COPD).                                                                                 Disease
CMS                         Controlling blood pressure.                                      Cardiovascular         Hypertension                    Outcome            Long-term Care
CMS                         Osteoporosis management.                                         Bone & Joint           Osteoporosis                    Process            Long-term Care
CMS                         Medication management for depression.                            Mental Health          Depression                      Process            Long-term Care
CMS                         Follow-up visit after hospital stay for mental illness (within   Mental Health          Mental Health - Other           Process            Long-term Care
                            30 days of discharge).
CMS                         Appropriate monitoring of patients taking long-terms             Patient Safety         Medication Management           Process            Long-term Care
                            medications.
CMS                         Avoiding high-risk drugs for the elderly.                        Patient Safety         Medication Management           Process            Long-term Care
CMS                         Avoiding potentially harmful prescription drugs.                 Patient Safety         Medication Management           Process            Long-term Care
CMS                         Continuous beta-blocker treatment.                               Cardiovascular         Acute Myocardial                Process            Long-term Care
                                                                                                                    Infarction/Coronary Artery
                                                                                                                    Disease
CMS                         Case management.                                                 Health Care Delivery   Management of Care              Structure/Access   Long-term Care
CMS                         Board certified physicians.                                      Health Care Delivery   Human Resources                 Structure/Access   Long-term Care
CMS                         High-risk medication usage.                                      Patient Safety         Medication Management           Structure/Access   Ambulatory
CMS                         Out-of-pocket costs.                                             Health Care Delivery   Cost                            Structure/Access   Health System
CMS                         Projected risk of entering the coverage gap.                     Health Care Delivery   Cost                            Structure/Access   Health System
HRSA   Center for Quality   HbA1c poor control: Percentage of patients 18 through 75         Diabetes                                               Outcome            Ambulatory
                            years with type 1 or type 2 diabetes, with most recent
                            hemoglobin A1c (HbA1c) greater than 9%.


HRSA   Center for Quality   First trimester care: Percentage of pregnant women               Population             Maternal & Child Health         Process            Ambulatory
                            beginning prenatal care in the first trimester.




HRSA   Center for Quality   HIV screening for pregnant women: Percentage of                  Infectious Diseases    HIV/AIDS                        Process            Ambulatory
                            pregnant women who were screened for HIV infection
                            during the first or second prenatal care visit.



HRSA   Center for Quality   Breast cancer screening (mammogram): Percentage of               Cancer                 Breast Cancer                   Process            Ambulatory
                            women 40-69 years of age who had a mammogram.




HRSA   Center for Quality   Cervical cancer screening: Percentage of women 21-64             Cancer                 Cervical Cancer                 Process            Ambulatory
                            years of age who received one or more Pap tests.




HRSA   Center for Quality   Colorectal cancer screening: Percentage of adults 50-80          Cancer                 Colorectal Cancer               Process            Ambulatory
                            years of age who had an appropriate screening for
                            colorectal cancer.



HRSA   Center for Quality   Childhood immunizations: Percentage of children 2 years          Immunizations          Child Immunization              Process            Ambulatory
                            of age with appropriate immunizations.




HRSA   Center for Quality   Adult influenza immunizations: Percentage of patients 50-        Immunizations          Adult Immunization              Process            Ambulatory
                            64 years who have received influenza vaccine during the
                            flu season.
HRSA   Center for Quality   Adult influenza immunizations: Percentage of patients 65     Immunizations            Adult Immunization        Process             Ambulatory
                            years and older who have received influenza vaccine
                            during the flu season.



HRSA   Center for Quality   Adult pneumococcal immunizations: Percentage of patients Immunizations                Adult Immunization        Process             Ambulatory
                            greater than or equal to 65 years of age who have received
                            pneumococcal vaccine.



HRSA   Center for Quality   Hypertension control: Percentage of adult patients, 18-85    Cardiovascular           Hypertension              Outcome             Ambulatory
                            years of age, with diagnosed hypertension (HTN) whose
                            blood pressure (BP) was less than 140/90.


HRSA   Center for Quality   Hepatitis B vaccination: Percentage of patients with HIV     Immunizations            HIV/AIDS                  Process             Ambulatory
                            infection who completed the vaccination series for Hepatitis
                            B.


HRSA   Maternal and Child   The degree to which grantees have assisted States in        Health Care Delivery      Communication             Patient Satisfaction Health System
       Health Bureau        facilitating families as partners in decision making and
                            increasing satisfaction.
HRSA   Maternal and Child   The degree to which Maternal and Child Health Bureau        Health Care Delivery      Communication             Patient Satisfaction Health System
       Health Bureau        (MCHB) supported programs ensure family participation in
                            program and policy activities.
HRSA   Maternal and Child   The degree to which grantees have assisted States in        Health Care Delivery      Access                    Structure/Access    Health System
       Health Bureau        improving access to adequate health insurance for children
                            with special health care needs in the state and nationally.




HRSA   Maternal and Child   The degree to which grantees have assisted States in         Health Care Delivery     Access                    Structure/Access    Health System
       Health Bureau        achieving access to a medical home for all children with
                            special health care needs in the State and nationally.




HRSA   Maternal and Child   The percent of children with special health care needs age Health Care Delivery       Access                    Structure/Access    Health System
       Health Bureau        0 through 18 who have a medical home.
HRSA   Maternal and Child   The degree to which Maternal and Child Health Bureau       Health Care Delivery       Communication             Structure/Access    Health System
       Health Bureau        (MCHB) supported programs have incorporated cultural
                            competence elements into their policies, guidelines,
                            contracts and trainings.




HRSA   Maternal and Child   The percent of all children from birth to age 18 participating Health Care Delivery   Access                    Structure/Access    Ambulatory
       Health Bureau        in the Maternal and Child Health Bureau (MCHB)
                            supported programs who have a medical home.
HRSA   Maternal and Child   The percent of women participating in Maternal and Child Health Care Delivery         Access                    Outcome             Ambulatory
       Health Bureau        Health Bureau (MCHB) supported projects who have an
                            ongoing source of primary and preventative care services
                            for women.
HRSA   Maternal and Child   The degree to which grantees electronically link vital         Health Care Delivery   Health Care Information   Structure/Access    Health System
       Health Bureau        statistics data sets, Medicaid and other health information                           Technology
                            systems data sets.
HRSA   Maternal and Child   The degree to which grantees have assisted States in           Health Care Delivery   Access                          Structure/Access    Health System
       Health Bureau        developing integrated systems of care for children with
                            special health care needs.
HRSA   Maternal and Child   The degree to which States and communities have                Health Care Delivery   Access                          Structure/Access    Health System
       Health Bureau        implemented comprehensive systems for women's health
                            services.
HRSA   Maternal and Child   The degree to which grantees have assisted States in           Health Care Delivery   Access                          Structure/Access    Health System
       Health Bureau        enhancing the early and continuous screening, followed by
                            early intervention for all children with special health care
                            needs.
HRSA   Maternal and Child   The number of women participating in Maternal and Child        Health Care Delivery   Access                          Process             Health System
       Health Bureau        Health Bureau (MCHB) supported programs requiring a
                            referral, who receive a completed referral.
HRSA   Maternal and Child   The degree to which Maternal and Child Health Bureau           Population             Maternal & Child Health         Process             Health System
       Health Bureau        (MCHB) supported programs facilitate health providers'
                            screening of women participants for risk factors.
HRSA   Maternal and Child   The degree to which grantees have assisted States in           Health Care Delivery   Access                          Process             Health System
       Health Bureau        ensuring that youth with special health care needs receive
                            the services necessary to transition to adult health care,
                            work, and independence.


HRSA   Maternal and Child   The percent of pregnant participants of Maternal and Child Population                 Maternal & Child Health         Process             Ambulatory
       Health Bureau        Health Bureau (MCHB) supported programs who have a
                            prenatal care visit in the first trimester of pregnancy.


HRSA   Maternal and Child   The percent of screen positive newborns who received         Population               Maternal & Child Health         Process             Health System
       Health Bureau        timely follow up to definitive diagnosis and clinical
                            management for condition(s) mandated by their State-
                            sponsored newborn screening programs.
HRSA   Maternal and Child   The percent of children with special health care needs age Health Care Delivery       Patient Satisfaction            Patient Satisfaction Health System
       Health Bureau        0 to 18 years whose families partner in decision making at
                            all levels and are satisfied with the services they receive.

HRSA   Maternal and Child   The percent of children with special health care needs age Health Care Delivery       Access                          Process             Health System
       Health Bureau        0 to 18 who receive coordinated, ongoing, comprehensive
                            care within a medical home.
HRSA   Maternal and Child   The percent of children with special health care needs age Health Care Delivery       Access                          Structure/Access    Health System
       Health Bureau        0 to 18 years whose families have adequate private and/or
                            public insurance to pay for the services they need.

HRSA   Maternal and Child   The percentage of youth with special health care needs       Health Care Delivery     Access                          Process             Health System
       Health Bureau        who received the services necessary to make transitions to
                            all aspects of adult life, including adult health care, work
                            and independence.
HRSA   Maternal and Child   Percent of children with special health care needs age 0 to Health Care Delivery      Access                          Patient Satisfaction Health System
       Health Bureau        18 whose families report community-based service systems
                            are organized so they can use them easily.
HRSA   Maternal and Child   Percent of 19 to 35 month olds who have received full        Immunizations            Child/Adolescent Immunization   Process             Health System
       Health Bureau        schedule of age appropriate immunizations against
                            measles, mumps, rubella, polio, diphtheria, tetanus,
                            pertussis, haemophilus influenza and hepatitis B.

HRSA   Maternal and Child   The rate of birth (per 1,000) for teenagers aged 15 through Population                Maternal & Child Health         Outcome             Health System
       Health Bureau        17 years.
HRSA   Maternal and Child   Percent of third grade children who have received          Head, Eyes, Ears, Nose, and Throat       Dental                    Process            Health System
       Health Bureau        protective sealants on at least one permanent molar tooth.



HRSA   Maternal and Child   The rate of deaths to children aged 14 years and younger       Patient Safety                       Motor Safety              Outcome            Health System
       Health Bureau        caused by motor vehicle crashes per 100,000 children.



HRSA   Maternal and Child   The percent of mothers who breastfeed their infants at 6       Population                           Maternal & Child Health   Process            Health System
       Health Bureau        months of age.




HRSA   Maternal and Child   Percentage of newborns that have been screened for             Head, Eyes, Ears, Nose, and Throat   Hearing                   Process            Health System
       Health Bureau        hearing before hospital discharge.




HRSA   Maternal and Child   Percent of children without health insurance.                  Health Care Delivery                 Access                    Structure/Access   Health System
       Health Bureau




HRSA   Maternal and Child   Percentage of children, ages 2 to 5 years receiving      Obesity                                                              Process            Health System
       Health Bureau        Women, Infants, and Children Program (WIC) services with
                            a body mass index (BMI) at or above the 85th percentile.



HRSA   Maternal and Child   Percentage of women who smoke in the last three months         Behavioral Health                    Tobacco Use               Outcome            Health System
       Health Bureau        of pregnancy.




HRSA   Maternal and Child   The rate (per 100,000) of suicide deaths among youths          Mental Health                        Suicide                   Outcome            Ambulatory
       Health Bureau        aged 15 through 19.
HRSA   Maternal and Child   Percent of very low birth weight infants delivered at          Population                           Maternal & Child Health   Process            Ambulatory
       Health Bureau        facilities for high-risk deliveries and neonates.



HRSA   Maternal and Child   Percent of infants born to pregnant women receiving            Population                           Maternal & Child Health   Process            Health System
       Health Bureau        prenatal care beginning in the first trimester.

HRSA   Maternal and Child   The infant mortality rate per 1,000 live births.               Population                           Maternal & Child Health   Outcome            Health System
       Health Bureau
HRSA   Maternal and Child   The ratio of the black infant mortality rate to the white infant Population                         Maternal & Child Health   Outcome            Health System
       Health Bureau        mortality rate.
HRSA   Maternal and Child   The neonatal mortality rate per 1,000 live births.               Population                         Maternal & Child Health   Outcome            Health System
       Health Bureau
HRSA   Maternal and Child   The post-neonatal mortality rate per 1,000 live births.         Population            Maternal & Child Health   Outcome   Health System
       Health Bureau
HRSA   Maternal and Child   The perinatal mortality rate per 1,000 live births plus fetal   Population            Maternal & Child Health   Outcome   Health System
       Health Bureau        deaths.
HRSA   Maternal and Child   The child death rate per 100,000 children aged 1 through        Population            Maternal & Child Health   Outcome   Health System
       Health Bureau        14.



HRSA   Office of Rural      Average hemoglobin A1c (HbA1c) for diabetic patients in     Diabetes                                            Outcome   Ambulatory
       Health Policy        the electronic patient registry system (goal: average HbA1c
                            of less than 7 percent).
HRSA   Office of Rural      Percent of patients with blood pressure less than 130/80    Diabetes                                            Outcome   Ambulatory
       Health Policy        mm Hg (goal: less than 40 percent of patients with a
                            diagnosis of diabetes mellitus have blood pressure of less
                            than 130/80 mm Hg).

HRSA   Office of Rural      Percent of patients with low-density lipoprotein (LDL) less     Diabetes                                        Outcome   Ambulatory
       Health Policy        than 100 mg/dL (goal: greater than 70% of patients with a
                            diagnosis of diabetes mellitus have LDL < 100 mm/dL).

HRSA   Office of Rural      Percent of patients with blood pressure < 140/90 mm Hg          Cardiovascular        Hypertension              Outcome   Ambulatory
       Health Policy        (goal: greater than 40% of patients with a diagnosis of
                            cardiovascular disease have blood pressure of < 140/90
                            mm Hg).
HRSA   Office of Rural      Percent of patients with LDL < 130 mg/dL (goal: greater         Cardiovascular        Cholesterol               Outcome   Ambulatory
       Health Policy        than 70% of patients with a diagnosis of cardiovascular
                            disease have LDL < 130 mm/dL).
HRSA   Office of Rural      Percent of patients who are current smokers (goal: less         Behavioral Health     Tobacco Use               Outcome   Ambulatory
       Health Policy        than 12% of patients with a diagnosis of cardiovascular are
                            current smokers).
HRSA   HIV/AIDS Bureau      Percentage of pregnant women with HIV infection who are         Infectious Diseases   HIV/AIDS                  Process   Ambulatory
                            prescribed antiretroviral therapy.




HRSA   HIV/AIDS Bureau      Percentage of clients with HIV infection who had 2 or more Infectious Diseases        HIV/AIDS                  Process   Ambulatory
                            CD4 T-cell counts performed in the measurement year.




HRSA   HIV/AIDS Bureau      Percentage of clients with AIDS who are prescribed              Infectious Diseases   HIV/AIDS                  Process   Ambulatory
                            HAART.
HRSA   HIV/AIDS Bureau   Percentage of clients with HIV infection who had two or     Infectious Diseases   HIV/AIDS   Process   Ambulatory
                         more medical visits in an HIV care setting in the
                         measurement year.




HRSA   HIV/AIDS Bureau   Percentage of clients with HIV infection and a CD4 T-cell   Infectious Diseases   HIV/AIDS   Process   Ambulatory
                         count below 200 cells/mm3 who were prescribed
                         Pneumocystis carinii pneumonia (PCP) prophylaxis.




HRSA   HIV/AIDS Bureau   Visits with a specialist in HIV/AIDS.                       Infectious Diseases   HIV/AIDS   Process   Ambulatory




HRSA   HIV/AIDS Bureau   Testing for CD4 count and viral load.                       Infectious Diseases   HIV/AIDS   Process   Ambulatory




HRSA   HIV/AIDS Bureau   Stable antiretroviral therapy.                              Infectious Diseases   HIV/AIDS   Process   Ambulatory




HRSA   HIV/AIDS Bureau   Therapy adherence assessment.                               Infectious Diseases   HIV/AIDS   Process   Ambulatory




HRSA   HIV/AIDS Bureau   Gynecology (GYN) screening.                                 Infectious Diseases   HIV/AIDS   Process   Ambulatory
HRSA   HIV/AIDS Bureau   Tuberculosis (TB) screening.                        Infectious Diseases   HIV/AIDS   Process   Ambulatory




HRSA   HIV/AIDS Bureau   Mental health issues.                               Infectious Diseases   HIV/AIDS   Process   Ambulatory




HRSA   HIV/AIDS Bureau   Colon cancer screening.                             Infectious Diseases   HIV/AIDS   Process   Ambulatory




HRSA   HIV/AIDS Bureau   Lipid screening.                                    Infectious Diseases   HIV/AIDS   Process   Ambulatory

HRSA   HIV/AIDS Bureau   Pneumocystis carinii pneumonia (PCP) prophylaxis.   Infectious Diseases   HIV/AIDS   Process   Ambulatory




HRSA   HIV/AIDS Bureau   MAC prophylaxis.                                    Infectious Diseases   HIV/AIDS   Process   Ambulatory




HRSA   HIV/AIDS Bureau   Sexually transmitted disease (STD) screening.       Infectious Diseases   HIV/AIDS   Process   Ambulatory

HRSA   HIV/AIDS Bureau   Pneumococcal vaccination.                           Infectious Diseases   HIV/AIDS   Process   Ambulatory
HRSA   HIV/AIDS Bureau   Substance use screening.      Infectious Diseases   HIV/AIDS   Process   Ambulatory




HRSA   HIV/AIDS Bureau   Tobacco use screening.        Infectious Diseases   HIV/AIDS   Process   Ambulatory

HRSA   HIV/AIDS Bureau   Dental exam.                  Infectious Diseases   HIV/AIDS   Process   Ambulatory




HRSA   HIV/AIDS Bureau   Ophthalmology care.           Infectious Diseases   HIV/AIDS   Process   Ambulatory




HRSA   HIV/AIDS Bureau   Patient education.            Infectious Diseases   HIV/AIDS   Process   Ambulatory

HRSA   HIV/AIDS Bureau   Pediatric neurodevelopment.   Infectious Diseases   HIV/AIDS   Process   Ambulatory




HRSA   HIV/AIDS Bureau   Pediatric vaccination.        Infectious Diseases   HIV/AIDS   Process   Ambulatory




HRSA   HIV/AIDS Bureau   Case management.              Infectious Diseases   HIV/AIDS   Process   Ambulatory




HRSA   HIV/AIDS Bureau   Adherence.                    Infectious Diseases   HIV/AIDS   Process   Ambulatory
HRSA   HIV/AIDS Bureau     HIV knowledge.                                             Infectious Diseases   HIV/AIDS                  Process   Ambulatory




HRSA   HIV/AIDS Bureau     Service plan.                                              Infectious Diseases   HIV/AIDS                  Process   Ambulatory




HRSA   HIV/AIDS Bureau     Self management.                                           Infectious Diseases   HIV/AIDS                  Process   Ambulatory




HRSA   Bureau of Primary   Childhood immunizations: Percentage of children 2 years    Immunizations         Child Immunization        Process   Ambulatory
       Health Care         of age with appropriate immunizations.




HRSA   Bureau of Primary   Low birth weight: Percentage of births less than 2,500     Population            Maternal & Child Health   Outcome   Hospital Inpatient
       Health Care         grams to health center patients.



HRSA   Bureau of Primary   Hypertension control: Percentage of adult patients 18-85   Cardiovascular        Hypertension              Outcome   Ambulatory
       Health Care         years of age who had a diagnosis of hypertension (HTN)
                           and whose blood pressure (BP) was less than 140/90.



HRSA   Bureau of Primary   HbA1c control: Percentage of patients aged 18 years        Diabetes                                        Outcome   Ambulatory
       Health Care         through 75 years with diabetes mellitus who had most
                           recent hemoglobin A1c (HbA1c) greater than or equal to
                           7% and less than or equal to 9%.



HRSA   Bureau of Primary   HbA1c poor control: Percentage of patients aged 18 years   Diabetes                                        Outcome   Ambulatory
       Health Care         through 75 years with diabetes mellitus who had most
                           recent hemoglobin A1c (HbA1c) greater than 9%.


HRSA   Bureau of Primary   HbA1c poor control: Percentage of patients aged 18 years   Diabetes                                        Outcome   Ambulatory
       Health Care         through 75 years with diabetes mellitus who had most
                           recent hemoglobin A1c (HbA1c) less than 7%.


HRSA   Bureau of Primary   Cervical cancer screening: Percentage of women 21-64       Cancer                Cervical Cancer           Process   Ambulatory
       Health Care         years of age who received one or more Pap tests.
HRSA   Bureau of Primary   Prenatal care: Trimester of entry into prenatal care.        Population       Maternal & Child Health      Process   Ambulatory
       Health Care




IHS                        AMI-1: Aspirin at arrival.                                   Cardiovascular   Acute Myocardial             Process   Hospital Inpatient
                                                                                                         Infarction/Coronary Artery
                                                                                                         Disease




IHS                        AMI-2: Aspirin prescribed at discharge.                      Cardiovascular   Acute Myocardial             Process   Hospital Inpatient
                                                                                                         Infarction/Coronary Artery
                                                                                                         Disease




IHS                        AMI-3: Angiotensin-converting enzyme (ACE) inhibitor or      Cardiovascular   Acute Myocardial             Process   Hospital Inpatient
                           angiotensin receptor blocker (ARB) for left ventricular                       Infarction/Coronary Artery
                           systolic dysfunction (LVSD).                                                  Disease




IHS                        AMI-4: Adult smoking cessation advice/counseling.            Cardiovascular   Acute Myocardial             Process   Hospital Inpatient
                                                                                                         Infarction/Coronary Artery
                                                                                                         Disease




IHS                        AMI-5: Beta-blocker prescribed at discharge.                 Cardiovascular   Acute Myocardial             Process   Hospital Inpatient
                                                                                                         Infarction/Coronary Artery
                                                                                                         Disease




IHS                        AMI-6: Beta-blocker at arrival.                              Cardiovascular   Acute Myocardial             Process   Hospital Inpatient
                                                                                                         Infarction/Coronary Artery
                                                                                                         Disease




IHS                        AMI-7a: Fibrinolytic therapy received within 30 minutes of   Cardiovascular   Acute Myocardial             Process   Hospital Inpatient
                           hospital arrival.                                                             Infarction/Coronary Artery
                                                                                                         Disease
IHS   AMI-8a: Primary percutaneous coronary intervention (PCI)        Cardiovascular        Acute Myocardial             Process   Hospital Inpatient
      received within 30 minutes of hospital arrival.                                       Infarction/Coronary Artery
                                                                                            Disease




IHS   HF-1: Discharge instructions.                                   Cardiovascular        Heart Failure                Process   Hospital Inpatient




IHS   HF-2: Evaluation of left ventricular systolic (LVS) function.   Cardiovascular        Heart Failure                Process   Hospital Inpatient




IHS   HF-3: Angiotensin-converting enzyme (ACE) inhibitor or          Cardiovascular        Heart Failure                Process   Hospital Inpatient
      angiotensin receptor blocker (ARB) for left ventricular
      systolic dysfunction (LVSD).




IHS   HF-4: Adult smoking cessation advice/counseling.                Cardiovascular        Heart Failure                Process   Hospital Inpatient




IHS   PN-1: Oxygenation assessment.                                   Infectious Diseases   Pneumonia                    Process   Hospital Inpatient

IHS   PN-2: Pneumococcal vaccination.                                 Infectious Diseases   Pneumonia                    Process   Hospital Inpatient




IHS   PN-3b: Blood cultures performed in the emergency room           Infectious Diseases   Pneumonia                    Process   Hospital Inpatient
      prior to initial antibiotic received in hospital.



IHS   PN-4: Adult smoking cessation advice/counseling.                Behavioral Health     Tobacco Use                  Process   Hospital Inpatient
IHS   PN-5b: Initial antibiotic received within 4 hours of hospital   Infectious Diseases   Pneumonia            Process   Hospital Inpatient
      arrival.




IHS   PN-6: Initial antibiotic selection for community-acquired       Infectious Diseases   Pneumonia            Process   Hospital Inpatient
      pneumonia in immunocompetent patients.




IHS   PN-7: Influenza vaccination.                                    Immunizations         Adult Immunization   Process   Hospital Inpatient




IHS   SCIP-Inf-1: Prophylactic antibiotic received within one hour Surgery                  Perioperative Care   Process   Hospital Inpatient
      prior to surgical incision.



IHS   Diabetes prevalence.                                            Diabetes                                   Outcome   Ambulatory

IHS   Diabetes: Glycemic control.                                     Diabetes                                   Outcome   Ambulatory
IHS   Diabetes: Blood pressure control.                            Diabetes                                                  Outcome            Ambulatory




IHS   SCIP-Inf-3: Prophylactic antibiotic discontinued within 24   Surgery                              Perioperative Care   Process            Hospital Inpatient
      hours after surgery end time.




IHS   Diabetes: Low-density Lipoprotein (LDL) assessment           Diabetes                                                  Process            Ambulatory
      (renamed from diabetes: lipids assessment).



IHS   Diabetes: Nephropathy assessment.                            Diabetes                                                  Process            Ambulatory




IHS   Diabetic Retinopathy.                                        Diabetes                                                  Process            Ambulatory




IHS   Access to dental services.                                   Head, Eyes, Ears, Nose, and Throat   Dental               Structure/Access   Ambulatory
IHS   Diabetic access to dental services.                          Diabetes                                                  Process            Ambulatory




IHS   Adult immunizations: Influenza.                              Immunizations                        Adult Immunization   Process            Ambulatory
IHS   Adult immunizations: Pneumovax.                              Immunizations                        Adult Immunization   Process            Ambulatory

IHS   Cancer screening: Mammogram rates.                           Cancer                               Breast Cancer        Process            Ambulatory

IHS   Colorectal cancer screening.                                 Cancer                               Colorectal Cancer    Process            Ambulatory




IHS   Tobacco use and exposure assessment.                         Behavioral Health                    Tobacco Use          Process            Ambulatory



IHS   Intimate partner (domestic) violence screening.              Behavioral Health                    Domestic Violence    Process            Ambulatory




IHS   Depression screening.                                        Mental Health                        Depression           Process            Ambulatory


IHS   Cardiovascular disease and blood pressure control.           Cardiovascular                       Hypertension         Outcome            Ambulatory



IHS   Obesity assessment.                                          Obesity                                                   Process            Ambulatory




IHS   Cardiovascular disease and cholesterol screening.            Cardiovascular                       Cholesterol          Process            Ambulatory
IHS   Osteoporosis management (elder population of 55 and             Bone & Joint           Osteoporosis            Process   Ambulatory
      older).


IHS   Osteoporosis screening in women.                                Bone & Joint           Osteoporosis            Process   Ambulatory

IHS   Osteoarthritis medication monitoring.                           Bone & Joint           Arthritis               Process   Ambulatory




IHS   Asthma.                                                         Respiratory            Asthma                  Process   Ambulatory


IHS   Public health nursing (elder population of 55 and older).       Population             Elderly                 Process   Health System




IHS   Fall risk assessment in elders.                                 Chronic & Elder Care   Falls                   Process   Ambulatory




IHS   Drugs to be avoided in the elderly.                             Patient Safety         Medication Management   Process   Ambulatory

IHS   Diabetes: Poor glycemic control (transparency measure           Diabetes                                       Outcome   Ambulatory
      A1c < 9.0 or A1c w/no result or no A1c).

IHS   Diabetes: Blood pressure (BP) control (transparency             Diabetes                                       Outcome   Ambulatory
      measure BP < 140/90).

IHS   Diabetes: Low-density lipoprotein (LDL) control                 Diabetes                                       Outcome   Ambulatory
      (transparency measure LDL < 100).

IHS   Palliative care.                                                End of Life                                    Process   Ambulatory




IHS   Adult immunizations: Influenza (elder population of age 55 Immunizations               Adult Immunization      Process   Ambulatory
      and older).



IHS   Use of appropriate medications for people with asthma           Respiratory            Asthma                  Process   Ambulatory
      (included in other reports with name of "Asthma Quality of
      Care").
IHS   Assessment of oxygen saturation for community-acquired          Infectious Diseases    Pneumonia               Process   Ambulatory
      bacterial pneumonia (transparency measure).
IHS   Stroke and stroke rehabilitation: Anticoagulant therapy         Cardiovascular         Stroke                  Process   Ambulatory
      prescribed for atrial fibrillation at discharge (transparency
      measure).
IHS   Childhood immunizations.                                    Immunizations         Child/Adolescent Immunization   Process   Ambulatory




IHS   Adolescent immunizations.                                   Immunizations         Child/Adolescent Immunization   Process   Ambulatory




IHS   Appropriate treatment for children with upper respiratory   Infectious Diseases   Childhood Infectious Diseases   Process   Ambulatory
      infection.

IHS   Appropriate testing for children with pharyngitis.          Infectious Diseases   Childhood Infectious Diseases   Process   Ambulatory


IHS   Colorectal cancer screening (elder population of 55 and     Cancer                Colorectal Cancer               Process   Ambulatory
      older).



IHS   Breast cancer screening (mammogram).                        Cancer                Breast Cancer                   Process   Ambulatory


IHS   Cervical cancer screening (Pap smear).                      Cancer                Cervical Cancer                 Process   Ambulatory

IHS   Controlling high blood pressure.                            Cardiovascular        Hypertension                    Outcome   Ambulatory


IHS   Osteoporosis management in women who had a fracture         Bone & Joint          Osteoporosis                    Process   Ambulatory
      (also included in other reports but named "Osteoporosis
      Management").
IHS   Beta-blocker treatment after a heart attack.                Cardiovascular        Acute Myocardial                Process   Hospital Inpatient
                                                                                        Infarction/Coronary Artery
                                                                                        Disease

IHS   Cholesterol management for patients with cardiovascular     Cardiovascular        Cholesterol                     Outcome   Ambulatory
      conditions.
IHS   Comprehensive diabetes care.                                  Diabetes                                                          Outcome            Ambulatory




IHS   Persistence of beta-blocker treatment after a heart attack.   Cardiovascular                       Acute Myocardial             Process            Ambulatory
                                                                                                         Infarction/Coronary Artery
                                                                                                         Disease

IHS   Use of appropriate medications for people with asthma         Respiratory                          Asthma                       Process            Ambulatory
      (transparency measure).


IHS   Antidepressant medication management.                         Mental Health                        Depression                   Process            Ambulatory




IHS   Medical assistance with smoking cessation.                    Behavioral Health                    Tobacco Use                  Process            Ambulatory


IHS   Annual dental visit.                                          Head, Eyes, Ears, Nose, and Throat   Dental                       Structure/Access   Ambulatory

IHS   Diabetes prevalence (elder population of 55 and older).       Diabetes                             Elderly                      Outcome            Ambulatory

IHS   Diabetes: Glycemic control (elder population of 55 and        Diabetes                             Elderly                      Outcome            Ambulatory
      older).



IHS   Diabetes: Blood pressure control (elder population of 55      Diabetes                             Elderly                      Outcome            Ambulatory
      and older).



IHS   Diabetes: Low-density lipoprotein (LDL) assessment            Diabetes                             Elderly                      Process            Ambulatory
      (renamed from diabetes: lipids assessment) (elder
      population of 55 and older).


IHS   Diabetes: Nephropathy assessment (elder population of 55 Diabetes                                  Elderly                      Process            Ambulatory
      and older).



IHS   Access to dental services (elder population of 55 and         Head, Eyes, Ears, Nose, and Throat   Dental                       Structure/Access   Ambulatory
      older).
IHS   Diabetic retinopathy (elder population of 55 and older).      Diabetes                             Elderly                      Process            Ambulatory
IHS   Dental sealants.                                           Head, Eyes, Ears, Nose, and Throat   Dental                        Process            Ambulatory



IHS   Topical fluoride.                                          Head, Eyes, Ears, Nose, and Throat   Dental                        Process            Ambulatory



IHS   Adult immunizations: Influenza (transparency measure       Immunizations                        Adult Immunization            Process            Ambulatory
      ages 50-64 with influenza immunization).
IHS   Adult immunizations: Pneumovax (elder population of 55     Immunizations                        Adult Immunization            Process            Ambulatory
      and older).
IHS   Cancer screening: Pap smear rates.                         Cancer                               Cervical Cancer               Process            Ambulatory


IHS   Cancer screening: Mammogram rates (elder population of     Cancer                               Breast Cancer                 Process            Ambulatory
      55 and older).


IHS   Colorectal cancer screening.                               Cancer                               Colorectal Cancer             Process            Ambulatory




IHS   Tobacco use and exposure assessment (elder population      Behavioral Health                    Tobacco Use                   Process            Ambulatory
      of 55 and older).


IHS   Tobacco cessation.                                         Behavioral Health                    Tobacco Use                   Process            Ambulatory


IHS   Alcohol screening (fetal alcohol syndrome [FAS]            Behavioral Health                    Alcohol Abuse                 Process            Ambulatory
      prevention).
IHS   Intimate partner (domestic) violence screening (elder      Behavioral Health                    Domestic Violence             Process            Ambulatory
      population of 55 and older).
IHS   Depression screening (elder population of 55 and older).   Mental Health                        Depression                    Process            Ambulatory

IHS   Childhood weight control.                                  Obesity                                                            Outcome            Ambulatory

IHS   Obesity assessment (elder population of 55 and older).     Obesity                              Elderly                       Process            Ambulatory




IHS   Comprehensive Cardiovascular (CVD)-related assessment. Cardiovascular                           Cardiovascular - Other        Process            Ambulatory




IHS   RTC accreditation.                                         Health Care Delivery                 Quality Improvement/Quality   Structure/Access   Long-term Care
                                                                                                      Assurance
IHS   Accreditation.                                             Health Care Delivery                 Quality Improvement/Quality   Structure/Access   Hospital Inpatient   Hospital Outpatient,
                                                                                                      Assurance                                                             Ambulatory
IHS   Patient Safety.                                            Patient Safety                       Patient Safety - Other        Structure/Access   Hospital Inpatient   Hospital Outpatient,
                                                                                                                                                                            Ambulatory
IHS   Scholarships.                                              Health Care Delivery                 Human Resources               Process            Health System
IHS   Public health nursing.                                      Population             Community                 Process            Health System


IHS   Unintentional injury mortality.                             Population             Injuries                  Outcome            Health System

IHS   Suicide surveillance.                                       Mental Health          Suicide                   Structure/Access   Ambulatory

IHS   Environmental surveillance.                                 Health Care Delivery   Health Care Information   Structure/Access   Health System
                                                                                         Technology




IHS   Sanitation improvement.                                     Population             Community                 Outcome            Home Health




IHS   Health care facility construction.                          Health Care Delivery   Facilities                Structure/Access   Health System

IHS   Percent reduction of the Years of Potential Life Lost (YPLL) Population            Mortality                 Outcome            Health System
      within 7 years of opening the new facility.




IHS   Percent increase in the proportion of diagnosed ideal blood Diabetes                                         Outcome            Health System
      sugar control within 7 years of opening the new facility.



IHS   Percent of scheduled construction projects completed on     Health Care Delivery   Facilities                Efficiency         Health System
      time.




IHS   Proportion of diagnosed diabetics demonstrating ideal       Diabetes                                         Outcome            Health System
      blood sugar control (A1c < 7.0).



IHS   Injury intervention.                                        Population             Injuries                  Process            Health System

IHS   Proportion of eligible women who have had a pap screen      Cancer                 Cervical Cancer           Process            Health System
      within the previous three years.

IHS   Proportion of eligible women who have had mammography Cancer                       Breast Cancer             Process            Health System
      screening within the previous two years.


IHS   Alcohol screening (to prevent fetal alcohol syndrome)       Behavioral Health      Alcohol Abuse             Process            Health System
      among appropriate female patients.
IHS   Combined immunization rate for American Indian/Alaska       Immunizations          Child/Adolescent Immunization   Process            Health System
      Native (AI/AN) children patients aged 19-35 months.
      (4:3:1:3:3 series)




IHS   Influenza vaccination rates among adult patients aged 65    Immunizations          Adult Immunization              Process            Health System
      years and older.
IHS   Pneumococcal vaccination rates among adult patients         Immunizations          Adult Immunization              Process            Health System
      aged 65 years and older.
IHS   Develop comprehensive electronic health record (EHR)        Health Care Delivery   Health Care Information         Structure/Access   Health System
      with clinical guidelines for select chronic diseases.                              Technology




IHS   Derive all clinical measures from RPMS and integrate with   Health Care Delivery   Health Care Information         Structure/Access   Health System
      electronic health record (EHR) (clinical measures/areas).                          Technology




IHS   Deploy electronic health record (EHR).                      Health Care Delivery   Health Care Information         Structure/Access   Health System
                                                                                         Technology

IHS   Track average project duration from the MOA execution to    Population             Community                       Structure/Access   Home Health
      construction completion.




IHS   Percentage of American Indian/Alaska Native (AI/AN)       Population               Community                       Structure/Access   Home Health
      homes with sanitation facilities.
IHS   Number of new or like-new American Indian/Alaska Native Population                 Community                       Structure/Access   Home Health
      (AI/AN) homes and existing homes provided with sanitation
      facilities.
IHS   Number of hospitalizations for long term complications    Diabetes                                                 Outcome            Health System
      among patients with diabetes in direct facilities.




IHS   Years of Potential Life Lost (YPLL) in American             Population             Mortality                       Outcome            Health System
      Indian/Alaska Native (AI/AN) population (Federally-
      administered activities).




IHS   Children ages 2-5 years with a body mass index (BMI) in     Obesity                                                Outcome            Health System
      the 95th percentile or higher.
IHS   Unintentional injury mortality rate in American             Population             Injuries                      Outcome            Health System
      Indian/Alaska Native (AI/AN) population.


IHS   Hospital admissions per 100,000 diabetics per year for      Diabetes                                             Outcome            Hospital Inpatient
      long-term complications of diabetes.




IHS   Proportion of infants 2 months old (45-89 days old) that are Population            Maternal & Child Health       Structure/Access   Health System
      exclusively or mostly breastfed.




IHS   Percentage of American Indian/Alaska Native (AI/AN)         Diabetes                                             Outcome            Ambulatory
      patients with diagnosed diabetes served by tribal health
      programs that achieve ideal blood sugar control.




IHS   Years of Potential Life Lost (YPLL) in the American         Population             Mortality                     Outcome            Health System
      Indian/Alaska Native (AI/AN) populations served by tribal
      health programs.



IHS   Cost per service user in dollars per year.                  Health Care Delivery   Cost                          Efficiency         Ambulatory




IHS   Percentage of tribally-operated health programs' clinical   Health Care Delivery   Health Care Information       Structure/Access   Health System
      user population included in GPRA data.                                             Technology




IHS   Number of designated annual clinical performance goals      Health Care Delivery   Quality Improvement/Quality   Outcome            Health System
      met.                                                                               Assurance



IHS   Percent decrease in Years of Potential Life Lost (YPLL).    Population             Mortality                     Outcome            Ambulatory
IHS   Percentage of American Indian/Alaska Native (AI/AN)          Diabetes                                            Outcome            Ambulatory
      patients with diagnosed diabetes served by urban health
      programs that achieve ideal blood sugar control.


IHS   Percent decrease in obesity rates in children (2-5 years).   Obesity                                             Outcome            Ambulatory


IHS   Increase the number of sites utilizing an electronic         Health Care Delivery   Health Care Information      Structure/Access   Ambulatory
      reporting system.                                                                   Technology




IHS   Diabetes comprehensive care.                                 Diabetes                                            Outcome            Ambulatory




IHS   Proportion of tobacco-using patients that receive tobacco    Behavioral Health      Tobacco Use                  Process            Health System
      cessation intervention.

IHS   Alcohol screening and brief intervention (ASBI) in the       Behavioral Health      Alcohol Abuse                Process            Hospital Outpatient
      electronic record (ER).




IHS   Cardiovascular disease and cholesterol screening (elder      Cardiovascular         Cholesterol                  Process            Ambulatory
      population of 55 and older).
IHS   Cardiovascular disease and blood pressure control (elder     Cardiovascular         Hypertension                 Outcome            Ambulatory
      population of 55 and older).



IHS   Appropriate medication therapy after a heart attack.         Cardiovascular         Acute Myocardial             Process            Hospital Inpatient
                                                                                          Infarction/Coronary Artery
                                                                                          Disease
IHS   Persistence of appropriate medication therapy after a heart Cardiovascular        Acute Myocardial                 Process   Ambulatory
      attack.                                                                           Infarction/Coronary Artery
                                                                                        Disease




IHS   Appropriate medication therapy in high risk patients.       Cardiovascular        Acute Myocardial                 Process   Ambulatory
                                                                                        Infarction/Coronary Artery
                                                                                        Disease




IHS   Cholesterol management for patients with cardiovascular     Cardiovascular        Cholesterol                      Process   Ambulatory
      conditions.




IHS   Sexually transmitted infection (STI) screening.             Infectious Diseases   Sexually Transmitted Infection   Outcome   Ambulatory




IHS   Heart failure and evaluation of left ventricular systolic   Cardiovascular        Heart Failure                    Process   Hospital Inpatient
      (LVS) function.
IHS   Prediabetes/metabolic syndrome.                             Diabetes                                               Process   Ambulatory




IHS   Breastfeeding rates.                                        Population            Maternal & Child Health          Process   Ambulatory
IHS   Rate of user population patients receiving patient          Health Care Delivery    Education                        Process   Ambulatory
      education.
IHS   Rate of time by provider discipline.                        Health Care Delivery    Education                        Process   Ambulatory
IHS   Rate for top 25 diagnoses with education.                   Health Care Delivery    Education                        Process   Ambulatory

IHS   Rate for top 25 education topics.                           Health Care Delivery    Education                        Process   Ambulatory

IHS   Rate of patient understanding of education.                 Health Care Delivery    Education                        Outcome   Ambulatory




IHS   Goal setting.                                               Health Care Delivery    Education                        Process   Ambulatory




IHS   Rate for top 15 provider disciplines who educated.          Health Care Delivery    Education                        Process   Ambulatory

IHS   Diabetic access to dental services (elder population 55 and Diabetes                Elderly                          Process   Ambulatory
      older).

IHS   Nutrition and exercise education for at risk patients.      Behavioral Health       Nutrition & Exercise             Process   Ambulatory




IHS   HIV screening (includes a prenatal HIV screening            Infectious Diseases     Sexually Transmitted Infection   Process   Ambulatory
      measure).


IHS   HIV quality of care.                                        Infectious Diseases     Sexually Transmitted Infection   Process   Ambulatory



IHS   Chlamydia testing.                                          Infectious Diseases     Sexually Transmitted Infection   Process   Ambulatory

IHS   Osteoporosis screening in women (elder population of 55     Bone & Joint            Osteoporosis                     Process   Ambulatory
      and older).
IHS   Rheumatoid arthritis medication monitoring.                 Bone & Joint            Arthritis                        Process   Ambulatory


IHS   Osteoarthritis medication monitoring (elder population of 55 Bone & Joint           Arthritis                        Process   Ambulatory
      and older).

IHS   Asthma (elder population of 55 and older).                  Respiratory             Asthma                           Process   Ambulatory



IHS   Asthma and inhaled steroid use.                             Respiratory             Asthma                           Process   Ambulatory


IHS   Chronic kidney disease assessment.                          Renal & Genitourinary   Chronic Kidney Disease           Process   Ambulatory

IHS   Medications education.                                      Health Care Delivery    Education                        Process   Ambulatory
IHS   Functional status in elders.                                Chronic & Elder Care    Functional Status                Process   Ambulatory
IHS                          Palliative care (elder population of 55 and older).              End of Life            Elderly                        Process            Ambulatory




IHS                          Develop and deployment of patient safety measurement             Patient Safety         Patient Safety - Other         Structure/Access   Health System
                             system.




NIH   National Cancer        Cancer information service (CIS) contact center:                 Health Care Delivery   Communication                  Structure/Access   Health System
      Institute Office of    Abandoned calls.
      Public Information
      and Resource
      Management
NIH   National Cancer        Annual enrollments on cancer clinical trials by disease          Cancer                 Cancer - Other                 Outcome            Health System
      Institute Evaluation   which reflect the contribution of clinical trials to evidence-
      Program                based oncology care.
NIH   National Cancer        Patient safety improvements in clinical trials based on          Cancer                 Cancer - Other                 Outcome            Health System
      Institute Evaluation   changes to protocols due to action letter requests
      Program




NIH   Clinical Center        Nursing care hours.                                              Health Care Delivery   Access                         Structure/Access   Hospital Inpatient


NIH   Clinical Center        Registered nurse education and certification.                    Health Care Delivery   Human Resources                Structure/Access   Hospital Inpatient

NIH   Clinical Center        Patient falls.                                                   Patient Safety         Falls                          Outcome            Hospital Inpatient
NIH   Clinical Center        Pressure ulcers.                                                 Chronic & Elder Care   Pressure Ulcer                 Outcome            Hospital Inpatient

NIH   Clinical Center        Pediatric pain.                                                  Pain                                                  Outcome            Hospital Inpatient

NIH   Clinical Center        Restraints.                                                      Patient Safety         Patient Safety - Other         Outcome            Hospital Inpatient

NIH   Clinical Center        Central line-associated blood stream infections (CLABSI).        Patient Safety         Hospital Acquired Infections   Outcome            Hospital Inpatient


NIH   Clinical Center        Perioperative mortality.                                         Surgery                Complications                  Outcome            Hospital Inpatient

NIH   Clinical Center        Unscheduled admission after other ambulatory procedure.          Patient Safety         Complications                  Outcome            Hospital Inpatient



NIH   Clinical Center        Unscheduled inpatient admission after endoscopy.                 Patient Safety         Complications                  Outcome            Hospital Inpatient


NIH   Clinical Center        Unscheduled returns to the operating room.                       Surgery                Complications                  Outcome            Hospital Inpatient


NIH   Clinical Center        Registered nurse survey.                                         Health Care Delivery   Human Resources                Process            Hospital Inpatient
NIH   National Cancer       Adjuvant chemotherapy for stage III colorectal cancer         Cancer                 Colorectal Cancer      Process                Hospital Outpatient
      Institute Division of patients.
      Cancer Control and
      Population Sciences

NIH   National Cancer       Multi-agent chemotherapy for node positive breast cancer      Cancer                 Breast Cancer          Process                Hospital Outpatient
      Institute Division of patients.
      Cancer Control and
      Population Sciences

NIH   National Cancer       Radiation therapy for patients with breast conserving         Cancer                 Breast Cancer          Process                Hospital Outpatient
      Institute Division of surgery.
      Cancer Control and
      Population Sciences

NIH   National Cancer       Hormonal therapy for breast cancer patients with ER+ or       Cancer                 Breast Cancer          Process                Hospital Outpatient
      Institute Division of PR+ tumors.
      Cancer Control and
      Population Sciences

NIH   National Cancer       Medical Outcomes Study SF-36.                                 Cancer                 Cancer - Other         Outcome                Health System
      Institute Division of
      Cancer Control and
      Population Sciences

NIH   National Cancer         Patient safety improvements in clinical trials based on     Cancer                 Cancer - Other         Outcome                Hospital Outpatient
      Institute Division of   changes to protocols due to action letter requests.
      Cancer Treatment
      and Diagnosis


NIH   National Cancer         CIS contact center: Average speed of answer.                Health Care Delivery   Communication          Structure/Access       Health System
      Institute Office of
      Public Information
      and Resource
      Management
NIH   National Cancer         CIS contact center: Service level.                          Health Care Delivery   Communication          Structure/Access       Health System
      Institute Office of
      Public Information
      and Resource
      Management
NIH   National Cancer         E-mail response time.                                       Health Care Delivery   Communication          Structure/Access       Health System
      Institute Office of
      Public Information
      and Resource
      Management
NIH   National Cancer         CIS contact center: Accuracy of information provided to     Health Care Delivery   Communication          Process                Health System
      Institute Office of     public: All access channels including telephone, LiveHelp
      Public Information      Web chat, and e-mail responses,
      and Resource
      Management
NIH   National Cancer         Customer satisfaction.                                      Health Care Delivery   Patient Satisfaction   Patient satisfaction   Health System
      Institute Office of
      Public Information
      and Resource
      Management
NIH   National Cancer         Customer satisfaction.                                      Health Care Delivery   Patient Satisfaction   Patient Satisfaction Health System
      Institute Office of
      Public Information
      and Resource
      Management
NIH   National Heart,       Blood pressure.                                              Cardiovascular                       Hypertension                 Outcome   Health System
      Lung, and Blood
      Institute




NIH   National Eye          Refractive error (eye does not focus light rays on the       Head, Eyes, Ears, Nose, and Throat   Eye Care                     Outcome   Health System
      Institute             proper portion of the retina) without optical correction.
NIH   National Eye          Visual impairment due to refractive error.                   Head, Eyes, Ears, Nose, and Throat   Eye Care                     Outcome   Health System
      Institute




NIH   National Cancer       Radiation therapy for stage III rectal cancer patients who   Cancer                               Colorectal Cancer            Process   Hospital Outpatient
      Institute Division of underwent surgical resection.
      Cancer Control and
      Population Sciences

NIH   National Heart,       High blood cholesterol.                                      Cardiovascular                       Cholesterol                  Outcome   Ambulatory
      Lung, and Blood
      Institute
NIH   National Heart,       Hypertension.                                                Cardiovascular                       Hypertension                 Outcome   Ambulatory
      Lung, and Blood
      Institute
NIH   National Heart,       On appropriate meds (beta-blocker, angiotensin-converting Cardiovascular                          Acute Myocardial             Process   Ambulatory
      Lung, and Blood       enzyme [ACE] inhibitor, aspirin, etc.).                                                           Infarction/Coronary Artery
      Institute                                                                                                               Disease
NIH   National Heart,       Untreated high blood cholesterol.                            Cardiovascular                       Cholesterol                  Process   Ambulatory
      Lung, and Blood
      Institute
NIH   National Heart,       Cholesterol.                                                 Cardiovascular                       Cholesterol                  Outcome   Health System
      Lung, and Blood
      Institute
NIH   National Heart,         Awareness, treatment and control of hypertension.      Cardiovascular         Hypertension   Outcome   Health System
      Lung, and Blood
      Institute




NIH   National Heart,         Continuous positive airway pressure (CPAP) treatment   Respiratory            Sleep          Process   Home Health
      Lung, and Blood         compliance.
      Institute
NIH   National Heart,         Multiple Sleep Latency Test (MSLT).                    Respiratory            Sleep          Outcome   Ambulatory
      Lung, and Blood
      Institute


NIH   National Heart,         Untreated hypertension.                                Cardiovascular         Hypertension   Process   Ambulatory
      Lung, and Blood
      Institute
NIH   National Institute of   IRB approval.                                          Health Care Delivery   Research       Process   Health System
      Dental and
      Craniofacial
      Research
NIH   National Institute of   Data and safety monitoring oversight.                  Health Care Delivery   Research       Process   Health System
      Dental and
      Craniofacial
      Research
NIH   National Institute of   NIDCR review.                                          Health Care Delivery   Research       Process   Health System
      Dental and
      Craniofacial
      Research
NIH   National Institute of IND or IDE requirements.                                 Health Care Delivery   Research       Process   Health System
      Dental and
      Craniofacial
      Research
NIH    National Institute of Required notification of adverse events.                         Patient Safety         Complications                    Process            Health System
       Dental and
       Craniofacial
       Research

NIH    National Institute of Required study status/progress reports and documentation. Health Care Delivery          Research                         Process            Health System
       Dental and
       Craniofacial
       Research

NIH    National Institute of   Scientific review of clinical protocols for IRB submission.    Health Care Delivery   Research                         Process            Health System
       Dental and
       Craniofacial
       Research
NIH    National Institute of   Reducing post-surgical complications related to research       Surgery                Complications                    Process            Hospital Inpatient
       Dental and              subject protocol.
       Craniofacial
       Research
NIH    National Institute of   Proper testing and certification of dental clinic equipment,   Patient Safety         Patient Safety - Other           Process            Ambulatory
       Dental and              e.g., Medical Physicist's Radiation Safety Review.
       Craniofacial
       Research
NIH    National Institute of   Ensuring quality of instruments utilized in dental clinic.     Patient Safety         Patient Safety - Other           Process            Ambulatory
       Dental and
       Craniofacial
       Research
NIH    National Institute of   Engagement of study volunteers, e.g., referred by patient      Health Care Delivery   Research                         Process            Ambulatory
       Dental and              recruitment & public liaison (PRLP).
       Craniofacial
       Research
NIH    National Institute of   Audit tool for inpatient medical record documentation by       Health Care Delivery   Health Care Information          Process            Hospital Inpatient   Hospital Outpatient
       Mental Health           physicians.                                                                           Technology

NIH    National Institute of NIMH informed consent checklist.                                 Health Care Delivery   Communication                    Process            Hospital Inpatient   Hospital Outpatient
       Mental Health

ONC                            Percentage of physicians using an electronic health record Health Care Delivery       Health Care Information          Structure/Access   Ambulatory
                               (EHR) in their practice.                                                              Technology
ONC                            Percentage of hospitals using an electronic health record      Health Care Delivery   Health Care Information          Structure/Access   Hospital Inpatient
                               (EHR).                                                                                Technology
OPHS                           Percentage of females under age 25 years who are tested        Infectious Diseases    Sexually Transmitted Infection   Process            Ambulatory
                               for chlamydia.




OPHS                           Proportion of persons with health insurance.                   Health Care Delivery   Access                           Structure/Access   Ambulatory

OPHS                           Proportion of persons appropriately counseled about health     Behavioral Health      Nutrition & Exercise             Process            Ambulatory
                               behaviors.
OPHS                           Proportion of persons appropriately counseled about health     Behavioral Health      Nutrition & Exercise             Process            Ambulatory
                               behaviors.
OPHS                           Proportion of persons appropriately counseled about health     Behavioral Health      Tobacco Use                      Process            Ambulatory
                               behaviors.
OPHS                           Proportion of persons appropriately counseled about health     Behavioral Health      Alcohol Abuse                    Process            Ambulatory
                               behaviors.

OPHS                           Proportion of persons appropriately counseled about health Renal & Genitourinary      Gynecology                       Process            Ambulatory
                               behaviors.
OPHS                           Proportion of persons appropriately counseled about health Renal & Genitourinary      Gynecology                       Process            Ambulatory
                               behaviors.
OPHS                           Proportion of persons who have a specific source of        Health Care Delivery       Access                           Structure/Access   Ambulatory
                               ongoing care.
OPHS   Proportion of persons who have a specific source of           Health Care Delivery     Access      Structure/Access   Ambulatory
       ongoing care.
OPHS   Proportion of persons who have a specific source of           Health Care Delivery     Access      Structure/Access   Ambulatory
       ongoing care.
OPHS   Proportion of people with a usual primary care provider.      Health Care Delivery     Access      Structure/Access   Ambulatory

OPHS   Proportion of families that experience difficulties or delays Health Care Delivery     Access      Structure/Access   Ambulatory
       in obtaining health care or do not receive needed care for
       one or more family members.
OPHS   Inclusion of sentinel core competencies in health promotion Health Care Delivery       Education   Process            Health System
       and disease prevention in health professions training-
       counseling for health promotion and disease prevention.


OPHS   Inclusion of sentinel core competencies in health promotion Health Care Delivery       Education   Process            Health System
       and disease prevention in health professions training -
       cultural diversity.


OPHS   Inclusion of sentinel core competencies in health promotion Health Care Delivery       Education   Process            Health System
       and disease prevention in health professions training-
       counseling for health promotion and disease prevention.

OPHS   Inclusion of sentinel core competencies in health promotion Health Care Delivery       Education   Process            Health System
       and disease prevention in health professions training-
       cultural diversity.

OPHS   Inclusion of sentinel core competencies in health promotion Health Care Delivery       Education   Process            Health System
       and disease prevention in health professions training -
       counseling for health promotion and disease prevention.

OPHS   Inclusion of sentinel core competencies in health promotion Health Care Delivery       Education   Process            Health System
       and disease prevention in health professions training -
       cultural diversity.

OPHS   Inclusion of sentinel core competencies in health promotion Health Care Delivery       Education   Process            Health System
       and disease prevention in health professions training -
       counseling for health promotion and disease prevention.

OPHS   Inclusion of sentinel core competencies in health promotion Health Care Delivery       Education   Process            Health System
       and disease prevention in health professions training -
       cultural diversity.

OPHS   In the health professions, allied and associated health         Health Care Delivery   Education   Process            Health System
       profession fields, and the nursing field, the proportion of all
       degrees awarded to members of underrepresented racial
       and ethnic groups.
OPHS   In the health professions, allied and associated health   Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.




OPHS   In the health professions, allied and associated health   Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups




OPHS   In the health professions, allied and associated health   Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.




OPHS   In the health professions, allied and associated health   Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.


OPHS   In the health professions, allied and associated health   Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.

OPHS   In the health professions, allied and associated health   Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.

OPHS   In the health professions, allied and associated health   Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.


OPHS   In the health professions, allied and associated health   Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.
OPHS   In the health professions, allied and associated health         Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.

OPHS   In the health professions, allied and associated health         Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.


OPHS   In the health professions, allied and associated health         Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.


OPHS   In the health professions, allied and associated health         Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.
OPHS   In the health professions, allied and associated health         Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.
OPHS   In the health professions, allied and associated health         Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.
OPHS   In the health professions, allied and associated health         Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.
OPHS   In the health professions, allied and associated health         Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.
OPHS   In the health professions, allied and associated health         Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.
OPHS   In the health professions, allied and associated health         Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.
OPHS   In the health professions, allied and associated health         Health Care Delivery   Education   Process   Health System
       profession fields, and the nursing field, the
       proportion of all degrees awarded to members of
       underrepresented racial and ethnic groups.
OPHS   Hospitalization rates for three ambulatory-care sensitive       Respiratory            Asthma      Outcome   Hospital Inpatient
       conditions – pediatric asthma, uncontrolled diabetes, and
       immunization-preventable pneumonia and influenza.
OPHS   Hospitalization rates for three ambulatory-care sensitive       Diabetes                           Outcome   Hospital Inpatient
       conditions – pediatric asthma, uncontrolled diabetes, and
       immunization-preventable pneumonia and influenza.
OPHS   Hospitalization rates for three ambulatory-care sensitive       Infectious Diseases    Pneumonia   Outcome   Hospital Inpatient
       conditions – pediatric asthma, uncontrolled diabetes, and
       immunization-preventable pneumonia and influenza.
OPHS   Proportion of persons who delay or have difficulty in getting   Health Care Delivery   Access      Process   Health System
       emergency medical care.
OPHS   Proportion of persons who have access to rapidly           Health Care Delivery    Access   Process   Health System
       responding prehospital emergency medical services.




OPHS   Proportion of persons who have access to rapidly           Health Care Delivery    Access   Process   Health System
       responding prehospital emergency medical services.




OPHS   Proportion of persons who have access to rapidly           Health Care Delivery    Access   Process   Health System
       responding prehospital emergency medical services.




OPHS   Proportion of persons who have access to rapidly           Health Care Delivery    Access   Process   Health System
       responding prehospital emergency medical services.




OPHS   Proportion of persons who have access to rapidly           Health Care Delivery    Access   Process   Health System
       responding prehospital emergency medical services.




OPHS   Proportion of persons who have access to rapidly           Health Care Delivery    Access   Process   Health System
       responding prehospital emergency medical services.




OPHS   Proportion of persons who have access to rapidly           Health Care Delivery    Access   Process   Health System
       responding prehospital emergency medical services.




OPHS   Number of Tribes, States, and the District of Columbia with Health Care Delivery   Access   Process   Health System
       State-level trauma system facilitation and coordination of
       Statewide defined criteria.


OPHS   Number of Tribes, States, and the District of Columbia with Health Care Delivery   Access   Process   Health System
       State-level trauma system facilitation and coordination of
       Statewide defined criteria.
OPHS   Number of Tribes, States, and the District of Columbia with Health Care Delivery       Access           Process   Health System
       State-level trauma system facilitation and coordination of
       Statewide defined criteria.


OPHS   Number of Tribes, States, and the District of Columbia with Health Care Delivery       Access           Process   Health System
       State-level trauma system facilitation and coordination of
       Statewide defined criteria.


OPHS   Number of Tribes, States, and the District of Columbia with Health Care Delivery       Access           Process   Health System
       State-level trauma system facilitation and coordination of
       Statewide defined criteria.


OPHS   Number of Tribes, States, and the District of Columbia with Health Care Delivery       Access           Process   Health System
       State-level trauma system facilitation and coordination of
       Statewide defined criteria.


OPHS   Number of Tribes, States, and the District of Columbia with Health Care Delivery       Access           Process   Health System
       State-level trauma system facilitation and coordination of
       Statewide defined criteria.


OPHS   Number of Tribes, States, and the District of Columbia with Health Care Delivery       Access           Process   Health System
       State-level trauma system facilitation and coordination of
       Statewide defined criteria.


OPHS   Number of Tribes, States, and the District of Columbia with Health Care Delivery       Access           Process   Health System
       State-level trauma system facilitation and coordination of
       Statewide defined criteria.


OPHS   Number of States and the District of Columbia that have         Health Care Delivery   Access           Process   Health System
       implemented guidelines for prehospital and hospital
       pediatric care.
OPHS   Number of States and the District of Columbia that have         Health Care Delivery   Access           Process   Health System
       implemented guidelines for prehospital and hospital
       pediatric care.
OPHS   Proportion of adults with long-term care needs who do not       Health Care Delivery   Access           Process   Health System
       have access to the continuum of long-terms care services.

OPHS   Proportion of adults with long-term care needs who do not       Health Care Delivery   Access           Process   Health System
       have access to the continuum of long-terms care services.

OPHS   Proportion of adults with long-term care needs who do not       Health Care Delivery   Access           Process   Health System
       have access to the continuum of long-terms care services.

OPHS   Proportion of adults with long-term care needs who do not       Health Care Delivery   Access           Process   Health System
       have access to the continuum of long-terms care services.

OPHS   Proportion of nursing home residents with a current             Chronic & Elder Care   Pressure Ulcer   Outcome   Long-term Care
       diagnosis of pressure ulcers.
OPHS   The mean level of joint pain among adults with doctor-          Bone & Joint           Arthritis        Outcome   Ambulatory
       diagnosed arthritis.
OPHS   Proportion of adults with doctor-diagnosed arthritis who        Bone & Joint           Arthritis        Outcome   Ambulatory
       experience a limitation of activity due to arthritis or joint
       symptoms.
OPHS   Proportion of adults with doctor-diagnosed arthritis who    Bone & Joint   Arthritis                  Outcome   Ambulatory
       have difficulty in performing two or more personal care
       activities, thereby preserving independence.
OPHS   Proportion of adults with doctor-diagnosed arthritis who    Bone & Joint   Arthritis                  Process   Ambulatory
       receive health care provider counseling.
OPHS   Proportion of adults with doctor-diagnosed arthritis who    Bone & Joint   Arthritis                  Process   Ambulatory
       receive health care provider counseling.
OPHS   Impact of doctor-diagnosed arthritis on employment in the   Bone & Joint   Arthritis                  Outcome   Ambulatory
       working-aged population.
OPHS   Impact of doctor-diagnosed arthritis on employment in the   Bone & Joint   Arthritis                  Outcome   Ambulatory
       working-aged population.
OPHS   Eliminate racial disparities in the rate of total knee      Bone & Joint   Arthritis                  Outcome   Ambulatory
       replacements among persons aged 65 years and older.
OPHS   Proportion of adults with chronic joint symptoms who have   Bone & Joint   Arthritis                  Process   Ambulatory
       seen a health care provider for their symptoms.
OPHS   Proportion of adults with doctor-diagnosed arthritis who    Bone & Joint   Arthritis                  Process   Ambulatory
       have had effective, evidence-based arthritis education as
       an integral part of the management of their condition.
OPHS   Proportion of adults with osteoporosis.                     Bone & Joint   Osteoporosis               Outcome   Health System


OPHS   Proportion of adults who are hospitalized for vertebral     Bone & Joint   Osteoporosis               Process   Hospital Inpatient
       fractures associated with osteoporosis.
OPHS   Activity limitation due to chronic back conditions.         Bone & Joint   Back Pain & Surgery        Outcome   Ambulatory

OPHS   Overall cancer death rate.                                  Cancer                                    Outcome   Health System

OPHS   Lung cancer death rate.                                     Cancer         Lung, Airway, Esophageal   Outcome   Health System
                                                                                  Cancers
OPHS   Breast cancer death rate.                                   Cancer         Breast Cancer              Outcome   Health System

OPHS   Death rate from cancer of the uterine cervix.               Cancer         Cervical Cancer            Outcome   Health System

OPHS   Colorectal cancer death rate.                               Cancer         Colorectal Cancer          Outcome   Health System

OPHS   Oropharyngeal cancer death rate.                            Cancer         Lung, Airway, Esophageal   Outcome   Health System
                                                                                  Cancers
OPHS   Prostate cancer death rate.                                 Cancer         Prostate Cancer            Outcome   Health System

OPHS   Rate of melanoma cancer deaths.                             Cancer         Skin Cancer                Outcome   Health System

OPHS   Proportion of persons who use at least one of the following Cancer         Skin Cancer                Process   Ambulatory
       protective measures that may reduce the risk of skin
       cancer: avoid the sun between 10 a.m. and 4 p.m., wear
       sun-protective clothing when exposed to sunlight, use
       sunscreen with a sun protective factor (SPF) of 15 or
       higher, and avoid artificial sources of ultraviolet light.


OPHS   Proportion of persons who use at least one of the following Cancer         Skin Cancer                Process   Ambulatory
       protective measures that may reduce the risk of skin
       cancer: avoid the sun between 10 a.m. and 4 p.m., wear
       sun-protective clothing when exposed to sunlight, use
       sunscreen with a sun protective factor (SPF) of 15 or
       higher, and avoid artificial sources of ultraviolet light.


OPHS   Proportion of physicians and dentists who counsel their at- Cancer         Cancer - Other             Process   Ambulatory
       risk patients about tobacco use cessation, physical activity,
       and cancer screening.
OPHS   Proportion of women who receive a Pap test.                   Cancer       Cervical Cancer            Process   Ambulatory
OPHS   Proportion of women who receive a Pap test.                  Cancer                    Cervical Cancer           Process   Ambulatory

OPHS   Proportion of adults who receive a colorectal cancer         Cancer                    Colorectal Cancer         Process   Ambulatory
       screening examination.
OPHS   Proportion of adults who receive a colorectal cancer         Cancer                    Colorectal Cancer         Process   Ambulatory
       screening examination.
OPHS   Proportion of women aged 40 years and older who have         Cancer                    Breast Cancer             Process   Ambulatory
       received a mammogram within the preceding 2 years.
OPHS   Number of States that have a statewide population-based      Cancer                    Breast Cancer             Process   Health System
       cancer registry that captures case information on at least
       95 percent of the expected number of reportable cancers.

OPHS   Proportion of cancer survivors who are living 5 years or     Cancer                                              Outcome   Health System
       longer after diagnosis.

OPHS   Rate of new cases of end-stage renal disease (ESRD).         Renal & Genitourinary     End-Stage Renal Disease   Outcome   End-Stage Renal
                                                                                                                                  Disease/Dialysis
OPHS   Deaths from cardiovascular disease in persons with          Renal & Genitourinary      End-Stage Renal Disease   Outcome   End-Stage Renal
       chronic kidney failure.                                                                                                    Disease/Dialysis
OPHS   Proportion of treated chronic kidney failure patients who   Renal & Genitourinary      End-Stage Renal Disease   Process   End-Stage Renal
       have received counseling on nutrition, treatment choices,                                                                  Disease/Dialysis
       and cardiovascular care 12 months before the start of renal
       replacement therapy.
OPHS   Proportion of new hemodialysis patients who use             Renal & Genitourinary      End-Stage Renal Disease   Outcome   End-Stage Renal
       arteriovenous fistulas as the primary mode of vascular                                                                     Disease/Dialysis
       access.

OPHS   Proportion of dialysis patients registered on the waiting list Renal & Genitourinary   End-Stage Renal Disease   Process   End-Stage Renal
       for transplantation.                                                                                                       Disease/Dialysis
OPHS   Proportion of patients with treated chronic kidney failure     Renal & Genitourinary   End-Stage Renal Disease   Process   End-Stage Renal
       who receive a transplant within 3 years of registration on                                                                 Disease/Dialysis
       the waiting list.
OPHS   Kidney failure due to diabetes.                                Renal & Genitourinary   End-Stage Renal Disease   Outcome   Ambulatory


OPHS   Proportion of persons with type 1 or type 2 diabetes and  Renal & Genitourinary        End-Stage Renal Disease   Process   Ambulatory
       chronic kidney disease who receive recommended medical
       evaluation and treatment to reduce progression to chronic
       renal insufficiency.

OPHS   Proportion of persons with type 1 or type 2 diabetes and  Renal & Genitourinary        End-Stage Renal Disease   Process   Ambulatory
       chronic kidney disease who receive recommended medical
       evaluation and treatment to reduce progression to chronic
       renal insufficiency.

OPHS   Proportion of persons with diabetes who receive formal       Diabetes                                            Process   Ambulatory
       diabetes education.
OPHS   Diabetes incidence.                                          Diabetes                                            Outcome   Health System

OPHS   Diabetes prevalence.                                         Diabetes                                            Outcome   Health System

OPHS   Proportion of adults with diabetes whose condition has       Diabetes                                            Outcome   Health System
       been diagnosed.

OPHS   Diabetes death rate.                                         Diabetes                                            Outcome   Health System

OPHS   Diabetes-related deaths among persons with diabetes.         Diabetes                                            Outcome   Health System
OPHS   Deaths from cardiovascular disease in persons with              Diabetes                            Outcome   Health System
       diabetes.


OPHS   Rate of lower extremity amputations in persons with             Diabetes                            Outcome   Health System
       diabetes.


OPHS   Proportion of adults with diabetes who obtain an annual    Diabetes                                 Process   Ambulatory
       urinary microalbumin measurement.
OPHS   Proportion of adults with diabetes who have a glycosylated Diabetes                                 Process   Ambulatory
       hemoglobin measurement at least twice a year.

OPHS   Proportion of adults with diabetes who have an annual           Diabetes                            Process   Ambulatory
       dilated eye examination.
OPHS   Proportion of adults with diabetes who have at least an         Diabetes                            Process   Ambulatory
       annual foot examination.

OPHS   Proportion of persons with diabetes who have at least an        Diabetes                            Process   Ambulatory
       annual dental examination.
OPHS   Proportion of persons with diabetes who take aspirin at         Diabetes                            Process   Ambulatory
       least 15 times per month.

OPHS   Proportion of adults with diabetes who perform self-blood-      Diabetes                            Process   Ambulatory
       glucose-monitoring at least once daily.

OPHS   Proportion of children and adolescents with disabilities who    Chronic & Elder Care   Disability   Outcome
       are reported to be sad, unhappy, or depressed.
OPHS   Proportion of adults with disabilities who report feelings      Chronic & Elder Care   Disability   Outcome
       such as sadness, unhappiness, or depression that prevent
       them from being active.
OPHS   Proportion of adults with disabilities who participate in       Chronic & Elder Care   Disability   Outcome
       social activities.
OPHS   Proportion of adults with disabilities reporting sufficient     Chronic & Elder Care   Disability   Outcome
       emotional support.

OPHS   Proportion of adults with disabilities reporting satisfaction   Chronic & Elder Care   Disability   Outcome
       with life.

OPHS   Number of people with disabilities in congregate care           Chronic & Elder Care   Disability   Process
       facilities, consistent with permanency planning principles.

OPHS   Number of people with disabilities in congregate care           Chronic & Elder Care   Disability   Process
       facilities, consistent with permanency planning principles.

OPHS   Eliminate disparities in employment rates between working       Chronic & Elder Care   Disability   Outcome
       aged adults with and without disabilities.
OPHS   Proportion of children and youth with disabilities who spend    Chronic & Elder Care   Disability   Outcome
       at least 80 percent of their time in regular education
       programs.
OPHS   Proportion of people with disabilities who report having        Chronic & Elder Care   Disability   Process
       access to health and wellness programs.
OPHS   Proportion of people with disabilities who report not having    Chronic & Elder Care   Disability   Outcome
       the assistive devices and technology needed.
OPHS   Proportion of people with disabilities reporting                Chronic & Elder Care   Disability   Outcome
       environmental barriers to participation in home, school,
       work, or community activities.
OPHS   Proportion of people with disabilities reporting                Chronic & Elder Care   Disability   Outcome
       environmental barriers to participation in home, school,
       work, or community activities.
OPHS   Proportion of people with disabilities reporting                Chronic & Elder Care   Disability   Outcome
       environmental barriers to participation in home, school,
       work, or community activities.
OPHS   Proportion of people with disabilities reporting              Chronic & Elder Care   Disability                Outcome
       environmental barriers to participation in home, school,
       work, or community activities.
OPHS   Number of Tribes, States, and the District of Columbia that   Chronic & Elder Care   Disability                Process
       have public health surveillance and health promotion
       programs for people with disabilities and caregivers.
OPHS   Number of Tribes, States, and the District of Columbia that   Chronic & Elder Care   Disability                Process
       have public health surveillance and health promotion
       programs for people with disabilities and caregivers.
OPHS   Number of Tribes, States, and the District of Columbia that   Chronic & Elder Care   Disability                Process
       have public health surveillance and health promotion
       programs for people with disabilities and caregivers.
OPHS   Number of Tribes, States, and the District of Columbia that   Chronic & Elder Care   Disability                Process
       have public health surveillance and health promotion
       programs for people with disabilities and caregivers.
OPHS   High school completion.                                       Population             Community                 Outcome   Health System


OPHS   Proportion of middle, junior high, and senior high schools Population                Maternal & Child Health   Process   Health System
       that provide school health education to prevent health
       problems in the following areas: unintentional injury;
       violence; suicide; tobacco use and addiction; alcohol and
       other drug use; unintended pregnancy, HIV/AIDS, and STD
       infection; unhealthy dietary patterns; inadequate physical
       activity; and environmental health.


OPHS   Proportion of middle, junior high, and senior high schools Population                Injuries                  Process   Health System
       that provide school health education to prevent health
       problems in the following areas: unintentional injury;
       violence; suicide; tobacco use and addiction; alcohol and
       other drug use; unintended pregnancy, HIV/AIDS, and STD
       infection; unhealthy dietary patterns; inadequate physical
       activity; and environmental health.


OPHS   Proportion of middle, junior high, and senior high schools Behavioral Health         Domestic Violence         Process   Health System
       that provide school health education to prevent health
       problems in the following areas: unintentional injury;
       violence; suicide; tobacco use and addiction; alcohol and
       other drug use; unintended pregnancy, HIV/AIDS, and STD
       infection; unhealthy dietary patterns; inadequate physical
       activity; and environmental health.

OPHS   Proportion of middle, junior high, and senior high schools Mental Health             Suicide                   Process   Health System
       that provide school health education to prevent health
       problems in the following areas: unintentional injury;
       violence; suicide; tobacco use and addiction; alcohol and
       other drug use; unintended pregnancy, HIV/AIDS, and STD
       infection; unhealthy dietary patterns; inadequate physical
       activity; and environmental health.

OPHS   Proportion of middle, junior high, and senior high schools Behavioral Health         Tobacco Use               Process   Health System
       that provide school health education to prevent health
       problems in the following areas: unintentional injury;
       violence; suicide; tobacco use and addiction; alcohol and
       other drug use; unintended pregnancy, HIV/AIDS, and STD
       infection; unhealthy dietary patterns; inadequate physical
       activity; and environmental health.
OPHS   Proportion of middle, junior high, and senior high schools Behavioral Health         Alcohol Abuse             Process   Health System
       that provide school health education to prevent health
       problems in the following areas: unintentional injury;
       violence; suicide; tobacco use and addiction; alcohol and
       other drug use; unintended pregnancy, HIV/AIDS, and STD
       infection; unhealthy dietary patterns; inadequate physical
       activity; and environmental health.

OPHS   Proportion of middle, junior high, and senior high schools Population                Maternal & Child Health   Process   Health System
       that provide school health education to prevent health
       problems in the following areas: unintentional injury;
       violence; suicide; tobacco use and addiction; alcohol and
       other drug use; unintended pregnancy, HIV/AIDS, and STD
       infection; unhealthy dietary patterns; inadequate physical
       activity; and environmental health.

OPHS   Proportion of middle, junior high, and senior high schools Population                Nutrition & Exercise      Process   Health System
       that provide school health education to prevent health
       problems in the following areas: unintentional injury;
       violence; suicide; tobacco use and addiction; alcohol and
       other drug use; unintended pregnancy, HIV/AIDS, and STD
       infection; unhealthy dietary patterns; inadequate physical
       activity; and environmental health.

OPHS   Proportion of middle, junior high, and senior high schools Population                Nutrition & Exercise      Process   Health System
       that provide school health education to prevent health
       problems in the following areas: unintentional injury;
       violence; suicide; tobacco use and addiction; alcohol and
       other drug use; unintended pregnancy, HIV/AIDS, and STD
       infection; unhealthy dietary patterns; inadequate physical
       activity; and environmental health.

OPHS   Proportion of middle, junior high, and senior high schools Population                Community                 Process   Health System
       that provide school health education to prevent health
       problems in the following areas: unintentional injury;
       violence; suicide; tobacco use and addiction; alcohol and
       other drug use; unintended pregnancy, HIV/AIDS, and STD
       infection; unhealthy dietary patterns; inadequate physical
       activity; and environmental health.

OPHS   Proportion of college and university students who receive        Population          Community                 Process   Health System
       information from their institution on each of the six priority
       health-risk behavior areas.
OPHS   Proportion of employees who participate in employer-             Behavioral Health   Tobacco Use               Process   Health System
       sponsored health promotion activities.

OPHS   Proportion of local health departments that have            Population               Community                 Process   Health System
       established culturally appropriate and linguistically
       competent community health promotion and disease
       prevention programs.
OPHS   Proportion of older adults who have participated during the Population               Nutrition & Exercise      Process   Health System
       preceding year in at least one organized health promotion
       activity.
OPHS   Proportion of persons exposed to air that does not meet the Population               Environmental Health      Outcome   Health System
       U.S. Environmental Protection Agency’s health-based
       standards for harmful air pollutants.


OPHS   Proportion of persons exposed to air that does not meet the Population               Environmental Health      Outcome   Health System
       U.S. Environmental Protection Agency’s health-based
       standards for harmful air pollutants.
OPHS   Proportion of persons exposed to air that does not meet the Population    Environmental Health   Outcome   Health System
       U.S. Environmental Protection Agency’s health-based
       standards for harmful air pollutants.


OPHS   Proportion of persons exposed to air that does not meet the Population    Environmental Health   Outcome   Health System
       U.S. Environmental Protection Agency’s health-based
       standards for harmful air pollutants.


OPHS   Proportion of persons exposed to air that does not meet the Population    Environmental Health   Outcome   Health System
       U.S. Environmental Protection Agency’s health-based
       standards for harmful air pollutants.


OPHS   Proportion of persons exposed to air that does not meet the Population    Environmental Health   Outcome   Health System
       U.S. Environmental Protection Agency’s health-based
       standards for harmful air pollutants.


OPHS   Use of alternative modes of transportation to reduce motor Population     Environmental Health   Process   Health System
       vehicle emissions and improve the Nation’s air quality.

OPHS   Use of alternative modes of transportation to reduce motor Population     Environmental Health   Process   Health System
       vehicle emissions and improve the Nation’s air quality.

OPHS   Use of alternative modes of transportation to reduce motor Population     Environmental Health   Process   Health System
       vehicle emissions and improve the Nation’s air quality.

OPHS   Use of alternative modes of transportation to reduce motor Population     Environmental Health   Process   Health System
       vehicle emissions and improve the Nation’s air quality.

OPHS   Nation’s air quality by increasing the use of cleaner        Population   Environmental Health   Process   Health System
       alternative fuels.

OPHS   Air toxic emissions to decrease the risk of adverse health   Population   Environmental Health   Process   Health System
       effects caused by airborne toxics.




OPHS   Proportion of persons served by community water systems Population        Environmental Health   Outcome   Health System
       who receive a supply of drinking water that meets the
       regulations of the Safe Drinking Water Act.




OPHS   Waterborne disease outbreaks arising from water intended Population       Environmental Health   Outcome   Health System
       for drinking among persons served by community water
       systems.
OPHS   The per capita domestic water withdrawals.               Population       Environmental Health   Outcome   Health System



OPHS   Proportion of assessed rivers, lakes, and estuaries that are Population   Environmental Health   Outcome   Health System
       safe for fishing and recreational purposes.
OPHS   Proportion of assessed rivers, lakes, and estuaries that are Population   Environmental Health   Outcome   Health System
       safe for fishing and recreational purposes.




OPHS   Proportion of days that beaches are open and safe for        Population   Environmental Health   Outcome   Health System
       swimming.



OPHS   Potential human exposure to persistent chemicals by          Population   Environmental Health   Process   Health System
       decreasing fish contaminant levels.




OPHS   Potential human exposure to persistent chemicals by          Population   Environmental Health   Process   Health System
       decreasing fish contaminant levels.




OPHS   Eliminate elevated blood lead levels in children.            Population   Environmental Health   Outcome   Health System


OPHS   Risks to human health and the environment posed by           Population   Environmental Health   Process   Health System
       hazardous sites.




OPHS   Risks to human health and the environment posed by           Population   Environmental Health   Process   Health System
       hazardous sites.




OPHS   Risks to human health and the environment posed by           Population   Environmental Health   Process   Health System
       hazardous sites.



OPHS   Risks to human health and the environment posed by           Population   Environmental Health   Process   Health System
       hazardous sites.




OPHS   Pesticide exposures that result in visits to a health care   Population   Environmental Health   Process   Health System
       facility.
OPHS   Recycling of municipal solid waste.                           Population   Environmental Health   Process   Health System




OPHS   Reduce indoor allergen levels.                                Population   Environmental Health   Process   Health System



OPHS   Reduce indoor allergen levels.                                Population   Environmental Health   Process   Health System



OPHS   Reduce indoor allergen levels.                                Population   Environmental Health   Process   Health System



OPHS   Proportion of persons who live in homes tested for radon      Population   Environmental Health   Process   Health System
       concentrations.
OPHS   Number of new homes constructed to be radon resistant.        Population   Environmental Health   Process   Health System


OPHS   Proportion of the Nation’s elementary, middle, junior high,   Population   Environmental Health   Process   Health System
       and senior high schools that have official school policies
       ensuring the safety of students and staff from
       environmental hazards, such as chemicals in special
       classrooms, poor indoor air quality, asbestos, and
       exposure to pesticides.
OPHS   Ensure that State and District of Columbia health             Population   Environmental Health   Process   Health System
       departments establish training, plans, and protocols and
       conduct annual multi-institutional exercises to prepare for
       response to natural and technological disasters.
OPHS   Proportions of persons living in pre-1950s housing that has   Population   Environmental Health   Process   Health System
       been tested for the presence of lead-based paint.
OPHS   Proportion of occupied housing units that have moderate or    Population   Environmental Health   Process   Health System
       severe physical problems.


OPHS   Exposure to pesticides as measured by urine                   Population   Environmental Health   Outcome   Health System
       concentrations of metabolites.



OPHS   Exposure to pesticides as measured by urine                   Population   Environmental Health   Outcome   Health System
       concentrations of metabolites.



OPHS   Exposure to pesticides as measured by urine                   Population   Environmental Health   Outcome   Health System
       concentrations of metabolites.



OPHS   Exposure of the population to pesticides, heavy metals,       Population   Environmental Health   Outcome   Health System
       and selected environmental chemicals, as measured by
       blood and urine concentrations of the substances or their
       metabolites.
OPHS   Exposure of the population to pesticides, heavy metals,     Population   Environmental Health   Outcome   Health System
       and selected environmental chemicals, as measured by
       blood and urine concentrations of the substances or their
       metabolites.

OPHS   Exposure of the population to pesticides, heavy metals,     Population   Environmental Health   Outcome   Health System
       and selected environmental chemicals, as measured by
       blood and urine concentrations of the substances or their
       metabolites.

OPHS   Exposure of the population to pesticides, heavy metals,     Population   Environmental Health   Outcome   Health System
       and selected environmental chemicals, as measured by
       blood and urine concentrations of the substances or their
       metabolites.

OPHS   Exposure of the population to pesticides, heavy metals,     Population   Environmental Health   Outcome   Health System
       and selected environmental chemicals, as measured by
       blood and urine concentrations of the substances or their
       metabolites.

OPHS   Exposure of the population to pesticides, heavy metals,     Population   Environmental Health   Outcome   Health System
       and selected environmental chemicals, as measured by
       blood and urine concentrations of the substances or their
       metabolites.

OPHS   Exposure of the population to pesticides, heavy metals,     Population   Environmental Health   Outcome   Health System
       and selected environmental chemicals, as measured by
       blood and urine concentrations of the substances or their
       metabolites.

OPHS   Exposure of the population to pesticides, heavy metals,     Population   Environmental Health   Outcome   Health System
       and selected environmental chemicals, as measured by
       blood and urine concentrations of the substances or their
       metabolites.

OPHS   Exposure of the population to pesticides, heavy metals,     Population   Environmental Health   Outcome   Health System
       and selected environmental chemicals, as measured by
       blood and urine concentrations of the substances or their
       metabolites.

OPHS   Exposure of the population to pesticides, heavy metals,     Population   Environmental Health   Outcome   Health System
       and selected environmental chemicals, as measured by
       blood and urine concentrations of the substances or their
       metabolites.

OPHS   Exposure of the population to pesticides, heavy metals,     Population   Environmental Health   Outcome   Health System
       and selected environmental chemicals, as measured by
       blood and urine concentrations of the substances or their
       metabolites.

OPHS   Exposure of the population to pesticides, heavy metals,     Population   Environmental Health   Outcome   Health System
       and selected environmental chemicals, as measured by
       blood and urine concentrations of the substances or their
       metabolites.

OPHS   Exposure of the population to pesticides, heavy metals,     Population   Environmental Health   Outcome   Health System
       and selected environmental chemicals, as measured by
       blood and urine concentrations of the substances or their
       metabolites.
OPHS   Exposure of the population to pesticides, heavy metals,       Population   Environmental Health   Outcome   Health System
       and selected environmental chemicals, as measured by
       blood and urine concentrations of the substances or their
       metabolites.
OPHS   Number of Territories, Tribes, and States and the District of Population   Environmental Health   Process   Health System
       Columbia that monitor diseases or conditions that can be
       caused by exposure to environmental hazards.

OPHS   Number of Territories, Tribes, and States and the District of Population   Environmental Health   Process   Health System
       Columbia that monitor diseases or conditions that can be
       caused by exposure to environmental hazards.

OPHS   Number of Territories, Tribes, and States and the District of Population   Environmental Health   Process   Health System
       Columbia that monitor diseases or conditions that can be
       caused by exposure to environmental hazards.

OPHS   Number of Territories, Tribes, and States and the District of Population   Environmental Health   Process   Health System
       Columbia that monitor diseases or conditions that can be
       caused by exposure to environmental hazards.

OPHS   Number of Territories, Tribes, and States and the District of Population   Environmental Health   Process   Health System
       Columbia that monitor diseases or conditions that can be
       caused by exposure to environmental hazards.

OPHS   Number of Territories, Tribes, and States and the District of Population   Environmental Health   Process   Health System
       Columbia that monitor diseases or conditions that can be
       caused by exposure to environmental hazards.

OPHS   Number of Territories, Tribes, and States and the District of Population   Environmental Health   Process   Health System
       Columbia that monitor diseases or conditions that can be
       caused by exposure to environmental hazards.

OPHS   Number of Territories, Tribes, and States and the District of Population   Environmental Health   Process   Health System
       Columbia that monitor diseases or conditions that can be
       caused by exposure to environmental hazards.

OPHS   Number of Territories, Tribes, and States and the District of Population   Environmental Health   Process   Health System
       Columbia that monitor diseases or conditions that can be
       caused by exposure to environmental hazards.

OPHS   Number of Territories, Tribes, and States and the District of Population   Environmental Health   Process   Health System
       Columbia that monitor diseases or conditions that can be
       caused by exposure to environmental hazards.

OPHS   Number of Territories, Tribes, and States and the District of Population   Environmental Health   Process   Health System
       Columbia that monitor diseases or conditions that can be
       caused by exposure to environmental hazards.

OPHS   Number of Territories, Tribes, and States and the District of Population   Environmental Health   Process   Health System
       Columbia that monitor diseases or conditions that can be
       caused by exposure to environmental hazards.

OPHS   Global burden of disease due to poor water quality,          Population    Environmental Health   Outcome   Health System
       sanitation, and personal and domestic hygiene.
OPHS   Proportion of the population in the United States-Mexico   Population   Environmental Health   Process   Health System
       border region who have adequate drinking water and
       sanitation facilities.




OPHS   Proportion of the population in the United States-Mexico   Population   Environmental Health   Process   Health System
       border region who have adequate drinking water and
       sanitation facilities.




OPHS   Proportion of the population in the United States-Mexico   Population   Environmental Health   Process   Health System
       border region who have adequate drinking water and
       sanitation facilities.




OPHS   Proportion of the population in the United States-Mexico   Population   Environmental Health   Process   Health System
       border region who have adequate drinking water and
       sanitation facilities.




OPHS   Proportion of the population in the United States-Mexico   Population   Environmental Health   Process   Health System
       border region who have adequate drinking water and
       sanitation facilities.
OPHS   Proportion of the population in the United States-Mexico   Population   Environmental Health   Process   Health System
       border region who have adequate drinking water and
       sanitation facilities.




OPHS   Proportion of the population in the United States-Mexico   Population   Environmental Health   Process   Health System
       border region who have adequate drinking water and
       sanitation facilities.




OPHS   Proportion of the population in the United States-Mexico   Population   Environmental Health   Process   Health System
       border region who have adequate drinking water and
       sanitation facilities.




OPHS   Proportion of the population in the United States-Mexico   Population   Environmental Health   Process   Health System
       border region who have adequate drinking water and
       sanitation facilities.




OPHS   Proportion of the population in the United States-Mexico   Population   Environmental Health   Process   Health System
       border region who have adequate drinking water and
       sanitation facilities.




OPHS   Proportion of the population in the United States-Mexico   Population   Environmental Health   Process   Health System
       border region who have adequate drinking water and
       sanitation facilities.
OPHS   Proportion of the population in the United States-Mexico     Population               Environmental Health      Process   Health System
       border region who have adequate drinking water and
       sanitation facilities.




OPHS   Pregnancies that are intended.                               Population               Maternal & Child Health   Outcome   Health System




OPHS   Pregnancies that are intended.                               Population               Maternal & Child Health   Outcome   Health System

OPHS   Females at risk of unintended pregnancy (and their partners)Population
                                                                    who use contraception.   Maternal & Child Health   Process   Health System

OPHS   Females experiencing pregnancy despite use of reversible Population                   Maternal & Child Health   Process   Health System
       contraception.




OPHS   Male involvement in pregnancy prevention and family          Population               Maternal & Child Health   Process   Health System
       planning efforts.
OPHS   Male involvement in pregnancy prevention and family          Population               Maternal & Child Health   Process   Health System
       planning efforts.
OPHS   Male involvement in pregnancy prevention and family          Population               Maternal & Child Health   Process   Health System
       planning efforts.
OPHS   Pregnancies among adolescent females.                        Population               Maternal & Child Health   Outcome   Health System




OPHS   Proportion of adolescents who have never engaged in          Population               Maternal & Child Health   Process   Health System
       sexual intercourse before age 15 years.
OPHS   Proportion of adolescents who have never engaged in          Population               Maternal & Child Health   Process   Health System
       sexual intercourse before age 15 years.
OPHS   Proportion of adolescents who have never engaged in          Population               Maternal & Child Health   Outcome   Health System
       sexual intercourse.
OPHS   Proportion of adolescents who have never engaged in          Population               Maternal & Child Health   Outcome   Health System
       sexual intercourse.
OPHS   Proportion of sexually active, unmarried adolescents aged    Population               Maternal & Child Health   Process   Health System
       15 to 17 years who use contraception that both effectively
       prevents pregnancy and provides barrier protection against
       disease.
OPHS   Proportion of sexually active, unmarried adolescents aged    Population               Maternal & Child Health   Process   Health System
       15 to 17 years who use contraception that both effectively
       prevents pregnancy and provides barrier protection against
       disease.
OPHS   Proportion of sexually active, unmarried adolescents aged    Population   Maternal & Child Health   Process   Health System
       15 to 17 years who use contraception that both effectively
       prevents pregnancy and provides barrier protection against
       disease.
OPHS   Proportion of sexually active, unmarried adolescents aged    Population   Maternal & Child Health   Process   Health System
       15 to 17 years who use contraception that both effectively
       prevents pregnancy and provides barrier protection against
       disease.
OPHS   Proportion of sexually active, unmarried adolescents aged    Population   Maternal & Child Health   Process   Health System
       15 to 17 years who use contraception that both effectively
       prevents pregnancy and provides barrier protection against
       disease.
OPHS   Proportion of sexually active, unmarried adolescents aged    Population   Maternal & Child Health   Process   Health System
       15 to 17 years who use contraception that both effectively
       prevents pregnancy and provides barrier protection against
       disease.
OPHS   Proportion of sexually active, unmarried adolescents aged    Population   Maternal & Child Health   Process   Health System
       15 to 17 years who use contraception that both effectively
       prevents pregnancy and provides barrier protection against
       disease.
OPHS   Proportion of sexually active, unmarried adolescents aged    Population   Maternal & Child Health   Process   Health System
       15 to 17 years who use contraception that both effectively
       prevents pregnancy and provides barrier protection against
       disease.
OPHS   Proportion of young adults who have received formal or       Population   Maternal & Child Health   Process   Health System
       informal instruction before turning age 18 years on the
       following reproductive health issues: birth control
       measures, HIV/AIDS prevention through safer sex
       practices, and sexually transmitted diseases.
OPHS   Proportion of young adults who have received formal or       Population   Maternal & Child Health   Process   Health System
       informal instruction before turning age 18 years on the
       following reproductive health issues: birth control
       measures, HIV/AIDS prevention through safer sex
       practices, and sexually transmitted diseases.
OPHS   Proportion of young adults who have received formal or       Population   Maternal & Child Health   Process   Health System
       informal instruction before turning age 18 years on the
       following reproductive health issues: birth control
       measures, HIV/AIDS prevention through safer sex
       practices, and sexually transmitted diseases.
OPHS   Proportion of young adults who have received formal or       Population   Maternal & Child Health   Process   Health System
       informal instruction before turning age 18 years on the
       following reproductive health issues: birth control
       measures, HIV/AIDS prevention through safer sex
       practices, and sexually transmitted diseases.
OPHS   Proportion of young adults who have received formal or       Population   Maternal & Child Health   Process   Health System
       informal instruction before turning age 18 years on the
       following reproductive health issues: birth control
       measures, HIV/AIDS prevention through safer sex
       practices, and sexually transmitted diseases.
OPHS   Proportion of young adults who have received formal or       Population   Maternal & Child Health   Process   Health System
       informal instruction before turning age 18 years on the
       following reproductive health issues: birth control
       measures, HIV/AIDS prevention through safer sex
       practices, and sexually transmitted diseases.
OPHS   Proportion of young adults who have received formal or       Population   Maternal & Child Health   Process   Health System
       informal instruction before turning age 18 years on the
       following reproductive health issues: birth control
       measures, HIV/AIDS prevention through safer sex
       practices, and sexually transmitted diseases.
OPHS   Proportion of young adults who have received formal or       Population             Maternal & Child Health   Process   Health System
       informal instruction before turning age 18 years on the
       following reproductive health issues: birth control
       measures, HIV/AIDS prevention through safer sex
       practices, and sexually transmitted diseases.
OPHS   Proportion of young adults who have received formal or       Population             Maternal & Child Health   Process   Health System
       informal instruction before turning age 18 years on the
       following reproductive health issues: birth control
       measures, HIV/AIDS prevention through safer sex
       practices, and sexually transmitted diseases.
OPHS   Proportion of young adults who have received formal or       Population             Maternal & Child Health   Process   Health System
       informal instruction before turning age 18 years on the
       following reproductive health issues: birth control
       measures, HIV/AIDS prevention through safer sex
       practices, and sexually transmitted diseases.
OPHS   Proportion of married couples whose ability to conceive or   Population             Maternal & Child Health   Outcome   Health System
       maintain a pregnancy is impaired.
OPHS   Proportion of health insurance plans that cover              Health Care Delivery   Access                    Process   Health System
       contraceptive supplies and services.
OPHS   Infections caused by key foodborne pathogens.                Infectious Diseases    Foodborne                 Outcome   Health System



OPHS   Infections caused by key foodborne pathogens.                Infectious Diseases    Foodborne                 Outcome   Health System



OPHS   Infections caused by key foodborne pathogens.                Infectious Diseases    Foodborne                 Outcome   Health System



OPHS   Infections caused by key foodborne pathogens.                Infectious Diseases    Foodborne                 Outcome   Health System



OPHS   Infections caused by key foodborne pathogens.                Infectious Diseases    Foodborne                 Outcome   Health System



OPHS   Infections caused by key foodborne pathogens.                Infectious Diseases    Foodborne                 Outcome   Health System

OPHS   Infections caused by key foodborne pathogens.                Infectious Diseases    Foodborne                 Outcome   Health System

OPHS   Deaths and illness from sever foodborne allergies.           Infectious Diseases    Foodborne                 Outcome   Health System



OPHS   Deaths and illness from sever foodborne allergies.           Infectious Diseases    Foodborne                 Outcome   Health System



OPHS   Consumers who follow key food safety practices.              Infectious Diseases    Foodborne                 Process   Health System

OPHS   Food employee behaviors and food preparation practices       Infectious Diseases    Foodborne                 Process   Health System
       that directly relate to foodborne illnesses in retail food
       establishments.
OPHS   Food employee behaviors and food preparation practices       Infectious Diseases    Foodborne                 Process   Health System
       that directly relate to foodborne illnesses in retail food
       establishments.
OPHS   Food employee behaviors and food preparation practices       Infectious Diseases    Foodborne                 Process   Health System
       that directly relate to foodborne illnesses in retail food
       establishments.
OPHS   Food employee behaviors and food preparation practices       Infectious Diseases   Foodborne                    Process   Health System
       that directly relate to foodborne illnesses in retail food
       establishments.
OPHS   Food employee behaviors and food preparation practices       Infectious Diseases   Foodborne                    Process   Health System
       that directly relate to foodborne illnesses in retail food
       establishments.
OPHS   Food employee behaviors and food preparation practices       Infectious Diseases   Foodborne                    Process   Health System
       that directly relate to foodborne illnesses in retail food
       establishments.
OPHS   Food employee behaviors and food preparation practices       Infectious Diseases   Foodborne                    Process   Health System
       that directly relate to foodborne illnesses in retail food
       establishments.
OPHS   Food employee behaviors and food preparation practices       Infectious Diseases   Foodborne                    Process   Health System
       that directly relate to foodborne illnesses in retail food
       establishments.
OPHS   Food employee behaviors and food preparation practices       Infectious Diseases   Foodborne                    Process   Health System
       that directly relate to foodborne illnesses in retail food
       establishments.
OPHS   Households with access to the internet at home.              Population            Communication                Process   Health System



OPHS   Health literacy of the population.                           Population            Communication                Outcome   Health System

OPHS   Health communication activities that include research and    Population            Communication                Process   Health System
       evaluation.


OPHS   Coronary heart disease deaths.                               Cardiovascular        Acute Myocardial             Outcome   Health System
                                                                                          Infarction/Coronary Artery
                                                                                          Disease
OPHS   Adults aged 20 years and older who are aware of the early Cardiovascular           Acute Myocardial             Process   Health System
       warning symptoms and signs of a heart attack and the                               Infarction/Coronary Artery
       importance of accessing rapid emergency care by calling                            Disease
       911.
OPHS   Eligible patients with heart attacks who receive timely      Cardiovascular        Acute Myocardial             Process   Hospital Inpatient
       artery-opening therapy from symptom onset.                                         Infarction/Coronary Artery
                                                                                          Disease


OPHS   Eligible patients with heart attacks who receive timely      Cardiovascular        Acute Myocardial             Process   Hospital Inpatient
       artery-opening therapy from symptom onset.                                         Infarction/Coronary Artery
                                                                                          Disease


OPHS   Persons trained in cardiopulmonary resuscitation (CPR) in Cardiovascular           Cardiovascular - Other       Process   Health System
       the past year.
OPHS   Persons who witnessed out-of-hospital cardiac arrest who Cardiovascular            Acute Myocardial             Process   Health System
       receive their first therapeutic electrical shock within 6                          Infarction/Coronary Artery
       minutes after collapse recognition.                                                Disease




OPHS   Hospitalizations in older adults with congestive heart failure Cardiovascular      Heart Failure                Outcome   Hospital Inpatient
       as the principal diagnosis.
OPHS   Hospitalizations in older adults with congestive heart failure Cardiovascular      Heart Failure                Outcome   Hospital Inpatient
       as the principal diagnosis.
OPHS   Hospitalizations in older adults with congestive heart failure Cardiovascular      Heart Failure                Outcome   Hospital Inpatient
       as the principal diagnosis.
OPHS   Stroke deaths.                                                Cardiovascular        Stroke                           Outcome   Health System

OPHS   Adults aware of the early warning signs/symptoms of           Cardiovascular        Stroke                           Process   Health System
       stroke and importance of accessing rapid emergency care
       by calling 911.
OPHS   Adults with blood pressure.                                   Cardiovascular        Hypertension                     Outcome   Ambulatory


OPHS   Adults with high blood pressure whose blood pressure is       Cardiovascular        Hypertension                     Outcome   Ambulatory
       under control.


OPHS   Adults with high blood pressure who are taking action.        Cardiovascular        Hypertension                     Process   Ambulatory


OPHS   Adults who have had their blood pressure measured within Cardiovascular             Hypertension                     Process   Ambulatory
       the preceding 2 years and can state whether their blood
       pressure was normal or high.
OPHS   Blood cholesterol in adults.                             Cardiovascular             Cholesterol                      Outcome   Ambulatory


OPHS   Adults with high total blood cholesterol levels.              Cardiovascular        Cholesterol                      Outcome   Ambulatory


OPHS   Adults who have had their blood cholesterol checked within Cardiovascular           Cholesterol                      Process   Ambulatory
       the last 5 years.
OPHS   Persons with coronary heart disease who have had their     Cardiovascular           Cholesterol                      Process   Ambulatory
       LDL-cholesterol level treated to a goal of less than 100
       mg/ml.

OPHS   AIDS among adults and adolescents.                            Infectious Diseases   HIV/AIDS                         Outcome   Health System

OPHS   New AIDS cases among adolescent and adult men who             Infectious Diseases   HIV/AIDS                         Outcome   Health System
       have sex with men.
OPHS   New AIDS cases among females and males who inject             Infectious Diseases   HIV/AIDS                         Outcome   Health System
       drugs.
OPHS   New AIDS cases among adolescent and adult men who             Infectious Diseases   HIV/AIDS                         Outcome   Health System
       have sex with men and inject drugs.
OPHS   Sexually active persons who use condoms.                      Infectious Diseases   Sexually Transmitted Infection   Process   Health System

OPHS   Sexually active persons who use condoms.                      Infectious Diseases   Sexually Transmitted Infection   Process   Health System

OPHS   Substance abuse treatment facilities that offer HIV/AIDS      Infectious Diseases   HIV/AIDS                         Process   Health System
       education, counseling, and support.

OPHS   Adults with tuberculosis (TB) who have been tested for        Infectious Diseases   HIV/AIDS                         Process   Health System
       HIV.
OPHS   HIV infected persons aged 13 years and older receiving        Infectious Diseases   HIV/AIDS                         Process   Health System
       testing, treatment, and prophylaxis consistent with current
       public health service guidelines.
OPHS   HIV infected persons aged 13 years and older receiving        Infectious Diseases   HIV/AIDS                         Process   Health System
       testing, treatment, and prophylaxis consistent with current
       public health service guidelines.
OPHS   HIV infected persons aged 13 years and older receiving        Infectious Diseases   HIV/AIDS                         Process   Health System
       testing, treatment, and prophylaxis consistent with current
       public health service guidelines.
OPHS   HIV infected persons aged 13 years and older receiving        Infectious Diseases   HIV/AIDS                         Process   Health System
       testing, treatment, and prophylaxis consistent with current
       public health service guidelines.
OPHS   Deaths from HIV infection.                                    Infectious Diseases   HIV/AIDS                         Outcome   Health System

OPHS   HIV-infected persons surviving more than 3 years after a      Infectious Diseases   HIV/AIDS                         Outcome   Health System
       diagnosis of AIDS.
OPHS   New cases of perinatally acquired HIV/AIDS diagnosed   Infectious Diseases   HIV/AIDS                        Outcome   Health System
       each year and perinatally acquired AIDS.
OPHS   Indigenous cases of vaccine-preventable diseases.      Immunizations         Child/Adolescent Immunization   Outcome   Health System




OPHS   Indigenous cases of vaccine-preventable diseases.      Immunizations         Child/Adolescent Immunization   Outcome   Health System




OPHS   Indigenous cases of vaccine-preventable diseases.      Immunizations         Child/Adolescent Immunization   Outcome   Health System




OPHS   Indigenous cases of vaccine-preventable diseases.      Immunizations         Child/Adolescent Immunization   Outcome   Health System
OPHS   Indigenous cases of vaccine-preventable diseases.   Immunizations   Child/Adolescent Immunization   Outcome   Health System




OPHS   Indigenous cases of vaccine-preventable diseases.   Immunizations   Child/Adolescent Immunization   Outcome   Health System




OPHS   Vaccine-preventable diseases.                       Immunizations   Child/Adolescent Immunization   Outcome   Health System




OPHS   Indigenous cases of vaccine-preventable diseases.   Immunizations   Child/Adolescent Immunization   Outcome   Health System




OPHS   Indigenous cases of vaccine-preventable diseases.   Immunizations   Child/Adolescent Immunization   Outcome   Health System
OPHS   Indigenous cases of vaccine-preventable diseases.           Immunizations         Child/Adolescent Immunization   Outcome   Health System




OPHS   Indigenous cases of vaccine-preventable diseases.           Immunizations         Child/Adolescent Immunization   Outcome   Health System




OPHS   Chronic hepatitis B virus infections in infants and young   Infectious Diseases   Hepatitis B                     Outcome   Health System
       children (perinatal infections).




OPHS   Hepatitis B.                                                Infectious Diseases   Hepatitis B                     Outcome   Health System




OPHS   Hepatitis B.                                                Infectious Diseases   Hepatitis B                     Outcome   Health System




OPHS   Hepatitis B.                                                Infectious Diseases   Hepatitis B                     Outcome   Health System




OPHS   Hepatitis B.                                                Infectious Diseases   Hepatitis B                     Outcome   Health System




OPHS   Hepatitis B.                                                Infectious Diseases   Hepatitis B                     Outcome   Health System




OPHS   Hepatitis B.                                                Infectious Diseases   Hepatitis B                     Outcome   Health System
OPHS   Hepatitis B.                                                Infectious Diseases   Hepatitis B                     Outcome   Health System



OPHS   Bacterial meningitis in young children.                     Infectious Diseases   Childhood Infectious Diseases   Outcome   Health System


OPHS   Invasive pneumococcal infections.                           Infectious Diseases   Childhood Infectious Diseases   Outcome   Health System




OPHS   Invasive pneumococcal infections.                           Infectious Diseases   Childhood Infectious Diseases   Outcome   Health System




OPHS   Invasive pneumococcal infections.                           Infectious Diseases   Childhood Infectious Diseases   Outcome   Health System




OPHS   Invasive pneumococcal infections.                           Infectious Diseases   Childhood Infectious Diseases   Outcome   Health System




OPHS   Hepatitis A.                                                Infectious Diseases   Hepatitis A                     Outcome   Health System


OPHS   Meningococcal disease.                                      Infectious Diseases   Infectious Diseases - Other     Outcome   Health System




OPHS   Lyme disease.                                               Infectious Diseases   Infectious Diseases - Other     Outcome   Health System


OPHS   Hepatitis C.                                                Infectious Diseases   Hepatitis C                     Outcome   Health System

OPHS   Tuberculosis.                                               Infectious Diseases   Tuberculosis                    Outcome   Health System

OPHS   Tuberculosis patients who complete curative therapy within Infectious Diseases    Tuberculosis                    Process   Health System
       12 months.

OPHS   Persons with latent tuberculosis infection who complete a   Infectious Diseases   Tuberculosis                    Process   Health System
       course of treatment.

OPHS   Average time for a laboratory to confirm and report         Infectious Diseases   Tuberculosis                    Process   Health System
       tuberculosis cases.


OPHS   Invasive early onset Group B Streptococcal disease.         Infectious Diseases   Childhood Infectious Diseases   Outcome   Health System


OPHS   Hospitalizations caused by peptic ulcer disease in the      Gastrointestinal      Reflux/Peptic Ulcer             Outcome   Health System
       United States.
OPHS   Number of courses of antibiotics for ear infections for     Infectious Diseases   Ear Infection                   Process   Health System
       young children.
OPHS   Number of antibiotics prescribed for the sole diagnosis of   Infectious Diseases   Childhood Infectious Diseases   Process   Health System
       the common cold.



OPHS   Sexual assault other than rape.                              Population            Injuries                        Outcome   Health System



OPHS   Physical assaults.                                           Population            Injuries                        Outcome   Health System



OPHS   Physical fighting among adolescents.                         Population            Injuries                        Process   Health System


OPHS   Weapon carrying by adolescents on school property.           Population            Injuries                        Process   Health System


OPHS   Fetal and infant deaths.                                     Population            Maternal & Child Health         Outcome   Health System


OPHS   Fetal and infant deaths.                                     Population            Maternal & Child Health         Outcome   Health System


OPHS   Fetal and infant deaths.                                     Population            Maternal & Child Health         Outcome   Health System


OPHS   Fetal and infant deaths.                                     Population            Maternal & Child Health         Outcome   Health System


OPHS   Fetal and infant deaths.                                     Population            Maternal & Child Health         Outcome   Health System


OPHS   Fetal and infant deaths.                                     Population            Maternal & Child Health         Outcome   Health System


OPHS   Fetal and infant deaths.                                     Population            Maternal & Child Health         Outcome   Health System


OPHS   Fetal and infant deaths.                                     Population            Maternal & Child Health         Outcome   Health System


OPHS   Rate of child deaths.                                        Population            Maternal & Child Health         Outcome   Health System

OPHS   Rate of child deaths.                                        Population            Maternal & Child Health         Outcome   Health System

OPHS   Reduce deaths of adolescents and young adults.               Population            Maternal & Child Health         Outcome   Health System

OPHS   Reduce deaths of adolescents and young adults.               Population            Maternal & Child Health         Outcome   Health System

OPHS   Reduce deaths of adolescents and young adults.               Population            Maternal & Child Health         Outcome   Health System

OPHS   Reduce maternal deaths.                                      Population            Maternal & Child Health         Outcome   Health System


OPHS   Reduce maternal illness and complications due to             Population            Maternal & Child Health         Outcome   Health System
       pregnancy.
OPHS   Proportion of pregnant women who receive early and           Population            Maternal & Child Health         Process   Health System
       adequate prenatal care.
OPHS   Proportion of pregnant women who receive early and           Population            Maternal & Child Health         Process   Health System
       adequate prenatal care.
OPHS   Proportion of pregnant women who attend a series of            Population   Maternal & Child Health   Process   Health System
       prepared childbirth classes.

OPHS   Proportion of very low birth weight (VLBW) infants born at     Population   Maternal & Child Health   Process   Health System
       level III hospitals or subspecialty perinatal centers.
OPHS   Cesarean births among low-risk (full-term, singleton, vertex   Population   Maternal & Child Health   Outcome   Health System
       presentation) women.
OPHS   Cesarean births among low-risk (full-term, singleton, vertex   Population   Maternal & Child Health   Outcome   Health System
       presentation) women.
OPHS   Low birth weight (LBW) and very low birth weight (VLBW).       Population   Maternal & Child Health   Outcome   Health System

OPHS   Low birth weight (LBW) and very low birth weight (VLBW).       Population   Maternal & Child Health   Outcome   Health System

OPHS   Proportion of mothers who breastfeed their babies..            Population   Maternal & Child Health   Process   Health System

OPHS   Preterm births.                                                Population   Maternal & Child Health   Outcome   Health System

OPHS   Preterm births.                                                Population   Maternal & Child Health   Outcome   Health System

OPHS   Preterm births.                                                Population   Maternal & Child Health   Outcome   Health System

OPHS   Percentage of healthy full-term infants who are put down to Population      Maternal & Child Health   Process   Health System
       sleep on their backs.
OPHS   Occurrence of developmental disabilities.                   Population      Maternal & Child Health   Outcome   Health System




OPHS   Occurrence of developmental disabilities.                      Population   Maternal & Child Health   Outcome   Health System



OPHS   Occurrence of developmental disabilities.                      Population   Maternal & Child Health   Outcome   Health System



OPHS   Occurrence of spina bifida and other neural tube defects.      Population   Maternal & Child Health   Outcome   Health System



OPHS   Proportion of pregnancies begun with an optimum folic acid Population       Maternal & Child Health   Process   Health System
       level.

OPHS   Proportion of pregnancies begun with an optimum folic acid Population       Maternal & Child Health   Process   Health System
       level.

OPHS   Abstinence from alcohol, cigarettes, and illicit drugs among   Population   Maternal & Child Health   Process   Health System
       pregnant women.
OPHS   Abstinence from alcohol, cigarettes, and illicit drugs among   Population   Maternal & Child Health   Process   Health System
       pregnant women.
OPHS   Abstinence from alcohol, cigarettes, and illicit drugs among   Population   Maternal & Child Health   Process   Health System
       pregnant women.
OPHS   Abstinence from alcohol, cigarettes, and illicit drugs among   Population   Maternal & Child Health   Process   Health System
       pregnant women.
OPHS   Occurrence of fetal alcohol syndrome (FAS).                    Population   Maternal & Child Health   Outcome   Health System


OPHS   Proportion of mothers who breastfeed their babies.             Population   Maternal & Child Health   Outcome   Health System

OPHS   Proportion of mothers who breastfeed their babies.             Population   Maternal & Child Health   Outcome   Health System

OPHS   Proportion of mothers who breastfeed their babies.             Population   Maternal & Child Health   Outcome   Health System
OPHS   Proportion of mothers who breastfeed their babies.           Population             Maternal & Child Health   Outcome   Health System

OPHS   Proportion of mothers who breastfeed their babies.           Population             Maternal & Child Health   Outcome   Health System

OPHS   Hospitalization for sickle cell disease among children aged Population              Maternal & Child Health   Outcome   Health System
       9 years and under.
OPHS   Proportion of children with special health care needs who Health Care Delivery      Access                    Outcome   Ambulatory
       have access to a medical home.

OPHS   Proportion of children with special health care needs who Health Care Delivery      Management of Care        Process   Health System
       receive their care in family-centered, comprehensive and
       coordinated systems.
OPHS   Proportion of health care organizations that are monitoring Patient Safety          Complications             Process   Health System
       and analyzing adverse events associated with medical
       therapies within their systems.

OPHS   Proportion of health care providers and organizations that   Health Care Delivery   Health Care Information   Process   Health System
       are using information technology.                                                   Technology




OPHS   Use of electronic medical record (EMR).                      Health Care Delivery   Health Care Information   Process   Hospital Inpatient
                                                                                           Technology




OPHS   Use of computerized prescriber order entry (CPOE).           Health Care Delivery   Health Care Information   Process   Hospital Inpatient
                                                                                           Technology




OPHS   Use of electronic prescription ordering.                     Health Care Delivery   Health Care Information   Process   Hospital Inpatient
                                                                                           Technology




OPHS   Proportion of patients receiving information that meets      Patient Safety         Medication Management     Process   Ambulatory
       guidelines for usefulness when their new prescriptions are
       dispensed.

OPHS   Proportion of patient who receive verbal counseling from     Patient Safety         Medication Management     Process   Ambulatory
       prescribers and pharmacists on the appropriate use and
       potential risks of medications.

OPHS   Proportion of patient who receive verbal counseling from     Patient Safety         Medication Management     Process   Ambulatory
       prescribers and pharmacists on the appropriate use and
       potential risks of medications.

OPHS   Proportion of persons who donate blood, and in so doing      Population             Community                 Process   Health System
       ensure an adequate supply of safe blood.
OPHS   Suicide rate.                                                Mental Health          Suicide                   Outcome   Health System

OPHS   Suicide attempts by adolescents.                             Mental Health          Suicide                   Outcome   Health System
OPHS   Proportion of homeless adults with mental health problems Mental Health           Mental Health - Other   Process   Health System
       who receive mental health services.


OPHS   Proportion of persons with serious mental illness (SMI) who Mental Health         Mental Health - Other   Process   Health System
       are employed.
OPHS   Proportion of adolescents who engage in disordered eating Mental Health           Mental Health - Other   Process   Health System
       behaviors in an attempt to control their weight.

OPHS   Proportion of children with mental health problems who        Mental Health       Mental Health - Other   Process   Health System
       receive treatment.
OPHS   Proportion of adults with mental disorders who receive        Mental Health       Mental Health - Other   Process   Health System
       treatment.


OPHS   Proportion of adults with mental disorders who receive        Mental Health       Depression              Process   Health System
       treatment.


OPHS   Proportion of adults with mental disorders who receive        Mental Health       Mental Health - Other   Process   Health System
       treatment.


OPHS   Proportion of adults with mental disorders who receive        Mental Health       Mental Health - Other   Process   Health System
       treatment.


OPHS   Proportion of persons with co-occurring substance abuse       Behavioral Health   Substance Abuse         Outcome   Health System
       and mental disorders who receive treatment for both
       disorders.

OPHS   Proportion of adults who are at healthy weight.               Obesity                                     Outcome   Health System


OPHS   Proportion of adults who are obese.                           Obesity                                     Outcome   Health System


OPHS   Proportion of children and adolescents who are overweight Obesity                                         Outcome   Health System
       or obese.

OPHS   Proportion of children and adolescents who are overweight Obesity                                         Outcome   Health System
       or obese.

OPHS   Proportion of children and adolescents who are overweight Obesity                                         Outcome   Health System
       or obese.

OPHS   Growth retardation among low-income children under age 5 Population               Nutrition & Exercise    Outcome   Health System
       years.

OPHS   Proportion of persons aged 2 years and older who              Population          Nutrition & Exercise    Outcome   Health System
       consume at least 2 daily servings of fruit.


OPHS   Proportion of persons aged 2 years and older who              Population          Nutrition & Exercise    Outcome   Health System
       consume at least 3 daily servings of vegetables, with at
       least one serving being dark green or orange vegetables.

OPHS   Proportion of persons aged 2 years and older who              Population          Nutrition & Exercise    Outcome   Health System
       consume at least six daily servings of grain products, with
       at least three being whole grains.
OPHS   Proportion of persons aged 2 years and older who                Population   Nutrition & Exercise      Outcome   Health System
       consume less than 10 percent of calories from saturated
       fat.

OPHS   Proportion of persons aged 2 years and older who            Population       Nutrition & Exercise      Outcome   Health System
       consume no more than 30 percent of calories from total fat.


OPHS   Proportion of persons aged 2 years and older who                Population   Nutrition & Exercise      Outcome   Health System
       consume 2,400 mg or less of sodium daily.

OPHS   Iron deficiency among children and females of childbearing Population        Maternal & Child Health   Outcome   Health System
       age.

OPHS   Iron deficiency among children and females of childbearing Population        Maternal & Child Health   Outcome   Health System
       age.

OPHS   Iron deficiency among children and females of childbearing Population        Maternal & Child Health   Outcome   Health System
       age.

OPHS   Anemia among low-income pregnant females in their third         Population   Maternal & Child Health   Outcome   Health System
       trimester.

OPHS   Proportion of physician office visits made by patients with a Population     Nutrition & Exercise      Process   Ambulatory
       diagnosis of cardiovascular disease, diabetes, or
       hyperlipidemia that include counseling or education related
       to diet and nutrition.

OPHS   Food security in U.S. households.                               Population   Nutrition & Exercise      Outcome   Health System



OPHS   Deaths from work-related injuries.                              Population   Occupational Health       Outcome   Health System

OPHS   Deaths from work-related injuries.                              Population   Occupational Health       Outcome   Health System

OPHS   Deaths from work-related injuries.                              Population   Occupational Health       Outcome   Health System

OPHS   Deaths from work-related injuries.                              Population   Occupational Health       Outcome   Health System

OPHS   Deaths from work-related injuries.                              Population   Occupational Health       Outcome   Health System

OPHS   Injuries resulting in medical treatment, lost time from work,   Population   Occupational Health       Outcome   Health System
       or restricted work activity in all industries.


OPHS   Injuries resulting in medical treatment, lost time from work,   Population   Occupational Health       Outcome   Health System
       or restricted work activity.


OPHS   Injuries resulting in medical treatment, lost time from work,   Population   Occupational Health       Outcome   Health System
       or restricted work activity.


OPHS   Injuries resulting in medical treatment, lost time from work,   Population   Occupational Health       Outcome   Health System
       or restricted work activity.


OPHS   Injuries resulting in medical treatment, lost time from work,   Population   Occupational Health       Outcome   Health System
       or restricted work activity.
OPHS   Injuries resulting in medical treatment, lost time from work,   Population                           Occupational Health   Outcome   Health System
       or restricted work activity.


OPHS   Injuries resulting in medical treatment, lost time from work,   Population                           Occupational Health   Outcome   Health System
       or restricted work activity.


OPHS   Injuries resulting in medical treatment, lost time from work,   Population                           Occupational Health   Outcome   Health System
       or restricted work activity.


OPHS   Injury and illness cases involving days away from work due Population                                Occupational Health   Outcome   Health System
       to overexertion or repetitive motion.
OPHS   Pneumoconiosis deaths.                                     Population                                Occupational Health   Outcome   Health System


OPHS   Deaths from work-related homicides.                             Population                           Occupational Health   Outcome   Health System

OPHS   Work-related assaults.                                          Population                           Occupational Health   Outcome   Health System

OPHS   Proportion of adults who have elevated blood lead               Population                           Occupational Health   Outcome   Health System
       concentrations.

OPHS   Occupational skin diseases or disorders among full-time         Population                           Occupational Health   Outcome   Health System
       workers.
OPHS   Occupational needlestick injuries among hospital-based          Population                           Occupational Health   Outcome   Health System
       health care workers.




OPHS   New cases of work-related noise-induced hearing loss.           Population                           Occupational Health   Outcome   Health System


OPHS   Proportion of children and adolescents who have dental          Head, Eyes, Ears, Nose, and Throat   Dental                Outcome   Health System
       caries experience in their primary teeth.




OPHS   Proportion of children and adolescents who have dental          Head, Eyes, Ears, Nose, and Throat   Dental                Outcome   Health System
       caries experience in their primary and permanent teeth.




OPHS   Proportion of children and adolescents who have dental          Head, Eyes, Ears, Nose, and Throat   Dental                Outcome   Health System
       caries experience in their permanent teeth.
OPHS   Proportion of children, adolescents, and adults with        Head, Eyes, Ears, Nose, and Throat   Dental   Outcome   Health System
       untreated dental decay.




OPHS   Proportion of children, adolescents, and adults with        Head, Eyes, Ears, Nose, and Throat   Dental   Outcome   Health System
       untreated dental decay.




OPHS   Proportion of children, adolescents, and adults with        Head, Eyes, Ears, Nose, and Throat   Dental   Outcome   Health System
       untreated dental decay.




OPHS   Proportion of children, adolescents, and adults with        Head, Eyes, Ears, Nose, and Throat   Dental   Outcome   Health System
       untreated dental decay.




OPHS   Proportion of adults who have never had a permanent tooth Head, Eyes, Ears, Nose, and Throat     Dental   Outcome   Health System
       extracted because of dental caries or periodontal disease.




OPHS   Proportion of older adults who have had all their natural   Head, Eyes, Ears, Nose, and Throat   Dental   Outcome   Health System
       teeth extracted.



OPHS   Proportion of adults with periodontal disease.              Head, Eyes, Ears, Nose, and Throat   Dental   Outcome   Health System




OPHS   Proportion of adults with periodontal disease.              Head, Eyes, Ears, Nose, and Throat   Dental   Outcome   Health System




OPHS   Proportion of persons with oral and pharyngeal cancers      Head, Eyes, Ears, Nose, and Throat   Dental   Outcome   Health System
       detected at the earliest stage.
OPHS   Proportion of adults who in the past 12 months report       Head, Eyes, Ears, Nose, and Throat   Dental   Process   Health System
       having had an examination to detect oral and pharyngeal
       cancers.
OPHS   Proportion of children who have received dental sealants    Head, Eyes, Ears, Nose, and Throat   Dental   Process   Health System
       on their molar teeth.
OPHS   Proportion of children who have received dental sealants      Head, Eyes, Ears, Nose, and Throat   Dental                 Process   Health System
       on their molar teeth.




OPHS   Proportion of the U.S. population served by community         Head, Eyes, Ears, Nose, and Throat   Dental                 Process   Health System
       water systems with optimally fluoridated water.
OPHS   Proportion of children and adults who use the oral health     Head, Eyes, Ears, Nose, and Throat   Dental                 Process   Health System
       care system each year.
OPHS   Proportion of long-term care residents who use the oral       Head, Eyes, Ears, Nose, and Throat   Dental                 Process   Health System
       health care system each year.
OPHS   Proportion of low-income and adolescents who received         Head, Eyes, Ears, Nose, and Throat   Dental                 Process   Health System
       any preventive dental service during the past year.
OPHS   Proportion of adults who engage in no leisure-time physical   Population                           Nutrition & Exercise   Outcome   Health System
       activity.
OPHS   Asthma deaths.                                                Respiratory                          Asthma                 Outcome   Health System

OPHS   Asthma deaths.                                                Respiratory                          Asthma                 Outcome   Health System

OPHS   Asthma deaths.                                                Respiratory                          Asthma                 Outcome   Health System

OPHS   Asthma deaths.                                                Respiratory                          Asthma                 Outcome   Health System

OPHS   Asthma deaths.                                                Respiratory                          Asthma                 Outcome   Health System

OPHS   Hospitalizations for asthma.                                  Respiratory                          Asthma                 Outcome   Health System

OPHS   Hospitalizations for asthma.                                  Respiratory                          Asthma                 Outcome   Health System

OPHS   Hospitalizations for asthma.                                  Respiratory                          Asthma                 Outcome   Health System

OPHS   Hospital emergency department visits for asthma.              Respiratory                          Asthma                 Outcome   Health System



OPHS   Hospital emergency department visits for asthma.              Respiratory                          Asthma                 Outcome   Health System



OPHS   Hospital emergency department visits for asthma.              Respiratory                          Asthma                 Outcome   Health System



OPHS   Activity limitations among persons with asthma.               Respiratory                          Asthma                 Outcome   Health System

OPHS   Proportion of persons with asthma who receive formal          Respiratory                          Asthma                 Process   Health System
       patient education including information about community
       and self-help resources, as an essential part of the
       management of their condition.
OPHS   Proportion of persons with asthma who receive written         Respiratory                          Asthma                 Process   Health System
       asthma management plans from their health care provider
       according to the NAEPP Guidelines.
OPHS   Proportion of persons with asthma who receive written         Respiratory                          Asthma                 Process   Health System
       asthma management plans from their health care provider
       according to the NAEPP Guidelines.
OPHS   Proportion of persons with asthma who receive written         Respiratory                          Asthma                 Process   Health System
       asthma management plans from their health care provider
       according to the NAEPP Guidelines.
OPHS   Proportion of persons with asthma who receive written         Respiratory                          Asthma                 Process   Health System
       asthma management plans from their health care provider
       according to the NAEPP Guidelines
OPHS   Proportion of persons with asthma who receive written        Respiratory           Asthma                           Process   Health System
       asthma management plans from their health care provider
OPHS   Proportionto the NAEPP Guidelines
       according of persons with asthma who receive written          Respiratory          Asthma                           Process   Health System
       asthma management plans from their health care provider
       according to the NAEPP Guidelines.
OPHS   Proportion of adults whose activity is limited due to chronic Respiratory          Chronic Obstructive Pulmonary    Outcome   Health System
       lung and breathing problems.                                                       Disease
OPHS   Deaths from chronic obstructive pulmonary disease            Respiratory           Chronic Obstructive Pulmonary    Outcome   Health System
       (COPD) among adults.                                                               Disease
OPHS   Proportion of persons with symptoms of obstructive sleep     Respiratory           Sleep Apnea                      Outcome   Health System
       apnea whose condition is medically managed.

OPHS   Proportion of adolescents and young adults with chlamydia Infectious Diseases      Sexually Transmitted Infection   Outcome   Health System
       trachomatis infections.


OPHS   Proportion of adolescents and young adults with chlamydia Infectious Diseases      Sexually Transmitted Infection   Outcome   Health System
       trachomatis infections.


OPHS   Proportion of adolescents and young adults with chlamydia Infectious Diseases      Sexually Transmitted Infection   Outcome   Health System
       trachomatis infections.


OPHS   Proportion of adolescents and young adults with chlamydia Infectious Diseases      Sexually Transmitted Infection   Outcome   Health System
       trachomatis infections.


OPHS   Gonorrhea.                                                   Infectious Diseases   Sexually Transmitted Infection   Outcome   Health System

OPHS   Gonorrhea.                                                   Infectious Diseases   Sexually Transmitted Infection   Outcome   Health System

OPHS   Sustained domestic transmission of primary and secondary Infectious Diseases       Sexually Transmitted Infection   Outcome   Health System
       syphilis.
OPHS   Proportion of adults with genital herpes infection.      Infectious Diseases       Sexually Transmitted Infection   Outcome   Health System

OPHS   Proportion of persons with human papillomavirus (HPV)        Infectious Diseases   Sexually Transmitted Infection   Outcome   Health System
       infection.

OPHS   Proportion of females who have ever required treatment for Infectious Diseases     Sexually Transmitted Infection   Outcome   Health System
       pelvic inflammatory disease (PID).
OPHS   Proportion of childless females with fertility problems who Infectious Diseases    Sexually Transmitted Infection   Outcome   Health System
       have had a sexually transmitted disease or who have
       required treatment for pelvic inflammatory disease (PID).

OPHS   Congenital syphilis.                                         Infectious Diseases   Sexually Transmitted Infection   Outcome   Health System


OPHS   Proportion of adolescents who abstain from sexual            Infectious Diseases   Sexually Transmitted Infection   Process   Health System
       intercourse or use condoms if currently sexually active.

OPHS   Proportion of adolescents who abstain from sexual            Infectious Diseases   Sexually Transmitted Infection   Process   Health System
       intercourse or use condoms if currently sexually active.

OPHS   Proportion of adolescents who abstain from sexual            Infectious Diseases   Sexually Transmitted Infection   Process   Health System
       intercourse or use condoms if currently sexually active.

OPHS   Proportion of sexually active females aged 25 years and      Infectious Diseases   Sexually Transmitted Infection   Process   Health System
       under who are screened annually for genital chlamydia
       infections.
OPHS   Proportion of sexually active females aged 25 years and      Infectious Diseases   Sexually Transmitted Infection   Process   Health System
       under who are screened annually for genital chlamydia
       infections.

OPHS   Deaths caused by alcohol-related motor vehicle crashes.      Behavioral Health     Alcohol Abuse                    Outcome   Health System

OPHS   Cirrhosis deaths.                                            Gastrointestinal      Cirrhosis                        Outcome   Health System

OPHS   Drug induced deaths.                                         Behavioral Health     Substance Abuse                  Outcome   Health System

OPHS   Drug-related hospital emergency department visits.           Behavioral Health     Substance Abuse                  Outcome   Health System

OPHS   Alcohol-related hospital emergency department visits.        Behavioral Health     Alcohol Abuse                    Outcome   Health System


OPHS   Proportion of adolescents who report that they rode during Behavioral Health       Alcohol Abuse                    Outcome   Health System
       the previous 30 days with a driver who had been drinking
       alcohol.
OPHS   Intentional injuries resulting from alcohol- and illicit drug- Behavioral Health   Substance Abuse                  Outcome   Health System
       related violence.


OPHS   Average age and proportion of adolescents who remain         Behavioral Health     Substance Abuse                  Outcome   Health System
       alcohol and drug free.
OPHS   Average age and proportion of adolescents who remain         Behavioral Health     Substance Abuse                  Outcome   Health System
       alcohol and drug free.


OPHS   Past-month use of illicit substances.                        Behavioral Health     Substance Abuse                  Outcome   Health System

OPHS   Past-month use of illicit substances.                        Behavioral Health     Substance Abuse                  Outcome   Health System

OPHS   Proportion of persons engaging in binge drinking of          Behavioral Health     Alcohol Abuse                    Outcome   Health System
       alcoholic beverages.
OPHS   Proportion of persons engaging in binge drinking of          Behavioral Health     Alcohol Abuse                    Outcome   Health System
       alcoholic beverages.
OPHS   Average annual alcohol consumption.                          Behavioral Health     Alcohol Abuse                    Outcome   Health System

OPHS   Proportion of adults who exceed guidelines for low-risk      Behavioral Health     Alcohol Abuse                    Outcome   Health System
       drinking.
OPHS   Proportion of adults who exceed guidelines for low-risk      Behavioral Health     Alcohol Abuse                    Outcome   Health System
       drinking.
OPHS   Steroid use among adolescents.                               Behavioral Health     Substance Abuse                  Outcome   Health System

OPHS   Steroid use among adolescents.                               Behavioral Health     Substance Abuse                  Outcome   Health System

OPHS   Proportion of adolescents who use inhalants.                 Behavioral Health     Substance Abuse                  Outcome   Health System

OPHS   Proportion of adolescents who disapprove of substance        Behavioral Health     Substance Abuse                  Outcome   Health System
       abuse.
OPHS   Proportion of adolescents who disapprove of substance        Behavioral Health     Substance Abuse                  Outcome   Health System
       abuse.
OPHS   Proportion of adolescents who disapprove of substance        Behavioral Health     Substance Abuse                  Outcome   Health System
       abuse.
OPHS   Proportion of adolescents who disapprove of substance        Behavioral Health     Substance Abuse                  Outcome   Health System
       abuse.
OPHS   Proportion of adolescents who disapprove of substance        Behavioral Health     Substance Abuse                  Outcome   Health System
       abuse.
OPHS   Proportion of adolescents who disapprove of substance        Behavioral Health     Substance Abuse                  Outcome   Health System
       abuse.
OPHS   Proportion of adolescents who disapprove of substance        Behavioral Health     Substance Abuse                  Outcome   Health System
       abuse.
OPHS   Proportion of adolescents who disapprove of substance          Behavioral Health               Substance Abuse   Outcome   Health System
       abuse.
OPHS   Proportion of adolescents who disapprove of substance          Behavioral Health               Substance Abuse   Outcome   Health System
       abuse.
OPHS   Proportion of persons who need alcohol and/or illicit drug     Behavioral Health               Substance Abuse   Process   Health System
       treatment and received specialty treatment for abuse or
       dependence in the past year.
OPHS   Proportion of persons who need alcohol and/or illicit drug     Behavioral Health               Substance Abuse   Process   Health System
       treatment and received specialty treatment for abuse or
       dependence in the past year.
OPHS   Proportion of inmates receiving substance abuse                Behavioral Health               Substance Abuse   Outcome   Health System
       treatment in correctional institutions.




OPHS   Number of admissions to substance abuse treatment for          Behavioral Health               Substance Abuse   Outcome   Health System
       injection drug use.
OPHS   Proportion of persons who are referred for followup care for   Behavioral Health               Substance Abuse   Process   Health System
       alcohol problems, drug problems after diagnosis, or
       treatment for one these conditions in a hospital emergency
       department.
OPHS   Proportion of persons who are referred for followup care for   Behavioral Health               Substance Abuse   Process   Health System
       alcohol problems, drug problems after diagnosis, or
       treatment for one these conditions in a hospital emergency
       department.
OPHS   Tobacco use by adults aged 18 years and older.                 Behavioral Health               Tobacco Use       Outcome   Health System


OPHS   Tobacco use by adolescents/students in grades 9 through        Behavioral Health               Tobacco Use       Outcome   Health System
       12.




OPHS   Initiation of tobacco use among children, adolescents, and Behavioral Health                   Tobacco Use       Outcome   Health System
       young adults.
OPHS   Average age of first use of tobacco products by            Behavioral Health                   Tobacco Use       Outcome   Health System
       adolescents and young adults.

OPHS   Smoking cessation attempts by adult smokers.                   Behavioral Health               Tobacco Use       Process   Health System

OPHS   Smoking cessation during pregnancy.                            Behavioral Health               Tobacco Use       Outcome   Health System

OPHS   Tobacco use cessation attempts by adolescent smokers.          Behavioral Health               Tobacco Use       Process   Health System

OPHS   Proportion of children who are regularly exposed to            Behavioral Health               Tobacco Use       Outcome   Health System
       tobacco smoke at home.
OPHS   Proportion of nonsmokers exposed to environmental              Behavioral Health               Tobacco Use       Outcome   Health System
       tobacco smoke.
OPHS   Proportion of persons covered by indoor worksite policies      Behavioral Health               Tobacco Use       Process   Health System
       that prohibit smoking.

OPHS   Proportion of adolescents and young adults who are             Behavioral Health               Tobacco Use       Process   Health System
       exposed to tobacco advertising and promotion.

OPHS   Disapproval of smoking by adolescents.                         Behavioral Health               Tobacco Use       Outcome   Health System

OPHS   Disapproval of smoking by adolescents.                         Behavioral Health               Tobacco Use       Outcome   Health System

OPHS   Disapproval of smoking by adolescents.                         Behavioral Health               Tobacco Use       Outcome   Health System

OPHS   Proportion of persons who have dilated eye examination at Head, Eyes, Ears, Nose, and Throat   Eye Care          Process   Health System
       appropriate intervals.
OPHS     Proportion of preschool children aged 5 years and under     Head, Eyes, Ears, Nose, and Throat   Eye Care                Process      Health System
         who receive vision screening.
OPHS     Uncorrected visual impairment due to refractive errors.     Head, Eyes, Ears, Nose, and Throat   Eye Care                Outcome      Health System

OPHS     Blindness and visual impairment in children and             Head, Eyes, Ears, Nose, and Throat   Eye Care                Outcome      Health System
         adolescents.
OPHS     Visual impairment due to diabetic retinopathy.              Diabetes                             Eye Care                Outcome      Health System

OPHS     Visual impairment due to glaucoma.                          Head, Eyes, Ears, Nose, and Throat   Eye Care                Outcome      Health System

OPHS     Visual impairment due to cataract.                          Head, Eyes, Ears, Nose, and Throat   Eye Care                Outcome      Health System

OPHS     Occupational eye injury.                                    Head, Eyes, Ears, Nose, and Throat   Eye Care                Outcome      Health System




OPHS     Use of personal protective eyewear in recreational          Head, Eyes, Ears, Nose, and Throat   Eye Care                Process      Health System
         activities and hazardous situations around home.
OPHS     Vision rehabilitation.                                      Head, Eyes, Ears, Nose, and Throat   Eye Care                Process      Health System

OPHS     Proportion of newborns who are screened for hearing loss Head, Eyes, Ears, Nose, and Throat      Hearing                 Process      Health System
         by age 1 month, audiologic evaluation by age 3 months,
         and enrollment in appropriate intervention services by age
         6 months.
OPHS     Otitis media in children and adolescents.                   Infectious Diseases                  Ear Infection           Outcome      Health System




OPHS     Proportion of persons with hearing impairments who have     Head, Eyes, Ears, Nose, and Throat   Hearing                 Outcome      Health System
         ever used a hearing aid or assistive listening devices or
         who have cochlear implants.

OPHS     Proportion of persons who have had a hearing examination Head, Eyes, Ears, Nose, and Throat      Hearing                 Process      Health System
         on schedule.



OPHS     Use of ear protection devices.                              Head, Eyes, Ears, Nose, and Throat   Hearing                 Process      Health System


SAMHSA   CMHS Block Grant - Number of person receiving evidence- Mental Health                            Mental Health - Other   Efficiency   Health System
         based practices per $10,000 of mental health block grant
         dollars spent.


SAMHSA   Mental Health PRNS - Rate of consumers reporting            Mental Health                        Mental Health - Other   Outcome      Health System
         positively about outcomes (State MH Systems).



SAMHSA   Mental Health PRNS - Rate of family members reporting       Mental Health                        Mental Health - Other   Outcome      Health System
         positively about outcomes (State MH Systems).


SAMHSA   Mental Health PRNS - Rate of consumers reporting            Mental Health                        Mental Health - Other   Outcome      Health System
         positively about outcomes (program participants).
SAMHSA   Mental Health PRNS - Rate of family members reporting       Mental Health                        Mental Health - Other   Outcome      Health System
         positively about outcomes (program participants).
SAMHSA   Mental Health PRNS - Number of evidence-based               Mental Health       Mental Health - Other   Outcome      Health System
         practices (EBPs) implemented.


SAMHSA   Mental Health PRNS - Percentage of coverage for each        Mental Health       Mental Health - Other   Process      Health System
         evidence-based practice (EBP) (adults).


SAMHSA   Mental Health PRNS - Increase the percentage of clients     Mental Health       Mental Health - Other   Outcome      Health System
         receiving services who report improved functioning.

SAMHSA   Mental Health PRNS - Percentage of people in the United     Mental Health       Mental Health - Other   Outcome      Health System
         States with serious mental health illnesses in need of
         services from the public mental health system, who
         received services from the public mental health system.


SAMHSA   CMHS Block Grant - Reduce rate of readmissions to State     Mental Health       Mental Health - Other   Outcome      Hospital Inpatient
         psychiatric hospitals (Adults: 30 days).


SAMHSA   CMHS Block Grant - Reduce rate of readmissions to State     Mental Health       Mental Health - Other   Outcome      Hospital Inpatient
         psychiatric hospitals (Adults: 180 days).


SAMHSA   CMHS Block Grant - Reduce rate of readmission to State      Mental Health       Mental Health - Other   Outcome      Health System
         psychiatric hospitals (children: 30 days).


SAMHSA   CMHS Block Grant - Reduce rate of readmission to State      Mental Health       Mental Health - Other   Outcome      Health System
         psychiatric hospitals (children: 180 days).


SAMHSA   Mental Health PRNS - Percentage of coverage for each        Mental Health       Mental Health - Other   Process      Health System
         evidence-based practice (EBP) (children).


SAMHSA   CMHS Block Grant - Number of evidence-based practices       Mental Health       Mental Health - Other   Process      Health System
         implemented.


SAMHSA   CMHS Block Grant - Percentage of coverage for each          Mental Health       Mental Health - Other   Process      Health System
         evidence-based practice (EBP) (adults).


SAMHSA   CMHS Block Grant - Percentage of coverage for each          Mental Health       Mental Health - Other   Process      Health System
         evidence-based practice (EBP) (children).


SAMHSA   CMHS Block Grant - Increase rate of consumers/family        Mental Health       Mental Health - Other   Outcome      Health System
         members reporting positively about outcomes.


SAMHSA   CMHS Block Grant - Increase rate of family members          Mental Health       Mental Health - Other   Outcome      Health System
         reporting positively about outcomes.


SAMHSA   Access to recovery - Decrease the cost per client served.   Behavioral Health   Substance Abuse         Efficiency   Health System
SAMHSA   CMHS Block Grant - Increase number of people served by Mental Health             Mental Health - Other   Process              Health System
         the public mental health system.


CMS      HCAHPS - Communication with nurses (composite).           Health Care Delivery   Communication           Patient Satisfaction Hospital Inpatient




CMS      HCAHPS - Communication with doctors (composite).          Health Care Delivery   Communication           Patient Satisfaction Hospital Inpatient




CMS      HCAHPS - Responsiveness of hospital staff (composite).    Health Care Delivery   Communication           Patient Satisfaction Hospital Inpatient




CMS      HCAHPS - Pain control (composite).                        Pain                                           Patient Satisfaction Hospital Inpatient




CMS      HCAHPS - Communication about medicines (composite).       Health Care Delivery   Communication           Patient Satisfaction Hospital Inpatient




CMS      HCAHPS - Discharge information (composite).               Health Care Delivery   Communication           Patient Satisfaction Hospital Inpatient




CMS      HCAHPS - Cleanliness of hospital (individual item).       Health Care Delivery   Facilities              Patient Satisfaction Hospital Inpatient


CMS      HCAHPS - Quietness of hospital (individual item).         Health Care Delivery   Facilities              Patient Satisfaction Hospital Inpatient


CMS      HCAHPS - Overall rating of hospital care (global item).   Health Care Delivery   Patient Satisfaction    Patient Satisfaction Hospital Inpatient


CMS      HCAHPS - Overall recommendation (global item).            Health Care Delivery   Patient Satisfaction    Patient Satisfaction Hospital Inpatient
Numerator                                                                                                       Denominator
Discharges, age 18 years and older, with ICD-9-CM codes of 424, 4240-4242, 425, 4251-4256,                      Not applicable
4258-4259, or 426, 4261-4269 in any procedure field
Discharges, age 18 years and older, with ICD-9-CM codes of 0066, 3601, 3602 or 3605 in any                      Not applicable
procedure field
U.S. civilian noninstitutionalized adults age 40 and older with diabetes whose answers indicated they had at    U.S. civilian noninstitutionalized adults age 40 and older with diabetes who answered the
least 1 hemoglobin A1c measurement, a retinal eye examination, and a foot examination during the survey         Diabetes Care Survey (DCS) questions and had valid, non-missing responses to all 3 questions
year                                                                                                            with regard to the components of the composite measure


U.S. civilian noninstitutionalized adults age 40 and older with diabetes who had a hemoglobin A1c test at least U.S. civilian noninstitutionalized adults age 40 and older with diabetes who answered the
once in the survey year                                                                                         Diabetes Care Survey (DCS) question: During the survey year, “How many times did a doctor,
                                                                                                                nurse, or other health professional check for glycosylated hemoglobin or ‘hemoglobin A-one-C’?”
                                                                                                                Nonresponses and “Don’t Know” responses were excluded

U.S. civilian noninstitutionalized adults age 40 and older with diabetes who answered “Within the past year” or U.S. civilian noninstitutionalized adults age 40 and older with diabetes who answered the question
“Within the past 2 years” to the question                                                                       “About how long has it been since you had your blood cholesterol checked by a doctor or other
                                                                                                                health professional?” Nonresponses and “Don’t Know” responses were excluded.


U.S. civilian noninstitutionalized adults age 40 and older with diabetes who indicated they had at least 1      U.S. civilian noninstitutionalized adults age 40 and older with diabetes who answered a question
retinal eye examination in target period (depending on panel)                                                   about eye examinations in the survey years (see Comments section for details). Nonresponses
                                                                                                                and “Don’t Know” responses were excluded.
U.S. civilian noninstitutionalized adults age 40 and older with diabetes who had a foot examination 1 or more   U.S. civilian noninstitutionalized adults age 40 and older with diabetes who answered the
times in the survey year                                                                                        question: “During [the survey year], How many times did a health professional check your feet for
                                                                                                                any sores or irritations?” Nonresponses and “Don’t Know” responses were excluded.

All non-maternal discharges of age 18 years and older with ICD-9-CM principal diagnosis code                    Population in metro area or county, age 18 years and older
for uncontrolled diabetes, without mention of a short-term or long-term complication
All non-maternal/non-neonatal discharges of age 18 years and older with ICD-9-CM principal diagnosis code       Population in metro area or county, age 18 years and older
for short-term complications (ketoacidosis, hyperosmolarity, coma)
Discharges with ICD-9-CM diagnosis code for perforations or abscesses of appendix in                            All non-maternal discharges of age 18 years and older in Metro Area or county with diagnosis
any field among cases meeting the inclusion rules for the denominator                                           code for appendicitis in any field
Discharges age 18 years and older with ICD-9-CM principal diagnosis code for long-term                          Population in metro area or county, age 18 years and older
complications (renal, eye, neurological, circulatory, or complications not otherwise specified)
All non-maternal discharges of age 18 years and older with ICD-9-CM procedure code for lower-extremity          Population in metro area or county, age 18 years and older
amputation in any field and diagnosis code of diabetes in any field




U.S. civilian noninstitutionalized adults age 40 and older with diabetes who had an influenza immunization in   U.S. civilian noninstitutionalized adults age 40 and older with diabetes who answered the question
the past year                                                                                                   “How long since you had a flu shot?” Nonresponses and “Don’t Know” responses were excluded.

Subset of the denominator population who received advice to quit smoking                                        Adults age 18 and over who reported in the survey year that they currently smoke and had a
                                                                                                                routine check up in the past 12 months and answered the question “In the past 12 months did a
                                                                                                                doctor advise you to stop smoking?” Nonresponses and “Don’t Know” responses were excluded.


Subset of denominator who reported they were given advice about exercise by a doctor or health professional Persons age 18 and over with a body mass index (BMI) of 30 or greater




Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                        All discharges, age 18 years and older, with a principal diagnosis code of AMI
denominator
Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                    All discharges, age 18 years and older, with a principal diagnosis code of AMI
denominator




Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                    All discharges, age 18 years and older, with principal diagnosis code of CHF
denominator
Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                    All discharges, age 18 years and older, with principal diagnosis code for stroke
denominator
Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                    All discharges, age 18 years and older, with principal diagnosis code for gastrointestinal
denominator                                                                                                 hemorrhage
Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                    All discharges, age 65 years and older, with principal diagnosis code for hip fracture
denominator
All non-maternal/non-neonatal discharges of age 18 years and older with ICD-9-CM principal                  Population in metro area or county, age 18 years and older
diagnosis code for CHF
Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                    Discharges under age 18 with ICD-9-CM procedure codes for congenital heart disease (1P) in any
denominator with a code of pediatric heart surgery in any procedure field with ICD-9-CM diagnosis           field or non-specific heart surgery (2P) in any field with ICD-9-CM diagnosis of congenital heart
of congenital heart disease in any field                                                                    disease (2D) in any field
Discharges under age 18 with ICD-9-CM procedure codes for either congenital heart disease                   All elective surgical discharges under age 18 defined by specific DRGs and an ICD-9-CM code for
(1P) in any field or non-specific heart surgery (2P) in any field with ICD-9-CM diagnosis of                an operating room procedure
congenital heart disease (2D) in any field
Discharges, age 18 years and older, with ICD-9-CM codes of 3834, 3844, 3864 or 3971 in any                  Not applicable
procedure field with a diagnosis of AAA in any field
Discharges, age 18 years and older, with ICD-9-CM codes of 3610 through 3619 in any procedure               Not applicable
field
Discharges, age 18 years and older, with ICD-9-CM codes of 0066, 3601, 3602 or 3605 in any                  Not applicable
procedure field

Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                    Discharges, age 40 years and older, with ICD-9-CM codes of 0066, 3601, 3602 or 3605 in any
denominator                                                                                                 procedure field

Discharges, age 18years and older, with an ICD-9-CM code of 3812 in any procedure field                     Not applicable

Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                    Discharges, age 18 years and older, with an ICD-9-CM code of 3812 in any procedure field
denominator
Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                    Discharges, age 18 years and older, with ICD-9-CM codes for esophageal resection in any
denominator                                                                                                 procedure field and a diagnosis code of esophageal cancer in any field
Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                    Discharges, age 18 years and older, with ICD-9-CM codes of 526 or 527 in any procedure field
denominator                                                                                                 and a diagnosis code of pancreatic cancer in any field
Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                    Discharges, age 18 years and older, with ICD-9-CM codes of 3834, 3844, 3864, or 3971 in any
denominator                                                                                                 procedure field and a diagnosis of AAA in any field
Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                    Discharges, age 40 years and older, with ICD-9-CM codes of 3610 through 3619 in any procedure
denominator                                                                                                 field
Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                    All discharges, age 18 years or older, with DRG code for craniotomy (DRG 001, 002, 528, 529,
denominator                                                                                                 530, and 543)
Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                    All discharges, age 18 years and older, with a procedure code of partial or full hip replacement in
denominator                                                                                                 any field
Subset of denominator who reported they were advised by a doctor or health professional about restricting   Persons age 18 and over with a body mass index (BMI) of 30 or greater
foods high in fat and cholesterol

Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-            All surgical and medical discharges under age 18 defined by specific DRGs
CM code denoting accidental cut, puncture, perforation or laceration during a procedure in any
secondary diagnosis field
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-            All medical and surgical discharges under age 18 defined by specific DRGs
CM code of decubitus ulcer in any secondary diagnosis field
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-            All surgical and medical discharges under age 18 defined by specific DRGs
CM codes for foreign body left in during procedure in any secondary diagnosis field
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-            All surgical and medical discharges under age 18 defined by specific DRGs
CM code of 512.1 in any secondary diagnosis field
Discharges among cases meeting the inclusion and exclusion rules for the denominator with the                      All elective surgical discharges under age 18 defined by specific DRGs and an ICD-9-CM code for
following:                                                                                                         an operating room procedure
• ICD-9-CM code for postoperative hemorrhage or postoperative hematoma in any secondary
diagnosis field
• ICD-9-CM code for postoperative control of hemorrhage or for drainage of hematoma in any
procedure code field
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-                   All elective surgical discharges under age 18 defined by specific DRGs and an ICD-9-CM code for
CM codes 518.81 or 518.84 for acute respiratory failure in any secondary diagnosis field. Or discharges            an operating room procedure
among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-CM codes for
reintubation procedure in any secondary procedure field as follows:
• (96.04) one or more days after the major operating room procedure code
• (96.70 or 96.71) two or more days after the major operating room procedure code
• (96.72) zero or more days after the major operating room procedure code
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-                   All surgeries under age 18 defined by specific DRGs and an ICD-9-CM code for an operating
CM code for sepsis in any secondary diagnosis field                                                                room procedure
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-                   All abdominopelvic surgical discharges under age 18
CM code for reclosure of postoperative disruption of abdominal wall (54.61) in any procedure field
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-                   All surgical and medical discharges under age 18 defined by specific DRGs
CM code of 999.3, 999.31 or 996.62 in any secondary diagnosis field
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-                   All surgical and medical discharges under age 18 defined by specific DRGs
CM codes for transfusion reaction in any secondary diagnosis field
All non-maternal discharges ages 6 to 17 years with ICD-9-CM principal diagnosis code for short-term               Population ages 6 to 17 in metro area or county
complications (ketoacidosis, hyperosmolarity, coma)
Discharges ages 1 to 17 years with ICD-9-CM diagnosis code for perforations or abscesses of                        All non-maternal discharges ages 1 to 17 years in metro area or county with diagnosis code for
appendix in any field                                                                                              appendicitis in any field
All non-maternal discharges ages 3 months to 17 years with ICD-9-CM principal diagnosis code                       Population in metro Area or county ages 3 months to 17 years
of urinary tract infection
Children under age 18 who ever had both height and weight measured for the “Ever had both measures”                Children under age 18 for the “Ever given advice” estimates, excluding nonrespondents to the
estimates. Children who had both measurements within the past year for the “Within the past year” estimates.       questions of whether height or weight was measured by a doctor or other healthcare provider.
Children who had both measurements, either within the past year or 2 years for the “Within the past 2 years”       “Don’t know” responses to the questions of when the weight and/or height was measured were
estimates.                                                                                                         further excluded from the “Within the past year” and “Within the past 2 years” estimates.

Children age 2–17 for whom a doctor or other health provider had ever given advice about amount and kind of     Children age 2–17 for the “Ever given advice” estimates, excluding nonrespondents to the
physical activity for the “Ever given advice” estimates. Children who were given the advice within the past yearquestion, “Has a doctor or other health provider ever given advice about amount and kind of
for “Within the past year” estimates. Children who were given the advice within the past year or 2 years for    exercise, sports, or physically active hobbies you should have?” “Don’t know” responses to the
“Within the past 2 years” estimates.                                                                            question of when the advice was given were further excluded from the “Within the past year” and
                                                                                                                “Within the past 2 years” estimates.
Children age 2–17 for whom a doctor or other health provider had ever given advice about eating healthy for Children age 2–17 for the “Ever given advice” estimates, excluding nonrespondents to the
the “Ever given advice” estimates. Children who were given the advice within the past year for “Within the past question, “Has a doctor or other health provider ever given advice about eating healthy?” “Don’t
year” estimates. Children who were given the advice within the past year or 2 years for “Within the past 2      know” responses to the question of when the advice was given were further excluded for the
years” estimates.                                                                                               “Within the past year” and “Within the past 2 years” estimates.

Children age 3–6 whose vision had ever been checked by a doctor or other health provider                           Children age 3–6. Nonresponses, as well as “Don’t know” responses, were excluded.

Number of children age 2–17 who had a dental visit in the survey year                                              U.S. population, children age 2–17



For the “Ever given advice” estimates, children under age 18 for whom a doctor or other health provider had        Children under age 18 for the “Ever given advice” estimates, excluding nonrespondents to the
ever given advice about how smoking in the house can be harmful. Children who were given the advice within         question of whether a doctor or other health provider had ever given advice about how smoking in
the past year for “Within the past year” estimates. Children who were given the advice within the past year or     the house can be harmful. “Don’t know” responses to the question of when the advice was given
2 years for “Within the past 2 years” estimates.                                                                   were further excluded for the “Within the past year” and “Within the past 2 years” estimates.


For the “Ever given advice” estimates, children under age 18 for whom a doctor or other health provider had        Children under age 18 for the “Ever given advice” estimates, excluding nonrespondents to the
ever given advice about using a child car safety seat, a booster seat, or lap and shoulder belts. Children who     question of whether a doctor or other health provider had ever given advice about using car safety
were given the advice within the past year for “Within the past year” estimates. Children who were given the       restraints. “Don’t know” responses to the question of when the advice was given were further
advice within the past year or 2 years for “Within the past 2 years” estimates.                                    excluded for the “Within the past year” and “Within the past 2 years” estimates.
Children in the denominator for whom a doctor or other health provider had ever given advice about using       Children under 40 lbs or age 0–17, excluding missing
child car safety seats

Children in the denominator for whom a doctor or other health provider had ever given advice about using       Children 40–80 lbs or age 5–9, excluding missing
booster seats
Children in the denominator for whom a doctor or other health provider had ever given advice about using lap   Children over 80 lbs or age 10–17, excluding missing
and shoulder belts

All non-maternal discharges ages 3 months to 17 years with ICD-9-CM principal diagnosis code for               Population 3 months to 17 years in metro area or county
gastroenteritis or with secondary diagnosis code of gastroenteritis and a principal diagnosis code of
dehydration




Non-maternal hospital discharges age 65 and over with any diagnosis of immunization-preventable influenza      U.S. population age 65 and over
(ICD-9-CM codes 487.0, 487.1, and 487.8), excluding transfers from other institutions
Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the                       All discharges, age 18 years and older, with a principal diagnosis code of pneumonia
denominator
Number of Cesarean deliveries, identified by DRG, or by ICD-9-CM procedure codes if they are                   All deliveries
reported without a 7491 hysterotomy procedure, among cases meeting the inclusion and
exclusion rules for the denominator
Number of Cesarean deliveries, identified by DRG, or by ICD-9-CM procedure codes if they are                   All deliveries
reported without a 7491 hysterotomy procedure, among cases meeting the inclusion and exclusion
rules for the denominator
Number of vaginal births in women among cases meeting the inclusion and exclusion rules for the                All deliveries with a previous cesarean delivery diagnosis in any diagnosis field
denominator
Number of vaginal births in women among cases meeting the inclusion and exclusion rules for the                All deliveries with a previous cesarean delivery diagnosis in any diagnosis field
denominator
Number of laparoscopic cholecystectomies (any procedure field) among cases meeting the                         All discharges, age 18 years and older, with cholecystectomy in any procedure field
inclusion and exclusion rules for the denominator
Number of incidental appendectomies (any procedure field) among cases meeting the inclusion                    All discharges, age 65 years and older, with intra-abdominal procedure
and exclusion rules for the denominator
Number of simultaneous right and left heart catheterizations (in any procedure field) among cases              All discharges, age 18 years and older, with heart catheterization in any procedure field
meeting the inclusion and exclusion rules for the denominator

Number of CABGs in any procedure field. All discharges age 40 years and older.                                 Population in metro area or county, age 40 years and older

Discharges, age 40 years and older, with ICD-9-CM codes of 0066, 3601, 3602 or 3605 in any                     Population in metro area or county, age 40 years and older
procedure field

Number of hysterectomies in any procedure field. All discharges of females age 18 years and older.             Female population in metro area or county, age 18 years and older

Number of laminectomies or spinal fusions in any procedure field. All discharges age 18 years and older.       Population in metro area or county, age 18 years and older

Discharges ages 2 to 17 years with ICD-9-CM principal diagnosis code of asthma                                 Population ages 2 to 17 years in metro area or county




All non-maternal discharges of age 18 years and older with ICD-9-CM principal diagnosis code of                Population in metro area or county, age 18 years and older
asthma
Non-maternal hospital discharges age 65 and over with a principal diagnosis code of asthma (ICD-9-CM           U.S. population age 65 and over
codes 493.00–493.02, 493.10–493.12, 493.20–493.22, and 493.90–493.92). Excludes obstetric admissions
and patients transferred from other institutions
Discharges among cases meeting the inclusion and exclusion rules for the denominator with the                   All surgical discharges 18 years and older defined by specific DRGs and an ICD-9-CM code for
following:                                                                                                      an operating room procedure
• CD-9-CM code for postoperative hemorrhage or postoperative hematoma in any secondary
diagnosis field
AND
• ICD-9-CM code for postoperative control of hemorrhage or for drainage of hematoma in any
procedure code field
Subset of the denominator with any secondary diagnosis of sepsis                                                All elective hospital surgical discharges with length of stay longer than 3 days, excluding patients
                                                                                                                admitted for infection, patients with cancer or immunocompromised states, and obstetric
                                                                                                                conditions
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-                All surgical discharges age 18 and older defined by specific DRGs and an ICD-9-CM code for an
CM codes for deep vein thrombosis or pulmonary embolism in any secondary diagnosis field                        operating room procedure
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-                All elective surgical discharges age 18 and older defined by specific DRGs and an ICD-9-CM
CM code for sepsis in any secondary diagnosis field                                                             code for an operating room procedure
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-             All elective surgical discharges age 18 and older defined by specific DRGs and an ICD-9-CM
CM codes for acute respiratory failure (518.81) in any secondary diagnosis field. (After 1999, include       code for an operating room procedure
518.84). Or discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-
CM codes for reintubation procedure as follows:
• (96.04) one or more days after the major operating room procedure code
• (96.70 or 96.71) two or more days after the major operating room procedure code
• (96.72) zero or more days after the major operating room procedure code

Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-                All elective surgical discharges18 years and older defined by specific DRGs and an ICD-9-CM
CM codes for physiologic and metabolic derangements in any secondary diagnosis field.                           code for an operating room procedure
Discharges with acute renal failure (subgroup of physiologic and metabolic derangements) must be
accompanied by a procedure code for dialysis (39.95, 54.98).
Discharges with ICD-9-CM code for hip fracture in any secondary diagnosis field among cases                     All surgical discharges age 18 and older defined by specific DRGs and an ICD-9-CM code for an
meeting the inclusion and exclusion rules for the denominator                                                   operating room procedure
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-                All abdominopelvic surgical discharges age 18 and older
CM code for reclosure of postoperative disruption of abdominal wall (54.61) in any procedure field
Discharges with ICD-9-CM codes for foreign body left in during procedure in any secondary diagnosis field       All medical and surgical discharges, 18 years and older or MDC 14 (pregnancy, childbirth, and
among cases meeting the inclusion and exclusion rules for the denominator                                       puerperium), defined by specific DRGs. Exclude patients with ICD-9-CM codes for foreign body
                                                                                                                left in during procedure in the principal diagnosis field or secondary diagnosis present on
                                                                                                                admission, if known.
Discharges with ICD-9-CM diagnosis codes for anesthesia complications in any secondary diagnosis                All surgical discharges, 18 years and older or MDC 14 (pregnancy, childbirth, and puerperium),
field among cases meeting the inclusion and exclusion rules for the denominator                                 defined by specific DRGs and an ICD-9-CM code for an operating room procedure

Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-                All liveborn births (newborns)
CM codes for birth trauma in any diagnosis field
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-                All vaginal delivery discharges with any procedure code for instrument-assisted delivery
CM codes for 3rd and 4th degree obstetric trauma in any diagnosis or procedure field
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-                All vaginal delivery discharge patients
CM codes for 3rd and 4th degree obstetric trauma in any diagnosis or procedure field
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-                All cesarean delivery discharges. Cesarean delivery.
CM codes for 3rd and 4th degree obstetric trauma in any diagnosis or procedure field
For the “Ever given advice” estimates, children age 2–17 for whom a doctor or other health provider had ever    Children under age 18 for the “Ever given advice” estimates, excluding nonrespondents to the
given advice about using a helmet when riding a bicycle or motorcycle. Children who were given the advice       question of whether a doctor or other health provider had ever given advice about using a helmet
within the past year for “Within the past year” estimates. Children who were given the advice within the past   when riding a bicycle or motorcycle. “Don’t know” responses to the question of when the advice
year or 2 years for “Within the past 2 years” estimates.                                                        was given were further excluded for the “Within the past year” and “Within the past 2 years”
                                                                                                                estimates.

Persons age 65 and over who had 1 or more of the 11 or 33 potentially inappropriate medications                 U.S. population age 65 and over



Discharges with ICD-9-CM code of decubitus ulcer in any secondary diagnosis field among cases                   All medical and surgical discharges age 18 years and older defined by specific DRGs
meeting the inclusion and exclusion rules for the denominator
All discharges with a disposition of “deceased” among cases meeting the inclusion and exclusion                 All surgical discharges age 18 years and older defined by specific DRGs and an ICD-9-CM code
rules for the denominator                                                                                       for an operating room procedure, principal procedure within 2 days of admission OR admission
                                                                                                                type of elective with potential complications of care listed in Death among Surgical definition (e.g.,
                                                                                                                pneumonia, DVT/PE, sepsis, shock/cardiac arrest, or Gastrointestinal hemorrhage/acute ulcer)


Discharges with ICD-9-CM code of 999.3, 999.31 or 996.62 in any secondary diagnosis field among                 All surgical and medical discharges, 18 years and older or MDC 14 (pregnancy, childbirth, and
cases meeting the inclusion and exclusion rules for the denominator                                             puerperium), defined by specific DRGs
Subset of the denominator with discharge disposition of death                                                   Inpatient hospital discharges with potential complications of care listed in failure to rescue
                                                                                                                definition (i.e., pneumonia, deep vein thrombosis/pulmonary embolism, sepsis, acute renal failure,
                                                                                                                shock/cardiac arrest, or gastrointestinal hemorrhage/acute ulcer), excluding patients transferred in
                                                                                                                or out, patients admitted from long-term-care facilities, neonates, and patients over 74 years old


Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-                All surgical and medical discharges age 18 years and older defined by specific DRGs
CM code denoting accidental cut, puncture, perforation or laceration during a procedure in any
secondary diagnosis field
Discharges with ICD-9-CM code of 512.1 in any secondary diagnosis field among cases meeting the                 All surgical and medical discharges age 18 years and older defined by specific DRGs
inclusion and exclusion rules for the denominator
Subset of the denominator with discharge disposition of death                                                   Hospital admissions in low mortality DRGs (with a NIS 1997 benchmark of less than 0.5%
                                                                                                                mortality), excluding patients with any code for trauma, immunocompromised state, or cancer

Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-CM code         All medical and surgical discharges, 18 years and older or MDC 14 (pregnancy, childbirth, and
for transfusion reaction in any secondary diagnosis field                                                       puerperium), defined by specific DRGs
Subset of the denominator of families with each of the 3 major reasons, could not afford, insurance-related     U. S. families reporting that at least 1 family member experienced difficulty in obtaining health
reasons, and other reasons                                                                                      care, including those with members who attempted but did not receive care or delayed the needed
                                                                                                                care

Persons who attempted to obtain but did not receive or delayed needed medical care                              U.S. civilian noninstitutionalized persons

Persons who attempted to obtain but did not receive or delayed needed dental care                               U.S. civilian noninstitutionalized persons

Persons who attempted to obtain but did not receive or delayed the needed prescription medications              U.S. civilian noninstitutionalized persons

Subset of the denominator population in 3 categories according to their answer to the above question:           Adults age 18 and over who made an appointment for regular or routine health care in the past 12
“Always,” “Usually,” “Sometimes,” or “Never”                                                                    months and answered 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?” Nonresponses, as well as “Don’t know”
                                                                                                                responses, were excluded.
Subset of the denominator population who answered “Always” to the question “In the last 6 months, not           Respondents who answered “Yes” to the question “In the last 6 months did you make any
counting times you needed health care right away, how often did you get an appointment for health care as       appointments with a doctor or other health care provider for regular or routine health care?”
soon as you wanted?”
Subset of the denominator population in 3 categories according to the answer to the above question: “Always,”   Children who had an appointment for regular or routine health care in the past 12 months and with
“Usually,” “Sometimes,” or “Never”                                                                              a valid answer 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?” Nonresponses, as well as
                                                                                                                “Don’t know” responses, were excluded.

Subset of the denominator population with an “Always” answer to the question “In the last 6 months, not         Children with Medicaid benefits who had appointments with a doctor or other health care provider
counting times you needed health care right away, how often did you get an appointment for health care as       for regular or routine health care in the past 6 months
soon as you wanted?”
Subset of the denominator population in 3 categories according to their answer to the above question:           Adults age 18 and over who had an illness or injury that needed care right away from a doctor’s
“Always,” “Usually,” “Sometimes,” or “Never”                                                                    office, clinic, or emergency room in the past 12 months and also answered the question of “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?” Nonresponses and “Don’t know” responses were excluded.


Subset of the denominator who answered “Always” to the question “In the last 6 months, when you needed          Adults who reported having an illness, injury, or condition that needed care right away in a clinic,
care right away for an illness, injury, or condition, how often did you get care as soon as you wanted?”        emergency room or doctor’s office in the past 6 months
Subset of the denominator population in 3 categories according to their answer to the above question:           Children under age 18 who had an illness or injury that needed care right away from a doctor’s
“Always,” “Usually,” “Sometimes,” or “Never”                                                                    office, clinic, or emergency room in the past 12 months, with a valid answer to the question of “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?” Nonresponses and “Don’t know” responses were
                                                                                                                excluded.

Subset of the denominator with an answer of “Always” to the question “In the last 6 months, when you needed Children with Medicaid benefits who had an illness, injury, or condition that needed care right
care right away for an illness, injury, or condition, how often did you get care as soon as you wanted?”    away in a clinic, emergency room or doctor’s office in the past 6 months

Subset of the denominator population who answered “Yes” to the question                                         Persons who had a USC and answered the question “Does [respondent’s usual care provider]
                                                                                                                usually ask about prescription medications and treatments other doctors may give you?”
                                                                                                                Nonresponses, as well as “Don’t Know” responses, were excluded.
Subset of the denominator population in 3 categories according to their answer to the 4 questions: “Always,”    Adults age 18 and over who visited a doctor’s office or clinic to get health care in the past 12
“Usually,” “Sometimes,” or “Never”                                                                              months with valid, nonmissing answer to all 4 questions that comprise the composite measure


Subset of the denominator population in 3 categories according to their answer to the 4 questions: “Always,”    Adults with Medicaid benefits who visited a doctor’s office or clinic in the past 6 months
“Usually,” “Sometimes,” or “Never”


Subset of the denominator population in 3 categories according to their answer to the 4 questions: “Always,”    Children under age 18 who visited a doctor’s office or clinic to get health care in the past 12
“Usually,” “Sometimes,” or “Never”                                                                              months with valid, nonmissing answer to all 4 questions that comprise the composite measure



Subset of the denominator population in 3 categories according to their answer to the 4 questions: “Always,”    Children with Medicaid benefits who visited a doctor’s office or clinic in the past 6 months
“Usually,” “Sometimes,” or “Never”

Subset of the denominator population in 3 categories according to their answer to the above question:           Adults who visited a doctor’s office or clinic to get health care in the past 12 months and answered
“Always,” “Usually,” “Sometimes,” or “Never”                                                                    the question “In the last 12 months how often did doctors or other health providers listen carefully
                                                                                                                to you?” Nonresponses and “Don’t know” responses were excluded.


Subset of the denominator population who responded “Always” to the question “In the last 6 months, how often Adults who visited a doctor’s office or clinic to get health care in the past 6 months
did doctors or other health providers listen carefully to you?”

Subset of the denominator population in 3 categories according to their answer to the above question:           Children under age 18 who visited a doctor’s office or clinic to get health care in the past 12
“Always,” “Usually,” “Sometimes,” or “Never”                                                                    months with a valid answer to the question “In the last 12 months how often did doctors or other
                                                                                                                health providers listen carefully to you?” Nonresponses and “Don’t know” responses were
                                                                                                                excluded.
Subset of the denominator population with a response of “Always” to the question of “In the last 6 months,      Children with Medicaid benefits who visited a doctor’s office or clinic in the past 6 months
how often did doctors or other health providers listen carefully to you?”

Subset of the denominator population who answered “Always” to the question “In the last 12 months how often Adults age 18 and over who visited a doctor’s office or clinic to get health care in the past 12
did doctors or other health providers explain things in a way you could understand?”                        months and answered the question “In the last 12 months how often did doctors or other health
                                                                                                            providers explain things in a way you could understand?” Nonresponses and “Don’t know”
                                                                                                            responses were excluded.
Subset of the denominator population who answered “Always” to the question “In the last 6 months, how often Number of adults visiting a doctor’s office or clinic in the past 6 months
did doctors or other health providers explain things in a way you could understand?”

Subset of the denominator population in 3 categories according to the answer to the above question: “Always,” Children under age 18 who had a doctor’s office or clinic visit in the last 12 months with a valid
“Usually,” “Sometimes,” or “Never”                                                                            answer 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?” Nonresponses and “Don’t know”
                                                                                                              responses were excluded.

Subset of the denominator population with the response “Always” to the question “In the last 6 months, how      Children with Medicaid benefits who visited a doctor’s office or clinic in the past 6 months
often did doctors or other health providers explain things in a way you could understand?”

Subset of the denominator population in 3 categories according to their answer to the above question:           Adults age 18 and over who reported going to a doctor’s office or clinic in the last 12 month and
“Always,” “Usually,” “Sometimes,” or “Never”                                                                    answered the question “In the last 12 months how often did doctors or other health providers show
                                                                                                                respect for what you had to say?” Nonresponses and “Don’t know” responses were excluded.
Subset of the denominator population with the response “Always” to the question “In the last 6 months, how           Number of adults who visited a doctor’s office or clinic in the last 6 months
often did doctors or other health providers show respect for what you had to say?”

Subset of the denominator population in 3 categories according to the answer to the above question: “Always,” Children under age 18 who had a doctor’s office or clinic visit in the last 12 months and with a
“Usually,” “Sometimes,” or “Never”                                                                            valid answer to the question “In the last 12 months how often did doctors or other health providers
                                                                                                              show respect for what you had to say?” Nonresponses and “Don’t know” responses were
                                                                                                              excluded.
Subset of the denominator population with the response “Always” to the question “In the last 6 months, how    Children with Medicaid benefits who visited a doctor’s office or clinic in the past 6 months
often did doctors or other health providers show respect for what you had to say?”

Subset of the denominator population in 3 categories according to their answer to the above question:                Adults age 18 and over who reported going to a doctor’s office or clinic in the last 12 months and
“Always,” “Usually,” “Sometimes,” or “Never”                                                                         answered the question “In the last 12 months how often did doctors or other health providers
                                                                                                                     spend enough time with you?” Nonresponses and “Don’t know” responses were excluded.


Subset of the denominator population who reported “Always” to the question “In the last 6 months, how often          Adults who reported going to a doctor’s office or clinic in the last 6 months
did doctors or other health providers spend enough time with you?”

Subset of the denominator population in 3 categories according to their answer to the above question:                Children under age 18 who visited a doctor’s office or clinic to get health care in the past 12
“Always,” “Usually,” “Sometimes,” or “Never”                                                                         months and with a valid answer to the question “In the last 12 months how often did doctors or
                                                                                                                     other health providers spend enough time with you?”
Subset of the denominator population who rated their health care 9 or 10                                             Adults age 18 and over who reported going to a doctor’s office or clinic in the last 12 months and
                                                                                                                     answered 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?” Nonresponses and “Don’t know” responses were excluded.


Respondents who rated their health care as 9 or 10 on a scale from 0 to 10                                           Adults who reported going to a doctor’s office or clinic in the last 12 months

Subset of the denominator population with a best rating (9 or 10) for health care received                           Children under age 18 who had a doctor’s office or clinic visit in the last 12 months and with a
                                                                                                                     valid answer 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?”
Subset of the denominator population who or whose parents rated their health care as 9 or 10 based on the            Children with Medicaid benefits who had a doctor’s office or clinic visit in the last 6 months
question “Using any number from 0 to 10 where 0 is the worst health care possible and 10 is the best health
care possible, what number would you use to rate all your health care in the last 6 months?”

Subset of the denominator population who reported “Always” to the question “In the last 6 months, how often          Children with Medicaid benefits who visited a doctor’s office or clinic in the past 6 months
did doctors or other health providers spend enough time with you?”

Subset of denominator who responded “sometimes” or “never” to any of 3 survey questions: “During this                Hospital patients age 18 and over discharged alive who had at least an overnight stay and no
hospital stay, how often did doctors treat you with courtesy and respect?”, “During this hospital stay, how often    psychiatry-related diagnoses
did doctors listen carefully to you?” and '“During this hospital stay, how often did doctors explain things in a
way you could understand?”
Subset of denominator who responded “sometimes” or “never” to any of 3 survey questions: “During this                Hospital patients age 18 and over discharged alive who had at least an overnight stay and no
hospital stay, how often did nurses treat you with courtesy and respect?”, “During this hospital stay, how often     psychiatry-related diagnoses
did nurses listen carefully to you?” and '“During this hospital stay, how often did nurses explain things in a way
you could understand?”
Subset of denominator who responded “sometimes” or “never” to either of 2 survey questions: “Before giving           Hospital patients age 18 and over discharged alive who had at least an overnight stay and no
you any new medicine, how often did hospital staff tell you what the medicine was for?” and “Before giving you       psychiatry-related diagnoses and who responded “yes” to the question “During this hospital stay,
any new medicine, how often did hospital staff describe possible side effects in a way you could understand?”        were you given any medicine that you had not taken before?”

U.S. civilian noninstitutionalized population under age 65 who reported no private or public health insurance        U.S. civilian noninstitutionalized population under age 65
coverage at any time during the year


U.S. civilian noninstitutionalized population under age 65 years who reported they had no public or private          U.S. civilian noninstitutionalized population under age 65
health insurance coverage some time during the year
U.S. civilian noninstitutionalized population under age 65 who reported they had public health insurance         U.S. civilian noninstitutionalized population under age 65
coverage some time during the past year
U.S. civilian noninstitutionalized population who indicated financial or insurance reasons for not having a      U.S. civilian noninstitutionalized population who reported having no usual source of care
usual source of care


U.S. civilian noninstitutionalized population who were determined to have a usual primary care provider          U.S. population (civilian noninstitutionalized)



Number of U.S. families who reported having at least 1 member experience difficulties or delays in obtaining    Number of U.S. families who reported having at least 1 member experience difficulties or delays in
health care because they 1) could not afford it, 2) their insurance company would not approve/cover/pay for it, obtaining health care
3) their insurance company required a referral they could not get, 4) the doctor refused the family’s insurance
plan, or 5) it was too expensive to get to the site for care

U.S. civilian noninstitutionalized population who reported having a usual source of care who subsequently        U.S. civilian noninstitutionalized population who reported having a usual source of care
reported that they have a provider who has office hours nights or weekends

U.S. civilian noninstitutionalized population who report having a usual source of care who subsequently          U.S. civilian noninstitutionalized population who report having a usual source of care
reported that they have difficulty contacting provider over the telephone
U.S. civilian noninstitutionalized adults age 18 and older who reported that, during the previous 12 months,     U.S. civilian noninstitutionalized adults age 18 and older who reported that, during the previous 12
they or a doctor thought they needed to see a specialist who subsequently reported no problems getting           months, they or a doctor thought they needed to see a specialist
referral to a specialist in the past year
U.S. civilian noninstitutionalized children under age 18 whose parents reported that, during the previous 12 U.S. civilian noninstitutionalized children under age 18 whose parents reported that, during the
months, they or a doctor thought they needed to see a specialist and who subsequently reported no problems previous 12 months, they or a doctor thought they needed to see a specialist
getting referral to a specialist in the past year
Subset of denominator who answered "No" to either question                                                       Hospital patients age 18 and over discharged alive who had at least an overnight stay and no
                                                                                                                 psychiatry-related diagnoses and who responded to the questions “During this hospital stay, did
                                                                                                                 doctors, nurses or other hospital staff talk with you about whether you would have the help you
                                                                                                                 needed when you left the hospital?” and "During this hospital stay, did you get information in
                                                                                                                 writing about what symptoms or health problems to look out for after you left the hospital?"

U.S. civilian noninstitutionalized population who reported at least 1 office-based/outpatient department visit   U.S. civilian noninstitutionalized population

U.S. civilian noninstitutionalized population who reported at least 1 prescribed medication                      U.S. civilian noninstitutionalized population

U.S. civilian noninstitutionalized population who reported at least 1 dental visit                               U.S. civilian noninstitutionalized population



U.S. civilian noninstitutionalized population who reported at least 1 emergency room visit                       U.S. civilian noninstitutionalized population

All non-maternal discharges of age 18 years and older with ICD-9-CM principal diagnosis code                     Population in metro area or county, age 18 years and older
for hypertension
Number of births with ICD-9-CM diagnosis code for less than 2500 grams in any field among cases                  The definition of newborn is any neonate with either 1) an ICD-9-CM diagnosis code for an in-
meeting the inclusion and exclusion rules for the denominator                                                    hospital live birth or 2) an admission type of newborn (ATYPE=4), age in days at admission equal
                                                                                                                 to zero, and not an ICD-9-CM diagnosis code for an out-of-hospital birth. A neonate is defined as
                                                                                                                 any discharge with age in days at admission between zero and 28 days (inclusive). If age in days
                                                                                                                 is missing, then a neonate is defined as any DRG in MDC 15, an admission type of newborn
                                                                                                                 (ATYPE=4), an ICD-9-CM diagnosis code for neonate observation and evaluation, or an ICD-9-
                                                                                                                 CM diagnosis code for an in-hospital live birth.

All non-maternal discharges of age 18 years and older with ICD-9-CM principal diagnosis code                     Population in metro area or county, age 18 years and older
for hypovolemia
All non-maternal discharges of age 18 years and older with ICD-9-CM principal diagnosis code                     Population in metro area or county, age 18 years and older
for angina

All non-maternal discharges of age 18 years and older with ICD-9-CM principal diagnosis code                     Population in metro area or county, age 18 years and older
for COPD
All non-maternal discharges of age 18 years and older with ICD-9-CM principal diagnosis code for                 Population in metro area or county, age 18 years and older
bacterial pneumonia
All non-maternal discharges of age 18 years and older with ICD-9-CM principal diagnosis code of               Population in metro area or county, age 18 years and older
urinary tract infection
Subset of the denominator with principal or secondary diagnosis code for perforation or abscess of appendix   Non-maternal/non-neonatal discharges with principal or secondary diagnosis of appendicitis,
                                                                                                              excluding transfer from other institutions


Subset of denominator with and without a usual source of care who offers language assistance                  U.S. civilian noninstitutionalized population with limited English proficiency

Component indicator numerators (includes PQI 1: Diabetes Short-term Complications Admission Rate; PQI 3:
Diabetes Long-term Complications Admission Rate; PQI 5: Chronic Obstructive Pulmonary Disease (COPD)
Admission Rate; PQI 7: Hypertension Admission Rate; PQI 8: Congestive Heart Failure (CHF) Admission
Rate; PQI 10: Dehydration Admission Rate; PQI 11: Bacterial Pneumonia Admission Rate; PQI 12: Urinary
Tract Infection Admission Rate; PQI 13: Angina without Procedure Admission Rate; PQI 14: Uncontrolled
Diabetes Admission Rate; PQI 15: Adult Asthma Admission Rate; PQI 16: Rate of Lower-extremity Amputation
among Patients with Diabetes)
Component indicator numerators (includes PQI 10: Dehydration Admission Rate; PQI 11: Bacterial Pneumonia
Admission Rate; PQI 12: Urinary Tract Infection Admission Rate)

Component indicator numerators (includes PQI 1: Diabetes Short-term Complications Admission Rate; PQI 3:
Diabetes Long-term Complications Admission Rate; PQI 5: Chronic Obstructive Pulmonary Disease (COPD)
Admission Rate; PQI 7: Hypertension Admission Rate; PQI 8: Congestive Heart Failure (CHF) Admission
Rate; PQI 13: Angina without Procedure Admission Rate; PQI 14: Uncontrolled Diabetes Admission Rate; PQI
15: Adult Asthma Admission Rate; PQI 16: Rate of Lower-extremity Amputation among Patients with Diabetes)


NA                                                                                                            NA




NA                                                                                                            NA




NA                                                                                                            NA




Component indicator numerators (includes PDI 14: Asthma Admission Rate; PDI 15: Diabetes Short-term           Population in metro area or county ages 3 months to 17 years
Complications Admission Rate; PDI 16: Gastroenteritis Admission Rate; PDI 18: Urinary Tract Infection
Admission Rate)
Component indicator numerators (includes PDI 14: Asthma Admission Rate; PDI 15: Diabetes Short-term           Population in metro area or county ages 3 months to 17 years
Complications Admission Rate)
Component indicator numerators (includes PDI 16: Gastroenteritis Admission Rate; PDI 18: Urinary Tract        Population in metro area or county ages 3 months to 17 years
Infection Admission Rate)
NA                                                                                                                 NA




1. # of caregivers reporting that services helped them provide care longer. 2. # of clients without a car or far   1. Random sample of caregivers responding to telephone survey. 2. Random sample of
from transportation. 3. # of congregate meal recipients who live alone. 4. # of home delivered meal recipients     transportation riders responding to telephone survey. 3. All congregate meal clients. 4. All home
with 3+ IADL limitations.                                                                                          delivered meal recipients.




Number of clients participating in random sample of all clients who indicate service was good to excellent         All clients surveyed

Number of people served through Older Americans Act Services                                                       Associated Year's Subtotal State and Community Based Services from Congressional Justification
                                                                                                                   of the budget

Number of registered clients served who live in rural areas                                                        All clients served


Number of registered clients served who live below the poverty level                                               All clients served


Number of older persons with 3 or more Activity of Daily Living Limitations who receive home-delivered meals       All older persons who receive home-delivered meals


Number of service units reported                                                                                   Associated Year's Subtotal for Title VI from Congressional Justification of the budget


Number of complaints resolved or partially resolved documented by ombudsman                                        Total number of complaints documented by ombudsman


Number of beneficiaries trained                                                                                    Amount appropriated to senior Medicare patrol


The numerator is the number of children diagnosed with spina bifida and anencephaly in birth defects               The denominator reflects the number of live births covered by birth defect surveillance programs
surveillance programs participating in the National Birth Defects Prevention Network (NBDPN).                      participating in the National Birth Defects Prevention Network (NBDPN).




The numerator is the number of healthcare providers using evidence-based interventions for women of                The denominator is a nationally representative sample of healthcare providers serving women of
childbearing age who are at risk for an alcohol exposed pregnancy.                                                 childbearing age--including Obstetrician/Gynecologists.




The numerator is the number of infants screened.                                                                   The denominator is all infants born in the U.S.
Number of female deaths due to breast cancer (ICD-10 code C50)                                               Number of females




BRFSS surveyed women age 40 and older reporting having received a mammogram in the previous two              BRFSS surveyed women age 40 and older
years.



Women age 20 and older receiving a (subsequent) NBCCEDP funded pap test leading to a diagnosis of            Women age 20 and older receiving a (subsequent) NBCCEDP-funded pap test
invasive cervical cancer



Number of deaths due to trachea, bronchus, and lung cancer (ICD-10 codes C33-C34)                            Number of persons


Number of persons who began treatment (i.e., dialysis or kidney transplantation) for ESRD in the United      Estimated number of U.S. residents with diabetes obtained from the weighted sample of the
States for whom diabetes was listed as the primary cause of renal failure                                    civilian noninstitutionalized population in the National Health Interview Survey (NHIS). Three-year
                                                                                                             moving averages were used to improve the precision of the estimated population with diabetes,
                                                                                                             and incidence was age-adjusted on the basis of the 2000 U.S. standard population.

Number of adults with diabetes who report that a doctor, nurse, or other health professional has checked their Number of adults who report that they have ever been diagnosed with diabetes and responded to
glycated hemoglobin (HbA1c) two or more times in the previous year                                             the A1C test survey question, excluding persons diagnosed only during pregnancy and those with
                                                                                                               prediabetes or borderline diabetes. Missing values, refusals, and responses of "don't know" are
                                                                                                               not included in the denominator.
Coronary deaths: Number of coronary heart disease-related deaths (ICD-10 codes, I20-I25). Stroke deaths:     Number of persons
Number of stroke related deaths (ICD-10 I60-I69).

Number of persons aged 18 years and older, excluding pregnant women, who have been told by a doctor or       Number of persons with high blood pressure/hypertension aged 18 years and older, excluding
other health professional to take prescribed blood pressure medicine and are now taking it and whose mean    pregnant women
systolic blood pressure is less than 140 mm Hg and mean diastolic blood pressure is less than 90 mm Hg


The numerator is the number of cases of indigenous diseases (by specific disease) reported to the NDSSS,     The denominator is the U.S. population.
NCRSR and ABCs systems.




The numerator is the number of cases of indigenous mumps reported to NNDSS.                                  The denominator is the U.S. population.


The numerator is the number of pertussis cases reported to NNDSS.                                            The denominator is the number of US children under 7 years of age.


The numerator for this measure is derived annually as the estimated number of people enrolled in all         Since this number is not expressed as a percentage, there is no denominator for measure.
managed care organizations participating in the Vaccine Safety Datalink in the past year.
The numerator varies by antigen, or antigen groups, but consists of the number of children aged 19 to 35     The denominator for each vaccine antigen (or groups on antigens) is the number of U.S. children
months receiving the number of doses recommended for their age. Performance for newly recommended            ages 19 to 35 months.
vaccines, such as pneumococcal conjugate and influenza vaccines, are reported once data from the National
Immunization Survey become available.
Numerator is the number of adolescents 13 to 15 years of age who are reported to have received at least 1    The denominator is the number of U.S. adolescents 13 to 15 years of age.
does of Td-containing vaccine.
Numerators for the influenza and pneumococcal measures to protect adults age 65 years and older are based The denominators for the influenza and pneumococcal measures are the number of adults aged
on the number of adults 65 and older who report receiving an influenza vaccination in the past 12 months or 65 years and older.
who report EVER receiving pneumococcal vaccination.




Numerator is the number of cases of invasive pneumococcal disease in children under 5 years of age and             The denominators are the number of children under 5 years of age and the number of adults 65
among adults 65 years of age and older as reported to the ABCs system.                                             years and older in the ABCs surveillance population.




Patients with a bloodstream infection that have a central line catheter and who reside in an intensive care unit All intensive care unit patients with a central line catheter (e.g., central line days)
(ICU)




Rate of HIV/AIDS diagnoses among blacks in the U.S. (per 100,000 blacks in the U.S.)                               Rate of HIV/AIDS diagnoses among whites in the U.S. (per 100,000 whites in the U.S.)

Rate of HIV/AIDS diagnoses among hispanics in the U.S. (per 100,000 hispanics in the U.S.)                         Rate of HIV/AIDS diagnoses among whites in the U.S. (per 100,000 whites in the U.S.)

For MSM - # of men who had unprotec+I372ted anal sex with a person of the opposite or unknown HIV status           For each group (MSM, IDU, HRH) - number of persons enrolled in the NHBS system
in the last 12 months. For IDU - # of persons who shared needles or had unprotected anal sex with a person
of opposite or unknown HIV status in the last 12 months. For HRH - # of persons who had sex with a person
of opposite or unknown HIV status in the last 12.

Number of persons in each group (MSM, IDU, HRH) who received individual or group level HIV prevention              For each group (MSM, IDU, HRH)-number of persons enrolled in the NHBS system
interventions in the past year
Estimated number of people living with HIV who are aware of their status                                           Estimated number of persons living with HIV

Number of HIV-infected persons who receive their HIV test results at publicly funded HIV counseling and            All HIV-infected persons tested at publicly funded HIV counseling and testing sites
testing sites




The numerator is the estimated number of persons during a calendar year diagnosed with HIV at least one            The denominator is the estimated number of persons diagnosed with AIDS during a calendar
month prior to being diagnosed with AIDS                                                                           year.
Reported cases of acute hepatitis A                                                                                U.S. resident population


Reported cases of acute hepatitis B                                                                                U.S. resident population


Number of persons with antibody to hepatitis C virus who are aware of their status                                 Number of persons with antibody to HCV located on follow-up interview




Number of women entering National Job Training Program who test positive for Chlamydia                             Number of women entering National Job Training Program who are tested for chlamydia
The number of positive tests for chlamydia in publicly funded family planning clinics among women under age Number of chlamydia tests performed on women under age 25 in publicly funded family planning
25                                                                                                          clinics

Reported cases of gonorrhea in women ages 15-44                                                                    U.S. population of women ages 15-44


Number of reported cases of primary and secondary syphilis in the U.S.                                             U.S. resident population.


Number of reported cases in males of primary and secondary syphilis in the U.S.                                    Resident population of males in the U.S.


Number of reported cases in females of primary and secondary syphilis in the U.S.                                  Resident population of females in the U.S.


Number of reported cases of congenital syphilis in the U.S.                                                        Number of live births in the U.S.

Rate of primary and secondary syphilis among blacks in the U.S (reported cases of P&S syphilis in blacks per Rate of primary and secondary syphilis among whites in the U.S. (reported cases of P&S syphilis
100,000 population)                                                                                          in whites per 100,000 populations of white, non-hispanics)

Number of incident cases among U.S. born persons in the United States                                              Resident population of U.S. born population in the U.S.


Number of TB patients who complete a course of curative TB treatment within 12 months of initiation of             Population of TB patients in the U.S. for whom treatment for 12 months was indicated
treatment.
Number of TB patients in the U.S. with initial positive cultures who also have drug susceptibility results         Number of TB patients with only initial positive cultures


Number of contacts of infectious (Acid-Fast Bacillus [AFB] smear-positive) cases that are placed on treatment The total number of contact of patients with AFB smears positive results
for latent TB infection and complete a treatment regimen




This measure estimates the number of lead poisoned children, not a fraction or percentage. Consequently,           This measure estimates the number of lead poisoned children, not a fraction or percentage.
there is no numerator.                                                                                             Consequently, there is no denominator.

Numerators for the measures to protect the civilian non-institutionalized high-risk population age 18-64 are The denominators for the influenza and pneumococcal measures are the number of high-risk
based on the number of these adults who report receiving an influenza vaccination in the past 12 months or   persons age 18-64 years old.
who report EVER receiving pneumococcal vaccination.
BRFSS surveyed women age 40 and older reporting having received a mammogram in the previous two years BRFSS surveyed women age 40 and older




Patients with a bloodstream infection that have a central line catheter and who reside in an intensive care unit All intensive care unit patients with a central line catheter (e.g., central line days)




Patients who had to be admitted to the hospital                                                                    All patients are eligible for this outcome
AMI patients who received aspirin within 24 hours before or after hospital arrival                                 AMI patients without aspirin contraindications


AMI patients who are prescribed aspirin at hospital discharge                                                      AMI patients without aspirin contraindications


AMI patients who are prescribed an ACEI or ARB at hospital discharge                                               AMI patients with LVSD and without both ACEI and ARB contraindications
AMI patients (cigarette smokers) who receive smoking cessation advice or counseling during the hospital stay AMI patients with a history of smoking cigarettes anytime during the year prior to hospital arrival


AMI patients who are prescribed a beta-blocker at hospital discharge                                              AMI patients without beta-blocker contraindications


AMI patients who received a beta-blocker within 24 hours after hospital arrival                                   AMI patients without beta-blocker contraindications


AMI patients whose time from hospital arrival to fibrinolysis is 30 minutes or less                               AMI patients with ST-elevation or LBBB on ECG who received fibrinolytic therapy


Patients who need urgent, unplanned medical care                                                                  All patients are eligible for calculation of this outcome.
Number of eligible hemodialysis patients at the facility during the calendar year with a most common URR          Number of eligible hemodialysis patients at the facility during the calendar year. All hemodialysis
value of 65% or higher                                                                                            patients who have had ESRD for at least 1 year
Number of eligible EPO-treated dialysis patients at the facility during the calendar year with an average         Number of eligible EPO-treated dialysis patients at the facility during the calendar year. All EPO-
hematocrit of 33 or higher                                                                                        treated dialysis patients who have had ESRD for at least 90 days


Number of deaths among eligible patients at the facility during the 4-year time period                            Number of deaths that would be expected among eligible patients at the facility during the four-
                                                                                                                  year time period, given the patient mix at the facility. All dialysis patients who have reached day
                                                                                                                  90 of ESRD
Patients who are able to live in the community at discharge                                                       All patients are eligible for calculation of this outcome, except when the response to M0870
                                                                                                                  Discharge Disposition is 'Unknown'.
AMI patients whose time from hospital arrival to PCI is 90 minutes or less                                        AMI patients with ST-elevation or LBBB on ECG who received PCI


Hemodialysis patients with at least one documented transferrin saturation and serum ferritin concentration        All adult (> 18 years old) hemodialysis patients if the first monthly hemoglobin is > 11 g/dL for at
result during the three-month study period                                                                        least one of the study months or if prescribed Epoetin at any time during the study period
                                                                                                                  regardless of hemoglobin level
Patients with documented mean hemoglobin 11-12 g/dL during the study period                                       All adult (> 18 years old) hemodialysis or peritoneal dialysis patients

Patients with documented monthly adequacy measurements (URR or Kt/V)                                              All adult (> 18 years old) patients

Hemodialysis patients with at least one documented transferrin saturation greater than or equal to 20% and at All adult (> 18 years old) hemodialysis patients if the first monthly hemoglobin is < 11 g/L for at
least one documented serum ferritin concentration greater than or equal to 100 ng/mL during the three-month least one of the study months or, if prescribed epoetin at anytime during the study period,
study period                                                                                                  regardless of hemoglobin level
Peritoneal dialysis patients with at least one documented transferrin saturation greater than or equal to 20%     All adult (> 18 years old) peritoneal dialysis patients if the first monthly hemoglobin is < 11 g/L for
and at least one documented serum ferritin concentration greater than or equal to 100 ng/mL during the six-       at least one of the two-month periods during the six-month study period or, if prescribed epoetin at
month study period                                                                                                anytime during the study period, regardless of hemoglobin level
Peritoneal dialysis patients with at least two documented transferrin saturation and serum ferritin               All adult (> 18 years old) peritoneal dialysis patients if the first monthly hemoglobin is < 11 g/L for
concentration results during the six-month study period                                                           at least one of the two-month periods or if prescribed epoetin at anytime during the study period
                                                                                                                  regardless of hemoglobin level
Hemodialysis patients prescribed intravenous iron in at least one of the study months                             All adult (> 18 years old) hemodialysis patients if first monthly hemoglobin < 11g/dL for at least
                                                                                                                  one month out of the three month-period or prescribed epoetin at any time during the study period
                                                                                                                  regardless of hemoglobin level, with at least one transferrin saturation < 20% or at least one
                                                                                                                  serum ferritin concentration < 100ng/mL
Peritoneal dialysis patients prescribed intravenous iron in at least one of the two-month periods during the six- All adult (> 18 years old) peritoneal dialysis patients if first hemoglobin in a two month period <
month study period                                                                                                11g/dL for at least one of the two-month periods during the six-month study period or prescribed
                                                                                                                  epoetin at any time during the study period regardless of hemoglobin level, with at least one
                                                                                                                  transferrin saturation < 20% or at least one serum ferritin concentration < 100 ng/mL


Patients for whom the delivered hemodialysis dose measured by formal urea kinetic modeling or the                 All adult (> 18 years old) patients
Daugirdas II formula
Patients whose average daily dose of hemodialysis was spKt/V greater than or equal to 1.2 during the study        All adult (> 18 years old) patients who have been on hemodialysis for six months or more and
period                                                                                                            dialyzing three times per week
Patients with total solute clearance for urea and creatinine measured at least once in a six month time period    All adult (> 18 years old) peritoneal dialysis patients


Patients with weekly creatinine clearance normalized to 1.73m2 body surface area (BSA) and total weekly           All adult (> 18 years old) peritoneal dialysis patients
Kt/Vurea used to measure delivered peritoneal dialysis dose
CAPD patients, the delivered peritoneal dialysis dose was a weekly Kt/V urea of at least 2.0 and a weekly  All adult (> 18 years old) peritoneal dialysis patients
creatinine clearance of at least 60 L/week/1.73 m2 for high and high-average transporters, and at least 50
L/week/1.73m2 for low and low-average transporters or evidence that the prescription was changed according
to NKF-K/DOQI recommendations, during the study period
Cycler patients with a daytime dwell (CCPD), the delivered peritoneal dialysis dose was a weekly Kt/Vurea of     All adult (> 18 years old) peritoneal dialysis patients
at least 2.1 and a weekly creatinine clearance of at least 63 L/week/1.73 m2 or evidence that the prescription
was changed according to NKF-K/DOQI recommendations, during the study period

Cycler patients without a daytime dwell (NIPD), the delivered peritoneal dialysis dose was a weekly Kt/Vurea     All adult (> 18 years old) peritoneal dialysis patients
of at least 2.2 and a weekly creatinine clearance of at least 66 L/week/1.73 m2 or evidence that the
prescription was changed according to NKF-K/DOQI recommendations, during the study period


Incident patients who were dialyzed using an AVF during their last hemodialysis treatment during the study       Incident (patients initiating their most recent course of hemodialysis on or between January 1 and
period                                                                                                           August 31 of the year prior to the study year) adult (>18 years old) patients
Prevalent patients who were dialyzed using an AVF during their last hemodialysis treatment during the study      Prevalent adult (> 18 years old) patients
period
Patients who were dialyzed with a chronic catheter continuously for 90 days or longer prior to the last          All adult (> 18 years old) patients
hemodialysis session during the study period
Patients whose AV graft was routinely monitored for the presence of stenosis using one of the following          All adult (> 18 years old) patients who were on hemodialysis continuously and who were dialyzed
methods and with the stated frequency: Color-flow Doppler at least once every three months; static venous        through an AV graft during their last hemodialysis session during the study period
pressure at least once every two weeks; dynamic venous pressure every hemodialysis session; dilution
technique at least once every three months

Heart failure patients with documentation that they or their caregivers were given written discharge             Heart failure patients discharged home
instructions or other educational material addressing all of the following: activity level, diet, discharge
medications, follow-up appointment, weight monitoring, what to do if symptoms worsen
Heart failure patients with documentation in the hospital record that LVS function was evaluated before arrival, Heart failure patients
during hospitalization, or is planned for after discharge
Heart failure patients who are prescribed an ACEI or ARB at hospital discharge                                   Heart failure patients with LVSD and without both ACEI and ARB contraindications


Patients who improve walking or mobility                                                                         All patients for whom the value of the OASIS item M0700 Ambulation/Locomotion at start or
                                                                                                                 resumption of care is greater than zero (i.e., it is possible for improvement to occur) are eligible for
                                                                                                                 calculation of this outcome.
Patients who improve or maintain the ability to bathe                                                            All patients for whom the value of the OASIS item M0670 Bathing at start or resumption of care is
                                                                                                                 greater than zero (i.e., it is possible for improvement to occur) are eligible for calculation of this
                                                                                                                 outcome.
Patients who become less short of breath or dyspneic                                                             All patients for whom the value of the OASIS item M0490 Short of Breath at start or resumption of
                                                                                                                 care is greater than zero (i.e., it is possible for improvement to occur) are eligible for calculation of
                                                                                                                 this outcome.
Patients who show improvement in the ability to take their medicines correctly                                   All patients for whom the value of the OASIS item M0780 Management of Oral Medications at
                                                                                                                 start or resumption of care is greater than zero (i.e., it is possible for improvement to occur) are
                                                                                                                 eligible for calculation of this outcome.
Patients who have less pain when moving around                                                                   All patients for whom the value of the OASIS item M0420 Frequency of Pain at start or resumption
                                                                                                                 of care is greater than zero (i.e., it is possible for improvement to occur) are eligible for calculation
                                                                                                                 of this outcome.
Patients who demonstrate an improvement in the condition of surgical wounds                                      All patients for whom the value of the OASIS item M0482 Surgical Wound at start or resumption of
                                                                                                                 care is greater than zero (i.e., it is possible for improvement to occur) AND the value of OASIS
                                                                                                                 item M0488 Status of Most Problematic (Observable) Surgical Wound is not equal to NA - No
                                                                                                                 Observable Surgical Wound are eligible for calculation of this outcome.

Patients who are better able to get in and out of bed                                                            All patients for whom the value of the OASIS item M0690 Transferring at start or resumption of
                                                                                                                 care is greater than zero (i.e., it is possible for improvement to occur) are eligible for calculation of
                                                                                                                 this outcome.
Patients who were previously urine incontinent and are now continent                                             All patients for whom the value of the OASIS items M0520 Urinary Incontinence or Urinary
                                                                                                                 Catheter Presence or M0530 When does Urinary Incontinence Occur at start or resumption of
                                                                                                                 care is greater than zero (i.e., it is possible for improvement to occur) are eligible for calculation of
                                                                                                                 this outcome.
Patients in denominator with 30-day mortality (defined as death from any cause 30 days after the index      Patients with AMI age 65 years and older
admission date) for patients discharged from the hospital with a principal diagnosis of AMI


Patients in denominator with 30-day mortality (defined as death from any cause 30 days after the index      Patients with HF age 65 years and older
admission date) for patients discharged from the hospital with a principal diagnosis of HF
Patients in denominator with 30-day mortality (defined as death from any cause 30 days after the index      Patients with a principal diagnosis of pneumonia age 65 years and older
admission date) for patients discharged from the hospital with a principal diagnosis of PN
Heart failure patients (cigarette smokers) who receive smoking cessation advice or counseling during the    Heart failure patients with a history of smoking cigarettes anytime during the year prior to hospital
hospital stay                                                                                               arrival
Residents in the influenza vaccination sample who received the influenza vaccine during the most recently   Residents in the influenza vaccination sample with a valid MDS target record (assessment or
completed influenza season (October 1 through March 31)                                                     discharge) in the Influenza Vaccination Reporting Period (October 1 through June 30).
Residents in the influenza vaccination sample who received the influenza vaccine during the most recently   Residents in the influenza vaccination sample with a valid MDS target record (assessment or
completed influenza season (October 1 through March 31)                                                     discharge) in the Influenza Vaccination Reporting Period (October 1 through June 30).
Residents in the pneumococcal vaccination sample who have an up-to-date pneumococcal vaccination (W3a       Residents in the pneumococcal vaccination sample with a valid MDS target record (assessment or
= 1) within the 6-month target period                                                                       discharge) within the 6-month target period.
Residents with worsening (increasing MDS item score) in late-loss ADL (bed mobility, transfer, eating, or   All residents with a valid target and a valid prior assessment after exclusions are applied
toileting) self performance at target assessment [t] relative to prior assessment [t-1].
Residents who were frequently incontinent or fully incontinent on the target assessment                     All residents with a valid target assessment after exclusions are applied and not qualifying as high
                                                                                                            risk
Residents whose value for locomotion self-performance is greater at target relative to prior assessment     All residents with a valid target assessment and a valid prior assessment after exclusions are
                                                                                                            applied
Residents who have experienced weight loss on the target assessment (K3a = 1) of 5 percent or more in the   All residents with a valid target assessment after exclusions are applied
last 30 days or 10 percent or more in the last 6 months.
Short stay residents at SNF PPS 14-day assessment with at least one symptom of delirium that represents a   All residents with a valid SNF PPS 14-day assessment (AA8b = 7) after exclusions are applied
departure from usual functioning (at least one B5a through B5f = 2)

Short stay residents at SNF PPS 14-day assessment with pain occurring daily, reaching a moderate level at   All residents with a valid SNF PPS 14-day assessment (AA8b = 7) after exclusions are applied
least once during the 7-day assessment period (J2a = 2 and J2b = 2) OR horrible/excruciating pain at any
frequency (J2b = 3)
Short stay residents at SNF PPS 14-day assessment who satisfy either of the following conditions:       All residents with a valid SNF PPS 14-day Assessment (AA8b = 7) AND a valid preceding SNF
On the SNF PPS 5-day assessment, resident had no pressure sores (M2a[t-1] = 0) AND, on the SNF PPS 14- PPS 5-day Assessment (AA8b = 1) after exclusions are applied
day assessment, resident has at least a Stage 1 pressure sore (M2a[t] = 1, 2, 3, or 4).
On the SNF PPS 5-day assessment, resident had a pressure sore (M2a[t-1] = 1, 2, 3, or 4) AND on the SNF
PPS 14-day assessment, pressure sore worsened or failed to improve (M2a[t] >= M2a[t-1])

Residents with pain occurring daily, reaching a moderate level at least once during the assessment period   All residents with a valid target assessment after exclusions are applied
(J2a = 2 and J2b = 2) OR horrible/excruciating pain at any frequency (J2b = 3) on the target assessment

Residents in the pneumococcal vaccination sample who have an up-to-date pneumococcal vaccination (W3a       Residents in the pneumococcal vaccination sample with a valid MDS target record (assessment or
= 1) within the 6-month target period                                                                       discharge) within the 6-month target period
Residents with urinary tract infection on the target assessment                                             All residents with a valid target assessment after exclusions are applied

Residents with pressure sores (Stage 1-4) on the target assessment                                          All residents with a valid target assessment after exclusions are applied and with any one of the
                                                                                                            following high-risk inclusion criteria: 1.) Impaired in bed mobility or transfer on the target
                                                                                                            assessment as indicated by G1a(A) = 3, 4, or 8 OR G1b(A) = 3, 4, or 8. 2.) Comatose on the
                                                                                                            target assessment as indicated by B1 = 1. 3.) Suffer malnutrition on the target assessment as
                                                                                                            indicated by I3a through I3e = ICD-9-Codes 260, 261, 262, 263.0, 263.1, 263.2, 263.8, or 263.9.

Residents with pressure sores (Stage 1-4) on the target assessment                                          All residents with a valid target assessment after exclusions are applied and who do not qualify as
                                                                                                            high risk
Residents whose Mood Scale scores are greater on target assessment relative to prior assessment (Mood       All residents with a valid target assessment and a valid prior assessment, after exclusions are
Scale score [t] > Mood Scale score [t-1])                                                                   applied
Residents who are bedfast (G6a is checked) on the target assessment                                         All residents with a valid target assessment after exclusions are applied

Residents with indwelling catheters on the target assessment (H3d is checked)                               All residents with a valid target assessment after exclusions are applied

Residents who were physically restrained daily (P4c or P4d or P4e = 2) on the target assessment             All residents with a valid target assessment after exclusions are applied
Number of pneumonia patients whose arterial oxygenation was assessed by arterial blood gas (ABG) or pulse Pneumonia patients 18 years of age and older
oximetry within 24 hours prior to or after hospital arrival
Patients with pneumonia, age 65 and older, who were screened for pneumococcal vaccine status and were       Pneumonia patients 65 years of age and older
vaccinated prior to discharge, if indicated
Number of pneumonia patients transferred or admitted to the ICU within 24 hours of hospital arrival who had Pneumonia patients 18 years of age and older
blood cultures performed with 24 hours prior to or 24 hours after arrival at the hospital




Number of pneumonia patients whose initial emergency room blood culture was performed prior to the                 Pneumonia patients 18 years of age and older who have an initial blood culture collected as an
administration of the first hospital dose of antibiotics                                                           emergency department patient

Pneumonia patients (cigarette smokers) who receive smoking cessation advice or counseling during the               Pneumonia patients 18 years of age and older with a history of smoking cigarettes anytime during
hospital stay                                                                                                      the year prior to hospital arrival
Number of pneumonia patients who received their first antibiotic dose within 4 hours from hospital arrival         Pneumonia patients 18 years of age and older

Number of pneumonia patients who received their first antibiotic dose within 6 hours from hospital arrival         Pneumonia patients 18 years of age and older




Pneumonia patients who received an initial antibiotic regimen (as specified in Pneumonia Antibiotic                Immunocompetent community-acquired pneumonia (CAP) patients 18 years of age and older
Consensus Recommendations) consistent with current guidelines during the first 24 hours of their
hospitalization
Patients with most recent hemoglobin A1c level > 9.0%                                                              Patients aged 18-75 years with the diagnosis of diabetes

Patients with most recent LDL-C < 100 mg/dL                                                                        Patients aged 18-75 years with the diagnosis of diabetes

Patients whose most recent blood pressure < 140/80 mm Hg                                                           Patients aged 18-75 years with the diagnosis of diabetes

Patients discharged during October, November, December, January, February or March with pneumonia, age Pneumonia patients 50 years of age and older
50 and older, who were screened for influenza vaccine status and were vaccinated prior to discharge, if
indicated
Patients who were screened for future fall risk (patients are considered at risk for future falls if they have had 2 All patients aged 65 years and older
or more falls in the past year or any fall with injury in the past year) at least once within 12 months

Patients who were prescribed ACE inhibitor or ARB therapy                                                          Heart failure patients aged 18 years and older with LVEF < 40% or with moderately or severely
                                                                                                                   depressed left ventricular systolic function

Patients who were prescribed oral antiplatelet therapy                                                             All patients aged 18 years and older with a diagnosis of coronary artery disease


Patients who were prescribed beta-blocker therapy                                                                  Patients aged 18 years and older with a diagnosis of coronary artery disease who also have prior
                                                                                                                   myocardial infarction (MI) at any time

Patients who were prescribed beta-blocker therapy                                                                  Patients aged 18 years and older with a diagnosis of heart failure with left ventricular ejection
                                                                                                                   fraction (LVEF) < 40% or with moderately or severely depressed left ventricular systolic function

Patients with an 84-day (12-week) acute treatment of antidepressant medication                                     Patients 18 years and older diagnosed with a new episode of MDD (major depression) and treated
                                                                                                                   with antidepressant medication
Final reports of the initial CT or MRI that include documentation of the presence or absence of each of the        All final reports for CT or MRI studies of the brain performed within 24 hours of arrival to the
following: hemorrhage and mass lesion and acute infarction                                                         hospital for patients aged 18 years and older with a diagnosis of ischemic stroke or TIA or
                                                                                                                   intracranial hemorrhage
Final carotid imaging study reports that include direct or indirect reference to measurements of distal internal   All final reports for carotid imaging studies (neck MR angiography [MRA], neck CT angiography
carotid diameter as the denominator for stenosis measurement                                                       [CTA], neck duplex ultrasound, carotid angiogram) performed for patients aged 18 years and older
                                                                                                                   with a diagnosis of ischemic stroke or TIA
Patients who have an optic nerve head evaluation during one or more office visits within 12 months                 All patients aged 18 years and older with a diagnosis of primary open-angle glaucoma

Patients who had a dilated macular examination performed which included documentation of the presence or           All patients aged 50 years and older with a diagnosis of age-related macular degeneration
absence of macular thickening or hemorrhage AND the level of macular degeneration severity during one or
more office visits within 12 months
Patients who had a dilated macular or fundus exam performed which included documentation of the level of          All patients aged 18 years and older with a diagnosis of diabetic retinopathy
severity of retinopathy AND the presence or absence of macular edema during one or more office visits within
12 months
Patients with documentation, at least once within 12 months, of the findings of the dilated macular or fundus     All patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated
exam via communication to the physician who manages the patient's diabetic care                                   macular or fundus exam performed
Surgical patients who have an order for prophylactic antibiotic to be given within one hour (if fluoroquinolone   All surgical patients aged 18 years and older undergoing procedures with the indications for
or vancomycin, two hours) prior to the surgical incision (or start of procedure when no incision is required)     prophylactic parenteral antibiotics

Surgical patients who had an order for cefazolin OR cefuroxime for antimicrobial prophylaxis                    All surgical patients aged 18 years and older undergoing procedures with the indications for a first
                                                                                                                or second generation cephalosporin prophylactic antibiotic
Non-cardiac surgical patients who have an order for discontinuation of prophylactic antibiotics within 24 hours All non-cardiac surgical patients undergoing procedures with the indications for prophylactic
of surgical end time                                                                                            antibiotics AND who received a prophylactic antibiotic
Surgical patients who had an order for LMWH, LDUH, adjusted-dose warfarin, fondaparinux or mechanical           All surgical patients aged 18 years and older undergoing procedures for which VTE prophylaxis is
prophylaxis to be given within 24 hours prior to incision time or within 24 hours after surgery end time        indicated in all patients

Patients with documentation of communication with the physician managing the patient's on-going care that a       All patients aged 50 years and older treated for hip, spine or distal radial fracture
fracture occurred and that the patient was or should be tested or treated for osteoporosis

Patients who had documentation of receiving aspirin within 24 hours before emergency department arrival or        All patients with an emergency department discharge diagnosis of acute myocardial infarction
during emergency department stay

Surgical patients for whom administration of a prophylactic antibiotic has been initiated within one hour (if     All surgical patients aged 18 years and older who have an order for a parenteral antibiotic to be
fluoroquinolone or vancomycin, two hours) prior to the surgical incision (or start of procedure when no           given within one hour (if fluoroquinolone or vancomycin, two hours) prior to the surgical incision
incision is required)                                                                                             (or start of procedure when no incision is required)
Patients who received Deep Vein Thrombosis (DVT) prophylaxis by the end of hospital day two specified             All patients aged 18 years and older with the diagnosis of ischemic stroke or intracranial
                                                                                                                  hemorrhage

Patients who were prescribed antiplatelet therapy at discharge                                               All patients aged 18 years and older with the diagnosis of ischemic stroke or transient ischemic
                                                                                                             attack (TIA)
Patients who were prescribed an anticoagulant at discharge                                                   All patients aged 18 years and older with the diagnosis of ischemic stroke or transient ischemic
                                                                                                             attack (TIA) with documented permanent, persistent, or paroxysmal atrial fibrillation
Patients who were considered for t-PA administration (given t-PA or documented reasons for patient not being All patients aged 18 years and older with the diagnosis of ischemic stroke whose time from
a candidate for therapy)                                                                                     symptom onset to arrival is less than 3 hours
Patients who underwent a dysphagia screening process before taking any foods, fluids or medication by        All patients aged 18 years and older with the diagnosis of ischemic stroke or intracranial
mouth                                                                                                        hemorrhage who receive any food, fluids or medication by mouth
Patients for whom consideration of rehabilitation services (ordered rehabilitation or documented that        All patients aged 18 years and older with the diagnosis of ischemic stroke or intracranial
rehabilitation was not indicated) is documented                                                              hemorrhage
Patients who had a central DXA measurement ordered or performed at least once since age 60 or                All female patients aged 65 years and older
pharmacologic therapy prescribed within 12 months
Patients who had a central DXA measurement ordered or performed or pharmacologic therapy prescribed          All patients aged 50 years and older with a fracture of the hip, spine or distal radius
Patients who were prescribed pharmacologic therapy within 12 months                                          All patients aged 50 years and older with the diagnosis of osteoporosis
Patient who received an IMA coronary artery bypass graft                                                     Patients with coronary artery bypass graft

Patients undergoing CABG with documented pre-operative beta-blocker                                               Patients with coronary artery bypass graft

Cardiac surgical patients who have an order for discontinuation of prophylactic antibiotics within 48 hours of    All cardiac surgical patients aged 18 years and older undergoing procedures with the indications
surgical end time                                                                                                 for prophylactic antibiotics AND who received a prophylactic antibiotic
Patients who had a reconciliation of the discharge medications with the current medication list in the medical    All patients aged 65 years and older discharged from any inpatient facility (e.g., hospital, skilled
record documented                                                                                                 nursing facility, or rehabilitation facility) and seen within 60 days following discharge in the office
                                                                                                                  by the physician providing on-going care
Patients with documentation of a surrogate decision maker or advance care plan in the medical record              All patients aged 65 years and older

Patients who were assessed for the presence or absence of urinary incontinence within 12 months                   All female patients aged 65 years and older

Patients whose urinary incontinence was characterized (may include one or more of the following: frequency,       All female patients aged 65 years and older with a diagnosis of urinary incontinence
volume, timing, type of symptoms and how bothersome to the patient) at least once within 12 months

Patients with a documented plan of care for urinary incontinence at least once within 12 months                   All female patients aged 65 years and older with a diagnosis of urinary incontinence

Patients with documented spirometry results in the medical record (FEV1 and FEV1/FVC)                             All patients aged 18 and older with a diagnosis of COPD

Patients who were prescribed an inhaled bronchodilator                                                            All patients aged 18 years and older with a diagnosis of COPD, who have an FEV1/FVC <70 %
                                                                                                                  and have symptoms (e.g., dyspnea, cough/sputum, wheezing)
Patients who were prescribed either the preferred long-term control medication (inhaled corticosteroid or          All patients aged 5 to 40 years with a diagnosis of mild, moderate, or severe persistent asthma
inhaled corticosteroid with long-acting inhaled beta2-agonist) or an acceptable alternative treatment
(leukotriene modifiers, cromolyn sodium, nedocromil sodium, or sustained released methylxanthines)
Patients who had an ECG performed                                                                                  All patients aged 40 years and older with an emergency department discharge diagnosis of
                                                                                                                   nontraumatic chest pain

Patients who had an ECG performed                                                                                  All patients aged 60 years and older with an emergency department discharge diagnosis of
                                                                                                                   syncope

Patients with vital signs (temperature, pulse, respiratory rate, and blood pressure) documented and reviewed       All patients aged 18 years and older with a diagnosis of community-acquired bacterial pneumonia

Patients with oxygen saturation documented and reviewed                                                            All patients aged 18 years and older with a diagnosis of community-acquired bacterial pneumonia

Patients for whom mental status was assessed                                                                       All patients aged 18 years and older with a diagnosis of community-acquired bacterial pneumonia

Patients with appropriate empiric antibiotic prescribed                                                            All patients aged 18 years and older with the diagnosis of community-acquired bacterial
                                                                                                                   pneumonia
Patients who were evaluated during at least one office visit within 12 months for the frequency (numeric) of       All patients aged 5-40 years with a diagnosis of asthma
daytime and nocturnal asthma symptoms
Patients who were dispensed an antibiotic prescription on or three days after the episode date                     All patients aged 3 months-18 years with a diagnosis of upper respiratory infection

Patients who were dispensed an antibiotic and who received a group A streptococcus (strep) test for the            All patients aged 2-18 years with a diagnosis of pharyngitis
episode
Patients who had baseline cytogenetic testing performed on bone marrow                                             All patients aged 18 years and older with a diagnosis of MDS or an acute leukemia


Patients with documentation of iron stores prior to initiating erythropoietin therapy                              All patients aged 18 years and older with a diagnosis of MDS who are receiving erythropoietin
                                                                                                                   therapy

Patients who were prescribed or received intravenous bisphosphonate therapy within 12 months                       All patients aged 18 years and older with a diagnosis of multiple myeloma, not in remission

Patients who had baseline flow cytometry studies performed                                                         All patients aged 18 years and older with a diagnosis of CLL

Patients receiving tamoxifen or AIs and have Stage 1C-III, ER/PR positive breast cancer E147                       All female patients aged 18 years and older with breast cancer

Patients who received chemotherapy and have Stage III colon cancer                                                 All patients aged 18 to 80 years with colon cancer

Patients for whom a chemotherapy plan is documented                                                                All cancer patients who were administered IV chemotherapy

Female patients with invasive breast cancer patients aged 18 to 70 years old who have undergone breast            All female patients aged 18 to 70 years with invasive breast cancer
conserving surgery and who then receive recommendation for radiation therapy within 12 months of the first
office visit
Number of surgical patients who received prophylactic antibiotics within one hour prior to surgical incision (two All selected surgical patients with no evidence of prior infection
hours if receiving vancomycin, in Appendix C, Table 3.8, or a fluoroquinolone, in Appendix C, Table 3.10)

Number of surgical patients who received prophylactic antibiotics recommended for their specific surgical          All selected surgical patients with no evidence of prior infection
procedure
Surgery patients with controlled 6 A.M. blood glucose (< 200 mg/dL) on POD 1 and POD 2                             Cardiac surgery patients with no evidence of prior infection

Number of surgical patients whose prophylactic antibiotics were discontinued within 24 hours after surgery         All selected surgical patients with no evidence of prior infection
end time (48 hours for CABG or Other Cardiac Surgery)
Surgery patients with surgical site hair removal with clippers or depilatory or with no surgical site hair removal All selected surgery patients

Surgery patients with recommended venous thromboembolism (VTE) prophylaxis ordered anytime from                    All selected surgery patients
hospital arrival to 48 hours after surgery end time
Surgery patients who received appropriate venous thromboembolism (VTE) prophylaxis within 24 hours prior           All selected surgery patients
to surgical incision time to 24 hours after surgery end time


Patients who had an order on the first ventilator day for head of bed elevation (30-45 degrees)                    All patients aged 18 years and older receiving care in the ICU who receive mechanical ventilation
Patients for whom central venous catheter (CVC) was inserted with all elements of maximal sterile barrier       All patients, regardless of age, who undergo CVC insertion
technique (cap AND mask AND sterile gown AND sterile gloves AND a large sterile sheet AND hand hygiene
AND 2% chlorhexidine for cutaneous antisepsis) followed
Patients who had an annual assessment of their GERD symptoms after 12 months of therapy                         All patients aged 18 years and older with a diagnosis of GERD who have been prescribed
                                                                                                                continuous proton pump inhibitor (PPI) or histamine H2 receptor antagonist (H2RA) therapy

Patients who have a functioning AV fistula OR patients who are referred for AV fistula at least once during the All patients aged 18 years and older with a diagnosis of ESRD and receiving hemodialysis
12 month reporting period
Patients who received the influenza immunization during the flu season (September through February)             All patients aged 18 years and older with a diagnosis of ESRD and receiving dialysis

Number of patient calendar months during which patients have a Hgb greater than or equal to 11 g/dL OR          Calendar months during which all patients aged 18 years and older with a diagnosis of ESRD are
have a Hgb < 11 g/dL with a documented plan of care for anemia                                                  receiving dialysis
Number of patient calendar months during which patients have a Kt/V greater than or equal to 1.2 OR have        Calendar months for all patients aged 18 years and older with a diagnosis of ESRD who are
Kt/V < 1.2 with a documented plan of care for inadequate hemodialysis                                           receiving hemodialysis
Patients who have a Kt/V greater than or equal to 1.7 OR have a Kt/V < 1.7 with a documented plan of care for   All patients aged 18 years and older with a diagnosis of ESRD receiving peritoneal dialysis
inadequate peritoneal dialysis at least three times during the 12 month reporting period
Patients for whom HCV RNA testing was ordered or previously performed                                           All patients aged 18 years and older with a diagnosis of hepatitis C seen for initial evaluation

Patients for whom quantitative HCV RNA testing was performed within 6 months prior to initiation of treatment All patients aged 18 years and older with a diagnosis of chronic hepatitis C who are receiving
                                                                                                              antiviral treatment
Patients for whom HCV genotype testing was performed prior to initiation of treatment                         All patients aged 18 years and older with a diagnosis of chronic hepatitis C who are receiving
                                                                                                              antiviral treatment
Patients who were considered for peginterferon and ribavirin therapy within the 12 month reporting period     All patients aged 18 years and older with a diagnosis of chronic hepatitis C

Patients for whom quantitative HCV RNA testing was performed at 12 weeks from the initiation of antiviral       All patients aged 18 years and older with a diagnosis of chronic hepatitis C who are receiving
treatment                                                                                                       antiviral treatment
Patients who were recommended to receive or who have received hepatitis A vaccination or who have               All patients aged 18 years and older with a diagnosis of hepatitis C
documented immunity to hepatitis A AND who were recommended to receive or who have received hepatitis B
vaccination or who have documented immunity to hepatitis B
Patients who received education regarding the risk of alcohol consumption at least once within the 12 month     All patients aged 18 years and older with a diagnosis of hepatitis C
reporting period
Patients who were counseled regarding contraception prior to the initiation of treatment                        All women aged 18 through 44 years and all men aged 18 years and older with a diagnosis of
                                                                                                                chronic hepatitis C who are receiving antiviral treatment
Patients who were prescribed topical preparations                                                               All patients aged 2 years and older with a diagnosis of AOE
Patient visits with assessment for auricular or periauricular pain                                              All patient visits for those patients aged 2 years and older with a diagnosis of AOE
Patients who were not prescribed systemic antimicrobial therapy                                                 All patients aged 2 years and older with a diagnosis of AOE

Patient visits with assessment of tympanic membrane mobility with pneumatic otoscopy or tympanometry            All patient visits for those patients aged 2 months through 12 years with a diagnosis of OME


Patients who had a hearing test performed within 6 months prior to tympanostomy tube insertion                  All patients aged 2 months through 12 years with a diagnosis of OME who received tympanostomy
                                                                                                                tube insertion
Patients who were not prescribed/recommended either antihistamines or decongestants                             All patients aged 2 months through 12 years with a diagnosis of OME


Patients who were not prescribed systemic antimicrobials                                                        All patients aged 2 months through 12 years with a diagnosis of OME

Patients who were not prescribed systemic corticosteroids                                                       All patients aged 2 months through 12 years with a diagnosis of OME

Reports that include the pT category, the pN category and the histologic grade                                  All breast cancer resection pathology reports (excluding biopsies)

Reports that include the pT category, the pN category and the histologic grade                                  All colon and rectum cancer resection pathology reports

Patients with documented evaluation of prostate-specific antigen (PSA), AND primary tumor (T) stage, AND        All patients, regardless of age, with prostate cancer receiving interstitial prostate brachytherapy,
Gleason score prior to initiation of treatment                                                                  OR external beam radiotherapy to the prostate, OR radical prostatectomy, OR cryotherapy

Patients who did not have a bone scan performed at any time since diagnosis of prostate cancer                  All patients, regardless of age, with a diagnosis of prostate cancer at low risk of recurrence
                                                                                                                receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR
                                                                                                                radical prostatectomy, OR cryotherapy
Patients who received counseling on, at a minimum, the following treatment options for clinically localized       All patients, regardless of age, with clinically localized prostate cancer AND receiving interstitial
disease prior to initiation of treatment: active surveillance, AND interstitial prostate brachytherapy, AND       prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical
external beam radiotherapy, AND radical prostatectomy                                                             prostatectomy, OR cryotherapy
Patients who were prescribed adjuvant hormonal therapy (GnRH [gonadotropin-releasing hormone] agonist or          All patients, regardless of age, with a diagnosis of prostate cancer at high risk of recurrence
antagonist)                                                                                                       receiving external beam radiotherapy to the prostate
Patients who receive three-dimensional conformal radiotherapy (3D-CRT) or intensity modulated radiation           All patients, regardless of age, with prostate cancer receiving external beam radiotherapy to the
therapy (IMRT)                                                                                                    prostate only (no metastases)
Patients with documented evidence that they met the DSM-IVTM criteria [At least 5 elements (must include: 1)      All patients aged 18 years and older with a new diagnosis or recurrent episode of MDD
depressed mood or 2) loss of interest or pleasure) with symptom duration of 2 weeks or longer] during the visit
in which the new diagnosis or recurrent episode was identified.
Patients who had suicide risk assessment completed at each visit                                                  All patients aged 18 years and older with a new diagnosis or recurrent episode of MDD

Patients who were prescribed, dispensed, or administered at least one disease modifying anti-rheumatic drug       All patients aged 18 years and older with a diagnosis of rheumatoid arthritis
(DMARD)
Patient visits with assessment for level of function and pain documented                                          All patient visits for patients aged 21 years and older with a diagnosis of OA

Patients who received an influenza immunization during the flu season (September through February)                All patients aged 50 years and older

Patients who have ever received a pneumococcal vaccination                                                        All patients 65 years and older

Patients who had a mammogram at least once within 24 months                                                       All female patients aged 40 through 69 years
Patients who had at least one or more screenings for colorectal cancer during or prior to the reporting period    All patients aged 50 through 80 years

Patients who were queried about tobacco use one or more times within 24 months                                    All patients aged 18 years and older
Patients who received advice to quit smoking                                                                      All patients aged 18 years and older
Patients who were not prescribed or dispensed antibiotics on or within 3 days of the initial date of service      All patients aged 18 through 64 years with a diagnosis of acute bronchitis

Patients who had a dilated eye exam for diabetic retinal disease at least once within 12 months                   All patients aged 18 through 75 years with a diagnosis of diabetes
Patients who were prescribed ACE inhibitor or ARB therapy                                                         All CAD patients aged 18 years and older who also have a diagnosis of LVSD or all CAD patients
                                                                                                                  aged 18 years and older who also have a diagnosis of diabetes



Patients who have a nephropathy screening during at least one office visit within 12 months                       All patients aged 18 through 75 years of age with the diagnosis of diabetes

Patients who were prescribed ACE inhibitor or ARB therapy during the 12 month reporting period                    An ICD-9 diagnosis code for CKD, hypertension, and proteinuria, and a CPT E/M service code are
                                                                                                                  required to identify patients for denominator inclusion.

Patients who had the following laboratory testing ordered at least once during the 12 month reporting period:     All patients aged 18 years and older with the diagnosis of advanced CKD (stage 4 or 5, not
serum levels of calcium, phosphorus and intact PTH, and lipid profile                                             receiving RRT)

Patients visits with blood pressure < 130/80 mm Hg OR greater than or equal to130/80 mm Hg with a                 All visits for patients aged 18 years and older with the diagnosis of advanced CKD (stage 4 or 5,
documented plan of care                                                                                           not receiving RRT)
Patient encounter documentation substantiates use of certified/qualified EMR                                      All patients aged 18 years and older

A qualified e-Prescribing system has been adopted capable of generating a medication list and                     All patients aged 18 years and older
selecting/printing/transmitting/performing safety checks of prescriptions
Number of patient calendar months during which patients with a hemoglobin level of < 13 g/dL OR patients          Calendar months for all patients aged 18 years and older with the diagnosis of advanced CKD
whose hemoglobin level is greater than or equal to 13 g/dL have a documented plan of care                         (stage 4 or 5, not receiving RRT), receiving ESA therapy

Patients who had a lower extremity neurological exam performed at least once within 12 months                     All patients aged 18 years and older with a diagnosis of diabetes mellitus

Patients who were evaluated for proper footwear and sizing at least once within 12 months                         All patients aged 18 years and older with a diagnosis of diabetes mellitus

Patients with BMI calculated within the past six months or during the current visit and a follow up plan          Patients aged 65 years and older
documented if the BMI is greater than or equal to 30 or < 22
Patients screened and counseled about the influenza vaccine                                                       Patients aged 50 years and older and dates of service in January, February, March, October,
                                                                                                                  November, and December
Verification of patient’s current medications with dosages is documented                                          Patients aged 18 years and older

Patient’s pain assessment prior to initiation of treatment is documented                                          Patients aged 18 years and older
Patient’s active participation in development of treatment plan/plan of care is documented                Patients aged 18 years and older

Patient’s screening for cognitive impairment is documented                                                Patients aged 65 years and older

Patients for whom this event happens (emergent care reason is wound infection or deteriorating wound status) All emergent care reasons (except "unknown" on M0840) and patients for whom no emergent
on transfer to inpatient facility or discharge from agency                                                   utilization occurred
Patient’s screening for clinical depression is documented                                                    Patients aged 18 years and older
Number of patients from the denominator whose most recent hemoglobin A1c level during the measurement       Number of patients 18-75 years of age with a diagnosis of type 1 or 2 diabetes during the
year is greater than 9%                                                                                     measurement year




Number of pregnant women from the denominator who began prenatal care in the first trimester                Number of pregnant women who entered prenatal care during the measurement year




Number of women from the denominator who were screened for HIV infection during the first or second         All pregnant women seen for 2 prenatal visits during the measurement year
prenatal care visit




Women in the denominator who received one or more mammograms during the measurement year or the year All women patients aged 42 to 69 years of age during the measurement year or the year prior to
prior to the measurement year                                                                        the measurement year




Women in the denominator with one or more Pap tests during the measurement year or the two years prior to   All women patients age 24-64 years of age during the measurement year or 2 years prior to the
the measurement year                                                                                        measurement year




Patients in the denominator who received one or more screenings for colorectal cancer                       All patients age 51-80 years of age during the measurement year




Number of children from the denominator who have received 4 x DTaP/DTP, 3 x IPV, 1 x MMR, 3 x HiB, 3 x      All children who turn two years of age during the measurement year
HepB, 1 x VZV, and 4 x PCV vaccines by their second birthday




Number of patients from the denominator who received an influenza vaccination from September 1 through      All patients 50-64 years during the measurement year
February 29
Number of patients from the denominator who received an influenza vaccination from September 1 through       All patients 65 years and older during the measurement year
February 29




Number of patients from the denominator who have ever received pneumococcal vaccine                          All patients 65 years and older in the measurement year




Patients from the denominator with last systolic blood pressure measurement with systolic less than 140 mm   All patients 18-85 years of age with diagnosis of hypertension (HTN) during the measurement
Hg and diastolic blood pressure less than 90 mm Hg                                                           year




Number of patients in the denominator who had a completed vaccination series for Hepatitis B (vaccine B x 3 All patients with a diagnosis of HIV/AIDS during the measurement year
vaccinations)




The total number of families in a state who have been provided information, education and/or training from   The estimated number of families having CSHCN
Family to Family Health Information Centers




The number of children with special health care needs age 0 through 18 who have a medical home during the The number of children with special health care needs in the State age 0 through 18 during the
reporting period                                                                                          reporting period




The number of children participating in MCHB funded projects age 0 to 18 with a medical home during the      The number of children participating in MCHB funded projects age 0 to 18 during the reporting
reporting period                                                                                             period

The number of women participating in MCHB supported projects who have an ongoing source of primary and       The number of women participating in MCHB supported projects during the reporting year
preventative care services during the reporting period
Unduplicated number of MCHB funded program participants who have completed service referrals                   Unduplicated number of MCHB funded program participants who have a need fro which a referral
                                                                                                               was made for health services




Number of program participants with reported first prenatal visit during the first trimester                   Total number of program participants who are pregnant at any time during the reporting year




The number of newborns screened and confirmed with conditions(s) mandated by the State sponsored               The number of newborns screened and confirmed with condition(s) mandated by the State
newborn screening program that received timely follow-up to definitive diagnosis and clinical management       sponsored newborn screening program


The number of families with CSHCN who partner in decision making and are satisfied with the services they      The number of children with special health care needs to the State age 0 to 18 during the
receive                                                                                                        reporting period


The percent of children with special health care needs in the State age 0 to 18 who have a medical home        The number of children with special health care needs in the State age 0 to 18 during the
during the reporting period                                                                                    reporting period

Number of children with special health care needs in the State age 0 to 18 whose families perceive that they   Number of children with special health care needs in the State age 0 to 18 during the reporting
have adequate insurance coverage                                                                               year


Number of youth with special health care needs in the State 18 years of age and younger whose families         Number of youth with special health care needs in the State 18 years of age and younger during
perceive that they have received the services necessary to transition to adult health care, work and           the reporting period
independence

The number of children with special health care needs in the State age 0 to 18 whose families report that      The number of children with special health care needs in the State age 0 to 18 whose families
community-based service systems are organized so they can use them easily                                      report that community based service systems are organized so they can use them easily

Number of resident children who have received the complete immunization schedule for DTP/DTAP, OPV,            Number of resident children aged 2 years
measles, mumps, rubella (MMR), H. influenza, and hepatitis B before their second birthday. Complete
immunization status is generally considered to be: 3 Hepatitis B, 4 DtaP, 3 Polio, 1 MMR, 3 Hib


Number of live births to teenagers aged 15 to 17 years in the calendar year                                    Number of females aged 15 through 17 years in the calendar year
Number of third grade children who have a protective sealant on at least one permanent molar tooth                   Number of third grade children in State during the year




Number of deaths to children aged 14 years and younger caused by motor vehicle crashes. This includes all            All children in the State aged 14 years and younger
occupant, pedestrian, motorcycle, bicycle, etc. deaths caused by motor vehicles.



Number of mothers who indicate that breast milk is at least one of the types of food their infant is fed at 6        Number of mothers with infants at 6 months of age
months of age




The number of infants in the State whose hearing has been screened before hospital discharge by tests of             Number of births in the State in the calendar year
either otoacoustic emissions or auditory brainstem responses




Number of children under 18 in the State who are not covered by any private or public health insurance
(including Medicaid or risk pools) at some time during the reporting year




The number of children, ages 2 to 5 years, receiving WIC services with a BMI at or above the 85th percentile         Number of children, ages 2 to 5 years that receive WIC services during the reporting period




The number of women reporting smoking in the last three months of pregnancy during the calendar year                 The number of women delivering babies during the calendar year




Number of deaths attributed to suicide among youths aged 15 through 19                                               Number of youths aged 15 through 19

Number of infants with a birth weight less than 1,500 grams born at sub-specialty facilities (Level III facility)    Total number of infants born with a birth weight of less than 1,500 grams




Number of live births with reported first prenatal visit during the first trimester (before 13 weeks gestation) in   Number of live births in the State in the calendar year
the calendar year

Number of deaths to infants from birth through 364 days of age                                                       Number of live births

The black infant mortality rate per 1,000 live births                                                                The white infant mortality rate per 1,000 live births

Number of deaths to infants under 28 days                                                                            Number of live births
Number of deaths to infants 28 through 364 days of age                                                          Number of live births

Number of fetal deaths 28 weeks or more gestation plus early neonatal deaths occurring under 7 days             Live births + fetal deaths

Number of deaths among children aged 1 through 14 years of age                                                  Number of children aged 1 through 14




All patients with a diagnosis of DM who have had an HbA1c in the past 12 months                                 Number of patients in the clinical information system


The number of diabetic patients in the clinical information system with blood pressure reading less than        The number of diabetic patients in the clinical information system with a documented blood
130/80 at last reading within the past 12 months                                                                pressure in the last 12 months.



The number of diabetic patients in the clinical information system whose most recent fasting LDL was less       The number of patients with a fasting LDL in the past 12 months
than 100 (in the last 12 months)


The number of patients with a diagnosis of cardiovascular disease in the clinical information system with blood The patients in the clinical information system with a documented blood pressure in the last 12
pressure reading less than 140/90 at last reading within the past 12 months                                     months


The number of patients with a diagnosis of cardiovascular disease in the clinical information system whose      The number of patients with a fasting LDL in the past 12 months
most recent fasting LDL was less than 130 (in the last 12 months)

The number of patients with a diagnosis of cardiovascular disease in the registry who are current smokers       The total number of patients in the registry with smoking status documented within the last 12
(documented within the last 12 months)                                                                          months

Number of HIV-infected pregnant women who were prescribed antiretroviral therapy during the 2nd and 3rd         Number of HIV-infected pregnant women who had a medical visit with a provider with prescribing
trimester                                                                                                       privileges, i.e., MD, PA, NP, at least once in the measurement year. EXCLUSION: Patients newly
                                                                                                                enrolled in care during last six months of the year




Number of HIV-infected clients who had 2 or more CD4 T-cell counts performed at least 3 months apart during Number of HIV-infected clients who had a medical visit with a provider with prescribing privileges,
the measurement year                                                                                        i.e., MD, PA, NP, at least once in the measurement year




Number of clients with AIDS who were prescribed a HAART regimen within the measurement year                     Number of clients who: have a diagnosis of AIDS (history of a CD4 T-cell count below 200
                                                                                                                cells/mm3 or other AIDS-defining condition), and had at least one medical visit with a provider
                                                                                                                with prescribing privileges, i.e., MD, PA, NP, in the measurement year. EXCLUSION: Patients
                                                                                                                newly enrolled in care during last three months of the measurement year
Number of HIV-infected clients who had a medical visit with a provider with prescribing privileges, i.e., MD,   Number of HIV-infected clients who had a medical visit with a provider with prescribing privileges
PA, NP, in an HIV care setting two or more times at least 3 months apart during the measurement year            at least once in the measurement year. EXCLUSION: Patients newly enrolled in care during last
                                                                                                                six months of the year




Number of HIV-infected clients with CD4 T-cell counts below 200 cells/mm3 who were prescribed PCP               Number of HIV-infected clients who: had a medical visit with a provider with prescribing privileges,
prophylaxis                                                                                                     i.e. MD, PA, NP at least once in the measurement year, and had a CD4 T-cell count below 200
                                                                                                                cells/mm3. EXCLUSIONS: 1.) Patients with CD4 T-cell counts below 200 cells/mm3 repeated
                                                                                                                within 3 months rose above 200 cells/mm3. 2.) Patients newly enrolled in care during last three
                                                                                                                months of the measurement year.




Number of HIV-infected clients who had an HIV specialist visit during each trimester of the measurement year Number of HIV-infected clients with at least two primary care visits during the measurement year




Number of HIV-infected clients who had a CD4 and viral load during each trimester of the measurement year       Number of HIV-infected clients with at least two primary care visits during the measurement year




Number of HIV-infected clients who were clinically stable on antiretroviral therapy during each trimester of the Number of HIV-infected clients with at least two primary care visits during the measurement year
measurement year




Number of HIV-infected clients who had an adherence assessment during each trimester of the measurement         Number of HIV-infected clients with at least two primary care visits during the measurement year
year




Number of HIV-infected females clients who had a pelvic exam, cervical pap test, GC, and chlamydia              Number of HIV-infected female clients with at least two primary care visits during the
screening in the measurement year                                                                               measurement year
Number of HIV-infected clients with a TB test completed and read in the past 24 months                       Number of HIV-infected clients with at least two primary care visits during the measurement year
                                                                                                             with no prior history of TB or positive PPD




Number of HIV-infected patients screened in 7-9 components in the measurement year                           Number of HIV-infected clients with at least two primary care visits during the measurement year




Number of HIV-infected patients over age 50 who received a colonoscopy in the measurement year               Number of HIV-infected clients over age 50 with at least two primary care visits during the
                                                                                                             measurement year




Number of HIV-infected patients on ARV who received a lipid screening in the measurement year                Number of HIV-infected clients on ARV with at least two primary care visits during the
                                                                                                             measurement year
Number of HIV-infected clients with CD4 T-cell counts below 200 cells/mm3 who were prescribed PCP            Number of HIV-infected clients with CD4 T-cell counts below 200 cells/mm3
prophylaxis




Number of HIV-infected clients with CD4 T-cell counts below 50 cells/mm3 who were prescribed MAC             Number of HIV-infected clients with at least two primary care visits and CD4 T-cell counts below
prophylaxis                                                                                                  50 cells/mm3




Number of HIV-infected clients with at least two primary care visits who received STD screening              Number of HIV-infected clients with at least two primary care visits

Number of HIV-infected clients with at least two primary care visits who received PneumoVax in the past 10   Number of HIV-infected clients with at least two primary care visits
years
Number of HIV-infected clients with at least two primary care visits who had a documented discussion on         Number of HIV-infected clients with at least two primary care visits
substance use during the measurement year




Number of HIV-infected clients with at least two primary care visits who had a documented discussion on      Number of HIV-infected clients with at least two primary care visits
tobacco use during the measurement year
Number of HIV-infected clients with at least two primary care visits who had a documented dental exam during Number of HIV-infected clients with at least two primary care visits
the measurement year




Number of HIV-infected clients with at least two primary care visits with CD4 < 50 receiving a documented       Number of HIV-infected clients with at least two primary care visits with CD4 < 50
ophthalmology exams during the measurement year




Number of HIV-infected clients with at least two primary care visits who received general HIV education,        Number of HIV-infected clients with at least two primary care visits
prevention for positive, and wellness information during the measurement year
Number of HIV-infected clients < two years of age with at least two primary care visits who received            Number of HIV-infected clients < two years of age with at least two primary care visits
neurodevelopment assessments during the measurement year




Number of HIV-infected clients < thirteen years of age with at least two primary care visits who received all   Number of HIV-infected clients < thirteen years of age with at least two primary care visits
routine immunizations for their age




Number of HIV-infected clients with at least two primary care visits receiving case management services         Number of HIV-infected clients with at least two primary care visits receiving case management
                                                                                                                services




Number of HIV-infected clients with at least two primary care visits receiving case management services who     Number of HIV-infected clients with at least two primary care visits receiving case management
received a documented discussion on adherence every trimester during the measurement year                       services
Number of HIV-infected clients with at least two primary care visits receiving case management services with a Number of HIV-infected clients with at least two primary care visits receiving case management
documented HIV knowledge session twice during the measurement year                                             services




Number of HIV-infected clients with at least two primary care visits receiving case management services with a Number of HIV-infected clients with at least two primary care visits receiving case management
documented review or change in the service plan twice in the measurement year                                  services




Number of HIV-infected clients with at least two primary care visits receiving case management services who   Number of HIV-infected clients with at least two primary care visits receiving case management
signed their reviewed or changed service plan twice in the measurement year                                   services




Number of children from the denominator who received all of the following by their 2nd birthday: 4 DTP/DTaP, Children who turned two years of age during the measurement year
3 IPV, 1 MMR, 3 Hib, 3 HepB, 1 VZV (Varicella) and 4 pneumococcal conjugate




Women from the denominator whose child weighed less than 2,500 grams during the measurement year,             Total births for all women who were seen for prenatal care during the measurement regardless of
regardless of who did the delivery                                                                            who did the delivery



Patients from the denominator with most recent systolic blood pressure measurement of less than 140 mm Hg The number of patients 18-85 years of age who had a diagnosis of hypertension (HTN) during the
and most recent diastolic blood pressure less than 90 mm Hg                                               measurement year




Number of patients from the denominator whose most recent hemoglobin A1c level during the measurement         Number of patients aged 18 through 75 years with the diagnosis of diabetes during the
year was greater than or equal to 7% and less than or equal to 9%                                             measurement year




Number of patients from the denominator whose most recent hemoglobin A1c level during the measurement         Number of patients aged 18 through 75 years with the diagnosis of diabetes during the
year is greater than 9%                                                                                       measurement year




Number of patients from the denominator whose most recent hemoglobin A1c level during the measurement         Number of patients aged 18 through 75 years with the diagnosis of diabetes during the
year is less than 7%                                                                                          measurement year




Women in the denominator with one or more Pap tests during the measurement year or the two years prior to     Women 24-64 years of age as of December 31 of the measurement year
the measurement year
All women from the denominator who initiated prenatal care either in the first, second or third trimester    Number of women who received prenatal care during the program year (regardless of when and
(indicate which trimester and whether at the grantee’s service delivery location or with another provider)   where they began care, either at the grantee’s service delivery location or with another provider)
1) Anyone diagnosed with diabetes (POV 250.00-250.93) ever. 2) Anyone diagnosed with diabetes during the 1) User population patients ages 55 and older, broken down by gender and age groups: 55-64, 75-
Report Period.                                                                                           74, 75-84, 85+
1) Hemoglobin A1c documented during the Report Period. 2) Poor control: A1c greater than (>) 9.5.              1) Active diabetic patients ages 55 and older broken down by age groups. Active diabetic defined
3) Very poor control: A1c equals or greater than (=>) 12. 4) Poor control: A1c greater than (>) 9.5 and less   as all active clinical patients diagnosed with diabetes (POV 250.00-250.93) at least one year prior
than (<) 12. 5) Fair control A1c equals or greater than (=>) 8 and less than or equal to (<=) 9.5. 6) Good     to the Report Period, AND at least 2 visits in the past year, AND 2 DM-related visits ever. Broken
control: A1c equals or greater than (=>) 7 and less than (<) 8. 7) Ideal control: A1c less than (<) 7. 8)      down by age groups: 55-64, 75-74, 75-84, 85+
Undetermined A1c (no result).
1) Total with BP value (at least 2 [3 if available] non-ER BPs documented during the Report Period). 2)        1) Active diabetic patients ages 55 and older broken down by age groups. Active diabetic defined
Controlled BP, < 130/80. 3) Not controlled BP.                                                                 as all active clinical patients diagnosed with diabetes (POV 250.00-250.93) at least one year prior
                                                                                                               to the Report Period, AND at least 2 visits in the past year, AND 2 DM-related visits ever. Broken
                                                                                                               down by age groups: 55-64, 75-74, 75-84, 85+




2) Patients with LDL completed during the Report Period, regardless of result; 3) LDL < 130; 3A) LDL <=        1) Active diabetic patients ages 55 and older broken down by age groups. Active diabetic defined
100; 3B) LDL 101-129                                                                                           as all active clinical patients diagnosed with diabetes (POV 250.00-250.93) at least one year prior
                                                                                                               to the Report Period, AND at least 2 visits in the past year, AND 2 DM-related visits ever. Broken
                                                                                                               down by age groups: 55-64, 75-74, 75-84, 85+
1) Patients with nephropathy assessment, defined as an estimated GFR AND a quantitative urinary protein        1) Active diabetic patients ages 55 and older broken down by age groups. Active diabetic defined
assessment during the Report Period OR with evidence of diagnosis and/or treatment of ESRD at any time         as all active clinical patients diagnosed with diabetes (POV 250.00-250.93) at least one year prior
before the end of the Report Period                                                                            to the Report Period, AND at least 2 visits in the past year, AND 2 DM-related visits ever. Broken
                                                                                                               down by age groups: 55-64, 75-74, 75-84, 85+
Patients receiving a qualified retinal evaluation during the Report Period, or a documented refusal of a       1) Active diabetic patients ages 55 and older broken down by age groups. Active diabetic defined
diabetic retinal exam                                                                                          as all active clinical patients diagnosed with diabetes (POV 250.00-250.93) at least one year prior
                                                                                                               to the Report Period, AND at least 2 visits in the past year, AND 2 DM-related visits ever. Broken
                                                                                                               down by age groups: 55-64, 75-74, 75-84, 85+
Patients with documented dental visit during the Report Period, including refusals                             All patients in the user population ages 55 and older, broken down by age groups
Patients with a documented dental visit during the Report Period, including refusals                           1) Active diabetic patients ages 55 and older broken down by age groups. Active diabetic defined
                                                                                                               as all active clinical patients diagnosed with diabetes (POV 250.00-250.93) at least one year prior
                                                                                                               to the Report Period, AND at least 2 visits in the past year, AND 2 DM-related visits ever


Patients with influenza vaccine or refusal documented during the Report Period                                 Active clinical patients ages 55 and older, broken down by age groups
Patients with pneumococcal vaccine or contraindication documented at any time before the end of the Report     Active clinical patients ages 55 and older, broken down by age groups
Period or with a refusal in the past year
Patients with documented mammogram in past two years or refusal in past year                                 Female active clinical patients ages 55 and older without a documented history of bilateral
                                                                                                             mastectomy or two separate unilateral mastectomies, broken down by age groups
1) Patients who have had ANY CRC colorectal screening, defined as any of the following: A) Fecal Occult      All active clinical patients ages 55 and older without a documented history of colorectal cancer or
Blood test (FOBT) during the Report Period; B) flexible sigmoidoscopy or double contrast barium enema in the total colectomy, broken down by gender and age groups
past five years; C) colonoscopy in the past 10 years, or D) a documented refusal in the past year

1) Patients screened for tobacco use during the Report Period; 2) Patients identified during the Report Period: Active clinical patients ages 55 and older, broken down by gender and age groups
A) Current smokers; B) Current smokeless tobacco users; 3) Patients exposed to environmental tobacco
smoke (ETS) during the Report Period

1) Patients screened for or diagnosed with intimate partner (domestic) violence during the Report Period,      Female active clinical patients ages 55 and older, broken down by age groups
including documented refusals in past year: A) Patients with documented IPV/DV exam; B) Patients with
IPV/DV related diagnosis; C) Patients provided with IPV/DV patient education or counseling; D) Patients with
documented refusal in past year of an IPV/DV exam or IPV/DV-related education

1) Patients screened for depression or diagnosed with mood disorder at any time during the Report Period,      Active clinical patients ages 55 and older, broken down by gender and age groups
including documented refusals in past year; 2) Patients with depression-related education or refusal of
education in past year
1) Patients with BP values documented: A) Patients with normal BP, < 120/80; B) Pre-hypertension I, =>         Active clinical patients ages 55 and older, broken down by gender and age groups
120/80 and < 130/80; C) Pre-hypertension II, => 130/80 and < 140/90; D) Stage 1 hypertension, => 140/90
and < 160/100; E) Stage 2 hypertension, => 160/100
1) All patients for whom BMI can be calculated, including refusals in the past year: A) Of Numerator 1, patients Active clinical patients ages 55-74, broken down by gender and age groups. NOTE: This
considered overweight, adults BMI 25-29, age 18 and under based on standard tables; B) Of Numerator 1,           denominator does not include patients 75+ since NHANES II only includes data for patients < 75.
patients considered obese, adults BMI =>30, age 18 and under based on standard tables; C) Of Numerator 1,
total overweight and obese; D) Of Numerator 1, patients with documented refusal in past year

1) Patients with documented blood total cholesterol screening any time during past five years, regardless of   Active clinical patients ages 55 and older, broken down by gender and age groups
result: A) With high cholesterol, defined as => 240; 2) With LDL completed, regardless of result: A) LDL <=
100; B) LDL 101-130; C) LDL 131-160; D) LDL > 160
Patients treated or tested for osteoporosis after the fracture                                                       Female active clinical patients ages 55 and older who had a new fracture occurring six months
                                                                                                                     (180 days) prior to the Report Period through the first six months of the Report Period with no
                                                                                                                     osteoporosis screening or treatment in year prior to the fracture. Broken down by age groups

Patients who had osteoporosis screening documented in the past 2 years, including documented refusals in             Female active clinical patients ages 55 and older without a documented history of osteoporosis,
past year                                                                                                            broken down by age groups
Patients who received appropriate monitoring of chronic medication during the Report Period                          Active clinical patients ages 55 and older diagnosed with osteoarthritis (OA) prior to the Report
                                                                                                                     Period and with at least two OA-related visits any time during the Report Period and prescribed
                                                                                                                     maintenance therapy medication chronically during the Report Period. Broken down by age
                                                                                                                     groups
1) Patients who have had 2 asthma-related visits during the Report Period OR who are active patients in the      Active clinical patients ages 55 and older, broken down by age groups
Asthma Register System (ARS) and categorized as persistent (i.e. Severity 2, 3 or 4); 2) Patients from the first
numerator who have hospital visits for asthma during the Report Period




1) Patients who have been screened for fall risk or with a fall-related diagnosis in the past year, including        Active clinical patients ages 65 and older, broken down by gender and age groups
documented refusals: A) Patients who have been screened for fall risk in the past year; B) Patients with a
documented history of falling in the past year; C) Patients with a fall-related injury diagnosis in the past year;
D) Patients with abnormality of gait/balance or mobility diagnosis in the past year; E) Patients with a
documented refusal of fall risk screening exam in the past year
1) Patients who received at least one drug to be avoided in the elderly during the Report Period; 2) Patients        Active clinical patients ages 65 and older, broken down by gender and age groups
who received at least two different drugs to be avoided in the elderly during the Report Period
Patients with A1c greater than (>) 9.0 or patients with no test or a test with no value                              Active diabetic patients, defined as all active clinical patients diagnosed with diabetes prior to the
                                                                                                                     Report Period, AND at least 2 visits during the Report Period, AND 2 DM-related visits ever

Patients with BP level of < 140/90 during the Report Period, i.e., the mean systolic value is less than 140 AND Active diabetic patients, defined as all active clinical patients diagnosed with diabetes prior to the
the mean diastolic value is less than 90                                                                        Report Period, AND at least 2 visits during the Report Period, AND 2 DM-related visits ever

Patients with LDL result less than (<) 100                                                                           Active diabetic patients, defined as all active clinical patients diagnosed with diabetes prior to the
                                                                                                                     Report Period, AND at least 2 visits during the Report Period, AND 2 DM-related visits ever




1) Patients with influenza vaccine or refusal documented during the Report Period or with a contraindication Active clinical patients ages 50-64
documented at any time before the end of the Report Period; 2) Patients with documented refusal; 3) Patients
with a contraindication or a documented NMI (not medically indicated) refusal


Patients who had at least one dispensed prescription for primary asthma therapy medication during the Report Active clinical patients ages 5-56 with persistent asthma within the year prior to the beginning of
Period                                                                                                       the Report Period and during the Report Period, without a documented history of emphysema or
                                                                                                             chronic obstructive pulmonary disease (COPD)
Number of visits where patients had oxygen saturation documented and reviewed                                Number of visits for user population patients ages 18 and older diagnosed with community-
                                                                                                             acquired bacterial pneumonia at an outpatient visit during the Report Period
Number of visits where patients received a prescription for anticoagulant at discharge                       Number of visits for user population patients ages 18 and older who were discharged with
                                                                                                             ischemic stroke or transient ischemic attack (TIA) with documented permanent, persistent, or
                                                                                                             paroxysmal atrial fibrillation
1) Patients with 4 doses of DTaP, or who have evidence of the disease, a contraindication, or a documented      Active clinical patients ages 19-35 months at end of Report Period
refusal; 2) Patients with 3 doses of Polio, or who have evidence of the disease, a contraindication, or a
documented refusal; 3) Patients with 1 dose of MMR, or who have evidence of the disease, a contraindication,
or a documented refusal; 4) Patients with 3 doses of HiB, or who have evidence of the disease, a
contraindication, or a documented refusal; 5) Patients with 3 doses of Hepatitis B, or who have evidence of the
disease, a contraindication, or a documented refusal; 6) Patients with 1 dose of Varicella, or who have
evidence of the disease, a contraindication, or a documented refusal; 7) Patients with 4 doses of
Pneumococcal conjugate, or who have evidence of the disease, a contraindication, or a documented refusal;
8) Patients who have received the 4:3:1:3:3:1 combination (i.e., 4 DTaP, 3 Polio, 1 MMR, 3 HiB, 3 Hepatitis B,
1 Varicella), including refusals, contraindications, and evidence of disease; 9) Patients who have received the
4:3:1:3:3:1:4 combination (renamed from "all childhood immunizations") (i.e., 4 DTaP, 3 Polio, 1 MMR, 3 HiB,
3 Hepatitis B, 1 Varicella, and 4 Pneumococcal), including refusals, contraindications, and evidence of
disease

1) Patients who have received 2 doses of MMR ever, including refusals, contraindications, and evidence of      Active clinical patients age 13
disease; 2) Patients who have received 3 doses of Hepatitis B ever, including refusals, contraindications, and
evidence of disease; 3) Patients who have received 1 dose of Varicella ever, including refusals,
contraindications, and evidence of disease; 4) Patients who have received the 2 MMR, 3 Hepatitis B, and one
Varicella combination
Patients who were NOT prescribed an antibiotic on or within three days after diagnosis. In this measure,       Active clinical patients who were ages 3 months through 18 years who were diagnosed with an
appropriate treatment is not to receive an antibiotic                                                          upper respiratory infection during the period six months (180 days) prior to the Report Period
                                                                                                               through the first six months of the Report Period
Patients who received a Group A strep test                                                                     Active Clinical patients who were ages 2-18 years who were diagnosed with pharyngitis and
                                                                                                               prescribed an antibiotic during the period six months (180 days) prior to the Report Period through
                                                                                                               the first six months of the Report Period
Patients who have had ANY CRC colorectal screening, defined as any of the following: A) Fecal Occult Blood Active clinical patients ages 51-80 without a documented history of colorectal cancer or total
test (FOBT) during the Report Period; B) flexible sigmoidoscopy or double contrast barium enema in the past colectomy, broken out by gender
five years; C) colonoscopy in the past 10 years; or D) a documented refusal in the past year


All patients who had a mammogram documented in the past 2 years, including documented refusals in past             Female active clinical patients ages 42 (changed from 52) through 69, without a documented
year                                                                                                               bilateral mastectomy or two separate unilateral mastectomies. Broken down by age groups 42-51
                                                                                                                   and 52-69
Patients with a Pap smear documented in the past 3 years, including refusals in past year                          Female active clinical patients ages 24 (changed from 21) through 64 without documented history
                                                                                                                   of hysterectomy
Patients with adequately controlled blood pressure, defined as < 140/90 (changed from <= 140/90), i.e., the        Active clinical patients ages 18 (changed from 46) through 85 diagnosed with hypertension and
mean systolic value is less than 140 AND the mean diastolic value is less than 90                                  no documented history of ESRD, broken down by age groups of 18-45 and 46-85 and gender

Patients treated or tested for osteoporosis after the fracture                                                     Female active clinical patients ages 67 and older who had a new fracture occurring six months
                                                                                                                   (180 days) prior to the Report Period through the first six months of the Report Period with no
                                                                                                                   osteoporosis screening or treatment in year prior to the fracture
Patients with active prescription for beta-blockers no later than 7 days after first discharge (i.e., prescribed   Active clinical patients 35 and older discharged for an AMI during the first 51 weeks of the Report
during stay or at discharge or current at time of admission)                                                       Period, were not readmitted for any diagnosis within seven days of discharge, and do not have a
                                                                                                                   contraindication/previous adverse reaction to beta-blocker therapy. Broken down by gender

1) Patients with LDL completed during the Report Period, regardless of result; 2) Patients with LDL < 100          Active clinical patients ages 18 to 75 who, during the first 10 months of the year prior to the
(changed from <= 100), completed during the Report Period                                                          beginning of the Report Period, were diagnosed with acute myocardial infarction (AMI), coronary
                                                                                                                   artery bypass graft (CABG), or percutaneous transluminal coronary angioplasty (PTCA), OR who
                                                                                                                   were diagnosed with ischemic vascular disease (IVD) during the Report Period and the year prior
                                                                                                                   to the Report Period (changed timeframe for IVD). Broken down by gender
1) A1c Tested: Number of patients with a Hemoglobin A1c documented during the Report Period, regardless Active diabetic patients, defined as all active clinical patients diagnosed with diabetes prior to the
of result; 2) Poor Glycemic Control: Patients with A1c greater than (>) 9.0 or patients with no test or a test with Report Period, AND at least 2 visits during the Report Period, AND 2 DM-related visits ever
no value; 3) Good Glycemic Control: Patients with A1c less than (<) 7.0; 4) Eye Exam Performed: Patients
receiving a qualified retinal evaluation during the Report Period, or a documented refusal of a diabetic retinal
exam; 5) LDL Screening: Patients with LDL completed during the Report period, regardless of result; 6) LDL <
100: Patients with LDL results less than (<) 100 (renamed numerator and changed LDL value from <= 100); 7)
Medical Attention for Nephropathy (renamed from Kidney Disease Monitored): Patients who have received
nephropathy screening, defined as patients who have had a non-null microalbuminuria test result during the
Report Period OR have evidence of nephropathy (changed from a positive urine protein test or any non-null
microalbuminuria test result during the Report Period); 8) Blood Pressure Level < 130/80: Patients with BP
level of < 130/80 during the Report Period; 9) Blood Pressure Level < 140/90: Patients with BP level of <
140/90 during the Report Period


Patients with a 180-day course of treatment with beta-blockers following first discharge date or visit date,      Active clinical patients 35 and older diagnosed with an AMI six months prior to the Report Period
including previous active prescriptions                                                                           through the first six months of the Report period and do not have a contraindication/previous
                                                                                                                  adverse reaction to beta-blocker therapy. Broken down by gender

Patients who had at least one dispensed prescription for primary asthma therapy medication during the Report Active clinical patients ages 5-56 with persistent asthma within the year prior to the beginning of
period                                                                                                       the Report Period and during the Report Period, without a documented history of emphysema or
                                                                                                             chronic obstructive pulmonary disease (COPD), broken down by age groups

1) Optimal Practitioner Contacts: Patients with at least three mental health visits with a non-mental health or   As of the 120th day of the Report Period, active clinical patients 18 years and older who were
mental health provider within 12 weeks (84 days) after diagnosis, two of which must be face-to-face visits and    diagnosed with a new episode of depression and treated with antidepressant medication in the
one of which must be with a prescribing provider; 2) Effective Acute Phase Treatment: Patients who filled a       past year
sufficient number of separate prescriptions/refills of antidepressant medication for continuous treatment of at
least 84 days (12 weeks); 3) Effective Continuation Phase Treatment: Patients who filled a sufficient number
of separate prescriptions/refills of antidepressant medication treatment to provide continuous treatment for at
least 180 days (6 months)

1) Patients who have received tobacco cessation counseling during the Report Period, including documented         Active clinical patients identified as current tobacco users prior to the Report Period
refusal in past year; 2) Patients counseled during the Report Period on smoking cessation medications,
including documented refusal in past year
Active diabetic patients, defined as all active clinical patients diagnosed with diabetes prior to the Report     User population patients ages 3-21, broken down by age groups: 3-6, 7-10, 11-14, 15-18, and 19-
Period, AND at least 2 visits during the Report Period, AND 2 DM-related visits ever                              21
1) Anyone diagnosed with diabetes (POV 250.00-250.93) ever; 2) Anyone diagnosed with diabetes during the          User population patients
Report Period
1) Hemoglobin A1c documented during the Report Period; 2) GPRA: Poor control: A1c greater than (>) 9.5; 3)        GPRA: Active diabetic patients; defined as all active clinical patients diagnosed with diabetes
GPRA: Ideal control: A1c less than (<) 7                                                                          (POV 250.00-250.93) at least one year prior to the Report Period, AND at least 2 visits in the past
                                                                                                                  year, AND 2 DM-related visits ever. Key denominator for this and all diabetes-related topics
                                                                                                                  below.
1) Total with BP value (at least 2 [3 if available] non-ER BPs documented during the Report Period); 2) GPRA: GPRA: Active diabetic patients; defined as all Active Clinical patients diagnosed with diabetes
Controlled BP, < 130/80                                                                                       (POV 250.00-250.93) at least one year prior to the Report Period, AND at least 2 visits in the past
                                                                                                              year, AND 2 DM-related visits ever. Key denominator for this and all diabetes-related topics
                                                                                                              below.
1) GPRA: Patients with LDL completed during the Report Period, regardless of result; 2) LDL <= 100                GPRA: Active diabetic patients; defined as all active clinical patients diagnosed with diabetes
                                                                                                                  (POV 250.00-250.93) at least one year prior to the Report Period, AND at least 2 visits in the past
                                                                                                                  year, AND 2 DM-related visits ever. Key denominator for this and all diabetes-related topics
                                                                                                                  below.
GPRA: Patients with nephropathy assessment, defined as an estimated GFR AND a quantitative urinary                GPRA: Active diabetic patients; defined as all active clinical patients diagnosed with diabetes
protein assessment during the Report Period OR with evidence of diagnosis and/or treatment of ESRD at any         (POV 250.00-250.93) at least one year prior to the Report Period, AND at least 2 visits in the past
time before the end of the Report Period                                                                          year, AND 2 DM-related visits ever. Key denominator for this and all diabetes-related topics
                                                                                                                  below.
GPRA: Patients with documented dental visit during the Report Period, including refusals                       GPRA: User population patients, broken down by age groups: 0-5, 6-11, 12-19, 20-34, 35-44, 45-
                                                                                                               54, 55-74, 75 and older
GPRA: Patients receiving a qualified retinal evaluation during the Report Period, or a documented refusal of a GPRA: Active diabetic patients; defined as all active clinical patients diagnosed with diabetes
diabetic retinal exam                                                                                          (POV 250.00-250.93) at least one year prior to the Report Period, AND at least 2 visits in the past
                                                                                                               year, AND 2 DM-related visits ever. Key denominator for this and all diabetes-related topics
                                                                                                               below.
1) GPRA: Patients with influenza vaccine or refusal documented during the Report Period or with a                  GPRA: Ages 65 and older
contraindication documented at any time before the end of the Report Period
GPRA: Patients with pneumococcal vaccine or contraindication documented at any time before the end of the          GPRA: Active clinical patients ages 65 or older
Report Period or with a refusal in the past year
GPRA: Patients with documented Pap smear in past three years or refusal in past year                               GPRA: Female active clinical patients ages 21 through 64 without a documented history of
                                                                                                                   hysterectomy. Patients must be at least 21 years of age at the beginning of the Report Period and
                                                                                                                   less than 65 years of age as of the end of the Report Period.
GPRA: Patients with documented mammogram in past two years or refusal in past year                                 GPRA: Female active clinical patients ages 52 through 64, without a documented bilateral
                                                                                                                   mastectomy or two separate unilateral mastectomies. For the 52-64 denominator, the patients
                                                                                                                   must be less than 65 years of age as of the end of the Report Period.

1) GPRA: Patients who have had ANY CRC colorectal screening, defined as any of the following: A) Fecal             GPRA: Active clinical patients ages 51-80 without a documented history of colorectal cancer or
Occult Blood test (FOBT) during the Report Period; B) flexible sigmoidoscopy or double contrast barium             total colectomy, broken out by gender
enema in the past five years; C) colonoscopy in the past 10 years, or D) a documented refusal in the past
year; 2) Patients with Fecal Occult Blood test during the Report Period

1) Patients screened for tobacco use during the Report Period; 2) Patients identified during the Report Period Active clinical patients ages 5 and older
as current tobacco users: A) Current smokers; B) Current smokeless tobacco users; 3) Patients exposed to
environmental tobacco smoke (ETS) during the Report Period

1) GPRA: Patients who have received or refused tobacco cessation counseling or received a prescription for a GPRA: Active clinical patients identified as current tobacco users prior to the Report Period,
smoking cessation aid during the Report Period, including documented refusal in past year                    broken down by gender and age groups: < 12, 12-17, 18 and older
2) Patients identified during the Report Period as having quit their tobacco use.
GPRA: Patients screened for alcohol use during the Report Period, including refusals in the past year        GPRA: Female active clinical patients ages 15 to 44 (child-bearing age)

GPRA: Patients screened for or diagnosed with intimate partner (domestic) violence during the Report Period,       GPRA: Female active clinical patients ages 15-40
including documented refusals in past year
GPRA: Patients screened for depression or diagnosed with mood disorder at any time during the Report               GPRA: Active clinical patients ages 18 and older, broken down by gender
Period, including documented refusals in past year.
1) Patients with BMI 85-94%; 2) GPRA Numerator: Patients with a BMI 95% and up; 3) Patients with a BMI =>          Active clinical patients 2-5 for whom a BMI could be calculated, broken out by age groups
85%
1) All patients for whom BMI can be calculated, including refusals in the past year: A) Of Numerator 1, patients   Active clinical patients ages 2 through 74, broken down by gender and age groups: 2-5, 6-11, 12-
considered overweight, adults BMI 25-29, age 18 and under based on standard tables; B) Of Numerator 1,             19, 20-24, 25-34, 35-44, 45-54, 55-74
patients considered obese, adults BMI => 30, age 18 and under based on standard tables; C) Of Numerator 1,
total overweight and obese; D) Of Numerator 1, patients with documented refusal in past year

1) Patients with Blood Pressure value documented at least twice in prior two years; 2) With LDL completed in GPRA: Active IHD patients ages 22 and older, defined as all active clinical patients diagnosed
past five years, regardless of result; 3) Screened for tobacco use during the Report Period; 4) For whom a BMI with ischemic heart disease (IHD) prior to the Report Period, AND at least 2 visits during the
could be calculated, including refusals in the past year; 5) Who have received any lifestyle adaptation            Report Period, AND 2 IHD-related visits ever
counseling, including medical nutrition counseling, or nutrition, exercise or other lifestyle education during the
Report Period; 6) GPRA: Patients with ALL assessments above. NOTE: This does NOT include depression
screening; 7) Screened for depression or diagnosed with a mood disorder during the Report Period, including
documented refusals in past year
1) Hemoglobin A1c documented during the Report Period; 2) GPRA: Ideal control: A1c less than (<) 7      GPRA: Active diabetic patients; defined as all Active Clinical patients diagnosed with diabetes
                                                                                                        (POV 250.00-250.93) at least one year prior to the Report Period, AND at least 2 visits in the past
                                                                                                        year, AND 2 DM-related visits ever. Key denominator for this and all diabetes-related topics
                                                                                                        below.




1) Hemoglobin A1c documented during the Report Period; 2) GPRA: Ideal control: A1c less than (<) 7      GPRA: Active diabetic patients; defined as all Active Clinical patients diagnosed with diabetes
                                                                                                        (POV 250.00-250.93) at least one year prior to the Report Period, AND at least 2 visits in the past
                                                                                                        year, AND 2 DM-related visits ever. Key denominator for this and all diabetes-related topics
                                                                                                        below.



GPRA: Patients with documented Pap smear in past three years or refusal in past year                    GPRA: Female active clinical patients ages 21 through 64 without a documented history of
                                                                                                        hysterectomy. Patients must be at least 21 years of age at the beginning of the Report Period and
                                                                                                        less than 65 years of age as of the end of the Report Period
GPRA: Patients with documented mammogram in past two years or refusal in past year                      GPRA: Female active clinical patients ages 52 through 64, without a documented bilateral
                                                                                                        mastectomy or two separate unilateral mastectomies; For the 52-64 denominator, the patients
                                                                                                        must be less than 65 years of age as of the end of the Report Period

GPRA: Patients screened for alcohol use during the Report Period, including refusals in the past year   GPRA: Female active clinical patients ages 15 to 44 (child-bearing age)
1) GPRA: Patients who have received the 4:3:1:3:3 combination (i.e., 4 DTaP, 3 Polio, 1 MMR, 3 HiB, 3             1) Active Clinical patients ages 19-35 months at end of Report Period; 2) GPRA: User Population
Hepatitis B), including refusals, contraindications, and evidence of disease; 2) Patients with 4 doses of DTaP,   patients active in the Immunization Package who are 19-35 months at end of Report period.
or who have evidence of the disease, a contraindication, or a documented refusal; 3) Patients with 3 doses of     NOTE: Sites must be running the RPMS Immunization package for this denominator. Sites not
Polio, or who have evidence of the disease, a contraindication, or a documented refusal; 4) Patients with 1       running the package will have a value of zero for this denominator.
dose of MMR, or who have evidence of the disease, a contraindication, or a documented refusal; 5) Patients
with 3 doses of HiB, or who have evidence of the disease, a contraindication, or a documented refusal; 6)
Patients with 3 doses of Hepatitis B, or who have evidence of the disease, a contraindication, or a
documented refusal

1) GPRA: Patients with influenza vaccine or refusal documented during the Report Period or with a                 GPRA: Ages 65 and older
contraindication documented at any time before the end of the Report Period
GPRA: Patients with pneumococcal vaccine or contraindication documented at any time before the end of the         GPRA: Active clinical patients ages 65 or older
Report Period or with a refusal in the past year




Homes with sanitation facilities                                                                                  Homes without sanitation facilities




1) Patients with BMI 85-94%; 2) GPRA Numerator: Patients with a BMI 95% and up; 3) Patients with a BMI => Active clinical patients 2-5 for whom a BMI could be calculated, broken out by age groups
85%
1) Patients who were screened for infant feeding choice at least once; 2) Patients who were screened for         1) Active clinical patients who are 45-394 days old; 2) Active clinical patients who are 45-394 days
infant feeding choice at the age of two months (45-89 days); 3) Patients were screened for infant feeding        old who were screened for infant feeding choice at the age of two months (45-89 days); 3) Active
choice at the age of six months (165-209 days); 4) Patients who were screened for infant feeding choice at the   clinical patients who are 45-394 days old who were screened for infant feeding choice at the age
age of nine months (255-299 days); 5) Patients who were screened for infant feeding choice at the age of 1       of six months (165-209 days); 4) Active clinical patients who are 45-394 days old who were
year (350-394 days); 6) Patients who, at the age of two months (45-89 days), were either exclusively or mostly   screened for infant feeding choice at the age of nine months (255-299 days); 5) Active clinical
breastfed; 7) Patients who, at the age of six months (165-209 days), were either exclusively or mostly           patients who are 45-394 days old who were screened for infant feeding choice at the age of 1
breastfed; 8) Patients who, at the age of nine months (255-299 days), were either exclusively or mostly          year (350-394 days)
breastfed; 9) Patients who, at the age of 1 year (350-394 days), were either exclusively or mostly breastfed


1) Hemoglobin A1c documented during the Report Period; 2) GPRA: Ideal control: A1c less than (<) 7               GPRA: Active diabetic patients; defined as all active clinical patients diagnosed with diabetes
                                                                                                                 (POV 250.00-250.93) at least one year prior to the Report Period, AND at least 2 visits in the past
                                                                                                                 year, AND 2 DM-related visits ever. Key denominator for this and all diabetes-related topics
                                                                                                                 below.




Clinical user population of TOHPs reporting GPRA data                                                            Clinical user population TOHPs
1) Hemoglobin A1c documented during the Report Period; 2) GPRA: Ideal control: A1c less than (<) 7                  GPRA: Active diabetic patients; defined as all active clinical patients diagnosed with diabetes
                                                                                                                    (POV 250.00-250.93) at least one year prior to the Report Period, AND at least 2 visits in the past
                                                                                                                    year, AND 2 DM-related visits ever. Key denominator for this and all diabetes-related topics
                                                                                                                    below.
1) Patients with BMI 85-94%; 2) GPRA Numerator: Patients with a BMI 95% and up; 3) Patients with a BMI => Active clinical patients 2-5 for whom a BMI could be calculated, broken out by age groups
85%




1) Patients with hemoglobin A1c documented during the Report Period, regardless of result; 2) Patients with         Active diabetic patients, defined as all active clinical patients diagnosed with diabetes (POV
blood pressure documented during the Report Period; 3) Patients with controlled blood pressure during the           250.00-250.93) at least one year prior to the Report Period, AND at least 2 visits in the past year,
Report Period, defined as < 130/80. This measure is not included in the comprehensive measure (numerator            AND 2 DM-related visits ever
8 below); 4) Patients with LDL completed during the Report Period, regardless of result; 5) Patients with
nephropathy assessment, defined as an estimated GFR and a quantitative urinary protein assessment during
the Report Period, or with evidence of diagnosis and/or treatment of ESRD at any time before the end of the
Report Period; 6) Patients receiving a qualified retinal evaluation during the Report Period, or a documented
refusal of a diabetic retinal exam; 7) Patients with diabetic foot exam during the Report Period, or a
documented refusal of a diabetic foot exam; 8) Patients with A1c AND blood pressure AND LDL AND
nephropathy assessment AND retinal exam AND diabetic foot exam


1) GPRA: Patients who have received or refused tobacco cessation counseling or received a prescription for a GPRA: Active clinical patients identified as current tobacco users prior to the Report Period,
smoking cessation aid during the Report Period, including documented refusal in past year; 2) Patients       broken down by gender and age groups: < 12, 12-17, 18 and older
identified during the Report Period as having quit their tobacco use
1) Number of visits where patients were screened in the ER for hazardous alcohol use.                               1) Number of visits for active clinical patients age 15-34 seen in the ER for injury during the
    A) Number of visits where patients were screened positive (also used as denominator #2)                         Report Period. Broken out by gender and age groups of 15-24 and 25-34; 2) Number of visits for
2) Number of visits where patients were provided a brief negotiated interview (BNI) at or within 7 days of the      Active Clinical patients age 15-34 seen in the ER for injury and screened positive for hazardous
ER visit (used only with denominator #2).                                                                           alcohol use during the Report Period. Broken out by gender and age groups of 15-24 and 25-34
    A) Number of visits where patients were provided a BNI at the ER visit.
    B) Number of visits where patients were provided a BNI not at the ER visit but within 7 days of the ER visit.

Patients with documented blood total cholesterol screening any time during past five years, regardless of           Active clinical patients ages 23 and older; broken out by gender
result
1) Patients with BP values documented: A) Patients with normal BP, < 120/80; B) Pre-hypertension I, =>              1) All active clinical patients ages 20 and over, broken down by gender; 2) Active IHD patients,
120/80 and < 130/80; C) Pre-hypertension II, =>130/80 and < 140/90; D) Stage 1 hypertension, => 140/90 and          defined as all active clinical patients diagnosed with ischemic heart disease (IHD) prior to the
< 160/100; E) Stage 2 hypertension, => 160/100                                                                      Report Period, AND at least 2 visits during the Report Period, AND 2 IHD-related visits ever.
                                                                                                                    Broken down by gender

1) Patients with active prescription for, refusal of, or who have a contraindication/previous adverse reaction to Active clinical patients 35 and older discharged for an AMI during the first 51 weeks of the Report
beta-blockers; 2) Patients with active prescription for, refusal of, or who have a contraindication/previous      Period and were not readmitted for any diagnosis within seven days of discharge. Broken down
adverse reaction to ASA (aspirin) or other anti-platelet agent; 3) Patients with active prescription for, refusal by gender
of, or who have a contraindication/ previous adverse reaction to ACEIs/ARBs; 4) Patients with active
prescription for, refusal of, or who have a contraindication/ previous adverse reaction to statins; 5) Patients
with active prescriptions for all post-AMI medications (i.e., beta-blocker, ASA/anti-platelet, ACEI/ARB, AND
statin), with refusal, and/or who have a contraindication/previous adverse reaction
1) Patients with a 135-day course of treatment with beta-blockers, who refused beta-blockers in the 180 days Active clinical patients 35 and older diagnosed with an AMI six months prior to the Report Period
after AMI, or who have a contraindication/previous adverse reaction to beta-blocker therapy; 2) Patients with a through the first six months of the Report Period. Broken down by gender
135-day course of treatment with ASA (aspirin) or other anti-platelet agent, who refused ASA/anti-platelet in
the 180 days after AMI, or who have a contraindication/ previous adverse reaction to ASA/anti-platelet
therapy; 3) Patients with a 135-day course of treatment with ACEIs/ARBs, who refused ACEIs/ARBs in the 180
days after AMI, or who have a contraindication/previous adverse reaction to ACEI/ARB therapy; 4) Patients
with a 135-day course of treatment with statins, who refused statins in the 180 days after AMI, or who have a
contraindication/previous adverse reaction to statin therapy; 5) Patients with a 135-day course of treatment for
all post-AMI medications (i.e., beta-blocker, ASA/anti-platelet, ACEI/ARB, AND statin) following first discharge
date or visit date, including previous active prescriptions; with refusal, and/or who have a contraindication/
previous adverse reaction


1) Patients with a 180-day course of treatment with or refusal of beta-blockers during the Report Period, or        Active IHD patients ages 22 and older, defined as all active clinical patients diagnosed with
who have a contraindication/previous adverse reaction to beta-blocker therapy; 2) Patients with a 180-day           ischemic heart disease (IHD) prior to the Report Period, AND at least 2 visits during the Report
course of treatment with or refusal of ASA (aspirin) or other anti-platelet agent during the Report Period, or      Period, AND 2 IHD-related visits ever
who have a contraindication/previous adverse reaction to ASA/anti-platelet therapy; 3) Patients with a 180-day
course of treatment with or refusal of ACEIs/ARBs during the Report Period, or who have a
contraindication/previous adverse reaction to ACEI/ARB therapy; 4) Patients with a 180-day course of
treatment with or refusal of statins during the Report Period, or who have a contraindication/previous adverse
reaction to statin therapy; 5) Patients with a 180-day course of treatment for all medications (i.e., beta-blocker,
aspirin/anti-platelet, ACEI/ARB, AND statin) during the Report Period, with refusal, and/or who have a
contraindication/previous adverse reaction

1) Patients with LDL completed during the Report Period, regardless of result: A) Patients with LDL <= 100,       Active clinical patients ages 18 to 75 who, during the first 10 months of the year prior to the
completed during the Report Period; B) Patients with LDL 101-130, completed during the Report Period; C)          beginning of the Report Period, were diagnosed with acute myocardial infarction (AMI), coronary
Patients with LDL > 130, completed during the Report Period                                                       artery bypass graft (CABG), or percutaneous transluminal coronary angioplasty (PTCA), OR who
                                                                                                                  were diagnosed with ischemic vascular disease (IVD) during the Report Period and the year prior
                                                                                                                  to the Report Period (changed timeframe for IVD)




Patients whose LVS function was evaluated before arrival, during hospitalization, or is planned for after         Active clinical ages 18 or older discharged with heart failure during the Report Period
discharge
1) Patients with blood pressure documented at least twice during the Report Period; 2) Patients with LDL          Active clinical patients ages 18 and older diagnosed with prediabetes/metabolic syndrome without
completed, regardless of result, during the Report Period; 3) Patients with fasting glucose test, regardless of   a documented history of diabetes
result, during the Report Period; 4) Patients with nephropathy assessment, defined as an estimated GFR and
a quantitative urinary protein assessment (changed from positive urine protein or any microalbuminuria)
during the Report Period OR with evidence of diagnosis and/or treatment of ESRD at any time before the end
of the Report Period; 5) Patients who have been screened for tobacco use during the Report Period; 6)
Patients for whom a BMI could be calculated, including refusals in the past year; 7) Patients who have
received any lifestyle adaptation counseling, including medical nutrition counseling, or nutrition, exercise or
other lifestyle education during the Report Period; 8) Patients screened for depression or diagnosed with a
mood disorder at any time during the Report Period, including documented refusals in past year; 9) Patients
with all screenings
1) Patients who were screened for infant feeding choice at least once; 2) Patients who were screened for          1) Active clinical patients who are 45-394 days old; 2) Active clinical patients who are 45-394 days
infant feeding choice at the age of two months (45-89 days); 3) Patients were screened for infant feeding         old who were screened for infant feeding choice at the age of two months (45-89 days); 3) Active
choice at the age of six months (165-209 days); 4) Patients who were screened for infant feeding choice at the    clinical patients who are 45-394 days old who were screened for infant feeding choice at the age
age of nine months (255-299 days); 5) Patients who were screened for infant feeding choice at the age of 1        of six months (165-209 days); 4) Active clinical patients who are 45-394 days old who were
year (350-394 days); 6) Patients who, at the age of two months (45-89 days), were either exclusively or mostly    screened for infant feeding choice at the age of nine months (255-299 days); 5) Active clinical
breastfed; 7) Patients who, at the age of six months (165-209 days), were either exclusively or mostly            patients who are 45-394 days old who were screened for infant feeding choice at the age of 1
breastfed; 8) Patients who, at the age of nine months (255-299 days), were either exclusively or mostly           year (350-394 days)
breastfed; 9) Patients who, at the age of 1 year (350-394 days), were either exclusively or mostly breastfed
Number of patients receiving patient education during the Report Period                                           All patients in the user population

Total time spent, in minutes, providing education by provider discipline                                          The total time spent providing education to user population patients during the Report Period
The 25 most common diagnoses of the patient education documented during the Report Period                         The total number of patient education codes documented for user population patients for all
                                                                                                                  providers during the Report Period
The 25 most common education topics of the patient education documented during the Report Period                  The total number of patient education codes documented for user population patients for all
                                                                                                                  providers during the Report Period
1) Number of patient education codes with a good understanding of the education received during the Report        The total number of patient education codes documented for user population patients for all
Period; 2) Number of patient education codes with a fair understanding of the education received during the       providers during the Report Period
Report Period; 3) Number of patient education codes with a poor understanding of the education received
during the Report Period; 4) Number of patient education codes where patients refused the education during
the Report Period; 5) Number of patient education codes where understanding of education was not assessed
(group education); 6) Number of patient education codes where understanding of education was left blank

1) Number of patients who set at least one goal during the Report Period; 2) Number of patients who did not       User population patients who received patient education during the Report Period
set at least one goal during the Report Period; 3) Number of patients who met at least one goal during the
Report Period; 4) Number of patients who did not meet at least one goal during the Report Period


The 15 most common provider discipline codes that provided education during the Report Period                     The total number of patient education codes documented for user population patients for all
                                                                                                                  providers during the Report Period
Patients with a documented dental visit during the Report Period, including refusals                              Active diabetic patients, defined as all active clinical patients diagnosed with diabetes (POV
                                                                                                                  250.00-250.93) at least one year prior to the Report Period, AND at least 2 visits in the past year,
                                                                                                                  AND 2 DM-related visits ever
During the Report Period: 1) Patients provided with medical nutrition counseling; 2) Patients provided with       1) Active clinical patients ages 6 and older considered overweight (including obese), defined as
nutrition education; 3) Patients provided with exercise education; 4) Patients provided with other related        adults with BMI => 25, ages 18 and under based on standard tables: A) Patients considered
education                                                                                                         obese, defined as adults with BMI => 30, ages 18 and under based on standard tables. Broken
                                                                                                                  out by gender and age groups: 6-11, 12-19, 20-39, 40-59, => 60 (HP 2010); 2) Active diabetic
                                                                                                                  patients (see Diabetes Comprehensive Care above for definition)
1) Patients who received counseling and/or patient education about HIV and testing during the past 20       GPRA: All pregnant active clinical patients with no documented miscarriage or abortion during the
months; 2) GPRA: Patients who received HIV test during the past 20 months, including refusals: A) Number of past 20 months and NO recorded HIV diagnosis ever
documented refusals

1) Patients who received CD4 test only (without PCR viral load) during the Report Period; 2) Patients who         User population patients 13 and older with at least 2 direct care visits (i.e., not contract/CHS)
received HIV Viral load only (without CD4), as measured by PCR or a comparable test, during the Report            during the Report Period with HIV diagnosis AND 1 HIV visit in last 6 months. Broken out by
Period; 3) Patients who received both CD4 and HIV viral load tests during the Report Period; 4) Total patients    gender
receiving tests
Patients tested for Chlamydia trachomatis during the Report Period                                                Female active clinical patients ages 16 through 25, broken down into age groups 16-20 and 21-25



Patients who received appropriate monitoring of chronic medication during the Report Period                       Active clinical patients ages 16 and older diagnosed with rheumatoid arthritis (RA) prior to the
                                                                                                                  Report Period and with at least two RA-related visits any time during the Report Period who were
                                                                                                                  prescribed maintenance therapy medication chronically during the Report Period
Patients who received appropriate monitoring of chronic medication during the Report Period                       Active clinical patients ages 40 and older diagnosed with osteoarthritis (OA) prior to the Report
                                                                                                                  Period and with at least two OA-related visits any time during the Report Period and prescribed
                                                                                                                  maintenance therapy medication chronically during the Report Period
1) Patients who have had 2 asthma-related visits during the Report Period OR who are active patients in the       Active clinical patients, broken out by age groups: < 5, 5-64; 65 and older (HP 2010)
Asthma Register System (ARS) and categorized as persistent (i.e., Severity 2, 3 or 4) (also used as second
denominator); 2) Patients from the first numerator who have hospital visits for asthma during the Report Period

Patients prescribed an inhaled corticosteroid during the Report Period                                            Active clinical patients ages 1 or older who are categorized in ARS as persistent or who have had
                                                                                                                  two asthma-related visits during the Report Period. Broken down into age groups: 1-4, 5-19, 20-
                                                                                                                  44, 45-64, and 65+
1) Patients with estimated GFR result (lab test Estimated GFR): A) with GFR < 60; B) With normal GFR (i.e.,       All patients 18 and older with serum creatinine test in past year
>= 60)
Patients who were provided patient education about their medications in ANY location                              Active clinical patients with medications dispensed at their facility during the Report Period
Patients screened for functional status at any time during the Report Period                                      Active clinical patients ages 55 and older, broken down by gender
Abandon rate of telephone calls is 4% or less




Annual accrual by disease type to CTEP sponsored studies                             Incidence of disease in American population


Number of Action Letters issued to clinical trial sites by CTEP each calendar year   Number of patients impacted by requested change
Consideration or administration of chemotherapy initiated within 4 months of diagnosis                          Individuals age 18-79 at diagnosis with an AJCC stage III colorectal cancer known to be alive
                                                                                                                within 120 days of diagnosis



Consideration or administration of multi-agent chemotherapy initiated within 4 months of diagnosis              Women aged 18-69 with primary tumor estrogen receptor negative and progesterone receptor
                                                                                                                negative surgical treatment by breast conserving surgery who are alive within 120 days of
                                                                                                                diagnosis


Radiation therapy to the breast initiated within 1 year of the date of diagnosis                                Women aged 18-69 with surgical treatment by breast conserving surgery who are alive within one
                                                                                                                year of diagnosis



Consideration or administration of tamoxifen or third generation aromatase inhibitor initiated within one year of Women age 18 or higher whose primary tumor is estrogen receptor positive or progesterone
diagnosis                                                                                                         receptor positive and alive within one year of diagnosis




Number of Action Letters issued to clinical trial sites by CTEP each calendar year                              Number of patients impacted by requested change




Goal: 30 sec. or less




80% of calls answered within 60 seconds




Response provided within 5 business days




                                                                                                          0.9




100 point scale




100 point scale
Sample subjects with systolic blood pressure at or over 140 mm Hg, or diastolic blood pressure at or over 90   An ever growing nationally representative sample (5000/year) of the US population who have
mm Hg                                                                                                          volunteered to be administered a variety of standardized tests, including blood pressure, in a
                                                                                                               mobile exam center in a variety of locations around the country, ages 3 on up




Those who need refractive correction (eyeglasses, contact lenses, refractive surgery) to achieve normal visual General population (by age group)
acuity
Those who have suboptimal visual acuity because they need, but do not have, refractive correction              Number of people with refractive error
(eyeglasses, contact lenses, refractive surgery) to allow them to achieve normal visual acuity




Patients with high blood cholesterol                                                                           General population (by sex, age group)


Patients with high blood pressure                                                                              General population (by sex, age group)


Patients with prior MI on appropriate meds                                                                     Patients with prior MI


Patients with diagnosis of high blood cholesterol and not on appropriate cholesterol lowering drugs            Patients with diagnosis of high blood cholesterol


Sample subjects with total cholesterol of 200+ mg/dL (high cholesterol) or 240+ mg/dL (very high cholesterol); A nationally representative sample (5000/year) of the U.S. population who have volunteered to be
with HDL of less than 40 mg/dL; and/or with LDL (computed from triglycerides with the Friedewald equation) of administered a variety of standardized tests, including blood pressure, in a mobile exam center in
130+ mg/dL                                                                                                     a variety of locations around the country, ages 6 on up
Aware: those hypertensives who have been told by their health professional that they have hypertension.       Survey sample subjects identified as being hypertensive, in that they take medicines for
Treated: those subjects who report taking medicines for hypertension. Controlled: those hypertensives who     hypertension, or their SBP is 140 mg Hg or more, or their DBP is 90 mg Hg or more
have normal blood pressure, that is, SBP (systolic blood pressure) < 140 AND DBP (diastolic blood pressure)
< 90




Hours of CPAP device usage/night                                                                              Hours of sleep/night



Minutes to fall asleep at preset times throughout the day                                                     Normal range > 10 minutes, varies with age group




Patients with diagnosis of high blood pressure and not on appropriate antihypertensive drugs                  Patients with diagnosis of high blood pressure


Not applicable                                                                                                Not applicable




Not applicable                                                                                                Not applicable



Not applicable                                                                                                Not applicable




Not applicable                                                                                                Not applicable
Not applicable                                                                                                  Not applicable




Not applicable                                                                                                  Not applicable




Not applicable                                                                                                  Not applicable



Not applicable                                                                                                  Not applicable



Not applicable                                                                                                  Not applicable



Not applicable                                                                                                  Not applicable




Not applicable                                                                                                  Not applicable




Percent of physicians reported having a fully functional or basic electronic records system                     U.S. physicians providing direct patient care exclusive of doctors of osteopathy, residents, and
                                                                                                                physicians working in federally owned health facilities
Percent of hospitals reported having a fully functional or basic electronic records system                      U.S. acute care hospitals

Number of unduplicated females under age 25 who are tested for Chlamydia, as reported on the Family             Total number of unduplicated females under age 25 seen in Title X clinics during the calendar
Planning Annual Report (FPAR)                                                                                   year




Number of persons under age 65 years reporting coverage by any type of public or private health insurance       Number of persons under age 65 years

Number of persons aged 18 years and over who were asked or given advice by their health care provider in        Number of persons aged 18 years and older who have had a health care visit in the past 12
the past 12 months regarding physical activity or exercise                                                      months
Number of persons aged 18 years and over who were asked or given advice by their health care provider in        Number of persons aged 18 years and older who have had a health care visit in the past 12
the past 12 months regarding diet and nutrition                                                                 months
Number of persons aged 18 years and over who were asked or given advice by their health care provider in        Number of persons aged 18 years and older who have had a health care visit in the past 12
the past 12 months regarding smoking cessation                                                                  months
Number of adults aged 18 years and over who exhibit risky drinking and who were advised by their health care    Number of persons aged 18 years and older who exhibit risky drinking and who have had a health
provider in the past 12 months to reduce their alcohol consumption or participate in a program to help reduce   care visit in the past 12 months
their alcohol consumption
Number of females aged 15 to 44 years with a physician visit in the past 12 months who received counseling      Number of females aged 15 to 44 years with a physician visit in the past 12 months
on either birth control or getting sterilized
Number of females aged 45-57 years who were given advice by their health care provider in the past 12           Number of females aged 45-57 years who have had a health care visit in the past 12 months
months about options for managing menopause
Number of persons who report having a specific source of primary care                                           Number of persons
Number of persons aged 17 years and under who report having a specific source of primary care                   Number of persons aged 17 years and under

Number of persons aged 18 years and over who report having a specific source of primary care                    Number of persons aged 18 years and over

Number of persons who report that they have a usual primary care provider                                       Number of persons

Number of families that report at least one family member had difficulty or delay in obtaining health care or did Number of families
not receive needed care

Number of LCME-accredited medical schools that include the competency in required courses                       Number of LCME-accredited medical schools




Number of LCME-accredited medical schools that include the competency in required courses                       Number of LCME-accredited medical schools




Number of COCA accredited medical schools that include the competency in required courses                       Number of COCA accredited medical schools



Number of COCA accredited medical schools that include the competency in required courses                       Number of COCA accredited medical schools



Number of schools of nursing that include the competency in required courses in entry-level baccalaureate       Number of schools of nursing with an entry-level baccalaureate nursing education program
nursing programs


Number of schools of nursing that include the competency in required courses in entry-level baccalaureate       Number of schools of nursing with an entry-level baccalaureate nursing education program
nursing programs


Number of NP tracks in schools of nursing that include the competency in required courses, either as a          Number of master’s degree NP clinical tracks in schools of nursing
separate course or integrated in other courses (N=679 clinical tracks in 275 schools for 2000-2001)


Number of NP tracks in schools of nursing that include the competency in required courses, either as a          Number of master’s degree NP clinical tracks in schools of nursing
separate course or integrated in other courses (N=679 clinical tracks in 275 schools for 2000-2001)


Number of degrees in the health professions (medicine, dentistry, pharmacy, and public health)                  Number of degrees awarded by accredited schools to all persons in the health professions and
and allied and associated health profession fields awarded to American Indian or Alaska Native                  allied and associated health profession fields
persons
Number of degrees in the health professions (medicine, dentistry, pharmacy, and public health)               Number of degrees awarded by accredited schools to all persons in the health professions and
and allied and associated health profession fields awarded to Asian and Pacific Islander persons             allied and associated health profession fields




Number of degrees in the health professions (medicine, dentistry, pharmacy, and public health) and allied and Number of degrees awarded by accredited schools to all persons in the health professions and
associated health profession fields awarded to black or African American persons                              allied and associated health profession fields




Number of degrees in the health professions (medicine, dentistry, pharmacy, and public health)               Number of degrees awarded by accredited schools to all persons in the health professions and
and allied and associated health profession fields awarded to Hispanic or Latino persons                     allied and associated health profession fields




Number of degrees in nursing awarded by accredited schools to American Indian or Alaska Native persons       Number of degrees awarded by accredited schools to all persons in nursing




Number of degrees in nursing awarded by accredited schools to Asian or Pacific Islander persons              Number of degrees awarded by accredited schools to all persons in nursing




Number of degrees in nursing awarded by accredited schools to black or African American persons              Number of degrees awarded by accredited schools to all persons in nursing




Number of degrees in nursing awarded by accredited schools to Hispanic or Latino persons                     Number of degrees awarded by accredited schools to all persons in nursing




Number of degrees awarded by accredited allopathic medical schools to American Indian or                     Number of degrees awarded by accredited allopathic medical schools to all persons
Alaska Native persons
Number of degrees awarded by accredited allopathic medical schools to Asian or Pacific                     Number of degrees awarded by accredited allopathic medical schools to all persons
Islander persons



Number of degrees awarded by accredited allopathic medical schools to black or African                     Number of degrees awarded by accredited allopathic medical schools to all persons
American persons.




Number of degrees awarded by accredited allopathic medical schools to Hispanic or Latino                   Number of degrees awarded by accredited allopathic medical schools to all persons
persons




Number of degrees from accredited dental schools awarded to American Indian or Alaska Native persons       Number of degrees from accredited dental schools awarded to all persons



Number of degrees from accredited dental schools awarded to Asian or Pacific Islander persons              Number of degrees from accredited dental schools awarded to all persons



Number of degrees from accredited dental schools awarded to black or African American persons              Number of degrees from accredited dental schools awarded to all persons



Number of degrees from accredited dental schools awarded to Hispanic or Latino persons                     Number of degrees from accredited dental schools awarded to all persons



Number of degrees awarded by accredited pharmacy schools to American Indian or Alaska Native persons       Number of degrees awarded by accredited pharmacy schools to all persons



Number of degrees awarded by accredited pharmacy schools to Asian or Pacific Islander persons              Number of degrees awarded by accredited pharmacy schools to all persons



Number of degrees awarded by accredited pharmacy schools to black or African American                      Number of degrees awarded by accredited pharmacy schools to all persons



Number of degrees awarded by accredited pharmacy schools to Hispanic or Latino persons                     Number of degrees awarded by accredited pharmacy schools to all persons



Number of hospitalizations among persons under 18 years with asthma (ICD-9-CM code 493) as the first listed Number of persons under age 18
(principal) diagnosis

Number of hospitalizations among persons aged 18 to 64 years with uncontrolled diabetes (ICD-9-CM codes    Number of persons aged 18 to 64 years
250.02-250.03, 250.10-250.13, 250.20-250.23, 250.30-250.33) as the first-listed (principal) diagnosis

Number of hospitalizations among persons aged 65 years and older with preventable pneumonia or influenza   Number of persons aged 65 years and older
(ICD-9-CM codes 481, 487) as the firstlisted (principal) diagnosis

Number of persons aged 18 years and older who delayed, had trouble, or were unable to get care from a      Number of persons aged 18 years and older
hospital emergency room during the past 12 months
Number of persons living in areas covered by EMS personnel who are trained in Basic Life Support             Number of persons




Number of persons living in areas covered by EMS personnel who are trained in Advanced Life Support          Number of persons




Number of persons living in areas covered by helicopter ambulance services                                   Number of persons




Number of persons living in areas with prehospital access to on-line medical control                         Number of persons




Number of persons living in areas covered by basic 9-1-1 service                                             Number of persons




Number of persons in living in areas covered by enhanced 9-1-1 service                                       Number of persons




Number of persons living in areas with two-way communication between hospitals                               Number of Persons




Number of States and the District of Columbia that have an active multidisciplinary trauma advisory committee Not applicable




Number of States and the District of Columbia that have a defined process for designing trauma centers       Not applicable
Number of States and the District of Columbia that use the American College of Surgeons standards for             Not applicable
trauma center verification



Number of States and the District of Columbia that use on-site survey teams for trauma center verification        Not applicable




Number of States and the District of Columbia that have pre-hospital triage criteria allowing for the bypass of   Not applicable
non-designated hospitals



Number of States and the District of Columbia that have standardized inter-hospital transfer protocols            Not applicable




Number of States and the District of Columbia that have policies describing the types of patients who should      Not applicable
be transferred



Number of States and the District of Columbia that have a process to monitor and evaluate trauma system           Not applicable
outcomes



Number of States and the District of Columbia that have a trauma system plan                                      Not applicable




Number of States that have pediatric protocols for both online medical direction of emergency medical             Not applicable
technicians (EMTs) and paramedics at the scene of an emergency and overall medical direction in the
development of written pediatric protocols, medical policies, and guidelines
Number of States and the District of Columbia that have adopted and disseminated pediatric guidelines that        Not applicable
categorize acute care facilities with the equipment, drugs, trained personnel, and resources necessary to
provide varying levels of pediatric emergency and critical care
Number of persons aged 65 years and older with long-term care needs who needed home health care during            Number of persons aged 65 years and older with long-term care needs
the past 12 months and did not receive this care

Number of persons aged 65 years and older with long-term care needs who needed adult day care during the          Number of persons aged 65 years and older with long-term care needs
past 12 months and did not receive this care

Number of persons aged 65 years and older with long-term care needs who needed assisted living care during Number of persons aged 65 years and older with long-term care needs
the past 12 months and did not receive this care

Number of persons aged 65 years and older with long-term care needs who needed nursing home care during Number of persons aged 65 years and older with long-term care needs
the past 12 months and did not receive this care

Number of nursing home residents reported to have a current diagnosis of a stage II or greater pressure ulcer     Number of nursing home residents
(ICD-9-CM codes 707.0-707.1 or 454.0)
Response on a scale of 0 – 10 among persons aged 18 years and older who report joint pain in the past 30          Number of persons aged 18 years and older with doctor-diagnosed arthritis who had joint pain in
days                                                                                                              the past 30 days
Number of persons aged 18 years and older with doctor-diagnosed arthritis who experience a limitation in          Number of persons aged 18 years and older with doctor-diagnosed arthritis
activity due to arthritis or joint symptoms
Number of persons aged 18 years and older with doctor-diagnosed arthritis who have difficulty performing two Number of persons aged 18 years and older with doctor-diagnosed arthritis
or more personal care activities

Number of persons aged 18 years and older with doctor-diagnosed arthritis and who are overweight and            Number of persons aged 18 years with doctor-diagnosed arthritis and who are overweight and
obese and received health care provider counseling for weight reduction                                         obese
Number of persons aged 18 years and older with doctor-diagnosed arthritis and who received health care          Number of persons aged 18 years with doctor-diagnosed arthritis
provider counseling for physical activity or exercise
Number of persons aged 18 - 64 years with doctor-diagnosed arthritis who report being employed                  Number of persons aged 18 - 64 years with doctor-diagnosed arthritis

Number of persons aged 18 - 64 years with doctor-diagnosed arthritis who are limited in their ability to work for Number of persons aged 18 - 64 years with doctor-diagnosed arthritis
pay due to arthritis
Not applicable                                                                                                    Not applicable

Number of persons aged 18 years and older with chronic joint symptoms who saw a health care provider for        Number of persons aged 18 years and older who report chronic joint symptoms
their symptoms
Number of persons aged 18 years and older with doctor-diagnosed arthritis who have effective, evidence-         Number of persons aged 18 years and older with doctor-diagnosed arthritis
based arthritis education as an integral part of the management of their condition

Number of persons aged 50 years and older with a femoral bone mineral density (BMD) value less than 0.64        Number of persons aged 50 years and older


Number of discharges from short-stay hospitals among persons aged 65 years and older for vertebral              Number of persons aged 65 years and older
fractures (ICD-9-CM codes 805.0, 805.2, 805.4, or 805.8 in any listed diagnostic field)
Number of persons aged 18 years and older with limitation in activity due to chronic back or neck problems      Number of persons aged 18 years and older

Number of deaths due to cancer (ICD-10 codes C00-C97)                                                           Number of persons

Number of deaths due to lung cancer (ICD-10 codes C33-C34)                                                      Number of persons

Number of female deaths due to breast cancer (ICD-10 code C50)                                                  Number of females

Number of female deaths due to cancer of the uterine cervix (ICD-10 code C53)                                   Number of females

Number of deaths due to colorectal cancer (ICD-10 codes C18-C21)                                                Number of persons

Number of deaths due to oropharyngeal cancer (ICD-10 codes C00-C14)                                             Number of persons

Number of male deaths due to prostate cancer (ICD-10 codes C61)                                                 Number of males

Number of deaths due to melanoma cancer (ICD-10 code C43)                                                       Number of persons

Number of students in grades 9 through 12 who wear sunscreen (SPF 15 or higher) or stay in the shade, wear Number of students in grades 9 through 12
long pants, wear a long-sleeved shirt, or wear a hat that shades your face, ears, and neck most or all of the
time when outside for more than an hour on a sunny day




Number of persons aged 18 years and older who report that they are very likely to limit sun exposure, use       Number of persons aged 18 years and older
sunscreen, or wear protective clothing




Number of visits by ambulatory patients to non- Federal primary care physicians in office-based practice in     Number of visits by ambulatory patients to non- Federal primary care physicians in office-based
which physical activity counseling or education was ordered or provided                                         practice

Number of women aged 18 years and older who report ever receiving a Pap test                                    Number of women aged 18 years and older
Number of women aged 18 years and older who report receiving a Pap test within the past 3 years                   Number of women aged 18 years and older

Number of adults aged 50 years and older who report receiving fecal occult blood testing within the preceding Number of adults aged 50 years and older
2 years
Number of adults aged 50 years and older who report ever receiving a sigmoidoscopy                            Number of adults aged 50 years and older

Number of women aged 40 years and older who report receiving a mammogram within the past 2 years                  Number of women aged 40 years and older

Number of States not covered by the SEER program that capture information on at least 95 percent of the           Not applicable
expected number of malignant cases occurring in State residents each diagnosis year


5-year observed survival rate                                                                                     5-year expected survival rate


Number of ESRD Medical Evidence Report Medicare Entitlement forms (HCFA Medical Evidence Form 2728)               Number of persons
submitted to Medicare for renal replacement therapy in calendar year
Number of deaths among persons with end stage renal disease whose cause of death was cardiac                      Number of persons with end stage renal disease
disease
Number of persons with new cases of end stage renal disease who are reported to have received counseling          Number of persons with new cases of end stage renal disease
on nutrition, treatment choices, and cardiovascular care at least 12 months prior to starting renal replacement
therapy

Number of persons aged 20 years and older who started hemodialysis in the past year who are reported to           Number of persons in the study population aged 20 years and older who started hemodialysis in
use arteriovenous (a-v) fistulas as the primary mode of vascular access                                           the past year


Number of persons under age 70 years registered on the kidney transplant waiting list within one year of the      Number of incident end stage renal disease persons on dialysis under age 70 years in a year
date of end stage renal disease (see Comments)
Number of persons under age 70 years receiving a kidney transplant within 3 years of the first ESRD               Number of ESRD persons under age 70 years who are in treatment for end stage renal disease
service date                                                                                                      within 3 years of the first ESRD service date

Number of ESRD Medical Evidence Report Medicare Entitlement forms (HCFA Medical Evidence Form 2728)               Number of persons
submitted to Medicare for renal replacement therapy in calendar year with diabetes as the reported cause of
ESRD
Persons with type 1 or type 2 diabetes and chronic kidney disease who receive diabetic preventive                 Persons with type 1 or type 2 diabetes and chronic kidney disease
health tests: eye examinations, lipid testing, and glycosylated hemoglobin (HbA1c) testing



Persons with type 1 or type 2 diabetes and chronic kidney disease who receive recommended medical                 Persons with type 1 or type 2 diabetes and chronic kidney disease
management including the use of drugs that modify the renin-angiotensin-aldosterone system (RAAS), such
as angiotensin converting enzyme inhibitors (ACEI) and angiotensin receptor blockers (ARB)


Number of persons aged 18 years and older who report that they have ever been diagnosed with diabetes and Number of persons aged 18 years and older who report that they have ever been diagnosed with
have taken a course or class in diabetes self-management                                                  diabetes
Number of persons aged 18 to 84 years who report being diagnosed with diabetes in the past 12 months      Number of persons aged 18 to 84 years

Number of persons who report ever being diagnosed with diabetes                                                   Number of persons

Number of persons aged 20 years and older who report that they have ever being diagnosed with diabetes            Number of persons aged 20 years and older who report that they have ever being diagnosed with
                                                                                                                  diabetes

Number of deaths due to diabetes (ICD-10 codes E10 - E14) reported as the underlying or multiple cause of         Number of persons
death
Number of deaths due to diabetes (ICD-10 code E10 – E14) reported as the underlying or multiple                   Number of persons who report that they have ever been diagnosed with diabetes
cause of death
Number of deaths due to cardiovascular disease as an underlying cause (ICD-10 codes 100-178), among               Number of persons who report that they have ever been diagnosed with diabetes
persons who had diabetes listed (ICD-10 code E10 – E14) as a multiple cause of death


Number of hospital discharges among U.S. civilian persons with diabetes (ICD-9-CM code 250) as any listed         Number of persons in the NHIS population who report that they have ever been diagnosed with
diagnosis and amputation of the lower limb (ICD-9-CM procedure code 84.1) as any listed procedure                 diabetes


Number of Medicare beneficiaries with diabetes who obtain an annual urinary microalbumin measurement              Number of Medicare beneficiaries with diabetes

Number of persons aged 18 years and older who report they have ever been diagnosed with diabetes and              Number of persons aged 18 years and older who report they have ever been diagnosed with
report that a doctor, nurse, or other health professional has checked the respondent’s                            diabetes
glycosylated hemoglobin (HbA1c) two or more times in the past year
Number of persons aged 18 years and older who report that they have ever been told by a doctor that               Number of persons aged 18 years and older who report that they have ever been told by a doctor
they have diabetes and report that they had a dilated eye examination in the past year                            that they have diabetes
Number of persons aged 18 years and older with diabetes who report that they have seen a health                   Number of persons aged 18 years and older who report that they have ever been told that they
professional for diabetes and have had their feet checked for any sores or irritations                            have diabetes

Number of persons aged 2 years and older who report ever being diagnosed with diabetes and report that            Number of persons aged 2 years and older who report ever being diagnosed with diabetes and
they have seen or spoken to a dentist in the past year                                                            report that they have seen or spoken to a dentist in the past year
Number of persons aged 40 years and older with diabetes who reported taking prescription or over-the-             Number of persons aged 40 years and older who report that they have ever been told that they
counter pain relievers nearly every day for as long as a month                                                    have diabetes

Number of persons aged 18 years and older with diabetes who report that they check their blood for glucose        Number of persons aged 18 years and older who report that they have ever been told they have
or sugar by themselves or by a family member or friend (excludes health professional) at least once a day         diabetes

Number of persons aged 4 to 17 years with disabilities who are reported to be unhappy, sad, or depressed          Number of persons aged 4 to 17 years with disabilities who are reported to be unhappy, sad, or
                                                                                                                  depressed
Number of persons aged 18 years and older with disabilities who report negative feelings that interfered with     Number of persons aged 18 years and older with disabilities
activities in the last 30 days

Number of persons aged 18 years and older with disabilities who report participation in at least 5 out            Number of persons aged 18 years and older with disabilities
of 7 social activities
Number of persons aged 18 years and older with disabilities who report receiving sufficient emotional             Number of persons aged 18 years and older with disabilities
support

Number of proportion of adults with disabilities reporting satisfaction with life                                 Number of persons aged 18 years and older with disabilities


Number of persons aged 22 years and older in congregate care facilities with 16 or more beds                      Not applicable


Number of persons aged 22 years and under in congregate care facilities with 16 or more beds                      Not applicable


Number of persons aged 18 to 64 years with disabilities who are employed                                          Number of persons aged 18 to 64 years with disabilities who are employed

Number of students aged 6 to 21 years with disabilities who are in regular class at least 80 percent of the day   Number of students aged 6 to 21 years with disabilities in all settings


Number of proportion of people with disabilities who report having access to health and wellness programs         Number of persons aged 18 years and older with disabilities

Number of persons aged 18 years and older with disabilities who report they know equipment they need but          Number of persons aged 18 years and older with disabilities
do not have
Number of persons aged 18 years and older with disabilities who report limited home activities                    Number of persons aged 18 years and older with disabilities


Number of persons with disabilities reporting environmental barriers to participation in school activities        Number of persons aged 18 years and older with disabilities


Number of persons aged 18 years and older with disabilities who report limited work activities                    Number of persons aged 18 years and older with disabilities
Number of persons aged 18 years and older with disabilities who report limited home activities              Number of persons aged 18 years and older with disabilities


Number of States and the District of Columbia with surveillance programs for people with disabilities       Not applicable


Number of States and the District of Columbia with health promotion programs for people with disabilities   Not applicable


Number of States and the District of Columbia – Surveillance programs for caregivers                        Not applicable


Number of States and the District of Columbia with health promotion programs for caregivers                 Not applicable


Number of persons 18-24 years old not currently enrolled in grades 7-12 who report that they have received a Persons aged 18 to 24 years
high school diploma or its equivalent

Number of middle, junior, and senior high schools that provide health education on all key behavior and     Number of middle, junior, and senior high schools
content areas




Number of middle, junior, and senior high schools that provide health education on injury prevention and    Number of middle, junior, and senior high schools
safety




Number of middle, junior, and senior high schools that provide health education on conflict                 Number of middle, junior, and senior high schools




Number of middle, junior, and senior high schools that provide health education on suicide prevention       Number of middle, junior, and senior high schools




Number of middle, junior, and senior high schools that provide health education on tobacco use prevention   Number of middle, junior, and senior high schools
Number of middle, junior, and senior high schools that provide health education on alcohol and other drug use Number of middle, junior, and senior high schools
prevention




Number of middle, junior, and senior high schools that provide health education on (unintended) pregnancy       Number of middle, junior, and senior high schools
prevention, HIV (AIDS) prevention, and sexually transmitted disease (STD) prevention




Number of middle, junior, and senior high schools that provide health education on dietary behaviors and        Number of middle, junior, and senior high schools
nutrition




Number of middle, junior, and senior high schools that provide health education on physical activity and        Number of middle, junior, and senior high schools
fitness




Number of middle, junior, and senior high schools that provide health education on environmental health         Number of middle, junior, and senior high schools




Number of undergraduate students who report that they have received information from their college or           Number of undergraduate college students in post-secondary institutions
university on each of the six priority health-risk behavior areas

Number of persons 18 years and older who reported that they participated in either quit smoking programs,       Number of persons aged 18 years and older
screening tests, used exercise facilities, or received educational information sponsored by their employer

Number of local health departments that provided culturally and linguistically appropriate cancer programs to   Number of local health departments with one or more minority racial/ethnic population groups
their jurisdiction in the past year                                                                             comprising at least 10 percent of the population


Number of older adults aged 65 years and older who participated in an exercise class/program or attended a      Number of older adults aged 65 years and older
class/presentation on health topics in the past 12 months

Number of persons living in nonattainment areas that exceed the National Ambient Air Quality Standards for      Number of persons
ozone in 1997



Number of persons living in nonattainment areas that exceed the National Ambient Air Quality Standards for      Number of persons
particulate matter in 1997
Number of persons living in nonattainment areas that exceed the National Ambient Air Quality Standards for   Number of persons
carbon monoxide in 1997



Number of persons living in nonattainment areas that exceed the National Ambient Air Quality Standards for   Number of persons
nitrogen dioxide in 1997



Number of persons living in nonattainment areas that exceed the National Ambient Air Quality Standards for   Number of persons
sulfur dioxide in 1997



Number of persons living in areas that exceed the National Ambient Air Quality Standards (nonattainment      Number of persons
areas) for either ozone, carbon monoxide, nitrogen dioxide, sulfur dioxide,
particulate matter 10 or 2.5, or lead


Number of trips taken by bicycling                                                                           Total number of trips


Number of trips taken by walking                                                                             Total number of trips


Number of trips taken by transit                                                                             Total number of trips


People who telecommute                                                                                       United States workers (2000 Census)


U.S. motor fuel consumption of cleaner alternative fuels by privately owned cars, buses, trucks, and vans    Total U.S. fuel consumption


Millions of tons of toxics released into the air by private industries                                       Not applicable




Number of persons served by community water supply utilities that do not have violations of the Safe Drinking Number of persons served by community water supplies
Water Act Regulation




Number of outbreaks where two or more people are affected by infectious agents or one or more people are     Not applicable
affected by chemical agents from water intended for drinking

Gallons of water used for domestic purposes per day                                                          Number of people



Miles of rivers and streams assessed as safe                                                                 Miles of rivers and streams assessed
Acres of lakes ponds and reservoirs assessed as safe                                                     Acres of lakes ponds and reservoirs assessed




Percent of beach-days assessed safe                                                                      Percent of beach-days assessed




River miles under advisories                                                                             River miles assessed




Lake acreage under advisories                                                                            Lake acreage assessed




Number of children aged 1 to 5 years with blood lead levels exceeding 10 μg/dL                           Number of children aged 1 to 5 years


National Priority List sites                                                                             Not applicable




RCRA facilities                                                                                          Not applicable




Leaking underground storage facilities                                                                   Not applicable




All Brownfield properties                                                                                Not applicable




Number of visits to any facility (other than personal residence) for treatment for pesticide poisoning   Not applicable
Estimated weight in pounds of municipal solid waste that is recycled or composted                                    Estimated weight in pounds of all municipal solid waste




Number of homes (in millions) that exceed 2 μg of dust in bed                                                        Number of homes (in millions)



Number of homes (in millions) that exceed 10 μg of dust in bed                                                       Number of homes (in millions)



Number of homes (in millions) that exceed 0.1 μg of dust in bed                                                      Number of homes (in millions)



Number of homeowners/occupants who reported they know what radon is and that they tested their home for              Number of homeowners/occupants who reported that they know what radon is
radon concentrations
Number of new single-family detached housing units built using methods to prevent radon entry or to vent             Not applicable
radon to the outside

Number of elementary, middle, junior high, and senior high schools having official school policies regarding         Number of elementary, middle, junior high, and senior high schools
environmental hazards




Number of States including District of Columbia that have established preparedness plans and scheduled               Not applicable
exercises


Number of persons aged 18 years and older who report living in houses built before 1950 that have been               Number of persons aged 18 years and older who report living in houses built before 1950
tested for the presence of lead-based paint
Number of housing units identified with moderate or severe physical problems                                         Number of housing units that are regularly occupied



Concentration level of paranitrophenol (methyl parathion and parathion) in urine samples creatine corrected at Not applicable
which 95 percent of the population is below the level



Concentration level of 3, 5, 6-trichloro-2 pyridinol (chlorpyrifos) in urine samples creatinine corrected at which   Not applicable
95 percent of the population is below the level



Concentration level of isopropoxyphenyl (propoxur) in urine samples creatinine corrected at which 95 percent         Not applicable
of the population is below the level



Concentration level of cadmium in blood samples at which 95 percent of the population aged 1 year and older Not applicable
is below the measured level
Concentration level of lead in blood samples at which 95 percent of the population aged one year and older is Not applicable
below the measured level



Concentration level of mercury in blood samples at which 95 percent of the population aged 1 to 5 years is   Not applicable
below the measured level



Concentration level of 2,4-dichlorophenoxyacetic acid in urine samples creatinine corrected at which 95      Not applicable
percent of the population aged 6 to 59 years is below the measured level



Concentration level of o-phenylphenol in urine samples creatinine corrected at which 95 percent of the       Not applicable
population aged 6 to 59 years is below the measured level



Concentration level of 2-isopropyl-4-methyl-6-hydroxypyrimidine in urine samples creatinine corrected at     Not applicable
which 95 percent of the population aged 6 to 59 years is below the measured level.



Concentration level of oxychlordane in serum samples at which 95 percent of the population aged              Not applicable
12 years and older is below the measured level



Concentration level of dieldrin in serum samples at which 95 percent of the population aged 12 years and     Not applicable
older is below the measured level



Concentration level of DDE in serum samples at which 95 percent of the population aged 12 years or more is   Not applicable
below the measured level



Concentration level of lindane (beta-Hexachlorocyclohexane) in serum samples at which 95 percent of the      Not applicable
population aged 12 years or more is below the measured level



Concentration level of mercury in blood, serum, or urine samples at which 95 percent of the female population Not applicable
aged 16 to 49 years is below the measured level



Concentration level of chlordane trans-nonachlor in serum samples at which 95 percent of the population aged Not applicable
12 years or more is below the measured level



Concentration level of chlordane-heptachlor epoxide in serum samples at which 95 percent of the population   Not applicable
aged 12 years or more is below the measured level
Number of states that use health information systems to monitor environmental health   Not applicable



Number of States and the District of Columbia monitoring lead poisoning                Not applicable



Number of States and the District of Columbia monitoring pesticide poisoning           Not applicable



Number of States and the District of Columbia monitoring mercury poisoning             Not applicable



Number of States and the District of Columbia monitoring arsenic poisoning             Not applicable



Number of States and the District of Columbia monitoring cadmium poisoning             Not applicable



Number of States and the District of Columbia monitoring methemoglobinemia             Not applicable



Number of States and the District of Columbia monitoring acute chemical poisoning      Not applicable



Number of States and the District of Columbia monitoring carbon monoxide poisoning     Not applicable



Number of States and the District of Columbia monitoring asthma                        Not applicable



Number of States and the District of Columbia monitoring hyperthermia                  Not applicable



Number of States and the District of Columbia monitoring hypothermia                   Not applicable



Number of States and the District of Columbia monitoring birth defects                 Not applicable



Number of deaths attributable to specific causes                                       Not applicable
Number of residents of Ciudad Acuna who have wastewater sewer service       Number of Ciudad Acuna resident persons




Number of residents of Matamoros who have wastewater sewer service          Number of Matamoros resident persons




Number of residents of Mexicali who have wastewater sewer service           Number of Mexicali resident persons




Number of residents of Nogales, Sonora, who have wastewater sewer service   Number of Nogales, Sonora, resident persons




Number of residents of Piedras Negras who have wastewater sewer service     Number of Piedras Negras resident persons
Number of residents of Reynosa who have wastewater sewer service                Number of Reynosa resident persons




Number of residents of Ciudad Acuna who have wastewater treatment service       Number of Ciudad Acuna resident persons




Number of residents of Matamoros who have wastewater treatment service          Number of Matamoros resident persons




Number of residents of Mexicali who have wastewater treatment service           Number of Mexicali resident persons




Number of residents of Nogales, Sonora, who have wastewater treatment service   Number of Nogales, Sonora, resident persons




Number of residents of Piedras Negras who have wastewater treatment service     Number of Piedras Negras resident persons
Number of residents of Reynosa who have wastewater treatment service                                         Number of Reynosa resident persons




Number of intended births among females aged 15 to 44 years                                                  Number of live births plus abortions among females aged 15 to 44 years




Number of females aged 15 to 44 years whose most recent live birth occurred within 24 months of a previous   Number of females aged 15 to 44 years with at least one live birth
live birth
Number of at-risk females aged 15 to 44 years who currently use a method of contraception other than         Number of at-risk females aged 15 to 44 years
withdrawal
Number of pregnancies that occur within the first 12 months of reported continuous use of a reversible       Number of consecutive months that a reversible contraceptive method was used by females aged
contraceptive method among females aged 15 to 44 years, and their partners                                   15 to 44 years, and their partners




Number of sexually experienced unmarried males ages 15 to 24 years who reported having gone to a family      Number of sexually experienced, unmarried males ages 15 to 24 years
planning clinic with their female partner or girlfriend in the last 12 months
Number of sexually experienced, unmarried males aged 15 to 24 years who reported having gone to a family     Number of sexually experienced, unmarried males aged 15 to 24 years
planning clinic for himself in the last 12 months
Number of sexually experienced, unmarried males aged 15 to 24 years who received advice or counseling        Number of sexually experienced, unmarried males aged 15 to 24 years
from a doctor about birth control in the last 12 months
Number of pregnancies among females aged 15 to 17 years                                                      Number of females aged 15 to 17 years




Number of females aged 15 to 19 years who had no sexual intercourse with a male before age 15                Number of females aged 15 to 19 years

Number of males aged 15 to 19 years who had no sexual intercourse with a female before age 15                Number of males aged 15 to 19 years

Number of females aged 15 to 17 years who had never had sexual intercourse with a male                       Number of females aged 15 to 17 years

Number of males aged 15 to 17 years who had never had sexual intercourse with a female                       Number of males aged 15 to 17 years

Number of sexually experienced, unmarried females aged 15 to 17 years who used a condom at first             Number of sexually experienced, unmarried females aged 15 to 17 years
intercourse


Number of sexually experienced, unmarried males aged 15 to 17 years who used a condom at first intercourse Number of sexually experienced, unmarried males aged 15 to 17 years
Number of sexually experienced, unmarried females aged 15 to 17 years who used a condom plus hormonal        Number of sexually experienced, unmarried females aged 15 to 17 years
method at first intercourse


Number of sexually experienced, unmarried males aged 15 to 17 years who used a condom plus hormonal          Number of sexually experienced, unmarried males aged 15 to 17 years
method at first intercourse


Number of sexually active, unmarried females aged 15 to 17 years who used a condom at last intercourse       Number of sexually active, unmarried females aged 15 to 17 years



Number of sexually active, unmarried males aged 15 to 17 years who used a condom at last intercourse         Number of sexually active, unmarried males aged 15 to 17 years



Number of sexually active, unmarried females aged 15 to 17 years who used a condom plus hormonal method Number of sexually active, unmarried females aged 15 to 17 years
at last intercourse


Number of sexually active, unmarried males aged 15 to 17 years who used a condom plus hormonal method        Number of sexually active, unmarried males aged 15 to 17 years
at last intercourse


Females aged 15 to 19 years who report having had formal instruction, before turning age 18 years, on        Number of females aged 15 to 19 years
abstinence



Males aged 15 to 19 years who report having had formal instruction, before turning age 18 years, on          Number of males aged 15 to 19 years
abstinence



Females aged 15 to 19 years who report having had formal instruction, before turning age 18 years on birth   Number of females aged 15 to 19 years
control methods



Males aged 15 to 19 years who report having had formal instruction before turning 18 on birth control methods Number of males aged 15 to 19 years




Females aged 15 to 19 years who report having had informal instruction (talking with a parent), before turning Number of females aged 15 to 19 years
age 18 years on abstinence



Males aged 15 to 19 years who report having had informal instruction (talking with a parent or guardian),    Number of males aged 15 to 19 years
before turning age 18 years on abstinence



Females aged 15 to 19 years who report having had formal instruction, before turning age 18 years, on        Number of females aged 15 to 19 years
methods of birth control
Females aged 15 to 19 years who report having had formal instruction, before turning age 18 years, on birth    Number of females aged 15 to 19 years
control methods



Females aged 15 to 19 years who report having had informal instruction (talking with a parent or guardian), on Number of females aged 15 to 19 years
sexually transmitted diseases before turning age 18 years



Males aged 15 to 19 years who report having had informal instruction (talking with a parent or guardian), on   Number of males aged 15 to 19 years
sexually transmitted diseases before turning age 18 years



Number of married females with impaired fecundity                                                              Number of married females aged 15 to 44 years

Employment based insured health plans that routinely cover the leading five methods of contraception:          U.S. insurers providing employment-based insured health coverage
diaphragm, implant, injectable, intrauterine device (IUD) and oral contraceptive pills
Number of culture-confirmed cases of illness caused by Campylobacter species reported to CDC                   Number of persons



Number of culture-confirmed cases of illness caused by Escherichia coli O157:H7 reported to CDC                Number of persons



Number of culture-confirmed cases of illness caused by Listeria monocytogenes reported to CDC                  Number of persons



Number of culture-confirmed cases of illness caused by Salmonella species reported to CDC                      Number of persons



Number of culture-confirmed cases of illness caused by postdiarrheal hemolytic uremic syndrome (HUS) in        Number of persons under 5 years of age
persons under 5 years of age reported to CDC


Number of outbreaks of infections caused by Escherichia coli O157:H7 in the U.S. resident population           Number of persons

Number of outbreaks of infections caused by Salmonella serotype Enteritidis in the U.S. resident population    Number of persons

Number of deaths due to severe food allergies                                                                  Number of persons



Number of persons 18 years and older with doctor-diagnosed food allergies who report an allergic reaction         Number of persons 18 years and older with doctor-diagnosed food allergies
within the last 5 years and who report that the allergic reaction was severe (required the use of epinephrine, or
treatment in a hospital or doctor’s office, or an overnight stay in a hospital)

The sum of the average percents of consumers aged 18 years and older who report they follow each of the        Number of practices measured (four) among persons aged 18 years and older who prepare food
four key food safety practices: clean, separate, cook, and chill                                               (consumers)
The sum of the number of data elements (food employee behaviors and food preparation practices) directly       The sum of the number of data elements (food employee behaviors and food preparation
related to foodborne illness risk that are observed to be in compliance during FDA inspections of hospitals    practices) directly related to foodborne illness risk that were observable (in or out of compliance)
                                                                                                               during FDA inspections of hospitals
The sum of the number of data elements (food employee behaviors and food preparation practices) directly       The sum of the number of data elements (food employee behaviors and food preparation
related to foodborne illness risk that are observed to be in compliance during FDA inspections of nursing      practices) directly related to foodborne illness risk that were observable (in or out of compliance)
homes                                                                                                          during FDA inspections of nursing homes
The sum of the number of data elements (food employee behaviors and food preparation practices) directly       The sum of the number of data elements (food employee behaviors and food preparation
related to foodborne illness risk that are observed to be in compliance during FDA inspections of elementary   practices) directly related to foodborne illness risk that were observable (in or out of compliance)
schools                                                                                                        during FDA inspections of elementary schools
The sum of the number of data elements (food employee behaviors and food preparation practices) directly         The sum of the number of data elements (food employee behaviors and food preparation
related to foodborne illness risk that are observed to be in compliance during FDA inspections of fast food      practices) directly related to foodborne illness risk that were observable (in or out of compliance)
restaurants                                                                                                      during FDA inspections of fast food Restaurants
The sum of the number of data elements (food employee behaviors and food preparation practices) directly         The sum of the number of data elements (food employee behaviors and food preparation
related to foodborne illness risk that are observed to be in compliance during FDA inspections of full service   practices) directly related to foodborne illness risk that were observable (in or out of compliance)
restaurants                                                                                                      during FDA inspections of full service Restaurants
The sum of the number of data elements (food employee behaviors and food preparation practices) directly         The sum of the number of data elements (food employee behaviors and food preparation
related to foodborne illness risk that are observed to be in compliance during FDA inspections of deli           practices) directly related to foodborne illness risk that were observable (in or out of compliance)
departments                                                                                                      during FDA inspections of deli departments
The sum of the number of data elements (food employee behaviors and food preparation practices) directly         The sum of the number of data elements (food employee behaviors and food preparation
related to foodborne illness risk that are observed to be in compliance during FDA inspections of meat/poultry   practices) directly related to foodborne illness risk that were observable (in or out of compliance)
departments                                                                                                      during FDA inspections of meat/poultry departments
The sum of the number of data elements (food employee behaviors and food preparation practices) directly         The sum of the number of data elements (food employee behaviors and food preparation
related to foodborne illness risk that are observed to be in compliance during FDA inspections of produce        practices) directly related to foodborne illness risk that were observable (in or out of compliance)
departments                                                                                                      during FDA inspections of produce departments
The sum of the number of data elements (food employee behaviors and food preparation practices) directly         The sum of the number of data elements (food employee behaviors and food preparation
related to foodborne illness risk that are observed to be in compliance during FDA inspections of seafood        practices) directly related to foodborne illness risk that were observable (in or out of compliance)
departments                                                                                                      during FDA inspections of seafood departments
Number of U.S. households with connections to the internet                                                       Number of U.S. households



Number persons, aged 16 and older, who scored “Proficient” in the health literacy component of the NAAL          Number of persons aged 16 and older

Number of HHS-sponsored health communication campaigns that include research and evaluation                      Number of HHS-sponsored health communication campaigns



Number of coronary heart disease-related deaths                                                                  Number of persons


Number of persons aged 20 years and older who were aware of the early warning symptoms and signs of a            Number of persons aged 20 years and older
heart attack and the importance of accessing rapid emergency care by calling 911



Number of eligible patients with heart attacks who receive fibrinolytics within an hour of symptom onset         Number of eligible patients with heart attacks




Number of eligible patients with heart attacks who receive percutaneous intervention (PCI) within 90 minutes     Number of eligible patients with heart attacks
of symptom onset




Number of persons aged 20 years and older who were trained in cardiopulmonary resuscitation (CPR) in the Number of persons aged 20 years and older
past year
Number of persons with out of hospital cardiac arrest who receive their first therapeutic electric shock within 6 Number of persons with witnessed out of hospital cardiac arrest
minutes




Number of discharges among adults aged 65 to 74 years with a principal diagnosis of congestive heart failure Number of persons aged 65 to 74 years

Number of discharges among adults aged 75 to 84 years with a principal diagnosis of congestive heart failure Number of persons aged 75 to 84 years

Number of discharges among adults aged 85 years and older with a principal diagnosis of congestive heart         Number of persons aged 85 years and older
failure
Number of stroke deaths                                                                                             Number of persons

Number of persons aged 20 years and older who were aware of the early warning symptoms and signs of a               Number of persons aged 20 years and older
stroke and the importance of accessing rapid emergency care by calling 911

Number of persons aged 20 years and older, excluding pregnant women, with high blood                                Number of persons aged 20 years and older, excluding pregnant women
pressure/hypertension

Number of persons aged 18 years and older, excluding pregnant women, who have been told by a doctor or              Number of persons with high blood pressure/hypertension aged 18 years and older, excluding
other health professional to take prescribed blood pressure medicine and are now taking it and whose mean           pregnant women
systolic blood pressure is less than 140 mm Hg and mean diastolic blood pressure is less than 90 mm Hg

Number of persons aged 18 years and older with high blood pressure/hypertension who are dieting, reducing           Number of persons with high blood pressure/hypertension aged 18 years and older
salt or sodium intake, exercising, reducing alcohol consumption or taking high blood pressure medications

Number of persons aged 18 years and older who had their blood pressure measured within the preceding 2              Number of persons aged 18 years and older
years and can state level

Sum of all cholesterol values for adults aged 20 years and older                                                    Number of cholesterol measurements for adults aged 20 years and older


Number of persons aged 20 years and older with total blood cholesterol of 240 mg/dL or greater                      Number of persons aged 20 years and older


Number of persons aged 18 years and older who have had their cholesterol checked within 5 years                     Number of persons aged 18 years and older

Number of persons aged 18 years and older with coronary heart disease who have their LDL-cholesterol level Number of persons aged 18 years and older
treated to a goal of less than 100 mg/dL


Number of reported AIDS cases among persons aged 13 years and older                                                 Number of persons aged 13 years and older

Number of newly reported AIDS cases among adolescent males 13 years and older who have sex with men                 Number of adolescent males 13 years and older who have sex with males

Number of new AIDS cases among persons aged 13 years and older who inject drugs                                     Number of persons aged 13 and older who inject drugs

Number of AIDS cases among males aged 13 years and older who inject drugs and report having sex                     Number of males aged 13 years and older who inject drugs and report having sex with males
with males after 1977, preceding the first HIV antibody test or AIDS diagnosis
Number of sexually active, unmarried females aged 18 to 44 years who reported using a condom at last                Number of sexually active, unmarried females aged 18 to 44 years
sexual intercourse
Number of sexually active, unmarried males aged 18 to 44 years who reported using a condom at last                  Number of sexually active, unmarried males aged 18 to 44
sexual intercourse
Number of publicly and privately funded treatment facilities known to SAMHSA that report that they offer HIV        Number of publicly and privately funded treatment facilities known to SAMHSA
testing; HIV/AIDS education, counseling, and support; or have special substance abuse treatment programs
for persons with HIV/AIDS
Number of reported TB cases among persons aged 25 to 44 years with a negative, positive or                          Number of reported TB cases (based on TB case report forms) among persons aged 25 to 44
indeterminate HIV test result                                                                                       years
Number of persons enrolled in the ASD surveillance project with at least one clinic visit, had a minimum            Number of persons enrolled in the ASD surveillance project with at least one clinic visit and had a
cd4 cell count of less than 500, and received any antiretroviral therapy, all in the past year                      minimum cd4 cell count of less than 500 in the past year

Number of persons enrolled in the ASD surveillance project with at least one clinic visit, had a minimum            Number of persons enrolled in the ASD surveillance project with at least one clinic visit and had a
cd4 cell count of less than 500, and received any highly active antiretroviral therapy, all in the past             minimum cd4 cell count of less than 500 in the past year
year
Number of persons enrolled in the ASD surveillance project with at least one clinic visit, had no history of PCP,   Number of persons enrolled in the ASD surveillance project with at least one clinic visit, had no
had a minimum cd4 cell count of less than 200, and received any appropriate PCP prophylaxis,                        history of PCP, and had a minimum cd4 cell count of less than 200 in the past year
all in the past year
Number of persons enrolled in the ASD surveillance project with at least one clinic visit, had a minimum cd4        Number of persons enrolled in the ASD surveillance project with at least one clinic visit, who had a
cell count of less than 50, had no history of MAC, and received any appropriate MAC prophylaxis, all in the         minimum cd4 cell count of less than 50, and no history of MAC in the past year
past year
Number of deaths due to HIV infection                                                                               Number of persons

Number of persons surviving more than 36 months after AIDS diagnosis                                                Number of persons diagnosed with AIDS four years prior to the data year
Number of new cases of perinatally acquired AIDS                                                        Not applicable

Number of confirmed and probable cases of congenital rubella syndrome among children under age 1 year   Not applicable




Number of confirmed cases of diphtheria among persons under age 35 years                                Not applicable




Estimated number of all reported confirmed and probable cases of Haemophilus influenzae invasive        Not applicable
disease for children under age 5 years (see comments)




Number of laboratory-confirmed new symptomatic hepatitis B cases among persons aged 2 to 18             Not applicable
years
Number of confirmed indigenous measles cases                                                               Not applicable




Number of confirmed indigenous mumps cases (persons of all ages)                                           Not applicable




Number of confirmed and probable cases of pertussis (including cases identified in outbreak                Not applicable
settings) among children under age 7 years




Number of indigenously acquired cases of polio (wild-type virus, excludes imported or vaccine-associated   Not applicable
cases) in persons of all ages




Number of confirmed indigenous cases of rubella                                                            Not applicable
Number of confirmed cases of tetanus among persons under age 35 years                                          Not applicable




Number of persons under age 18 who are reported to have had chicken pox (varicella) in the past year           Not applicable




Number of estimated chronic hepatitis B virus (HBV) infections occurring among infants and children aged 1-    Not applicable
24 months of HBV-infected mothers




Number of estimated cases of hepatitis B among persons aged 19 to 24 years                                     Number of persons aged 19 to 24 years




Number of estimated cases of hepatitis B among persons aged 25 to 39 years                                     Number of persons aged 25 to 39 years




Number of estimated cases of hepatitis B among persons aged 40 years and older                                 Number of persons aged 40 years and older




Number of estimated hepatitis B cases multiplied by the proportion of hepatitis B cases reported to the        Not applicable
Sentinel Counties Study of Viral Hepatitis that were attributable to injection drug use



Number of estimated hepatitis B cases multiplied by the proportion of new symptomatic hepatitis B cases        Not applicable
reported to the Sentinel Counties Study of Viral Hepatitis that occurred among heterosexually active persons



Number of estimated hepatitis B cases multiplied by the proportion of hepatitis B cases reported to the        Not applicable
Sentinel Counties Study of Viral Hepatitis that were attributable to male homosexual behavior
Number of estimated hepatitis B cases multiplied by the proportion of hepatitis B cases reported to the        Not applicable
Sentinel Counties Study of Viral Hepatitis that were attributed to occupational exposure


Number of laboratory culture confirmed cases with bacterial meningitis in children aged 1 to 23 months         Number of children aged 1 to 23 months


Number of children under age 5 years with a laboratory-confirmed invasive pneumococcal                         Number of children under age 5 years
infection in the past 12 months



Number of persons aged 65 years and older with a laboratory-confirmed invasive pneumococcal infection in       Number of persons aged 65 years and older
the past 12 months



Number of children under age 5 years with a laboratory-confirmed invasive penicillin-resistant pneumococcal    Number of children under age 5 years
infection in the past 12 months



Number of persons aged 65 years and older with a laboratory-confirmed invasive penicillin-resistant            Number of persons aged 65 years and older
pneumococcal infection in the past 12 months



Number of new symptomatic hepatitis A cases reported in the past 12 months                                     Number of persons


Number of new symptomatic meningococcal cases reported in the past 12 months                                   Number of persons




Number of reported cases of Lyme disease                                                                       Number of persons


Number of new symptomatic hepatitis C cases                                                                    Number of persons

Number of confirmed new cases of tuberculosis reported to CDC by local health departments in all               Number of persons
50 States and the District of Columbia
Number of persons with confirmed new cases of tuberculosis who were alive at diagnosis, with an initial drug   Number of persons with confirmed new cases of tuberculosis who were alive at diagnosis, with an
regimen of one or more drugs prescribed, who did not die during therapy, and who completed curative therapy    initial drug regimen of one or more drugs prescribed, and who did not die during therapy
within 12 months of diagnosis
Persons completing treatment for LTBI who, during the contact investigations of AFB sputum smear-positive      All persons who, during the contact investigations of AFB sputum smear-positive TB cases, had
TB cases, had been found to have LTBI                                                                          been found to have LTBI

Sum of the number of days (from receipt of an initial diagnostic specimen from a suspected case to confirming Sum of the number of all the cases of tuberculosis confirmed by each State health laboratory, as
it as coming from a case of tuberculosis among the most rapidly confirmed 75 percent of laboratory-confirmed reported by all participating State health laboratories, multiplied by a factor of 0.75
tuberculosis cases), as reported by all participating State health laboratories
Number of newborns aged 0 to 6 days with a newly reported laboratory-confirmed case of early-onset             Number of live births
group B streptococcal disease

Number of hospitalizations with uncomplicated ulcers or ulcers complicated by bleeding or perforation as the   Number of persons
principal diagnosis
Number of antibiotic courses ordered, supplied, administered, or continued at a specific visit for             Number of children under age 5 years
children under age 5 years diagnosed with an ear infection
Number of antibiotic courses ordered, supplied, administered, or continued at a specific visit for persons     Number of persons
diagnosed with the common cold



Number of persons aged 12 years and older who report being threatened or physically assaulted in a sexual      Number of persons aged 12 years and older
way other than rape


Number of persons aged 12 years and older who report being physically assaulted                                Number of persons aged 12 years and older



Number of students in grades 9 through 12 who report being in a physical fight at least 1 time during the 12   Students grades 9 through 12
months preceding the survey

Number of students in grades 9 through 12 who report carrying a weapon on school property at least 1 day in    Students grades 9 through 12
the 30 days preceding the survey

Number of fetal deaths (20 or more weeks of gestation)                                                         Number of live births plus fetal deaths (20 or more weeks gestation)


Number of fetal and infant deaths (from 28 weeks gestation to less than 7 days after birth)                    Number of live births plus fetal deaths (of at least 28 weeks gestation)


Number of deaths of infants under age 1 year                                                                   Number of live births


Number of deaths of infants aged 27 days and under                                                             Number of live births


Number of deaths of infants aged 28 days to less than 1 year                                                   Number of live births


Number of infant (under age 1 year) deaths due to birth defects (ICD-10 codes Q00-Q99)                         Number of live births


Number of infant (under age 1 year) deaths due to congenital heart (ICD-10 codes Q20-24) and                   Number of live births
vascular defects (ICD-10 codes Q25-Q28)

Number of infant (under age 1 year) deaths due to SIDS (ICD-10 code R95)                                       Number of live births


Number of deaths among children aged 1 to 4 years                                                              Number of children aged 1 to 4 years

Number of deaths among children aged 5 to 9 years                                                              Number of children aged 5 to 9 years

Number of deaths among persons aged 10 to 14 years                                                             Number of persons aged 10 to 14 years

Number of deaths among persons aged 15 to 19 years                                                             Number of persons aged 15 to 19 years

Number of deaths among persons aged 20 to 24 years                                                             Number of persons aged 20 to 24 years

Number of female deaths due to obstetric causes (ICD-10 codes A34, O00-O95, O98-O99) within 42                 Number of live births
days of a pregnancy

Number of hospital discharges for females with any listed diagnosis of maternal complications (see comments) Number of hospital discharges for females who delivered one or more infants (principal diagnosis
                                                                                                             of ICD-9-CM code V27)
Number of females receiving prenatal care in the first trimester (three months) of pregnancy                 Number of live births

Number of pregnant females receiving adequate prenatal care by the Adequacy of Prenatal Care Utilization       Number of live births
Index (APNCU)
Number of mothers who had ever attended childbirth classes                                                       Mothers of children under 3 years of age



Number of live births at very low birth weight (VLBW) in subspecialty facilities (level III facilities)          Number of infants born live at VLBW

Number of births delivered by cesarean section to low-risk females with no prior cesarean birth                  Number of live births to low-risk females with no prior cesarean birth

Number of births delivered by cesarean section to low-risk females with a prior cesarean birth                   Number of live births to low-risk females with a prior

Number of live births with birth weight of less than 2,500 grams (5 lbs, 8oz)                                    Number of live births

Number of live births with birth weight of less than 1,500 grams (3 lbs, 4oz)                                    Number of live births

Number of children aged 19 to 35 months who had breastmilk as the only type of milk they were fed for the        Number of children aged 19 to 35 months born in one calendar year
first six months after delivery
Number of infants born prior to 37 completed weeks of gestation                                                  Number of live births

Number of infants born between 32 and 36 completed weeks of gestation                                            Number of live births

Number of infants born at less than 32 completed weeks of gestation                                              Number of live births

Number of infants (less than 8 months) put down to sleep on their backs                                          Number of infants less than 8 months

Number of children aged 8 years with an IQ of 70 or less whose parent(s) or legal guardian(s) reside in          Number of children aged 8 years whose parent(s) or legal guardian(s) reside in metropolitan
metropolitan Atlanta, Georgia                                                                                    Atlanta, Georgia



Number of children aged 8 years with cerebral palsy whose parent(s) or legal guardian(s) reside in               Number of children aged 8 years whose parent(s) or legal guardian(s) reside in metropolitan
metropolitan Atlanta, Georgia                                                                                    Atlanta, Georgia


Median age, in months, at first identification of autism spectrum disorder                                       Not applicable



Number of live births and fetal deaths of 20 or more weeks gestation diagnosed with spina bifida and other       Number of live births
neural tube defects (ICD-9 codes 740-742.0)


Number of nonpregnant females aged 15 to 44 years who report consuming an average of 400 μg of folic acid Number of nonpregnant females aged 15 to 44 years
daily over the past month

Median RBC folate level                                                                                          Not applicable


Number of pregnant females aged 15 to 44 years reporting not drinking alcohol at all in the past month (30       Number of pregnant females aged 15 to 44 years
days)
Number of pregnant females aged 15 to 44 years reporting not binge drinking at all in the past month             Number of pregnant females aged 15 to 44 years
(30 days)
Number of women having live births reporting abstaining from cigarette smoking during pregnancy                  Number of live births

Number of pregnant females aged 15 to 44 years reporting not using any illicit drugs in the past month           Number of pregnant females aged 15 to 44 years
(30 days)
Number of cases of FAS                                                                                           Number of live births


Number of mothers who indicate that breast milk is at least one of the types of milk their infant was ever fed   Number of children aged 19 to 35 months born in one calendar year

Number of mothers who indicate that breast milk is at least one of the types of milk their infant was fed at 6   Number of children aged 19 to 35 months born in one calendar year
months of age
Number of mothers who indicate that breast milk is at least one of the types of milk their infant was fed at 1   Number of children aged 19 to 35 months born in one calendar year
year of age
Number of children aged 19 to 35 months who had breastmilk as the only type of milk they were fed for the     Number of children aged 19 to 35 months born in one calendar year
first three months after delivery
Number of children aged 19 to 35 months who had breastmilk as the only type of milk they were fed             Number of children aged 19 to 35 months born in one calendar year
through six months of age
Number of hospital discharges for sickle cell disease (any listed mention of ICD-9-CM codes 282.60- 282.69)   Number of black or African American children aged 9 years and under
among black or African American children aged 9 years and under
Number of children under 18 years of age with special health care needs receiving care in medical homes       Number of children under 18 years of age with special health care needs


Number of children under 18 years of age with special health care needs who receive their care in family-     Number of children under 18 years of age with special health care needs
centered, comprehensive, and coordinated systems

Number of hospitals that track and trend adverse drug reactions                                               Number of general and children's medical surgical hospitals



Number of health care organizations that have a fully operational computer-based patient record system in     Number of health care organizations
place




Number of hospitals and health systems that have an integrated electronic medical record system for non       Number of hospitals and health systems
hospitalized patients




Number of hospitals that have a computerized prescriber order entry (CPOE) system for inpatient medication    Number of general and children's medical surgical hospitals
orders




Number of hospitals in which at least 75 percent of total medication orders are entered by physicians via a   Total number of hospitals in survey
computer system linked to prescribing error prevention software




Number of "quality" points given to information sheets accompanying dispensed prescription drugs              Total number of possible points



Number of persons who received verbal counseling from the prescriber on the appropriate use and potential     Number of persons aged 18 years and older who received a new prescription for themselves or a
risks of medication prescribed                                                                                household member in the four weeks prior to the survey administration


Number of persons who received verbal counseling from the pharmacist on the appropriate use and potential     Number of persons aged 18 years and older who received a new prescription for themselves or a
risks of medication prescribed                                                                                household member in the four weeks prior to the survey administration


Number of persons aged 18 and older, who have donated blood within the past year                              Number of persons aged 18 years and older

Number of deaths due to suicide (ICD-10 codes *U03, X60-X64, Y87.0)                                           Number of persons

Number of students in grades 9 through 12 who reported suicide attempts that required medical attention in    Number of students in grades 9 through 12
the 12 months preceding the survey
Number of homeless persons aged 18 years and older with mental health problems who receive                  Number of homeless persons aged 18 years and older contacted by PATH mental health outreach
mental health services                                                                                      workers


Number of persons aged 18 years and older who report having a serious mental illness and report being       Number of persons aged 18 years and older who report having a serious mental illness
employed in the past 12 months
One or more disordered eating behaviors based on three questions from the Youth Risk Behavior Survey        Number of students in grades 9 through 12


Persons aged 4 to 17 years with mental health problems receiving one or more forms of treatment             Persons aged 4 to 17 years with mental health problems

Number of persons aged 18 years and older with serious mental illness who report having been seen by a      Number of persons aged 18 years and older who report having a serious mental illness
mental health professional and/or prescribed psychotropic medications


Number of persons aged 18 years and older who report symptoms of depression and that they received help     Number of persons aged 18 years and older who report symptoms of depression
from a mental health professional


Persons aged 18 years and older who were diagnosed with schizophrenia and who received treatment            Persons 18 years and older who were diagnosed with schizophrenia



Number of persons aged 18 years and older who report symptoms of anxiety disorders and that they            Number of persons aged 18 years and older who report symptoms of anxiety disorders
received help from a mental health professional


Number of persons aged 18 years and older who receive treatment for co-occurring disorders                  Number of persons aged 18 years and older with co-occurring disorders



Number of persons aged 20 years and older with a BMI equal to or greater than 18.5 and less than 25.0       Number of persons aged 20 years and older


Number of persons aged 20 years and older with a BMI equal to or greater than 30.0                          Number of persons aged 20 years and older


Number of children aged 6 to 11 years with a BMI at or above the gender- and age-specific 95th percentile   Number of children aged 6 to 11 years
from the CDC Growth Charts; United States

Number of persons aged 12 to 19 years with a BMI at or above the gender- and age-specific 95th percentile   Number of persons aged 12 to 19 years
from the CDC Growth Charts; United States

Number of persons aged 6 to 19 years with a BMI at or above the gender- and age-specific 95th percentile    Number of persons aged 6 to 19 years
from the CDC Growth Charts; United States

Number of low-income children under age 5 years who are below the 5th percentile of height for age          Number of low-income children under age 5 years
and gender

Number of persons aged 2 years and older who report consuming two or more servings of fruit daily (based on Number of persons aged 2 years and older
a 2-day average)


Number of persons aged 2 years and older who report consuming three or more servings of vegetables daily,   Number of persons aged 2 years and older
of which at least one-third are dark green or orange vegetables (based on a 2-day average)


Number of persons aged 2 years and older who report consuming six or more servings of grain products per    Number of persons aged 2 years and older
day, including three or more servings of whole-grain products (based on a 2-day average)
Number of persons aged 2 years and older who report consuming less than 10.0 percent of calories from             Number of persons aged 2 years and older
saturated fat (based on a 2-day average)


Number of persons aged 2 years and older who report consuming less than or equal to 30 percent of calories        Number of persons aged 2 years and older
from total fat (based on a 2-day average)


Number of persons aged 2 years and older who report calcium intake at or above approximated mean                  Number of persons aged 2 years and older
requirements

Number of children aged 1 to 2 years with abnormal results for two or more of the following tests: serum          Number of persons aged 2 years and older
ferritin, free erythrocyte protoporphyrin, or transferring saturation

Number of children aged 3 to 4 years with abnormal results for two or more of the following tests: serum          Number of children aged 3 to 4 years
ferritin, free erythrocyte protoporphyrin, or transferring saturation

Number of nonpregnant females aged 12 to 49 years with abnormal results for two or more of the following          Number of females aged 12 to 49 years
tests: serum ferritin, free erythrocyte protoporphyrin, or transferring saturation

Number of pregnant females participating in public programs in their third trimester with abnormal results for    Number of pregnant females participating in public programs in their third trimester
either hemoglobin (less than 11 g/dL) or hematocrit (less than 33 percent)

Number of visits by ambulatory patients aged 20 years and older to non-Federal physicians in office-based         Number of visits by ambulatory patients aged 20 years and older to non-Federal physicians in
practice with diagnosis of cardiovascular disease (ICD-9-CM codes 391-392.0, 393-398, 401, 402, 404, 410-         office-based practice with diagnosis of cardiovascular disease, diabetes mellitus, or
416, 420-429), diabetes mellitus (ICD-9-CM code 250), or hyperlipidemia (ICD-9-CM codes 272.0-272.4), in          hyperlipidemia
which diet and nutrition counseling or education was ordered or provided

Number of U.S. households that did not report experiencing food insecurity over a 12-month period                 Number of U.S. households during a 12 month period



Number of deaths in persons aged 16 years and older working in all industries                                     Number of persons aged 16 years and older working in all industries

Number of deaths in persons aged 16 years and older working in mining                                             Number of persons aged 16 years and older working in mining

Number of deaths in persons aged 16 years and older working in construction                                       Number of persons aged 16 years and older working in construction

Number of deaths in persons aged 16 years and older working in transportation                                     Number of persons aged 16 years and older working in transportation

Number of deaths in persons aged 16 years and older working in agriculture, forestry, and fishing                 Number of persons aged 16 years and older working in agriculture, forestry, and fishing

Number of persons in full-time work in all industries                                                             Number of persons in full-time work in all industries



Number of injuries per 100 full-time workers in persons in full-time work in construction                         Number of persons in full-time work in construction



Number of injuries per 100 full-time workers in persons in full-time work in health services                      Number of persons in full-time work in health services



Number of injuries per 100 full-time workers in persons in full-time work in agriculture, forestry, and fishing   Number of persons in full-time work in agriculture, forestry, and fishing



Number of injuries per 100 full-time workers in persons in full-time work in transportation                       Number of persons in full-time work in transportation
Number of injuries per 100 full-time workers in persons in full-time work mining                          Number of persons in full-time work in mining



Number of injuries per 100 full-time workers in persons in full-time work in manufacturing                Number of persons in full-time work in manufacturing



Number of injuries per 100 full-time adolescent workers                                                   Number of adolescent workers



Number of injuries per 100,000 persons in full-time work                                                  Number of persons in full-time work

Number of pneumoconiosis deaths among persons aged 15 years and older                                     Number of persons aged 15 years and older


Number of deaths per 100. 000 workers persons aged 16 years and older                                     Number of workers aged 16 years and older

Number of work- assaults per 100 workers persons aged 16 years and older                                  Number of workers aged 16 years and older

Number of workers aged 16 years and older with blood lead concentrations of 25 microgram/dL or greater    Number of workers aged 16 years and older


Number of new cases of occupational skin diseases or disorders per 100,000 full-time workers              Number of full-time workers

Number of occupational needlestick exposures to blood among hospital-based health care workers            Number of hospital-based health care workers




Number of new cases of work-related noise-induced hearing loss among workers                              Number of workers


Number of children and adolescents aged 2 to 4 who have dental caries experience in their primary teeth   Number of children and adolescents aged 2 to 4 years




Number of children aged 6 to 8 years who have dental caries experience in their primary and permanent     Number of children aged 6 to 8 years




Number of adolescents aged 15 years who have dental caries experience in their permanent teeth            Number of adolescents aged 15 years
Number of children aged 2 to 4 years who have untreated dental decay in their primary teeth                 Number of children aged 2 to 4 years




Number of children aged 6 to 8 years who have untreated dental decay in their primary and permanent teeth   Number of children aged 6 to 8 years




Number of adolescents aged 15 years who have dental caries experience in their permanent teeth              Number of adolescents aged 15 years




Number of adults aged 35 to 44 years who have untreated dental decay                                        Number of adults aged 35 to 44 years




Number of adults aged 35 to 44 years who had a permanent tooth extracted because of dental caries or        Number of adults aged 35 to 44 years
periodontal disease




Number of older adults aged 65 to 74 years who have had all their natural teeth extracted                   Number of older adults aged 65 to 74 years




Number of adults aged 35 to 44 years who have gingivitis                                                    Number of adults aged 35 to 44 years




Number of adults aged 35 to 44 years who have destructive periodontal disease                               Number of adults aged 35 to 44 years




Number of persons in the population who have oral and pharyngeal cancers detected at the earliest stage     Number of persons in the population

Number of adults aged 40 years and older who in the past 12 months report having had an examination to      Number of adults aged 4o years and older
detect oral and pharyngeal cancers

Number of children aged 8 years who have received dental sealants on their molar teeth                      Number of children aged 8 years
Number of adolescents aged 14 years who have received dental sealants on their molar teeth                    Number of adolescents aged 14 years




Number of persons in the U.S. population served by community water systems with optimally fluoridated water Number of persons in the U.S. population

Number of persons in the U.S. population aged 2 years and older who used the oral health care system during Number of persons in the U.S. population aged 2 years and older
the previous year
Number of nursing home residents who used the oral health care system (dental services) in the past month   Number of nursing home residents in the past month

Number of low-income children and adolescents under age 19 years at or below 200 percent of the federal       Number of low-income children and adolescents under age 19 years at or below 200 percent of
poverty level who received any preventive dental service during the past year                                 the federal poverty level during the past year
Number of adults aged 18 years and older who engage in no leisure-time physical activity                      Number of adults aged 18 years and older

number of asthma deaths in children under age 5 years                                                         Number of children under age 5 years

Number of asthma deaths in children aged 5 to 14 years                                                        Number of children under aged 5 to 14 years

Number of asthma deaths in adolescents and adults aged 15 to 34 years                                         Number of adolescents and adults aged 15 to 34 years

Number of asthma deaths in adults aged 35 to 64 years                                                         Number of adults aged 35 years to 64 years

Number of asthma deaths in adults aged 65 years and older                                                     Number of adults aged 65 years and older

Number of children under age 5 years that were hospitalized                                                   Number of children under age 5 years

Number of children and adults aged 5 to 64 years that were hospitalized                                       Number of children and adults aged 5 to 64 years

Number of adults aged 65 years and older that were hospitalized                                               Number of adults aged 65 years and older

Number of children under age 5 years visiting the emergency department for asthma                             Number of children under age 5 years



Number of children and adults aged 5 to 64 years visiting the emergency department for asthma                 Number of children and adults aged 5 to 64 years



Number of adults aged 65 years and older visiting the emergency department for asthma                         Number of adults aged 65 years and older



Number of persons in the population with asthma who have activity limitations                                 Number of persons in the population

Number of persons in the population aged 18 years and older with asthma who receive formal patient            Number of persons in the population aged 18 years and older
education including information about community and self-help resources, as an essential part of the
management of their condition

Number of persons in the population with asthma who receive written asthma management plans from their        Number of persons in the population
health care provider according to the NAEPP Guidelines

Number of persons in the population with asthma who receive prescribed inhalers with instruction on how to    Number of persons in the population
use them properly according to the NAEPP Guidelines

Number of persons in the population with asthma who receive education about recognizing early signs and        Number of persons in the population
symptoms of asthma episodes and how to respond appropriately, including instruction on peak flow monitoring
for those who use daily therapy according to the NAEPP Guidelines
Number of persons in the population with asthma who receive medication regimens that prevent the need for Number of persons in the population
more than one canister of short-acting inhaled beta agonists per month for relief of symptoms according to the
NAEPP Guidelines
Number of persons in the population with asthma with followup medical care for long-term management of      Number of persons in the population
asthma after any hospitalization
Number of persons in the population with asthma with asthma and with assistance with assessing and          Number of persons in the population
reducing exposure to environmental risk factors in their home, school, and work environments
Number of adults in population aged 45 years and older whose activity is limited due to chronic lung and    Number of adults in population aged 45 years and older
breathing problems
Number of adults in population aged 45 years and older with deaths from chronic obstructive pulmonary       Number of adults in population aged 45 years and older
disease (COPD)
Number of persons in the population with excessive daytime sleepiness, loud snoring, and other signs        Number of persons in the population
associated with obstructive sleep apnea who seek medical evaluation

Number of females aged 15 to 24 years attending family planning clinics with Chlamydia trachomatis          Number of females aged 15 to 24 years



Number of females aged 15 to 24 years attending STD clinics with Chlamydia trachomatis                      Number of females aged 15 to 24 years



Number of males aged 15 to 24 years attending STD clinics with Chlamydia trachomatis                        Number of males aged 15 to 24 years



Number of females 24 years and under enrolled in National Job Training Program                              Number of females 24 years and under



Number of new cases of gonorrhea in the total population                                                    Number of people in the total population

Number of new cases of gonorrhea among females aged 15 to 44 years                                          Number of females aged 15 to 44 years

Number of new cases of primary and secondary syphilis in the total population                               Number of people in the total population

Number of adults aged 20 to 29 years with genital herpes infection (as measured by herpes simplex virus type Number of adults in the population
2 [HSV-2] antibody)
Number of females in the population with human papillomavirus (HPV) infection                                Number of females in the population


Number of females aged 15 to 44 years in the population who have ever required treatment for pelvic        Number of females aged 15 to 44 years in the population
inflammatory disease (PID)
Number of females aged 15 to 44 years in the population who have had a sexually transmitted disease or who Number of females aged 15 to 44 years in the population
have required treatment for pelvic inflammatory disease (PID)


Number of new cases of congenital syphilis among the live births in the population                          Number of live births in the population


Number of adolescents in grades 9 through 12 who never had sexual intercourse                               Number of adolescents in grades 9 through 12


number of adolescents in grades 9 through 12 who are sexually experienced and are not currently sexually    number of adolescents in grades 9 through 12
active

Number of adolescents in grades 9 through 12 who are sexually active and used a condom the last time they   Number of adolescents in grades 9 through 12
had sexual intercourse

Number of sexually active females aged 25 years and under who are screened annually for genital chlamydia   Number of sexually active females aged 25 years and under
infections and who are enrolled in commercial managed care organizations
Number of sexually active females aged 25 years and under who are screened annually for genital chlamydia      Number of sexually active females aged 25 years and under
infections and who are enrolled in Medicaid MCOs


Number of persons in the population whose deaths were caused by alcohol-related motor vehicle crashes          Number of persons in the population

Number of persons in the population whose deaths were cirrhosis deaths                                         Number of persons in the population

number of persons in the population whose deaths were drug-induced deaths                                      Number of persons in the population

Number of hospital emergency department visits by patients aged 6 to 97 years that are drug-related            number of hospital emergency department visits by patients aged 6 to 97 years

Number of hospital emergency department visits by patients that are alcohol-related                            Number of hospital emergency department visits by patients


Number of adolescents in grades 6 through 12 who report that they rode during the previous 30 days with a      Number of adolescents in grades 6 through 12
driver who had been drinking alcohol

Number of persons in the population that have intentional injuries resulting from alcohol- and illicit drug-   Number of persons in the population
related violence


Average age of adolescents aged 12 to 17 years who remain alcohol free                                         Average age of adolescents aged 12 to 17 years

Average age of adolescents aged 12 to 17 years who remain marijuana free                                       Average age of adolescents aged 12 to 17 years



Number of adolescents aged 12 to 17 years who report using alcohol or illicit drug in the past 30 days         Number of adolescents aged 12 to 17 years

Number of adolescents aged 12 to 17 years who report using marijuana in the past 30 days                       Number of adolescents aged 12 to 17 years

Number of high school seniors engaging in binge drinking during the past 2 weeks                               Number of high school seniors

Number of college students engaging in binge drinking during the past 2 weeks                                  Number of college students

Number of persons aged 14 years and older consuming 2.14 or more gallons of ethanol per person who have        Number of persons aged 14 years and older consuming 2.14 or more gallons of ethanol per
reduced their consumption to 1.96 gallons or less per person                                                   person
Number of females aged 21 years and older who exceed guidelines for low-risk drinking                          Number of females aged 21 years and older

Number of males aged 21 years and older who exceed guidelines for low-risk drinking                            Number of males aged 21 years and older

Number of adolescents in 8th grade who used steroids in past year                                              Number of adolescents in 8th grade

Number of adolescents in 10th grade who used steroids in past year                                             Number of adolescents in 10th grade

Number of adolescents aged 12 to 17 years who used inhalants in the past year                                  Number of adolescents aged 12 to 17 years

Number of adolescent 8th graders who disapprove of having one or two alcoholic drinks nearly every day         Number of adolescent 8th graders

Number of adolescent 10th graders who disapprove of having one or two alcoholic drinks nearly every day        Number of adolescent 10th graders

Number of adolescent 12th graders who disapprove of having one or two alcoholic drinks nearly every day        Number of adolescent 12th graders

Number of adolescent 8th graders who disapprove of trying marijuana or Hashish once or twice                   Number of adolescent 8th graders

Number of adolescent 10th graders who disapprove of trying marijuana or Hashish once or twice                  Number of adolescent 10th graders

Number of adolescent 12th graders who disapprove of trying marijuana or Hashish once or twice                  Number of adolescent 12th graders

Number of adolescents aged 12 to 17 years perceiving great risk associated with consuming five or more         Number of adolescents aged 12 to 17 years
alcoholic drinks at a single occasion once or twice a week
Number of adolescents aged 12 to 17 years perceiving great risk from smoking marijuana once per month          Number of adolescents aged 12 to 17 years

Number of adolescents aged 12 to 17 years perceiving great risk from using cocaine once per month              Number of adolescents aged 12 to 17 years

Number of persons aged 12 years and older who need illicit drug treatment and received specialty treatment     Number of persons aged 12 years and older
for abuse or dependence in the past year

Number of persons aged 12 years and older who need alcohol and illicit drug treatment and received             Number of persons aged 12 years and older
specialty treatment for abuse or dependence in the past year

Number of inmates in correctional institutions receiving substance abuse treatment                             Number of inmates in correctional institutions




Number of admissions for injection drug use                                                                    Number of admissions

Number of persons who are referred for followup care for alcohol problems, drug problems after diagnosis, or   Number of persons who are referred for followup care
treatment for one these conditions in a hospital emergency department


Number of persons who are referred for followup care for suicide attempts after diagnosis or treatment in a    Number of persons who are referred for followup care
hospital emergency department


Number of adults aged 18 years and older who smoke cigarettes/use cigarettes (a), number of adults aged 18 Number of adults aged 18 years and older (a, b, c)
years and older who use spit tobacco (b), number of adults aged 18 years and older who smoke cigars/use
cigars (c)
Number of adolescents/students in grades 9 through 12 who use tobacco products (past month) (a), number of Number of adolescents/students in grades 9 through 12 (a,b,c,d,e)
adolescents/students in grades 9 through 12 who use cigarettes (past month) (b), number of
adolescents/students in grades 9 through 12 who use spit tobacco (past month) (c), number of
adolescents/students in grades 9 through 12 who use cigars (past month) (d), number of adolescents/students
in grades 9 through 12 who use bidis (past month) (e)
Number of children and adolescents aged 12 to 17 years who initiated tobacco/cigarette use (a), and number     Number of children and adolescents aged 12 to 17 (a), and number of young adults aged 18 to 25
of young adults aged 18 to 25 years who initiated tobacco/cigarette use (b)                                    years (b)
Average age of adolescents aged 12 to 17 years at first use of tobacco products (a), average age of young      Average age of adolescents aged 12 to 17 years (a), average age of young adults aged 18 to 25
adults aged 18 to 25 years at first use of tobacco products (b)                                                years (b)

Number of adult smokers aged 18 years and older who stopped smoking for 1 day or longer because they           Number of adult smokers aged 18 years and older trying to quit smoking
were trying to quit smoking
Number of females aged 18 to 49 years smoking during the first trimester of their pregnancy who cease to       Number of females aged 18 to 49 years smoking during the first trimester of their pregnancy
smoke during pregnancy
Number of smokers in grades 9 through 12 who ever smoked at least one cigarette every day for 30 days          Number of smokers in grades 9 through 12 who ever smoked at least one cigarette every day for
trying to quit smoking                                                                                         30 days
Number of children aged 6 years and under where someone smoked inside the house at least 4 days per            Number of children aged 6 years and under
week
Number of nonsmokers aged 4 years and older exposed to environmental tobacco smoke                             Number of nonsmokers aged 4 years and older

Number of persons exposed to indoor worksite smoking that are covered by indoor worksite policies that         Number of persons exposed to indoor worksite smoking
prohibit smoking

Number of adolescents in grades 6 through 12 exposed to tobacco advertising and promotion                      Number of adolescents in grades 6 through 12


Number of adolescents in 8th grade who disapprove smoking                                                      Number of adolescents in 8th grade

Number of adolescents in 10th grade who disapprove smoking                                                     Number of adolescents in 10th grade

Number of adolescents in 12th grade who disapprove smoking                                                     Number of adolescents in 12th grade

Number of persons aged 18 years and older who have a dilated eye examination at appropriate intervals          Number of persons 18 years and older
Number of preschool children aged 5 years and under who receive vision screening                             Number of preschool children aged 5 years and under

Number of persons aged 12 years and older who have uncorrected visual impairment due to refractive errors    Number of persons aged 12 years and older

Number of children and adolescents aged 17 years and under who are blind or visually impaired                Number of children and adolescents aged 17 years and under

Number of persons aged 18 years and older with diabetes who have visual impairment due to diabetic           Number of persons aged 18 years and older with diabetes
retinopathy
Number of persons aged 45 years and older who have visual impairment due to glaucoma                         Number of persons aged 45 years and older

Number of persons aged 65 years and older who have visual impairment due to cataract                         Number of persons aged 65 years and older

Number of full-time workers with occupational eye injury                                                     Number of full-time workers




Number of persons aged 6 years and older who use personal protective eyewear in recreational activities and Number of persons aged 6 years and older involved in recreational activities and hazardous
hazardous situations around the home                                                                        situations around the home
Number of visually impaired persons aged 18 years and older who use vision rehabilitation services          Number of visually impaired persons aged 18 years and older

Number of newborns who are screened for hearing loss by age 1 month, have audiologic evaluation by age 3     Number of newborns alive at ages 1 month, 3 months, and 6 months
months, and are enrolled in appropriate intervention services by age 6 months



Number of children and adolescents under age 18 years who have otitis media                                  Number of children and adolescents under age 18 years




Number of adults aged 20 to 69 years with hearing loss who have ever used a hearing aid (a), number of       Number of adults aged 20 to 69 years with hearing loss (a), number of persons who are deaf or
persons who are deaf or very hard of hearing who have new cochlear implants (b), number of adults aged 70    very hard of hearing (b), number of adults aged 70 years and older with hearing loss (c), and
years and older with hearing loss who have ever used a hearing aid (c), and number of adults aged 70 years   number of adults aged 70 years and older with hearing loss (d)
and older with hearing loss who use assistive listening devices (d)
Number of persons aged 20 to 69 years who have had a hearing examination in the past 5 years (a), number Number of persons aged 20 to 69 years (a), number of adults aged 70 years and older (b), and
of adults aged 70 years and older who have had a hearing examination in the past 5 years (b), and number of number of adolescents aged 12 to 19 years (c) respectively
adolescents aged 12 to 19 years who have had a hearing examination in the past 5 years (c) respectively


Number of adults aged 20 to 69 years who have ever used hearing protection devices when exposed to loud      Number of adults aged 20 to 69 years (a), and number of adolescents aged 12 to 19 years (b)
sounds or noise (a), and number of adolescents aged 12 to 19 years who have ever used hearing protection
devices when exposed to loud sounds or noise (b)
Number of persons receiving evidence-based practices                                                         $10,000 of mental health block grant dollars spent




Consumers reporting positively about outcomes                                                                Total consumers




Family members reporting positively about outcomes                                                           Total family members



Consumers reporting positively about outcomes                                                                Total consumers

Family members reporting positively about outcomes                                                           Total family members
Number of evidence-based practices implemented                                      Number of states



Number of service population (adults) receiving any evidence-based practice         Total service population (adults)




Clients reporting improved functioning                                              Total clients


Number of people receiving services through the state public mental health system   Number of people with serious mental health illnesses in need of services




Readmissions to State psychiatric hospitals within 30 days                          Number discharged



Readmissions to State psychiatric hospitals within 180 days (adults)                Number discharged (adults)



Readmissions to State psychiatric hospitals within 30 days (children)               Number discharged (children)



Readmissions to State psychiatric hospitals within 180 days (children)              Number discharged (children)



Number of service population (children) receiving any evidence-based practice       Total service population (children)



Number of evidence-based practices implemented                                      Number of states



Number of service population (adults) receiving any evidence-based practice         Total service population (adults)



Number of service population (children) receiving any evidence-based practice       Total service population (children)



Consumers reporting positively about outcomes                                       Total consumers



Family members reporting positively about outcomes                                  Total family members



Program cost                                                                        Number of clients served
The number of respondents who indicated "Always," "Usually," "Sometimes," or "Never" on the three questions Hospital inpatients with an admission during the reporting period who answered the
regarding their experiences with communicating with nurses                                                  "Communication with Nurses" questions on the CAHPS Hospital Survey (Q1, Q2, Q3)

To produce composite scores, the proportion of cases in each response category for each question is           Patients reported how often their nurses communicated well with them during their hospital stay.
calculated. Once the proportions are calculated for each response category, the average proportion of those   “Communicated well” means nurses explained things clearly, listened carefully to the patient, and
responding to each category is then calculated across all the questions that make up a specific composite.    treated the patient with courtesy and respect.

                                                                                                            Hospital questions answered by the patient the reporting period who answered the
The number of respondents who indicated "Always," "Usually," "Sometimes," or "Never" on the three questions Only the inpatients with an admission duringare included in the composite calculation.
regarding their experiences with communicating with doctors                                                 "Communication with Doctors" questions on the CAHPS Hospital Survey (Q5, Q6, Q7)

To produce composite scores, the proportion of cases in each response category for each question is           Patients reported how often their doctors communicated well with them during their hospital stay.
calculated. Once the proportions are calculated for each response category, the average proportion of those   “Communicated well” means doctors explained things clearly, listened carefully to the patient, and
responding to each category is then calculated across all the questions that make up a specific composite.    treated the patient with courtesy and respect.

                                                                                                              Only the questions answered by the patient are included in the composite calculation.
The number of respondents from the denominator who indicated "Always," "Usually," "Sometimes," "Never," or Hospital inpatients with an admission during the reporting period who answered the
"I never pressed the call button" on the two questions regarding their experiences with the responsiveness of "Responsiveness of Hospital Staff" questions on the CAHPS Hospital Survey (Q4, Q11)
hospital staff
                                                                                                              Patients reported how often they were helped quickly when they used the call button or needed
To produce composite scores, the proportion of cases in each response category for each question is           help in getting to the bathroom or using a bedpan.
calculated. Once the proportions are calculated for each response category, the average proportion of those
responding to each category is then calculated across all the questions that make up a specific composite.    Only the questions answered by the patient are included in the composite calculation.


The number of respondents from the denominator who indicated "Always," "Usually", "Sometimes," or "Never" Hospital inpatients with an admission during the reporting period who answered the "Pain
on the two questions regarding their experiences with control of their pain                               Management" questions on the CAHPS Hospital Survey (Q13, Q14)

To produce composite scores, the proportion of cases in each response category for each question is           If patients needed medicine for pain during their hospital stay, the survey asked how often their
calculated. Once the proportions are calculated for each response category, the average proportion of those   pain was well controlled. “Well controlled” means their pain was well controlled and that the
responding to each category is then calculated across all the questions that make up a specific composite.    hospital staff did everything they could to help patients with their pain.

                                                                                                            Hospital questions answered by the patient the reporting period who answered the
The number of respondents "Always," "Usually," "Sometimes," or "Never" on the two questions regarding their Only the inpatients with an admission duringare included in the composite calculation.
experiences with new medications                                                                            "Communication about Medications" questions on the CAHPS Hospital Survey (Q16, Q17)

To produce composite scores, the proportion of cases in each response category for each question is           If patients were given medicine that they had not taken before, the survey asked how often staff
calculated. Once the proportions are calculated for each response category, the average proportion of those   explained about the medicine. “Explained” means that hospital staff told what the medicine was for
responding to each category is then calculated across all the questions that make up a specific composite.    and what side effects it might have before they gave it to the patient.

The number of respondents who indicated "Yes" or "No" to the questions regarding whether they were            Hospital questions answered by the patient the reporting period who answered the "Discharge
                                                                                                              Only the inpatients with an admission duringare included in the composite calculation.
provided specific discharge information                                                                       Information" questions on the CAHPS Hospital Survey (Q19, Q20)

To produce composite scores, the proportion of cases in each response category for each question is           The survey asked patients about information they were given when they were ready to leave the
calculated. Once the proportions are calculated for each response category, the average proportion of those   hospital. Patients reported whether hospital staff had discussed the help they would need at
responding to each category is then calculated across all the questions that make up a specific composite.    home. Patients also reported whether they were given written information about symptoms or
                                                                                                              health problems to watch for during their recovery.

The number of respondents who indicated "Always," "Usually," "Sometimes," or "Never" on the question          Hospital inpatients with an admission during the reporting period who answered the "Cleanliness
regarding their experiences with cleanliness of the hospital environment                                      of Hospital Environment" question on the CAHPS Hospital Survey (Q8)

The number of respondents who indicated "Always," "Usually," "Sometimes," or "Never" on the question          Hospital inpatients with an admission during the reporting period who answered the "Quietness of
regarding their experiences with quietness of the hospital environment                                        Hospital Environment" question on the CAHPS Hospital Survey (Q9)

The number of respondents who rated their hospital: 9 or 10, 7 or 8, and rated their hospital a 6 or lower    Hospital inpatients with an admission during the reporting period who answered the "Rating of
                                                                                                              Hospital" question on the CAHPS Hospital Survey (Q21)

The number of respondents who indicated "Definitely No," "Probably No," "Probably Yes," or "Definitely Yes"   After answering all with an admission during the reporting period whoa separate the "Willingness
                                                                                                              Hospital inpatients other questions on the survey, patients answered answered question that
regarding whether they were willing to recommend this hospital to their family and friends                    to Recommend" question on the CAHPS Hospital Survey (Q22)

                                                                                                              The survey asked patients whether they would recommend the hospital to their friends and family.
                                                                                                                                                                        NEW_Public_Availa
Explanation if numerator/denominator not applicable   Data source                        Purpose(s)                       Reported                             Update   bility
Procedure Volume Indicator                            Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
                                                      Project                                                             Tables Appendices.
Procedure Volume Indicator                            Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
                                                      Project                                                             Tables Appendices.
NA                                                    Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Discussed in National Healthcare     Annual   Yes
                                                                                                                          Disparities Report accompanied by
                                                                                                                          figures. Appears in NHQR and
                                                                                                                          NHDR Tables Appendices.
NA                                                    Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
                                                                                                                          Tables Appendices.



NA                                                    Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
                                                                                                                          Tables Appendices.



NA                                                    Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
                                                                                                                          Tables Appendices.


NA                                                    Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
                                                                                                                          Tables Appendices.



NA                                                    Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
                                                      Project                                                             Tables Appendices.
NA                                                    Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
                                                      Project                                                             Tables Appendices.
NA                                                    Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
                                                      Project                                                             Tables Appendices.
NA                                                    Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
                                                      Project                                                             Tables Appendices.
NA                                                    Healthcare Cost and Utilization    Reported in NHDR                 Discussed in National Healthcare     Annual   Yes
                                                      Project                                                             Quality Report and National
                                                                                                                          Healthcare Disparities Report
                                                                                                                          accompanied by figures and tables.
                                                                                                                          Appears in NHQR and NHDR
                                                                                                                          Tables Appendices.
NA                                                    Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
                                                                                                                          Tables Appendices.

NA                                                    Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Discussed in National Healthcare     Annual   Yes
                                                                                                                          Disparities Report accompanied by
                                                                                                                          tables. Appears in NHQR and
                                                                                                                          NHDR Tables Appendices.
NA                                                    Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Discussed in National Healthcare     Annual   Yes
                                                                                                                          Disparities Report accompanied by
                                                                                                                          figures. Appears in NHQR and
                                                                                                                          NHDR Tables Appendices.
NA                                                    Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Discussed in National Healthcare   Annual     Yes
                                                      Project                                                             Quality Report and National
                                                                                                                          Healthcare Disparities Report
                                                                                                                          accompanied by figures and tables.
                                                                                                                          Appears in NHQR and NHDR
                                                                                                                          Tables Appendices.
NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Discussed in National Healthcare   Annual   Yes
                             Project                                                             Quality Report and National
                                                                                                 Healthcare Disparities Report
                                                                                                 accompanied by figures and tables.
                                                                                                 Appears in NHQR and NHDR
                                                                                                 Tables Appendices.
NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR           Annual   Yes
                             Project                                                             Tables Appendices.
NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
NA                           Healthcare Cost and Utilization    Reported in NHQR                 Appears in NHQR Tables Appendix. Annual     Yes
                             Project (State Data Source)
NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.

NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.

Procedure Volume Indicator   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
Procedure Volume Indicator   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
Procedure Volume Indicator   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.

NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.

Procedure Volume Indicator   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
NA                           Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                                                                                                 Tables Appendices.

NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.

NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
NA                           Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR          Annual    Yes
                             Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.




NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.




NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.




NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Discussed in National Healthcare    Annual   Yes
                                                                         Disparities Report accompanied by
                                                                         tables. Appears in NHQR and
                                                                         NHDR Tables Appendices.

NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Discussed in National Healthcare    Annual   Yes
                                                                         Disparities Report accompanied by
                                                                         tables. Appears in NHQR and
                                                                         NHDR Tables Appendices.

NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.
NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Discussed in National Healthcare    Annual   Yes
                                                                         Disparities Report accompanied by
                                                                         tables. Appears in NHQR and
                                                                         NHDR Tables Appendices.
NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.




NA   Medical Expenditure Panel Survey   Reported in NHQR                 Appears in NHQR Tables Appendix. Annual      Yes
NA   Medical Expenditure Panel Survey   Reported in NHDR                 Appears in NHDR Tables Appendix. Annual       Yes


NA   Medical Expenditure Panel Survey   Reported in NHDR                 Appears in NHDR Tables Appendix. Annual       Yes

NA   Medical Expenditure Panel Survey   Reported in NHDR                 Appears in NHDR Tables Appendix. Annual       Yes


NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Discussed in National Healthcare   Annual     Yes
     Project                                                             Quality Report and National
                                                                         Healthcare Disparities Report
                                                                         accompanied by figures and tables.
                                                                         Appears in NHQR and NHDR
                                                                         Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
     Project                                                             Tables Appendices.

NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
     Project                                                             Tables Appendices.

NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
     Project                                                             Tables Appendices.

NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
     Project                                                             Tables Appendices.

NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Discussed in National Healthcare     Annual   Yes
     Project                                                             Quality Report and National
                                                                         Healthcare Disparities Report
                                                                         accompanied by figures. Appears in
                                                                         NHQR and NHDR Tables
                                                                         Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR             Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in NHQR                 Appears in NHQR Tables Appendix.     Annual   Yes
     Project
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.




NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.

NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.




NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.



NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.



NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.

NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.




NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Discussed in National Healthcare    Annual   Yes
                                                                         Disparities Report accompanied by
                                                                         figures. Appears in NHQR and
                                                                         NHDR Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.




NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR           Annual    Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Discussed in National Healthcare   Annual    Yes
     Project                                                             Quality Report and National
                                                                         Healthcare Disparities Report
                                                                         accompanied by figures. Appears in
                                                                         NHQR and NHDR Tables
                                                                         Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR           Annual    Yes
     Project                                                             Tables Appendices.

NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.
NA   Healthcare Cost and Utilization    Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
     Project                                                             Tables Appendices.

NA   Healthcare Cost and Utilization    Reported in NHQR                 Appears in NHQR Tables Appendix. Annual      Yes
     Project
NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Discussed in National Healthcare  Annual     Yes
                                                                         Disparities Report accompanied by
                                                                         figures. Appears in NHQR and
                                                                         NHDR Tables Appendices.
NA   Medical Expenditure Panel Survey   Reported in NHQR                 Appears in NHQR Tables Appendix. Annual      Yes

NA   Medical Expenditure Panel Survey   Reported in NHQR                 Appears in NHQR Tables Appendix. Annual      Yes

NA   Medical Expenditure Panel Survey   Reported in NHQR                 Appears in NHQR Tables Appendix. Annual      Yes

NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.



NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.

NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.



NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.

NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Discussed in National Healthcare    Annual   Yes
                                                                         Disparities Report accompanied by
                                                                         figures and tables. Appears in
                                                                         NHQR and NHDR Tables
                                                                         Appendices.

NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.
NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.




NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.

NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.


NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Discussed in National Healthcare    Annual   Yes
                                                                         Disparities Report accompanied by
                                                                         figures. Appears in NHQR and
                                                                         NHDR Tables Appendices.
NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.


NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Discussed in National Healthcare    Annual   Yes
                                                                         Disparities Report accompanied by
                                                                         tables. Appears in NHQR and
                                                                         NHDR Tables Appendices.

NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.

NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.



NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.

NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.


NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.

NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.



NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.

NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.



NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.

NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.
NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.

NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.


NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.

NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.



NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.

NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.

NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.




NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.
NA   Medical Expenditure Panel Survey   Reported in both NHQR and NHDR   Appears in NHQR and NHDR            Annual   Yes
                                                                         Tables Appendices.



NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.


NA   National CAHPS Benchmarking        Reported in NHQR                 Appears in NHQR and NHDR            Annual   Yes
     Database (State Data Source)                                        Tables Appendices.

NA   National CAHPS Benchmarking        Reported in both NHQR and NHDR   Discussed in National Healthcare    Annual   Yes
     Database                                                            Quality Report accompanied by
                                                                         figures. Appears in NHQR and
                                                                         NHDR Tables Appendices.
NA   National CAHPS Benchmarking        Reported in both NHQR and NHDR   Discussed in National Healthcare    Annual   Yes
     Database                                                            Quality Report accompanied by
                                                                         figures. Appears in NHQR and
                                                                         NHDR Tables Appendices.
NA   National CAHPS Benchmarking        Reported in both NHQR and NHDR   Discussed in National Healthcare    Annual   Yes
     Database                                                            Quality Report accompanied by
                                                                         figures. Appears in NHQR and
                                                                         NHDR Tables Appendices.
NA   Medical Expenditure Panel Survey   Reported in NHDR                 Discussed in National Healthcare    Annual   Yes
                                                                         Disparities Report accompanied by
                                                                         figures and tables. Appears in
                                                                         NHDR Tables Appendix.
NA   Medical Expenditure Panel Survey   Reported in NHDR                 Discussed in National Healthcare    Annual   Yes
                                                                         Disparities Report accompanied by
                                                                         figures and tables. Appears in
                                                                         NHDR Tables Appendix.
NA   Medical Expenditure Panel Survey   Reported in NHDR                 Appears in NHDR Tables Appendix. Annual      Yes

NA   Medical Expenditure Panel Survey   Reported in NHDR                 Discussed in National Healthcare    Annual   Yes
                                                                         Disparities Report accompanied by
                                                                         figures and tables. Appears in
                                                                         NHDR Tables Appendix.
NA   Medical Expenditure Panel Survey   Reported in NHDR                 Discussed in National Healthcare    Annual   Yes
                                                                         Disparities Report accompanied by
                                                                         figures and tables. Appears in
                                                                         NHDR Tables Appendix.
NA   Medical Expenditure Panel Survey   Reported in NHDR                 Discussed in National Healthcare    Annual   Yes
                                                                         Disparities Report accompanied by
                                                                         tables. Appears in NHDR Tables
                                                                         Appendix.

NA   Medical Expenditure Panel Survey   Reported in NHDR                 Appears in NHDR Tables Appendix. Annual      Yes


NA   Medical Expenditure Panel Survey   Reported in NHDR                 Appears in NHDR Tables Appendix. Annual      Yes

NA   Medical Expenditure Panel Survey   Reported in NHDR                 Appears in NHDR Tables Appendix. Annual      Yes



NA   Medical Expenditure Panel Survey   Reported in NHDR                 Appears in NHDR Tables Appendix. Annual      Yes



NA   National CAHPS Benchmarking        Reported in both NHQR and NHDR   Discussed in National Healthcare    Annual   Yes
     Database                                                            Quality Report accompanied by
                                                                         figures. Appears in NHQR and
                                                                         NHDR Tables Appendices.



NA   Medical Expenditure Panel Survey   Reported in NHDR                 Appears in NHDR Tables Appendix. Annual      Yes

NA   Medical Expenditure Panel Survey   Reported in NHDR                 Appears in NHDR Tables Appendix. Annual      Yes

NA   Medical Expenditure Panel Survey   Reported in NHDR                 Discussed in National Healthcare  Annual     Yes
                                                                         Disparities Report accompanied by
                                                                         figures. Appears in NHDR Tables
                                                                         Appendix.
NA   Medical Expenditure Panel Survey   Reported in NHDR                 Appears in NHDR Tables Appendix. Annual      Yes

NA   Healthcare Cost and Utilization    Reported in NHDR                 Appears in NHDR Tables Appendix. Annual      Yes
     Project
NA   Healthcare Cost and Utilization    Reported in NHDR                 Appears in NHDR Tables Appendix. Annual      Yes
     Project




NA   Healthcare Cost and Utilization    Reported in NHDR                 Appears in NHDR Tables Appendix. Annual      Yes
     Project
NA   Healthcare Cost and Utilization    Reported in NHDR                 Appears in NHDR Tables Appendix. Annual      Yes
     Project

NA   Healthcare Cost and Utilization    Reported in NHDR                 Appears in NHDR Tables Appendix. Annual      Yes
     Project
NA   Healthcare Cost and Utilization    Reported in NHDR                 Appears in NHDR Tables Appendix. Annual      Yes
     Project
NA                                                                     Healthcare Cost and Utilization    Reported in NHDR   Appears in NHDR Tables Appendix. Annual    Yes
                                                                       Project
NA                                                                     Healthcare Cost and Utilization    Reported in NHDR   Discussed in National Healthcare  Annual   Yes
                                                                       Project                                               Disparities Report accompanied by
                                                                                                                             figures and tables. Appears in
                                                                                                                             NHDR Tables Appendix.
NA                                                                     Medical Expenditure Panel Survey   Reported in NHDR   Appears in NHDR Tables Appendix. Annual    Yes

                                                                                                                                                              Annual    Yes




                                                                                                                                                              Annual    Yes


                                                                                                                                                              Annual    Yes




Reliability-weighted average of observed-to-expected ratios for       Healthcare Cost and Utilization                                                         Annual    Yes
component indicators: IQI 8: Esophageal Resection Mortality Rate; IQI Project
9: Pancreatic Resection Mortality Rate; IQI 11: Abdominal Aortic
Aneurysm (AAA) Repair Mortality Rate; IQI 12: Coronary Artery
Bypass Graft (CABG) Mortality Rate; IQI 13: Craniotomy Mortality
Rate; IQI 14: Hip Replacement Mortality Rate; IQI 30: Percutaneous
Transluminal Coronary Angioplasty (PTCA) Mortality Rate; IQI 31:
Carotid Endarterectomy Mortality Rate

Reliability-weighted average of observed-to-expected ratios for         Healthcare Cost and Utilization                                                       Annual    Yes
component indicators: IQI 15: Acute Myocardial Infarction (AMI)         Project
Mortality Rate; IQI 16: Congestive Heart Failure (CHF) Mortality Rate;
IQI 17: Acute Stroke Mortality Rate; IQI 18: Gastrointestinal
Hemorrhage Mortality Rate; IQI 19: Hip Fracture Mortality Rate; IQI 20:
Pneumonia Mortality Rate

Reliability-weighted average of observed-to-expected ratios for      Healthcare Cost and Utilization                                                          Annual    Yes
component indicators: PSI 3: Decubitus Ulcer; PSI 6: Iatrogenic      Project
Pneumothorax; PSI 7: Selected Infections Due to Medical Care; PSI 8:
Postoperative Hip Fracture; PSI 9: Postoperative Hemorrhage or
Hematoma; PSI 10: Postoperative Physiologic and Metabolic
Derangement; PSI 11: Postoperative Respiratory Failure; PSI 12:
Postoperative Pulmonary Embolism or Deep Vein Thrombosis; PSI 13:
Postoperative Sepsis; PSI 14: Postoperative Wound Dehiscence; PSI
15: Accidental Puncture or Laceration


NA                                                                     Healthcare Cost and Utilization                                                        Annual    Yes
                                                                       Project

NA                                                                     Healthcare Cost and Utilization                                                        Annual    Yes
                                                                       Project
NA                                                                     Healthcare Cost and Utilization                                                        Annual    Yes
                                                                       Project
Reliability-weighted average of observed-to-expected ratios for     Healthcare Cost and Utilization                                                                                                 Annual     Yes
component indicators: PDI 1: Accidental Puncture or Laceration; PDI Project
2: Decubitus Ulcer; PDI 5: Iatrogenic Pneumothorax; PDI 8:
Postoperative Hemorrhage or Hematoma; PDI 9: Postoperative
Respiratory Failure; PDI 10: Postoperative Sepsis; PDI 11:
Postoperative Wound Dehiscence; PDI 12: Selected Infections Due to
Medical Care


Responses are weighted based on expenditures in the 4 areas           AoA State Program Reports and       The purpose of this measure is to demonstrate the            CJ, PART, AoA Web site       Annually   Yes
measured.                                                             random sample of service recipients success of State and Community-Based Services and
                                                                      responding to telephone surveys     program innovations in developing improving access to
                                                                                                          services for vulnerable populations and maintain those
                                                                                                          vulnerable elderly in their homes. Demonstrating
                                                                                                          improved well-being and prolonged independence from
                                                                                                          year to year is accomplished through the use of an OAA
                                                                                                          nursing home predictor score.

                                                                      Client Surveys                       Demonstrate continued high quality of services.             CJ, PART, AoA Web site       Annually   Yes

                                                                      AoA State Program Reports            Demonstrate improving efficiency.                           CJ, PART, AoA Web site       Annually   Yes
                                                                      Congressional Justification of the
                                                                      Budget
                                                                      AoA State Program Reports US         Demonstrate that the % of rural clients AoA serves is 10% CJ, PART, AoA Web site         Annually   Yes
                                                                      Census                               greater than the % of all US elders who live in rural areas.

Calculate the number of states last year that served more elderly living AoA State Program Reports         Demonstrate that AoA services are targeted to low income CJ, PART, AoA Web site          Annually   Yes
below the poverty level than the prior year. Subtract this number from                                     clients.
this year's number of states that did so.
                                                                         AoA State Program Reports         Demonstrate that AoA services are targeted to individuals CJ, PART, AoA Web site         Annually   Yes
                                                                                                           with severe disabilities and preventing premature nursing
                                                                                                           home admission.
                                                                      AoA State Program Reports            Demonstrate improving efficiency.                         CJ, PART, AoA Web site         Annually   Yes
                                                                      Congressional Justification of the
                                                                      Budget
                                                                      Ombudsman Reporting Tool             Demonstrate improving efficiency.                           CJ, PART, AoA Web site       Annually   Yes


                                                                      OIG Smart Facts                      Demonstrate improving efficiency.                           CJ, PART, AoA Web site       Annually   Yes


                                                                      National Birth Defects Prevention    This measure was developed during NCBDDD's PART              Annual Performance Budget   Annually   Yes
                                                                      Network (NBDPN), a national          process. It evaluates the effectiveness of NCBDDD's          Submissions, PARTWeb
                                                                      network of state and population-     interventions aimed at increasing folic acid intake among
                                                                      based programs for birth defects     Hispanic women, and consequently, reducing the
                                                                      surveillance                         occurrence of folic acid-preventable birth defects in this
                                                                                                           population. This population has a lower intake of folic
                                                                                                           acid than the general population, and also a higher risk for
                                                                                                           having children affected by either spina bifida and
                                                                                                           anencephaly.

                                                                      Project CHOICES                      The measure is used to assess the program's                 Annual Performance Budget    Annually   Yes
                                                                                                           performance under PART. Also, the measure is used to        Submissions, PARTWeb
                                                                                                           support a major goal of the National Center on Birth
                                                                                                           Defects and Developmental Disabilities at CDC--which is
                                                                                                           to prevent or reduce birth defects and developmental
                                                                                                           disabilities.
                                                                      State Health Departments and/or      This measure is used to improve population health, and to   Annual Performance Budget    Annually   Yes
                                                                      their agents                         meet federal requirements of PART and HP2010 inform         Submissions, PARTWeb
                                                                                                           stakeholders.
N/A   National Vital Statistics System,    Population based disease surveillance and monitoring     Annual Performance Budget        Annually     Yes
      NCHS                                                                                          Submissions, PARTWeb, Healthy
                                                                                                    People Data 2010, Cancer Control
                                                                                                    and Prevention Communities, NCHS
                                                                                                    Web site, CDC Web site, CDC
                                                                                                    Wonder
N/A   Behavioral Risk Factor Surveillance Population based disease risk reduction, surveillance, and Annual Performance Budget       Biannually   Yes
      System (BRFSS)                      monitoring                                                 Submissions, PARTWeb, Cancer
                                                                                                     Control and Prevention
                                                                                                     Communities, CDC Web site
N/A   National Breast and Cervical         Program evaluation                                       Annual Performance Budget        Annually     Yes
      Cancer Early Detection Program                                                                Submissions, PARTWeb
      (NBCCEDP) Minimum Data
      Elements (MDE)

N/A   National Vital Statistics System,    Population based disease surveillance and monitoring     Annual Performance Budget        Quarterly    Yes
      NCHS                                                                                          Submissions, PARTWeb, Healthy
                                                                                                    People Data 2010
N/A   US Renal Data System                 Inform stakeholders                                      Annual Performance Budget        Long-Term    Yes
                                                                                                    Submissions, PARTWeb




N/A   Behavioral Risk Factor Survey        Inform stakeholders and to track and improve program     Annual Performance Budget        Annually     Yes
      (BRFSS)                              efforts.                                                 Submissions, PARTWeb, Healthy
                                                                                                    People Data 2010


N/A   National Vital Statistics System,    To monitor cardiovascular health of the nation, inform   Annual Performance Budget        Quarterly    Yes
      NCHS                                 stakeholders and drive action                            Submissions, PARTWeb, Healthy
                                                                                                    People Data 2010
N/A   National Health and Nutrition        To drive action                                          Annual Performance Budget        Quarterly    Yes
      Examination Survey (NHANES)                                                                   Submissions, PARTWeb, Healthy
                                                                                                    People Data 2010


      National Notifiable Disease          Monitor program progress, inform program                 Annual Performance Budget        Annually     Yes
      Surveillance System (NNDSS),         changes/action, and inform stakeholder/policy-maker      Submissions, PARTWeb
      National Congenital Rubella          decision-making.
      Syndrome Registry (NCRSR),
      Active Bacterial Core Surveillance
      (ABCs), Emerging Infections
      Programs
      National Notifiable Disease          Monitor program progress, inform program                 Annual Performance Budget        Annually     Yes
      Surveillance System (NNDSS)          changes/action, and inform stakeholder/policy-maker      Submissions
                                           decision-making.
      National Notifiable Disease          Monitor program progress, inform program                 Annual Performance Budget        Annually     Yes
      Surveillance System (NNDSS)          changes/action, and inform stakeholder/policy-maker      Submissions
                                           decision-making.
      Vaccine Safety Datalink (VSD)        To drive action                                          Annual Performance Budget        Annually     Yes
                                                                                                    Submissions
      National Immunization Survey (NIS) Monitor program progress, inform program                   Annual Performance Budget        Annually     Yes
                                         changes/action, and inform stakeholder/policy-maker        Submissions, PARTWeb
                                         decision-making.


      National Health Interview Survey  Monitor program progress, inform program                    Annual Performance Budget        Annually     Yes
      through 2003 and will be tracked  changes/action, and inform stakeholder/policy-maker         Submissions
      again through the NIS-Teen Survey decision-making.
      starting in 2007
In NHIS respondents age 18-64 are considered high risk if they         National Health Interview Survey    Monitor program progress, inform program              Annual Performance Budget              Annually    Yes
answer "Yes" to one or more of questions that assess the conditions of (NHIS)                              changes/action, and inform stakeholder/policy-maker   Submissions
a respondent. High-risk conditions include diabetes, heart disease,                                        decision-making.
lung disease (including asthma or chronic bronchitis), kidney disease,
liver disease and cancer. Women who will be pregnant during
influenza season, adults 50 years of age over, are also considered
high risk. High risk adults are defined by the Advisory Committee on
Immunization Practices (ACIP). Other individuals who should seek
annual influenza immunization include healthcare workers and those
who live with high-risk persons, including those who live with or who
provide care for infants younger than 6 months of age.


                                                                      Active Bacterial Core surveillance   Monitor program progress, inform program              Annual Performance Budget              Annually    Yes
                                                                      (ABCs)/Emerging Infections           changes/action, and inform stakeholder/policy-maker   Submissions, PARTWeb
                                                                      Program Network                      decision-making.

The number of antibiotic courses prescribed for ear infections per 100 National Ambulatory Medical Care    Monitor program progress, inform program              Annual Performance Budget              Annually    Yes
children under 5 years of age is a rate derived from survey data.      Survey (NAMCS) and the National     changes/action, and inform stakeholder/policy-maker   Submissions, PARTWeb
                                                                       Hospital Ambulatory Medical Care    decision-making.
                                                                       Survey (NHAMCS)
                                                                      National Healthcare Safety Network Quality improvement                                     Annual NHSN report published.          Annually    Yes
                                                                      (NHSN)                                                                                     Data is immediately available to
                                                                                                                                                                 participating states and hospitals.
Estimated number of new AIDS cases diagnosed during the new           HIV/AIDS Reporting System            Monitor and direct program action.                    Annual Performance Budget              Annually    Yes
calendar year among children <13 years of age                         (eHARS)                                                                                    Submissions, PARTWeb, annual
                                                                                                                                                                 surveillance reports
                                                                      HIV/AIDS Reporting System          Monitor and direct program action.                      Annual Performance Budget              Annually    Yes
                                                                      (eHARS)                                                                                    Submissions, PARTWeb
                                                                      HIV/AIDS Reporting System          Monitor and direct program action.                      Annual Performance Budget              Annually    Yes
                                                                      (eHARS)                                                                                    Submissions, PARTWeb
                                                                      National HIV Behavior Surveillance Monitor and direct program action.                      Annual Performance Budget              Annually    Yes
                                                                      (NHBS) System                                                                              Submissions, PARTWeb, special
                                                                                                                                                                 scientific reports and presentations


                                                                      National HIV Behavior Surveillance Monitor and direct program action.                      Annual Performance Budget              Annually    Yes
                                                                      (NHBS) System                                                                              Submissions, PARTWeb
                                                                      Special studies using eHARS        Monitor and direct program action.                      Annual Performance Budget              Long-term   Yes
                                                                                                                                                                 Submissions, PARTWeb
                                                                      Data are from the Counseling,        Monitor and direct program action.                    Annual Performance Budget              Annually    Yes
                                                                      Testing, and Referral System (CTR)                                                         Submissions, PARTWeb
                                                                      which will transition to the Program
                                                                      Evaluation and Monitoring System
                                                                      (PEMS).
                                                                      Electronic HIV/AIDS Reporting        Monitor and direct program action.                    Annual Performance Budget              Annually    Yes
                                                                      System                                                                                     Submissions, PARTWeb
                                                                      National Notifiable Diseases         Monitor and direct program action.                    Annual Performance Budget              Annually    Yes
                                                                      Surveillance System (NNDSS)                                                                Submissions, PARTWeb, annual
                                                                                                                                                                 surveillance reports
                                                                      National Notifiable Diseases         Monitor and direct program action.                    Annual Performance Budget              Annually    Yes
                                                                      Surveillance System (NNDSS)                                                                Submissions, PARTWeb, annual
                                                                                                                                                                 surveillance reports
                                                                      The National Health and Nutrition    Monitor and direct program action.                    Annual Performance Budget              Long-term   Yes
                                                                      Examination Survey (NHANES)                                                                Submissions, PARTWeb
Number of visits to a primary physician by women 15-44 years of age   The National Disease and             Monitor and direct program action.                    Annual Performance Budget              Annually    Yes
                                                                      Therapeutic Index (NDTI) (IMS                                                              Submissions, PARTWeb
                                                                      Health)
                                                                      The U.S. Department of Labor,        Monitor and direct program action.                    Annual Performance Budget              Annually    Yes
                                                                      National Job Training Program;                                                             Submissions, PARTWeb, annual
                                                                      CDC, IPP Chlamydia Prevalence                                                              surveillance reports
                                                                      Monitoring Project
                                                                     CDC, IPP Chlamydia Prevalence        Monitor and direct program action.                    Annual Performance Budget             Annually     Yes
                                                                     Monitoring Project                                                                         Submissions, PARTWeb, annual
                                                                                                                                                                surveillance reports
                                                                     STD Morbidity Surveillance System, Monitor and direct program action.                      Annual Performance Budget             Annually     Yes
                                                                     CDC                                                                                        Submissions, PARTWeb, annual
                                                                                                                                                                surveillance reports
                                                                     STD Morbidity Surveillance System, Monitor and direct program action.                      Annual Performance Budget             Annually     Yes
                                                                     CDC                                                                                        Submissions, PARTWeb, annual
                                                                                                                                                                surveillance reports
                                                                     STD Morbidity Surveillance System, Monitor and direct program action.                      Annual Performance Budget             Annually     Yes
                                                                     CDC                                                                                        Submissions, PARTWeb, annual
                                                                                                                                                                surveillance reports
                                                                     STD Morbidity Surveillance System, Monitor and direct program action.                      Annual Performance Budget             Annually     Yes
                                                                     CDC                                                                                        Submissions, PARTWeb, annual
                                                                                                                                                                surveillance reports
                                                                     STD Morbidity Surveillance System, Monitor and direct program action.                      Annual Performance Budget             Annually     Yes
                                                                     CDC                                                                                        Submissions, PARTWeb
                                                                     STD Morbidity Surveillance System, Monitor and direct program action.                      Annual Performance Budget             Annually     Yes
                                                                     CDC                                                                                        Submissions, PARTWeb, annual
                                                                                                                                                                surveillance reports
                                                                     National TB Surveillance System      Monitor and direct program action.                    Annual Performance Budget             Annually     Yes
                                                                                                                                                                Submissions, PARTWeb, annual
                                                                                                                                                                surveillance reports
                                                                     National TB Surveillance System      Monitor and direct program action.                    Annual Performance Budget             Annually     Yes
                                                                                                                                                                Submissions, PARTWeb
                                                                     National TB Surveillance System      Monitor and direct program action.                    Annual Performance Budget             Annually     Yes
                                                                                                                                                                Submissions, PARTWeb

                                                                     National TB Surveillance System    Monitor and direct program action.                      Annual Performance Budget             Annually     Yes
                                                                     and the national Aggregate Reports                                                         Submissions, PARTWeb
                                                                     for TB Program Evaluation

                                                                     FoodNet (The Foodborne Diseases Shared measure with FDA.                                   Annual Performance Budget             Annually     Yes
                                                                     Active Surveillance Network) Data                                                          Submissions, PARTWeb

The measure estimates the number of lead poisoned children utilizing NHANES, U.S. Census estimated        To track program performance and to report progress   Annual Performance Budget             Annually     Yes
the NHANES survey data.                                              and projected national populations   publicly.                                             Submissions, CDC Web site, and
                                                                                                                                                                scientific publications
                                                                     National Health Interview Survey    Monitor program progress, inform program               Annual Performance Budget             Annually     Yes
                                                                     (NHIS)                              changes/action, and inform stakeholder/policy-maker    Submissions
                                                                                                         decision-making.
N/A                                                                  Behavioral Risk Factor Surveillance Population based disease risk reduction, surveillance, and Annual Performance Budget         Biannually   Yes
                                                                     System (BRFSS)                      monitoring                                                 Submissions, PARTWeb, Cancer
                                                                                                                                                                    Control and Prevention
                                                                                                                                                                    Communities, CDC Web site
                                                                     National Healthcare Safety Network Quality improvement                                     Annual NHSN report published.         Annually     Yes
                                                                     (NHSN)                                                                                     Data is immediately available to
                                                                                                                                                                participating states and hospitals.
                                                                     MBD                                                                                                                                           Yes
                                                                     IRE                                                                                                                                           Yes
                                                                     OASIS Data                           Public reporting                                      Home Health Compare                                Yes
                                                                     Medical Records                      Public reporting                                      Hospital Compare                                   Yes


                                                                     Medical Records                      Public reporting                                      Hospital Compare                                   Yes


                                                                     Medical Records                      Public reporting                                      Hospital Compare                                   Yes
Medical Records                    Public reporting   Hospital Compare            Yes


Medical Records                    Public reporting   Hospital Compare            Yes


Medical Records                    Public reporting   Hospital Compare            Yes


Medical Records                    Public reporting   Hospital Compare            Yes


OASIS Data                         Public reporting   Home Health Compare         Yes
Claims/Encounter data              Public reporting   Dialysis Facility Compare   Yes

Claims/Encounter data              Public reporting   Dialysis Facility Compare   Yes



Claims/Encounter data              Public reporting   Dialysis Facility Compare   Yes


OASIS Data                         Public reporting   Home Health Compare         Yes

Medical Records                    Public reporting   Hospital Compare            Yes


Medical Records and Administrative Public reporting   Network-level Reports       Yes
Data

Medical Records and Administrative Public reporting   Network-level Reports       Yes
Data
Medical Records and Administrative Public reporting   Network-level Reports       Yes
Data
Medical Records and Administrative Public reporting   Network-level Reports       Yes
Data

Medical Records and Administrative Public reporting   Network-level Reports       Yes
Data

Medical Records and Administrative Public reporting   Network-level Reports       Yes
Data

Medical Records and Administrative Public reporting   Network-level Reports       Yes
Data



Medical Records and Administrative Public reporting   Network-level Reports       Yes
Data




Medical Records and Administrative Public reporting   Network-level Reports       Yes
Data
Medical Records and Administrative Public reporting   Network-level Reports       Yes
Data
Medical Records and Administrative Public reporting   Network-level Reports       Yes
Data

Medical Records and Administrative Public reporting   Network-level Reports       Yes
Data
Medical Records and Administrative Public reporting     Network-level Reports   Yes
Data



Medical Records and Administrative Public reporting     Network-level Reports   Yes
Data



Medical Records and Administrative Public reporting     Network-level Reports   Yes
Data



Medical Records and Administrative   Public reporting   Network-level Reports   Yes
Data
Medical Records and Administrative   Public reporting   Network-level Reports   Yes
Data
Medical Records and Administrative   Public reporting   Network-level Reports   Yes
Data
Medical Records and Administrative   Public reporting   Network-level Reports   Yes
Data




Medical Records                      Public reporting   Network-level Reports   Yes



Medical Records                      Public reporting   Network-level Reports   Yes

Medical Records                      Public reporting   Hospital Compare        Yes


OASIS Data                           Public reporting   Home Health Compare     Yes


OASIS Data                           Public reporting   Home Health Compare     Yes


OASIS Data                           Public reporting   Home Health Compare     Yes


OASIS Data                           Public reporting   Home Health Compare     Yes


OASIS Data                           Public reporting   Home Health Compare     Yes


OASIS Data                           Public reporting   Home Health Compare     Yes




OASIS Data                           Public reporting   Home Health Compare     Yes


OASIS Data                           Public reporting   Home Health Compare     Yes
Claims/Encounter Data             Public reporting   Hospital Compare       Yes



Claims/Encounter Data             Public reporting   Hospital Compare       Yes


Claims/Encounter Data             Public reporting   Hospital Compare       Yes


Medical Records                   Public reporting   Hospital Compare       Yes


MDS Data                          Public reporting   Nursing Home Compare   Yes


MDS Data                          Public reporting   Nursing Home Compare   Yes


MDS Data                          Public reporting   Nursing Home Compare   Yes

MDS Data                          Public reporting   Nursing Home Compare   Yes


MDS Data                          Public reporting   Nursing Home Compare   Yes

MDS Data                          Public reporting   Nursing Home Compare   Yes

MDS Data                          Public reporting   Nursing Home Compare   Yes


MDS Data                          Public reporting   Nursing Home Compare   Yes


MDS Data                          Public reporting   Nursing Home Compare   Yes



MDS Data                          Public reporting   Nursing Home Compare   Yes




MDS Data                          Public reporting   Nursing Home Compare   Yes


MDS Data                          Public reporting   Nursing Home Compare   Yes

MDS Data                          Public reporting   Nursing Home Compare   Yes

Claims/Encounter Data; MDS Data   Public reporting   Nursing Home Compare   Yes




Claims/Encounter Data; MDS Data   Public reporting   Nursing Home Compare   Yes

MDS Data                          Public reporting   Nursing Home Compare   Yes

MDS Data                          Public reporting   Nursing Home Compare   Yes

MDS Data                          Public reporting   Nursing Home Compare   Yes

MDS Data                          Public reporting   Nursing Home Compare   Yes
Medical Records         Public reporting    Hospital Compare                              Yes

Medical Records         Public reporting    Hospital Compare                              Yes

Medical Records         Public reporting    Hospital Compare       This measure is a      Yes
                                                                   QIO measure that
                                                                   was not publicly
                                                                   reported nor slated
                                                                   for public reporting
                                                                   so far as we know.
Medical Records         Public reporting    Hospital Compare                              Yes


Medical Records         Public reporting    Hospital Compare                              Yes

Medical Records         Pay for reporting   Reports to Providers                          No

Medical Records         Public reporting    Hospital Compare       This measure is not Yes
                                                                   currently publicly
                                                                   reported, and is
                                                                   included on Table 4.
Medical Records         Public reporting    Hospital Compare                              Yes


Claims/Encounter Data   Pay for reporting   Reports to Providers                          No

Claims/Encounter Data   Pay for reporting   Reports to Providers                          No

Claims/Encounter Data   Pay for reporting   Reports to Providers                          No

Medical Records         Public reporting    Hospital Compare                              Yes


Claims/Encounter Data   Pay for reporting   Reports to Providers                          No



Claims/Encounter Data   Pay for reporting   Reports to Providers                          No


Claims/Encounter Data   Pay for reporting   Reports to Providers                          No


Claims/Encounter Data   Pay for reporting   Reports to Providers                          No


Claims/Encounter Data   Pay for reporting   Reports to Providers                          No


Claims/Encounter Data   Pay for reporting   Reports to Providers                          No

Claims/Encounter Data   Pay for reporting   Reports to Providers                          No


Claims/Encounter Data   Pay for reporting   Reports to Providers                          No


Claims/Encounter Data   Pay for reporting   Reports to Providers                          No

Claims/Encounter Data   Pay for reporting   Reports to Providers                          No
Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No
Claims/Encounter Data   Pay for reporting   Reports to Providers   No
Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No
Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to providers   No

Claims/Encounter Data   Pay for reporting   Reports to providers   No

Claims/Encounter Data   Pay for reporting   Reports to providers   No


Medical Records         Public reporting    Hospital Compare       Yes


Medical Records         Public reporting    Hospital Compare       Yes

Medical Records         Public reporting    Hospital Compare       Yes

Medical Records         Public reporting    Hospital Compare       Yes

Medical Records         Public reporting    Hospital Compare       Yes

Medical Records         Public reporting    Hospital Compare       Yes

Medical Records         Public reporting    Hospital Compare       Yes




Claims/Encounter Data   Pay for reporting   Reports to Providers   No
Claims/Encounter Data   Pay for reporting   Reports to Providers   No



Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No
Claims/Encounter Data   Pay for reporting   Reports to Providers   No
Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No
Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No



Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No
Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No
Claims/Encounter Data   Pay for reporting   Reports to Providers   No
Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No
Claims/Encounter Data   Pay for reporting   Reports to Providers   No




Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No


Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No

Claims/Encounter Data   Pay for reporting   Reports to Providers   No
Claims/Encounter Data   Pay for reporting       Reports to Providers   No

Claims/Encounter Data   Pay for reporting       Reports to Providers   No

OASIS Data              Public reporting        Home Health Compare    Yes

Claims/Encounter Data   Pay for reporting       Reports to Providers   No

HEDIS                                                                  Yes
HEDIS                                                                  Yes
HEDIS                                                                  Yes


HEDIS                                                                  Yes

HEDIS                                                                  Yes

HEDIS                                                                  Yes
HEDIS                                                                  Yes
HEDIS                                                                  Yes

HEDIS                                                                  Yes
HEDIS                                                                  Yes
HEDIS                                                                  Yes
HEDIS                                                                  Yes
HEDIS                                                                  Yes
HEDIS                                                                  Yes
HEDIS                                                                  Yes

HEDIS                                                                  Yes
HEDIS                                                                  Yes
HEDIS                                                                  Yes

HEDIS                   Collected via M-CAHPS                          Yes
HEDIS                                                                  Yes
HEDIS                                                                  Yes
M-CAHPS                                                                Yes
M-CAHPS                                                                Yes
M-CAHPS                                                                Yes
M-CAHPS                                                                Yes
M-CAHPS                                                                Yes
IRE                                                                    Yes
IRE                                                                    Yes
M-CAHPS                                                                Yes
HEDIS                   Collected via M-CAHPS                          Yes
Plan Reported                                                          Yes
CMS                                                                    Yes
CTM                                                                    Yes
CTM                                                                    Yes
CTM                                                                    Yes

CTM                                                                    Yes

Plan Reported                                                          Yes
CAHPS                                                                  Yes
CAHPS                                                                  Yes
CMS                                                                    Yes
Plan Reported                                                          Yes
OIS                                                                    Yes

CAHPS                                                                  Yes
OIS         Yes

IRE         Yes
CMS         Yes
HEDIS       Yes

CMS         Yes
MR          No


MR          No


MR          No


MR          No


MR          No


MR          No
MR          No
Claims      No
Claims      No

Claims      No

Claims      No
Claims      No
Claims      No
Claims      No
Claims      No


Claims      No



Claims      No

HEDIS       No

PDE/MPDPF   No

Claims      No

HEDIS       Yes

HOS         Yes
HEDIS       Yes

HOS         Yes
HOS         Yes
HOS         Yes
HOS         Yes
HOS         Yes
HEDIS       Yes
HEDIS       Yes
HEDIS       Yes
HEDIS                                                                                                                            Yes

HEDIS                                                                                                                            Yes
HEDIS                                                                                                                            Yes
HEDIS                                                                                                                            Yes
HEDIS                                                                                                                            Yes

HEDIS                                                                                                                            Yes

HEDIS                                                                                                                            Yes
HEDIS                                                                                                                            Yes
HEDIS                                                                                                                            Yes


HEDIS                                                                                                                            Yes
HEDIS                                                                                                                            Yes
PDE                                                                                                                              Yes
MCBS/PBP Benefit Design                                                                                                          Yes
MCBS/PBP Benefit Design                                                                                                          Yes
Electronic Health Records, Patient Quality improvement & performance measurement   Electronic Reporting to   Annual review for   No
Demographics, Claims or Encounter                                                  Program/Bureau            changes in the
Data for Visits, Procedures, and                                                                             evidence-based
Pharmacy, and/or Manual Chart                                                                                science
Review
Electronic Health Records, Patient Quality improvement & performance measurement   Electronic Reporting to   Annual review for   No
Demographics, Claims or Encounter                                                  Program/Bureau            changes in the
Data for Visits, Procedures, and                                                                             evidence-based
Pharmacy, and/or Manual Chart                                                                                science
Review

Electronic Health Records, Patient Quality improvement & performance measurement   Electronic Reporting to   Annual review for   No
Demographics, Claims or Encounter                                                  Program/Bureau            changes in the
Data for Visits, Procedures, and                                                                             evidence-based
Pharmacy, and/or Manual Chart                                                                                science
Review
Electronic Health Records, Patient Quality improvement & performance measurement   Electronic Reporting to   Annual review for
Demographics, Claims or Encounter                                                  Program/Bureau            changes in the
Data for Visits, Procedures, and                                                                             evidence-based
Pharmacy, and/or Manual Chart                                                                                science
Review
Electronic Health Records, Patient Quality improvement & performance measurement   Electronic Reporting to   Annual review for   No
Demographics, Claims or Encounter                                                  Program/Bureau            changes in the
Data for Visits, Procedures, and                                                                             evidence-based
Pharmacy, and/or Manual Chart                                                                                science
Review
Electronic Health Records, Patient Quality improvement & performance measurement   Electronic Reporting to   Annual review for
Demographics, Claims or Encounter                                                  Program/Bureau            changes in the
Data for Visits, Procedures, and                                                                             evidence-based
Pharmacy, and/or Manual Chart                                                                                science
Review
Electronic Health Records, Patient Quality improvement & performance measurement   Electronic Reporting to   Annual review for
Demographics, Claims or Encounter                                                  Program/Bureau            changes in the
Data for Visits, Procedures, and                                                                             evidence-based
Pharmacy, and/or Manual Chart                                                                                science
Review
Electronic Health Records, Patient Quality improvement & performance measurement   Electronic Reporting to   Annual review for   No
Demographics, Claims or Encounter                                                  Program/Bureau            changes in the
Data for Visits, Procedures, and                                                                             evidence-based
Pharmacy, and/or Manual Chart                                                                                science
Review
                                                                     Electronic Health Records, Patient Quality improvement & performance measurement   Electronic Reporting to   Annual review for
                                                                     Demographics, Claims or Encounter                                                  Program/Bureau            changes in the
                                                                     Data for Visits, Procedures, and                                                                             evidence-based
                                                                     Pharmacy, and/or Manual Chart                                                                                science
                                                                     Review
                                                                     Electronic Health Records, Patient Quality improvement & performance measurement   Electronic Reporting to   Annual review for
                                                                     Demographics, Claims or Encounter                                                  Program/Bureau            changes in the
                                                                     Data for Visits, Procedures, and                                                                             evidence-based
                                                                     Pharmacy, and/or Manual Chart                                                                                science
                                                                     Review
                                                                     Electronic Health Records, Patient Quality improvement & performance measurement   Electronic Reporting to   Annual review for   No
                                                                     Demographics, Claims or Encounter                                                  Program/Bureau            changes in the
                                                                     Data for Visits, Procedures, and                                                                             evidence-based
                                                                     Pharmacy, and/or Manual Chart                                                                                science
                                                                     Review
                                                                     Electronic Health Records, Patient Quality improvement & performance measurement   Electronic Reporting to   Annual review for
                                                                     Demographics, Claims or Encounter                                                  Program/Bureau            changes in the
                                                                     Data for Visits, Procedures, and                                                                             evidence-based
                                                                     Pharmacy, and/or Manual Chart                                                                                science
                                                                     Review
                                                                     Progress Reports from Family to    Programmatic performance measurement            Electronic Reporting                          Yes
                                                                     Family Health Care Information and                                                 Program/Bureau
                                                                     Education Centers
Six element checklist that demonstrates family participation                                            Performance measurement                         Electronic Reporting                          Yes
                                                                                                                                                        Program/Bureau

Four element checklist that demonstrate how a grantee has assisted   Data Collection Form. Form          Performance measurement                        Electronic Reporting                          Yes
their State in improving access to adequate health insurance for     represents a menu of strategies by                                                 Program/Bureau
children with special health care needs                              which grantees may assist States in
                                                                     improving access to adequate
                                                                     health insurance for children with
                                                                     special healthcare needs.


Five elements that demonstrate how a grantee has assisted their State Data Collection Form. Form           Performance measurement                      Electronic Reporting                          Yes
in achieving access to a medical home for children with special health represents a menu of strategies by                                               Program/Bureau
care needs                                                             which grantees may assist States in
                                                                       improving access to adequate
                                                                       health insurance for children with
                                                                       special healthcare needs.

                                                                     The National CSHCN Survey          Performance measurement                         Electronic Reporting                          Yes
                                                                                                                                                        Program/Bureau
Checklist of 23 elements that demonstrate cultural competency        Data Collection Form. There is no    Quality improvement and program performance   Electronic Reporting                          Yes
                                                                     existing national data source to     measurement                                   Program/Bureau
                                                                     measure the extent to which MCHB
                                                                     supported programs have
                                                                     incorporated cultural competence
                                                                     elements into their policies,
                                                                     guidelines, contracts and trainings.


                                                                     MCHB Child Health Survey                                                           Electronic Reporting                          Yes
                                                                                                                                                        Program/Bureau

                                                                     Provider and MCHB Program          Quality improvement and program performance     Electronic Reporting                          Yes
                                                                     Patient Records                    measurement                                     Program/Bureau


Checklist of elements that demonstrate linkage.                      Data collection form               Quality improvement and program performance     Electronic Reporting                          Yes
                                                                                                        measurement                                     Program/Bureau
Checklist of 4 elements that demonstrate the degree to which grantees     Data Collection Form and The           Quality improvement and program performance   Electronic Reporting   Yes
have assisted States to develop integrated systems of care for children   National CSHCN Survey                  measurement                                   Program/Bureau
with special health care needs
Checklist of 14 elements that contribute to a comprehensive system of     Data Collection Form; MCHB             Quality improvement and program performance   Electronic Reporting   Yes
care for women                                                            Program Records                        measurement                                   Program/Bureau

Checklist of 8 elements that demonstrate progress toward                  Data Collection Form                   Quality improvement and program performance   Electronic Reporting   Yes
implementing a coordinated and comprehensive State system to                                                     measurement                                   Program/Bureau
assure early and continuous screening and early intervention for all
children for special health care needs
                                                                          Provider and MCHB Program              Quality improvement and program performance   Electronic Reporting   Yes
                                                                          patient records                        measurement                                   Program/Bureau

Checklist of 4 activities that demonstrate the degree to which grantees Provider and MCHB Program                Quality improvement and program performance   Electronic Reporting   Yes
have facilitated the screening of women participants for risk factors   patient records                          measurement                                   Program/Bureau

Checklist of 3 elements that demonstrate how a grantee has assisted       Data Collection Form. Data             Quality improvement and program performance   Electronic Reporting   Yes
their State in ensuring appropriate transition for adolescents with       collection form represents 3           measurement                                   Program/Bureau
special health care needs                                                 elements that demonstrate
                                                                          comprehensive transition services
                                                                          for youth with special health care
                                                                          needs.
                                                                          Provider and MCHB Program              Quality improvement and program performance   Electronic Reporting   Yes
                                                                          Patient Records. Vital records can     measurement                                   Program/Bureau
                                                                          be used if Birth Certificates can be
                                                                          matched to program participants.

                                                                          Data supplied annually by each         Quality improvement and program performance   Electronic Reporting   Yes
                                                                          State to the National Newborn          measurement                                   Program/Bureau
                                                                          Screening and Genetic Resource
                                                                          Center
                                                                          The National CSHCN Survey              Quality improvement and program performance   Electronic Reporting   Yes
                                                                                                                 measurement                                   Program/Bureau


                                                                          The National CSHCN Survey              Quality improvement and program performance   Electronic Reporting   Yes
                                                                                                                 measurement                                   Program/Bureau

                                                                          The National CSHCN Survey              Quality improvement and program performance   Electronic Reporting   Yes
                                                                                                                 measurement                                   Program/Bureau


                                                                          The National CSHCN Survey              Quality improvement and program performance   Electronic Reporting   Yes
                                                                                                                 measurement                                   Program/Bureau


                                                                          The National CSHCN Survey              Quality improvement and program performance   Electronic Reporting   Yes
                                                                                                                 measurement                                   Program/Bureau

                                                                          State Immunization Registry, CDC Quality improvement and program performance         Electronic Reporting   Yes
                                                                          National Immunization Survey, State measurement                                      Program/Bureau
                                                                          Vital Records and Bureau of
                                                                          Census Population Estimates

                                                                          Vital records are the source of data Quality improvement and program performance     Electronic Reporting   Yes
                                                                          on mother's age and births.          measurement                                     Program/Bureau
                                                                          Population records are available
                                                                          from the Census.
Primary Data Collection, such as       Quality improvement and program performance   Electronic Reporting   Yes
examination or screening of a          measurement                                   Program/Bureau
representative sample of school
children
Fatal Accident Reporting System        Quality improvement and program performance   Electronic Reporting   Yes
(FARS), U.S. Department of             measurement                                   Program/Bureau
Transportation and Vital Statistics
Systems are sources of the data.

CDC’s National Immunization       Quality improvement and program performance        Electronic Reporting   Yes
Survey (NIS), Ross Laboratories   measurement                                        Program/Bureau
Mothers Survey, State WIC Data,
CDC’s Pediatric Nutrition
Surveillance System (PedNSS), and
HRSA’s National Survey of
Children’s Health (NSCH)

State birth certificates, newborn  Quality improvement and program performance       Electronic Reporting   Yes
hearing registries, tests of       measurement                                       Program/Bureau
otoacoustic emissions and auditory
brainstem responses. Potential
data source – State based Early
Hearing Detection and Intervention
(EDHI) Program Network, CDC.

There is no current uniform source     Quality improvement and program performance   Electronic Reporting   Yes
of data at the State level, but data   measurement                                   Program/Bureau
may be available by State estimate
beginning in 1997 from the March
CPS, U.S. Bureau of the Census.
States need to choose among
existing estimating techniques and
use one consistently.


State WIC Data, CDC’s Pediatric    Quality improvement and program performance       Electronic Reporting   Yes
Nutrition Surveillance System      measurement                                       Program/Bureau
(PedNSS), and HRSA’s National
Survey of Children’s Health (NSCH)

Birth Certificate. States are          Quality improvement and program performance   Electronic Reporting   Yes
encouraged to use U.S. Standard        measurement                                   Program/Bureau
Certificate of Live Birth (revised
11/2003); Pregnancy Risk
Assessment Monitoring System
(PRAMS).
State vital records are the source.  Quality improvement and program performance     Electronic Reporting   Yes
                                     measurement                                     Program/Bureau
There is no National data source for Quality improvement and program performance     Electronic Reporting   Yes
this at present. Vital records and   measurement                                     Program/Bureau
hospital discharge records would be
sources.
Birth certificate data in the State    Quality improvement and program performance   Electronic Reporting   Yes
vital records are available for over   measurement                                   Program/Bureau
99% of births.
Vital records collected by the State   Quality improvement and program performance   Electronic Reporting   Yes
                                       measurement                                   Program/Bureau
Vital records collected by the State   Quality improvement and program performance   Electronic Reporting   Yes
                                       measurement                                   Program/Bureau
Vital records collected by the State   Quality improvement and program performance   Electronic Reporting   Yes
                                       measurement                                   Program/Bureau
Vital records collected by the State   Quality improvement and program performance   Electronic Reporting                                    Yes
                                       measurement                                   Program/Bureau
Vital records collected by the State   Quality improvement and program performance   Electronic Reporting                                    Yes
                                       measurement                                   Program/Bureau
Child death certificates are           Quality improvement and program performance   Electronic Reporting                                    Yes
collected by State vital records.      measurement                                   Program/Bureau
Data on total number of children
comes from the Census.
Patient Registry System                Quality improvement and program measurement   Electronic Reporting to Program     Annually            No
                                                                                     Coordinator

Patient Registry System                Quality improvement and program measurement   Electronic Reporting to Program     Annually            No
                                                                                     Coordinator



Patient Registry System                Quality improvement and program measurement   Electronic Reporting to Program     Annually            No
                                                                                     Coordinator


Patient Registry System                Quality improvement and program measurement   Electronic Reporting to Program     Annually            No
                                                                                     Coordinator


Patient Registry System                Quality improvement and program measurement   Electronic Reporting to Program     Annually            No
                                                                                     Coordinator

Patient Registry System                Quality improvement and program measurement   Electronic Reporting to Program     Annually            No
                                                                                     Coordinator

Program Data Report, Section 5,        Quality of care                               Providers use for continuous quality Annually, and as   No
Item 53, may provide data useful in                                                  improvement; HAB uses to measure needed
establishing a baseline for this                                                     quality of care.
performance measure; Electronic
Medical Record/Electronic Health
Record; CAREWare, Lab Tracker,
or other electronic data base;
Medical record data abstraction by
grantee of a sample of records

Electronic Medical                  Quality of care                                  Providers use for continuous quality Annually, and as   No
Record/Electronic Health Record;                                                     improvement; HAB uses to measure needed
CAREWare, Lab Tracker, or other                                                      quality of care.
electronic data base; HIVQUAL
reports on this measure for grantee
under review; Medical record data
abstraction by grantee of a sample
of records

Program Data Report, Section 2,       Quality of care                                Providers use for continuous quality Annually, and as   No
Items 26 and 31, may provide data                                                    improvement; HAB uses to measure needed
useful in establishing a baseline for                                                quality of care.
this performance measure;
Electronic Medical
Record/Electronic Health Record;
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; Medical record data
abstraction by grantee of a sample
of records
Program Data Report, Section 5,       Quality of care   Providers use for continuous quality Annually, and as   No
Items 42 and 43, may provide data                       improvement; HAB uses to measure needed
useful in establishing a baseline for                   quality of care.
this performance measure;
Electronic Medical
Record/Electronic Health Record;
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; Medical record data
abstraction by grantee of a sample
of records
Electronic Medical                  Quality of care     Providers use for continuous quality Annually, and as   No
Record/Electronic Health Record;                        improvement; HAB uses to measure needed
CAREWare, Lab Tracker, or other                         quality of care.
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
Electronic Medical                  Quality of care     HIVQUAL reports, Data software on Reviewed annually     Yes
Record/Electronic Health Record;                        an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
Electronic Medical                  Quality of care     HIVQUAL reports, Data software on Reviewed annually     Yes
Record/Electronic Health Record;                        an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records

Electronic Medical                  Quality of care     HIVQUAL reports, Data software on Reviewed annually     Yes
Record/Electronic Health Record;                        an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
Electronic Medical                  Quality of care     HIVQUAL reports, Data software on Reviewed annually     Yes
Record/Electronic Health Record;                        an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
                                      Quality of care   HIVQUAL reports, Data software on Reviewed annually     Yes
                                                        an annual basis
Electronic Medical                  Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                      an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
Electronic Medical                  Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                      an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
Electronic Medical                  Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                      an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
                                    Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
                                                      an annual basis
Electronic Medical                  Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                      an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records

Electronic Medical                  Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                      an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
                                    Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
                                                      an annual basis
Electronic Medical                  Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                      an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
Electronic Medical                  Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                      an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
                                    Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
                                                      an annual basis
Electronic Medical                  Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                      an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
Electronic Medical                  Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                      an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records

                                    Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
                                                      an annual basis
Electronic Medical                  Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                      an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
Electronic Medical                  Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                      an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
Electronic Medical                  Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                      an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
Electronic Medical                  Quality of care   HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                      an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
Electronic Medical                    Quality of care                                         HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                                                              an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
Electronic Medical                    Quality of care                                         HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                                                              an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
Electronic Medical                    Quality of care                                         HIVQUAL reports, Data software on Reviewed annually   Yes
Record/Electronic Health Record;                                                              an annual basis
CAREWare, Lab Tracker, or other
electronic data base; HIVQUAL
reports on this measure for grantee
under review; or Medical record
data abstraction by grantee of a
sample of records
EHR, Chart Extraction, Registry       Quality improvement, show value of services provided    Uniform Data System Health Center                     Yes
                                                                                              Grantee Reports; regional, national
                                                                                              and state rollups; public reports
                                                                                              available on web




EHR, Chart Extraction                 Quality improvement, show value of services provided,   Uniform Data System Health Center                     Yes
                                      address disparities                                     Grantee Reports; regional, national
                                                                                              and state rollups; public reports
                                                                                              available on web
EHR, Chart Extraction                 Quality improvement, show value of services provided,   Uniform Data System Health Center                     Yes
                                      address disparities                                     Grantee Reports; regional, national
                                                                                              and state rollups; public reports
                                                                                              available on web


EHR, Chart Extraction                 Quality improvement, show value of services provided    Uniform Data System Health Center                     Yes
                                                                                              Grantee Reports; regional, national
                                                                                              and state rollups; public reports
                                                                                              available on web



EHR, Chart Extraction                 Quality improvement, show value of services provided    Uniform Data System Health Center
                                                                                              Grantee Reports; regional, national
                                                                                              and state rollups; public reports
                                                                                              available on web

EHR, Chart Extraction                 Quality improvement, show value of services provided    Uniform Data System Health Center
                                                                                              Grantee Reports; regional, national
                                                                                              and state rollups; public reports
                                                                                              available on web

EHR, Chart Extraction                 Quality improvement, show value of services provided    Uniform Data System Health Center                     Yes
                                                                                              Grantee Reports; regional, national
                                                                                              and state rollups; public reports
                                                                                              available on web
                                                                    EHR, Chart Extraction     Quality improvement, show value of services provided   Uniform Data System Health Center     Yes
                                                                                                                                                     Grantee Reports; regional, national
                                                                                                                                                     and state rollups; public reports
                                                                                                                                                     available on web

Inclusion Logic: Patients 18 or older discharged with acute myocardial RPMS/CRS Application   CRS CMS Performance Report                             Local Electronic Report               No
infarction (AMI). Age is calculated as of the hospital admission date.
Exclusion Logic: Patients meeting any of the conditions below. 1.)
Patients with a discharge type of "Irregular" (i.e., AMA) or contains
"Death" AND the patient was discharged on the day of or the day after
arrival. 2.) Patients discharged on the day of arrival. 3.) Patients with
aspirin allergy/adverse drug reaction (ADR). 4.) Patients with active
prescription for Coumadin/Warfarin at time of arrival.


Inclusion Logic: Patients 18 or older discharged with acute myocardial RPMS/CRS Application   CRS CMS Performance Report                             Local Electronic Report               No
infarction (AMI). Age is calculated as of the hospital admission date.
Exclusion Logic: Patients meeting any of the conditions below. 1.)
Patients with a discharge type of "Irregular" (i.e., AMA) or contains
“Death.” 2.) Patients with aspirin allergy/adverse drug reaction (ADR).
3.) Patients prescribed Coumadin/Warfarin at discharge.


Inclusion Logic: Patients 18 or older discharged with acute myocardial RPMS/CRS Application   CRS CMS Performance Report                             Local Electronic Report               No
infarction (AMI) AND who were 1) diagnosed with left ventricular
systolic dysfunction (LVSD) or 2) had an ejection fraction. Age is
calculated as of the hospital admission date.
Exclusion Logic: Patients meeting any of the conditions below. 1.)
Patients with a discharge type of “Irregular” (i.e., AMA) or contains
“Death.” 2.) Patients with an ACEI allergy AND an ARB allergy. 3.)
Patients with moderate or severe aortic stenosis.
Inclusion Logic: Patients 18 or older discharged with acute myocardial RPMS/CRS Application   CRS CMS Performance Report                             Local Electronic Report               No
infarction (AMI) AND with a history of smoking cigarettes anytime
during the year prior to discharge date. Age is calculated as of the
hospital admission date. Exclusion Logic: Patients with a discharge
type of “Irregular” (i.e., AMA) or contains “Death.”

Inclusion Logic: Patients 18 or older discharged with acute myocardial RPMS/CRS Application   CRS CMS Performance Report                             Local Electronic Report               No
infarction (AMI). Age is calculated as of the hospital admission date.
Exclusion Logic: Patients meeting any of the conditions below. 1.)
Patients with a discharge type of “Irregular” (i.e., AMA) or contains
“Death.” 2.) Patients with a beta blocker allergy.


Inclusion Logic: Patients 18 or older discharged with acute myocardial RPMS/CRS Application   CRS CMS Performance Report                             Local Electronic Report               No
infarction (AMI). Age is calculated as of the hospital admission date.
Exclusion Logic: Patients meeting any of the conditions below. 1.)
Patients discharged on admission date. 2.) Patients with a discharge
type of “Irregular” (i.e., AMA) or contains “Death” and were discharged
or expired on day of or day after admission. 3.) Patients with a beta
blocker allergy.

Inclusion Logic: Patients 18 or older discharged with acute myocardial RPMS/CRS Application   CRS CMS Performance Report                             Local Electronic Report               No
infarction (AMI) AND with ST-segment elevation or LBBB on ECG
performed anytime during day before admission through discharge
date AND with fibrinolytic therapy received during hospital stay or with
active prescription at time of admission. Age is calculated as of the
hospital admission date.
Exclusion Logic: None
Inclusion Logic: Patients 18 or older discharged with acute myocardial RPMS/CRS Application      CRS CMS Performance Report   Local Electronic Report   No
infarction (AMI) AND with ST-segment elevation/LBBB on ECG
performed anytime during day before admission through discharge
date AND with PCI performed during hospital stay. Age is calculated
as of the hospital admission date. Exclusion Logic: None


Inclusion Logic: Patients 18 or older discharged from the hospital with   RPMS/CRS Application   CRS CMS Performance Report   Local Electronic Report   No
heart failure and without LVAD/heart transplant during hospital stay.
Age is calculated by subtracting birth date from the admission date.
Exclusion Logic: None
Inclusion Logic: Patients 18 or older discharged with heart failure. Age RPMS/CRS Application    CRS CMS Performance Report   Local Electronic Report   No
is calculated as of the hospital admission date. Exclusion Logic:
Patients meeting any of the conditions below. 1.) Patients with a
discharge type of “Irregular” (i.e., AMA) or contains “Death.” 2.)
Patients who had a left ventricular assistive device (LVAD) or heart
transplant procedure during hospital stay.

Inclusion Logic: Patients 18 or older discharged with heart failure AND RPMS/CRS Application     CRS CMS Performance Report   Local Electronic Report   No
who were 1.) diagnosed with LVSD or 2.) had an ejection fraction. Age
is calculated as of the hospital admission date. Exclusion Logic:
Patients meeting any of the conditions below. 1.) Patients with a
discharge type of “Irregular” (i.e., AMA) or contains “Death.” 2.)
Patients with an ACEI allergy AND an ARB allergy. 3.) Patients with
moderate or severe aortic stenosis. 4.) Patients who had a left
ventricular assistive device (LVAD) or heart transplant procedure
during hospital stay.

Inclusion Logic: Patients 18 or older discharged with heart failure AND RPMS/CRS Application     CRS CMS Performance Report   Local Electronic Report   No
with a history of smoking cigarettes anytime during the year prior to
discharge date. Age is calculated as of the hospital admission date.
Exclusion Logic: Patients meeting any of the conditions below. 1.)
Patients with a discharge type of “Irregular” (i.e., AMA) or contains
“Death.” 2.) Patients who had a left ventricular assistive device (LVAD)
or heart transplant procedure during hospital stay.

Inclusion Logic: Patients 18 or older discharged with pneumonia. Age RPMS/CRS Application        CRS CMS Performance Report   Local Electronic Report   No
is calculated as of the hospital admission date.
Inclusion Logic: Patients 18 or older discharged with pneumonia. Age RPMS/CRS Application        CRS CMS Performance Report   Local Electronic Report   No
is calculated as of the hospital admission date. Exclusion Logic:
Patients meeting any of the conditions below. 1.) Patients with a
discharge type of “Irregular” (i.e., AMA) or contains “Death.” 2.)
Patients with Cystic Fibrosis.
Inclusion Logic: Patients 18 or older discharged with pneumonia, with RPMS/CRS Application       CRS CMS Performance Report   Local Electronic Report   No
initial blood culture collected as an emergency department patient,
AND received antibiotics during the hospitalization. Age is calculated
as of the hospital admission date.
Inclusion Logic: Patients 18 or older discharged with pneumonia AND       RPMS/CRS Application   CRS CMS Performance Report   Local Electronic Report   No
with a history of smoking cigarettes anytime during the year prior to
discharge date. Age is calculated as of the hospital admission date.
Exclusion Logic: Patients meeting any of the conditions below. 1.)
Patients with a discharge type of “Irregular” (i.e., AMA) or contains
“Death.” 2.) Patients with Cystic Fibrosis.
Inclusion Logic: Patients 18 or older discharged with pneumonia. Age RPMS/CRS Application      CRS CMS Performance Report   Local Electronic Report   No
is calculated as of the hospital admission date. Exclusion Logic:
Patients meeting any of the conditions below. 1.) Patients must have
either an ER visit on the day of or day prior to arrival with a primary or
secondary diagnosis of pneumonia OR have an admitting diagnosis of
pneumonia for the hospitalization. Patients not meeting one of these
two conditions will be excluded. 2.) Patients with an active prescription
for antibiotics within 24 hours prior to hospital arrival. 3.) Patients who
did not receive antibiotics during the hospital stay. NOTE: Per CMS,
this criterion was inadvertently removed from the Denominator
Statement, Excluded Populations section of version 2.2b of the
Specifications Manual and will be added again in a future version.
Additionally, this criterion IS included in the flowchart; thus, it is
included here: patients with Cystic Fibrosis, patients discharged on
day of arrival, patients with a discharge type of “Irregular” (i.e., AMA)
or contains “Death” AND the patient was discharged on the day of or
the day after arrival.


Inclusion Logic: Patients 18 or older discharged with pneumonia. Age RPMS/CRS Application      CRS CMS Performance Report   Local Electronic Report   No
is calculated as of the hospital admission date. Exclusion Logic:
Patients meeting any of the conditions below. 1) Patients must have
either an ER visit on the day of or day prior to arrival with a primary or
secondary diagnosis of pneumonia OR have an admitting diagnosis of
pneumonia for the hospitalization. Patients not meeting one of these
two conditions will be excluded. 2) Patients discharged on day of
arrival. 3) Patients with a discharge type of “Irregular” (i.e., AMA) or
contains “Death” AND the patient was discharged on the day of or the
day after arrival. 4) Patients who are “Compromised,” which is defined
as any of the following:
A) Patients with any of the following compromising conditions:
HIV positive/AIDS, Systemic chemotherapy within last three months,
Systemic immunosuppressive therapy within the past three months,
Leukemia documented in the past three months, Lymphoma
documented in the past three months, Radiation therapy in the past
three months; B) Patient was hospitalized in the past 14 days. 5)
Patients with “Healthcare Associated Pneumonia,” which is defined as
any of the following: A) Patient was hospitalized for 2 days in the past
three months; B) Patient had a nursing home visit in the past 90 days;
C) Chronic dialysis in the past 30 days; D) Patient received home
wound care in the past 30 days. 6) Patients with Cystic Fibrosis.


Inclusion Logic: Patients 18 or older discharged with pneumonia. Age RPMS/CRS Application      CRS CMS Performance Report   Local Electronic Report   No
is calculated as of the hospital admission date. Exclusion Logic:
Patients meeting any of the conditions below. 1) Patients with a
discharge type of “Irregular” (i.e. AMA) or contains “Death”. 2) Patients
with a primary or secondary POV of 487.0 during this hospitalization.
3) Patients with Cystic Fibrosis.

Inclusion Logic: Patients 18 or older discharged from the hospital with RPMS/CRS Application   CRS CMS Performance Report   Local Electronic Report   No
a SCIP procedure. Age is calculated as of the hospital admission
date. Exclusion Logic: Patients with a primary diagnosis suggestive of
preoperative infectious diseases.
                                                                     RPMS/CRS Application      CRS elder care report        Local                     Yes

                                                                     RPMS/CRS Application      CRS elder care report        Local                     Yes
                                                                          RPMS/CRS Application   CRS elder care report        Local                     Yes




Inclusion logic: Patients 18 or older discharged from the hospital with   RPMS/CRS Application   CRS CMS Performance Report   Local Electronic Report   No
a SCIP procedure. Age is calculated as of the hospital admission
date. Exclusion logic: Patients meeting any of the conditions below.
1) Patients with a primary diagnosis suggestive of preoperative
infectious diseases. 2) Patients who did not receive any antibiotics
during this hospitalization.

                                                                          RPMS/CRS Application   CRS Elder Care Report        Local                     Yes




                                                                          RPMS/CRS Application   CRS Elder Care Report        Local                     Yes




                                                                          RPMS/CRS Application   CRS Elder Care Report        Local                     Yes




                                                                          RPMS/CRS Application   CRS Elder Care Report        Local                     Yes
                                                                          RPMS/CRS Application   CRS Elder Care Report        Local                     No




                                                                          RPMS/CRS Application   CRS Elder Care Report        Local                     Yes
                                                                          RPMS/CRS Application   CRS Elder Care Report        Local                     Yes

                                                                          RPMS/CRS Application   CRS Elder Care Report        Local                     Yes

                                                                          RPMS/CRS Application   CRS Elder Care Report        Local                     Yes




                                                                          RPMS/CRS Application   CRS Elder Care Report        Local                     No



                                                                          RPMS/CRS Application   CRS Elder Care Report        Local                     Yes




                                                                          RPMS/CRS Application   CRS Elder Care Report        Local                     Yes


                                                                          RPMS/CRS Application   CRS Elder Care Report        Local                     No



                                                                          RPMS/CRS Application   CRS Elder Care Report        Local                     No




                                                                          RPMS/CRS Application   CRS Elder Care Report        Local                     No
                                                                       RPMS/CRS Application       CRS Elder Care Report                         Local                                          No




                                                                       RPMS/CRS Application       CRS Elder Care Report                         Local                                          No

                                                                       RPMS/CRS Application       CRS Elder Care Report                         Local                                          No




                                                                       RPMS/CRS Application       CRS Elder Care Report                         Local                            Respiratory   No


1) Number of visits by PHNs in any setting, including home, to user   RPMS/CRS Application        CRS Elder Care Report                         Local                                          No
population patients ages 55 and older, broken down by age groups; 2)
Number of visits by PHNs in Home setting, to user population patients
ages 55 and older, broken down by age groups

                                                                       RPMS/CRS Application       CRS Elder Care Report                         Local                                          No




                                                                       RPMS/CRS Application       CRS Elder Care Report                         Local                                          No

                                                                       RPMS/CRS Application       CRS EO Quality Transparency Measures Report   Local: On request, Government,                 Yes
                                                                                                                                                Quality of Care Web site

                                                                       RPMS/CRS Application       CRS EO Quality Transparency Measures Report   Local: On request, Government,                 Yes
                                                                                                                                                Quality of Care Web site

                                                                       RPMS/CRS Application       CRS EO Quality Transparency Measures Report   Local: On request, Government,                 Yes
                                                                                                                                                Quality of Care Web site

1) No denominator; count only. For patients meeting the active clinical RPMS/CRS Application      CRS Elder Care Report                         Local                                          No
definition, the total number of patients with at least one palliative care
visit during the Report Period. Broken down by age groups. 2) No
denominator; count only. For patients meeting the active clinical
definition, the total number of palliative care visits during the Report
Period. Broken down by age groups.
                                                                           RPMS/CRS Application   CRS EO Quality Transparency Measures Report   Local: On request, Government,                 No
                                                                                                                                                Quality of Care Web site



                                                                       RPMS/CRS Application       CRS EO Quality Transparency Measures Report   Local: On request, Government,                 No
                                                                                                                                                Quality of Care Web site

                                                                       RPMS/CRS Application       CRS EO Quality Transparency Measures Report   Local: On request, Government,                 Yes
                                                                                                                                                Quality of Care Web site
                                                                       RPMS/CRS Application       CRS EO Quality Transparency Measures Report   Local: On request, Government,                 Yes
                                                                                                                                                Quality of Care Web site
RPMS/CRS Application   CRS HEDIS Report   Local   National GPRA     Yes
                                                  Report includes
                                                  some of these
                                                  measures.




RPMS/CRS Application   CRS HEDIS Report   Local                     No




RPMS/CRS Application   CRS HEDIS Report   Local                     No


RPMS/CRS Application   CRS HEDIS Report   Local                     No


RPMS/CRS Application   CRS HEDIS Report   Local                     No




RPMS/CRS Application   CRS HEDIS Report   Local                     No


RPMS/CRS Application   CRS HEDIS Report   Local                     No

RPMS/CRS Application   CRS HEDIS Report   Local                     No


RPMS/CRS Application   CRS HEDIS Report   Local                     No


RPMS/CRS Application   CRS HEDIS Report   Local                     No



RPMS/CRS Application   CRS HEDIS Report   Local                     No
                                                         RPMS/CRS Application   CRS HEDIS Report           Local                         Generally, these      No
                                                                                                                                         measures use
                                                                                                                                         different numerator
                                                                                                                                         definitions than
                                                                                                                                         those used in the
                                                                                                                                         National GPRA
                                                                                                                                         Report.




                                                         RPMS/CRS Application   CRS HEDIS Report           Local                                               No




                                                         RPMS/CRS Application   CRS HEDIS Report           Local                                               Yes




                                                         RPMS/CRS Application   CRS HEDIS Report           Local                                               No




                                                         RPMS/CRS Application   CRS HEDIS Report           Local                                               No


                                                         RPMS/CRS Application   CRS HEDIS Report           Local                                               No

Contextual support for existing diabetes GPRA measures   RPMS/CRS Application   CRS National GPRA Report   GPRA, Local                                         No

                                                         RPMS/CRS Application   CRS National GPRA Report   GPRA, Local, OMB & Congress                         No




                                                         RPMS/CRS Application   CRS National GPRA Report   GPRA, Local, OMB & Congress                         No




                                                         RPMS/CRS Application   CRS National GPRA Report   GPRA, Local, OMB & Congress                         No




                                                         RPMS/CRS Application   CRS National GPRA Report   GPRA, Local, OMB & Congress                         No




                                                         RPMS/CRS Application   CRS National GPRA Report   GPRA, Local, OMB & Congress                         No

                                                         RPMS/CRS Application   CRS National GPRA Report   GPRA, Local, OMB & Congress                         No
GPRA: Count only (no percentage comparison to denominator). For            RPMS/CRS Application            CRS National GPRA Report                              GPRA, Local, OMB & Congress   Yes
patients meeting the User Population definition, the total number of
dental sealants and refusals during the Report Period.

GPRA: Count only (no percentage comparison to denominator). For            RPMS/CRS Application            CRS National GPRA Report                              GPRA, Local, OMB & Congress   Yes
patients meeting the User Population definition, the total number of
patients with at least one topical fluoride treatment or refusal during
the Report Period.
                                                                           RPMS/CRS Application            CRS National GPRA Report                              GPRA, Local, OMB & Congress   Yes

                                                                           RPMS/CRS Application            CRS National GPRA Report                              GPRA, Local, OMB & Congress   No

                                                                           RPMS/CRS Application            CRS National GPRA Report                              GPRA, Local, OMB & Congress   Yes


                                                                           RPMS/CRS Application            CRS National GPRA Report                              GPRA, Local, OMB & Congress   No



                                                                           RPMS/CRS Application            CRS National GPRA Report                              GPRA, Local, OMB & Congress   No




Contextual support for existing Tobacco Cessation GPRA measure             RPMS/CRS Application            CRS National GPRA Report                              GPRA, Local                   No



                                                                           RPMS/CRS Application            CRS National GPRA Report                              GPRA, Local, OMB & Congress   Yes


                                                                           RPMS/CRS Application            CRS National GPRA Report                              GPRA, Local, OMB & Congress   Yes

                                                                           RPMS/CRS Application            CRS National GPRA Report                              GPRA, Local, OMB & Congress   No

                                                                           RPMS/CRS Application            CRS National GPRA Report                              GPRA, Local, OMB & Congress   No

                                                                           RPMS/CRS Application            CRS National GPRA Report                              GPRA, Local, OMB & Congress   Yes

Contextual support for existing childhood weight control measure           RPMS/CRS Application            CRS National GPRA Report                              GPRA, Local                   No




                                                                           RPMS/CRS Application            CRS National GPRA Report                              GPRA, Local, OMB & Congress   Yes




Accreditation rate for Youth Regional Treatment Centers (in operation      Division of Behavioral Health   National GPRA Report Measures not reported by CRS     GRPA, OMB & Congress          Yes
18 months or more)
Percent of hospitals and outpatient clinics accredited (excluding tribal   Office of Resource Access and   National GPRA Report Measures not reported by CRS     GPRA, OMB & Congress          Yes
and urban facilities)                                                      Partnership (ORAP)
Deployment of WebCident Occupational Safety and Health System to           Patient Safety Coordinator      National GPRA Report Measures not reported by CRS /   GPRA, PART, OMB & Congress    Yes
all major facilities in the Indian Health System                                                           SFC PART
Proportion of Health Professional Scholarship recipients placed in         Scholarship Program/Scholar     National GPRA Report Measures not reported by CRS     GPRA, OMB & Congress          Yes
Indian health settings within 90 days of graduation                        Tracking System
Implement a data system capable of recording the nature of public          Indian Health Performance            National GPRA Report Measures not reported by CRS     GPRA, OMB & Congress          Yes
health activities other than one-on-one patient care, with an emphasis     Evaluation System (IHPES)
on activities that serve groups or the entire community
Unintentional injuries mortality rate in American Indian/Alaska Native     NCHS,IHS Division of Program         National GPRA Report Measures not reported by CRS     GPRA, OMB & Congress          Yes
population per 100,000 population                                          Statistics
Increase the incidence of suicidal behavior reporting by health care (or   RPMS/Behavioral Health Package       National GPRA Report Measures not reported by CRS     GPRA, Local, OMB & Congress   Yes
mental health) professionals
Environmental Surveillance: Number of environmental health programs        Environmental Health                 National GPRA Report Measures not reported by CRS     GPRA, OMB & Congress          Yes
with automated web-based environmental health surveillance data            Program/WebEHRS
collection system (WebEHRS). In FY 2008, the target is to set a
baseline rate for identifying and addressing environmental risk factors
in communities.
Measure is utilized for GPRA and PART. 1) Number of new or like-      Sanitation Tracking and Reporting         National GPRA Report Measures not reported by CRS /   GPRA, PART, OMB & Congress    Yes
new and existing AI/AN homes provided with sanitation facilities. 2)  System (STARS)                            SFC PART
Percent of existing homes served by the program at Deficiency Level 4
or above as defined by 25 USC 1632. Deficiency level 4 and 5 homes
have the greatest deficiencies, and when combined with the number of
homes served this measure quantifies the cost effectiveness and
health impact of the program.

Measure is utilized for GPRA and PART. 1) Number of health care          Health Care Facilities Construction    National GPRA Report Measures not reported by CRS     GPRA, OMB & Congress          Yes
facilities construction projects completed.                              Program
YPLL measures the relative impact of various diseases and lethal         Division of Program Statistics         Program Assessment Rating Tool (PART) - HCFC          OMB & Congress                Yes
forces on the AI/AN population served by Indian Health Service                                                  (reported by CRS and other methods)
facilities, and is computed by estimating the years that people would
have lived if they had not died prematurely due to injury, cancer, heart
disease, diabetes, or other causes.
Facility-level data                                                        RPMS/CRS Application                 Program Assessment Rating Tool (PART) - HCFC          OMB & Congress                Yes
                                                                                                                (reported by CRS and other methods)



Cost savings associated with Health Care Facilities Construction are      Health Care Facilities Construction   Program Assessment Rating Tool (PART) - HCFC          OMB & Congress                Yes
complex and multi-factorial. The program renegotiates                     Program                               (reported by CRS and other methods)
mobilization/demobilization of activities, revises project schedules, and
may redesign current projects to current codes and standards.
Completing construction projects on time alleviates the constraint of an
inadequate facility, combined with increased staffing ratios, contributes
to improved operational performance and productivity.


Facility-level data                                                        RPMS/CRS Application                 Program Assessment Rating Tool (PART) - HCFC          OMB & Congress                Yes
                                                                                                                (reported by CRS and other methods)



Each area to conduct a seat belt observation survey using an               Environmental Health                 National GPRA Report Measures not reported by CRS     GPRA, OMB & Congress          Yes
automated tracking system                                                  Program/WebEHRS
Facility-level data                                                        RPMS/CRS Application                 Program Assessment Rating Tool (PART) - HCFC          OMB & Congress                Yes
                                                                                                                (reported by CRS and other methods)

Facility-level data                                                        RPMS/CRS Application                 Program Assessment Rating Tool (PART) - HCFC          OMB & Congress                Yes
                                                                                                                (reported by CRS and other methods)


Facility-level data                                                        RPMS/CRS Application                 Program Assessment Rating Tool (PART) - HCFC          OMB & Congress                Yes
                                                                                                                (reported by CRS and other methods)
Facility-level data                                                        RPMS/CRS Application                Program Assessment Rating Tool (PART) - HCFC          OMB & Congress      Yes
                                                                                                               (reported by CRS and other methods)




Facility-level data                                                        RPMS/CRS Application                Program Assessment Rating Tool (PART) - HCFC          OMB & Congress      Yes
                                                                                                               (reported by CRS and other methods)
Facility-level data                                                        RPMS/CRS Application                Program Assessment Rating Tool (PART) - HCFC          OMB & Congress      Yes
                                                                                                               (reported by CRS and other methods)
The EHR provides accurate, timely and comprehensive clinical and     Office of Information Technology          Program Assessment Rating Tool (PART) - RPMS          OMB & Congress      Yes
administrative information to health care providers and program                                                (reported by CRS and other methods)
managers, complete with reminders and decision support for a number
of chronic diseases and conditions. The majority of targets for this
long-term measure have been achieved and it will be retired in FY
2009.

This measure is reflective of the information system's ability to capture Office of Information Technology     Program Assessment Rating Tool (PART) - RPMS          OMB & Congress      Yes
and report services and support quality care. Clinical performance                                             (reported by CRS and other methods)
measures, and the accompanying reminders provided in the EHR and
other RPMS applications, prompt clinicians to perform associated
clinical activities, facilitate integrated care, reduce medical errors and
contribute to improved health outcomes. As new performance
measures are identified, the RPMS system will undergo corresponding
development to support clinical reminders and documentation.


IHS is on target to deploy the EHR to all direct IHS sites by the end of   Office of Information Technology    Program Assessment Rating Tool (PART) - RPMS          OMB & Congress      Yes
FY 2008. The long term goal will have been met and therefore the                                               (reported by CRS and other methods)
measure will be eliminated.
Reductions in the length of time a project takes to complete will yield    Sanitation Tracking and Reporting   Program Assessment Rating Tool (PART) - SFC (reported OMB & Congress      Yes
cost savings in both construction inflation costs and project-related      System (STARS)                      by CRS and other methods)
staffing costs. Curbing project duration is a protracted undertaking
due to the large number of projects underway, many of which have a
duration in excess of four years.
                                                                           Sanitation Tracking and Reporting   Program Assessment Rating Tool (PART) - SFC (reported OMB & Congress      Yes
                                                                           System (STARS)                      by CRS and other methods)
This measure tracks the impact of the program through the number of        Sanitation Tracking and Reporting   Program Assessment Rating Tool (PART) - SFC (reported OMB & Congress      Yes
homes served.                                                              System (STARS)                      by CRS and other methods)

This measure is designed to demonstrate the overall effectiveness of       Division of Program Statistics      Program Assessment Rating Tool (PART) - Federally-       OMB & Congress   Yes
diabetes management by documenting the reductions in costly in-                                                Administered Activities (FAA) (reported by CRS and other
patient care, which indirectly reflects improved patient care efficiency                                       methods)
amidst increasing rates of diabetes in the AI/AN population.


YPLL measures the relative impact of various diseases and lethal         Division of Program Statistics        Program Assessment Rating Tool (PART) - Federally-       OMB & Congress   Yes
forces on the AI/AN population served by Indian Health Service                                                 Administered Activities (FAA) (reported by CRS and other
facilities, and is computed by estimating the years that people would                                          methods)
have lived if they had not died prematurely due to injury, cancer, heart
disease, diabetes, or other causes. National trends demonstrate an
increase in YPLL. Results are a three-year aggregate based on the
midyear for reporting.
In the past two years, the proportion of children, ages 2-5 years, with    RPMS/CRS Application                Program Assessment Rating Tool (PART) - Federally-       OMB & Congress   Yes
Body Mass Index (BMI) of 95th percentile has increased. Maintaining                                            Administered Activities (FAA) (reported by CRS and other
the current level for this measure in the out years is an ambitious goal                                       methods)
given increasing rates of obesity.
Unintentional injury mortality is disproportionately high and increasing      Division of Program Statistics   Program Assessment Rating Tool (PART) - Federally-       OMB & Congress   Yes
in AI/AN communities. Given current trends, the goal of maintaining                                            Administered Activities (FAA) (reported by CRS and other
the rate of unintentional injury mortality at the most recently reported                                       methods)
level in the long-term is an ambitious goal.
Assessing hospital admissions for complications of diabetes is a              Division of Program Statistics   Program Assessment Rating Tool (PART) - Tribally       OMB & Congress     Yes
marker for diabetic standards of care which is provided to the diabetic                                        Operated Health Programs (TOHPs) (reported by CRS
population served. This measure is ambitious given the increasing                                              and other methods)
morbidity in the AI/AN population in addition to flat-line funding.

There is evidence that breastfeeding contributes to improved                  Division of Program Statistics   Program Assessment Rating Tool (PART) - Federally-       OMB & Congress   Yes
childhood outcomes in terms of reduced rates of infectious disease                                             Administered Activities (FAA) (reported by CRS and other
and a link to a reduced incidence of Sudden Infant Death Syndrome,                                             methods)
and reduced childhood obesity rates.




Historical trends for this measure are consistent with IHS-All rates.         RPMS/CRS Application             Program Assessment Rating Tool (PART) - Tribally       OMB & Congress     Yes
This is a treatment measure and results are highly dependent on                                                Operated Health Programs (TOHPs) (reported by CRS
patient compliance with dietary recommendations, medication                                                    and other methods)
management, and exercise. There has been a relative 21 percent
increase in performance since baseline was established in 2003, with
approximately the same increase required to meet the long term goal.
This is an extremely ambitious target, given past performance.

YPLL measures the relative impact of various diseases and lethal       Division of Program Statistics          Program Assessment Rating Tool (PART) - Tribally       OMB & Congress     Yes
forces on the AI/AN population served by TOHPs, and is computed by                                             Operated Health Programs (TOHPs) (reported by CRS
estimating the years that people would have lived if they had not died                                         and other methods)
prematurely due to injury, cancer, heart disease, diabetes, or other
causes.
The cost per user takes into account all users of the program and all Urban Indian Health Program              Program Assessment Rating Tool (PART) - Urban Indian   OMB & Congress     Yes
funding (IHS and other funding). The urban health programs leverage                                            Health Programs (UIHPs) (reported by CRS and other
funding to increase overall services. The targets are based on 2006                                            methods)
medical inflation and expected population growth. The targets follow
national trends of the increasing average cost per person and
increasing healthcare spending.
TOHPs voluntarily report data which is included in national GPRA              National GPRA Support Team       Program Assessment Rating Tool (PART) - Tribally       OMB & Congress     Yes
reporting for 17 clinical performance measures. This measure                                                   Operated Health Programs (TOHPs) (reported by CRS
captures the percentage of the population included in clinical data                                            and other methods)
reporting. Target decreases are due to funding-smaller TOHPs
without IT infrastructure will not have the capacity to initiate electronic
reporting, and therefore contribute an overall rate increase.


These targets reflect success in meeting 88% of measure targets in FY RPMS/CRS Application                     Program Assessment Rating Tool (PART) - Tribally       OMB & Congress     Yes
2007 and the goal of meeting 82% of targets in FY 2008 & 2009.                                                 Operated Health Programs (TOHPs) (reported by CRS
These targets correspond to actual results for total measures met for                                          and other methods)
IHS-All rates.
YPLL measures the relative impact of various diseases and lethal         Division of Program Statistics        Program Assessment Rating Tool (PART) - Urban Indian   OMB & Congress     Yes
forces on the AI/AN population served by Indian Health Service                                                 Health Programs (UIHPs) (reported by CRS and other
facilities, and is computed by estimating the years that people would                                          methods)
have lived if they had not died prematurely due to injury, cancer, heart
disease, diabetes, or other causes. The agency will establish a
baseline rate for UIHP YPLL in 2008. Historic trends for this measure
for IHS-all rates reveal an increase in this measure. The UIHP will
proportionally mirror established targets for Federally Administered
Activities
This treatment measure is dependent on patient compliance with       RPMS/CRS Application & UIHP      Program Assessment Rating Tool (PART) - Urban Indian   OMB & Congress   Yes
medication management, lifestyle adaption, and exercise. Maintaining                                  Health Programs (UIHPs) (reported by CRS and other
the number of diabetics in ideal glycemic control reduces overall                                     methods)
complications of diabetes.
                                                                      RPMS/CRS Application & UIHP     Program Assessment Rating Tool (PART) - Urban Indian   OMB & Congress   Yes
                                                                                                      Health Programs (UIHPs) (reported by CRS and other
                                                                                                      methods)
Data reporting is standardized across the urban health system. The      Urban Indian Health Program   Program Assessment Rating Tool (PART) - Urban Indian   OMB & Congress   No
targets are ambitious because 28 of the 32 urban Indian health                                        Health Programs (UIHPs) (reported by CRS and other
programs which correspond, or 88% of all programs, will be utilizing an                               methods)
electronic data reporting system. The activity this measure tracks will
improve health outcomes by allowing IHS to standardize the
documentation of clinical activities and address patient needs, as well
as improve the quality of data collected. The measure is proposed to
be eliminated in 2010 because 88% of the programs will have the
infrastructure to report accurate health data via RPMS and the
remaining programs will be using other electronic reporting systems.


                                                                      RPMS/CRS Application            CRS Other National Measures Report                     National         Yes




Facility-level data                                                   RPMS/CRS Application            Program Assessment Rating Tool (PART) - HCFC           OMB & Congress   Yes
                                                                                                      (reported by CRS and other methods)

                                                                      RPMS/CRS Application            CRS Other National Measures Report                     National         Yes




                                                                      RPMS/CRS Application            CRS Other National Measures Report                     National         No

                                                                      RPMS/CRS Application            CRS Other National Measures Report                     National         No




                                                                      RPMS/CRS Application            CRS Other National Measures Report                     National         No
                                                                     RPMS/CRS Application      CRS Other National Measures Report   National   No




                                                                     RPMS/CRS Application      CRS Other National Measures Report   National   No




                                                                     RPMS/CRS Application      CRS Other National Measures Report   National   No




1) No denominator; count only. The total count of active clinical       RPMS/CRS Application   CRS Other National Measures Report   National   No
patients who were diagnosed with one or more key sexually
transmitted infections (STIs) during the period 60 days prior to the
Report Period through the first 300 days of the Report Period. 2) No
denominator; count only. The total count of separate key STI incidents
for active clinical patients during the defined period. 3) For use with
denominator #1: Total number of needed screenings performed or
refused from one month prior to the date of relevant STI incident
through two months after.

                                                                     RPMS/CRS Application      CRS Other National Measures Report   National   No

                                                                     RPMS/CRS Application      CRS Other National Measures Report   National   Yes




                                                                     RPMS/CRS Application      CRS Other National Measures Report   National   No
RPMS/CRS Application   CRS Patient Education Report            National                     No

RPMS/CRS Application   CRS Patient Education Report            National                     No
RPMS/CRS Application   CRS Patient Education Report            National                     No

RPMS/CRS Application   CRS Patient Education Report            National                     No

RPMS/CRS Application   CRS Patient Education Report            National                     No




RPMS/CRS Application   CRS Patient Education Report            National                     Yes




RPMS/CRS Application   CRS Patient Education Report            National                     Yes

RPMS/CRS Application   CRS Selected Measures (Local) Reports   Local                        Yes


RPMS/CRS Application   CRS Selected Measures (Local) Reports   Local                        No




RPMS/CRS Application   CRS Selected Measures (Local) Reports   Local      National GPRA     No
                                                                          Report includes
                                                                          some of these
                                                                          measures.
RPMS/CRS Application   CRS Selected Measures (Local) Reports   Local                        No



RPMS/CRS Application   CRS Selected Measures (Local) Reports   Local                        No

RPMS/CRS Application   CRS Selected Measures (Local) Reports   Local                        No

RPMS/CRS Application   CRS Selected Measures (Local) Reports   Local                        No


RPMS/CRS Application   CRS Selected Measures (Local) Reports   Local                        No


RPMS/CRS Application   CRS Selected Measures (Local) Reports   Local                        No



RPMS/CRS Application   CRS Selected Measures (Local) Reports   Local                        No


RPMS/CRS Application   CRS Selected Measures (Local) Reports   Local                        No

RPMS/CRS Application   CRS Selected Measures (Local) Reports   Local                        No
RPMS/CRS Application   CRS Selected Measures (Local) Reports   Local                        No
1) No denominator; count only. For patients meeting the active clinical RPMS/CRS Application              CRS Selected Measures (Local) Reports                        Local
definition, the total number of patients with at least one palliative care
visit during the Report Period. Broken down by age groups; 2) No
denominator; count only. For patients meeting the active clinical
definition, the total number of palliative care visits during the Report
Period. Broken down by age groups
This measure contributes to operational performance and productivity Office of Information Technology     Program Assessment Rating Tool (PART) - RPMS                 OMB & Congress                                            Yes
by encouraging participation in and contributions to an on-going self-                                    (reported by CRS and other methods)
assessment designed to raise awareness of patient safety and identify
areas for improvement. In FY 2010, the measure will be eliminated
because the response to the patient safety measurement system has
been considerably greater than expected; full deployment will be
achieved without the need to use the measure as a challenge. An
additional measure will be identified that will reflect and encourage the
efficient use of taxpayer resources in carrying out activities of the
RPMS program.


                                                                       Workforce Management System        Ensure public access to the CIS                              Electronic report disseminated daily Every 5 years per     No
                                                                                                                                                                       to all Contact Centers and           contract Statement of
                                                                                                                                                                       designated NCI Project Officers      Work; sooner if
                                                                                                                                                                                                            deemed necessary
                                                                                                                                                                                                            by Government.
                                                                       Accrual Submission Records         Improve standard of delivered cancer care through the        Electronic submissions of accrual    No current plans to No
                                                                                                          development of evidence-based medicine                       data by sites treating patients to   update
                                                                                                                                                                       CTEP via Web service
                                                                       Electronic Data Records            Action Letters are used to communicate known adverse         CTEP logs the distribution of Action No current plans to No
                                                                                                          events to investigators. The result is a modified protocol   Letters and tracks affected          update
                                                                                                          with education on the risk to the patient as well as         protocols. CTEP can identify how
                                                                                                          stronger oversight to prevent another related occurrence     many patients are impacted at the
                                                                                                          which results in overall improvement of patient safety.      time of the mailing.


The number of productive hours worked by nursing staff assigned to a Hospital Nursing Database-ANSOS Benchmarking                                                      National Database Nursing Quality                         No
unit who have direct patient care responsibilities for greater than 50%                                                                                                Indicator (NDNQI) Reporting
of their shift
Cross-sectional account of registered nurse education and certification Hospital Nursing Database-ANSOS Benchmarking                                                   NDNQI Quarterly Reporting                                 Yes

Number of patient falls/Number of patient days/1000                    Occurrence Reporting System        Benchmarking                                                 NDNQI Quarterly Reporting                                 No
Number of hospital acquired pressure ulcers/Number of patients         Visual Inspection and Medical      Benchmarking                                                 NDNQI Quarterly Reporting                                 No
eligible for survey per unit                                           Record Review
Number of completed pain assessment interventions/Number of            Medical Record Review              Benchmarking                                                 NDNQI Quarterly Reporting                                 No
patients with pain
Number of patients in restraints/Total number of patients              Visual Inspection and Medical    Benchmarking                                                   NDNQI Quarterly Reporting                                 No
                                                                       Record Review
Number of patients with CLABSI/Number of central line days             Procedure and Vascular Conscious Benchmarking                                                   NDNQI Quarterly Reporting                                 No
                                                                       Sedation Service Database

Total number of perioperative deaths/Total number of inpatient         Perioperative Information System   Benchmarking; Regulatory (Joint Commission)                  Joint Commission Quarterly                                No
anesthesia episodes                                                                                                                                                    Reporting
Total number of unscheduled inpatient admissions following general     Procedure Areas' Databases;        Benchmarking; Regulatory (Joint Commission)                  Joint Commission Quarterly                                No
ambulatory procedures/Number of general ambulatory procedures          Medical Record Review                                                                           Reporting


Total number of unscheduled inpatient admissions following             Procedure Areas' Databases;        Benchmarking; Regulatory (Joint Commission)                  Joint Commission Quarterly                                No
ambulatory diagnostic endoscopy/Number of digestive, respiratory, or   Medical Record Review                                                                           Reporting
urinary system diagnostic endoscopies
Total number of unscheduled inpatient returns to the operating         Procedure Areas' Databases;        Benchmarking; Regulatory (Joint Commission)                  Joint Commission Quarterly                                No
room/Total number of inpatient procedures performed in the operating   Medical Record Review                                                                           Reporting
room
Registered nurse staff satisfaction                                    On-line Staff Questionnaire        Benchmarking                                                 NDNQI Quarterly Reporting                                 No
                                                                                                                                                                                                                              Yes




                                                                    Hospital-based Cancer Registry    Quality improvement                                          Commission on Cancer                 Bi-annually           Yes




                                                                    Hospital-based Cancer Registry    Quality improvement                                          Commission on Cancer                 Bi-annually           Yes




                                                                    Hospital-based Cancer Registry    Quality improvement                                          Commission on Cancer                 Bi-annually           Yes




Medicare enrollees in managed care who respond to the physical   SEER-MHOS Patient Survey linked Surveillance                                                      CMS via Survey Collection Vendors Annually                 No
component scored questions and mental component scored questions to SEER Cancer Registry
of the SF-36. Separate scores for PCS and MCS which are
normalized to the adult U.S. population with a mean of 50 and a
standard deviation of 10
                                                                    Electronic Data Records           Action Letters are used to communicate known adverse         CTEP logs the distribution of Action No current plans to   No
                                                                                                      events to investigators. The result is a modified protocol   Letters and tracks affected          update
                                                                                                      with education on the risk to the patient as well as         protocols. CTEP can identify how
                                                                                                      stronger oversight to prevent another related occurrence     many patients are impacted at the
                                                                                                      which results in overall improvement of patient safety.      time of the mailing.

                                                                    Workforce Management System       Ensure timely response to the public                         Electronic report disseminated daily Every 5 years per     No
                                                                                                                                                                   to all Contact Centers and           contract Statement of
                                                                                                                                                                   designated NCI Project Officers      Work; sooner if
                                                                                                                                                                                                        deemed necessary
                                                                                                                                                                                                        by Government.
                                                                    Workforce Management System       Ensure timely response to the public                         Electronic report disseminated daily Every 5 years per     No
                                                                                                                                                                   to all Contact Centers and           contract Statement of
                                                                                                                                                                   designated NCI Project Officers      Work; sooner if
                                                                                                                                                                                                        deemed necessary
                                                                                                                                                                                                        by Government.
                                                                    NCI Web Site (www.cancer.gov)     Ensure timely response to inquiries received via NCI's       Monthly; Internal Quality            Annually              Yes
                                                                                                      Web site                                                     Management Database



                                                                    Internal Quality Management       Ensure accuracy of cancer information provided to the        Electronic quality reports available Every 5 years per     No
                                                                    Databases                         public                                                       monthly and quarterly; in databases, contract Statement of
                                                                                                                                                                   delivered electronically             Work; sooner if
                                                                                                                                                                                                        deemed necessary
                                                                                                                                                                                                        by Government.
Based on an index of 100 points; average measure in Federal Govt. is American Customer Satisfaction   Ensure customer satisfaction with services provided by       Electronic Report; annually          As surveys are        No
72. CIS Contact Center score is 86 overall.                          Index                            the Cancer Information Service Contact Center                                                     implemented;
                                                                                                                                                                                                        measures aligned
                                                                                                                                                                                                        with ACSI
                                                                                                                                                                                                        methodology
                                                                    National User Survey              Ensure customer satisfaction with services provided by       Electronically; as measured by NCI   As implemented by     No
                                                                                                      the Cancer Information Service Contact Center                                                     NCI
                                          Three pairs (systolic, diastolic) of    An estimate of the average level of blood pressure in the       The data from this study and related Bi-annually      Yes
                                          blood pressure measurements are         U.S. population is estimated using this measure, as well        research is published in a myriad of
                                          made under a strict protocol using a    as national estimate of the prevalence of hypertension.         publications, reports, news articles,
                                          mercury sphygmomanometer, as            The trends in levels from year to year allow policy makers      from the government, academia,
                                          part of a complete physical exam,       to identify public health trends of concern, such as a rise     and the media at large.
                                          including a physician's exam, blood     in blood pressure; and to track the efficacy of public health
                                          pressure, and a variety of laboratory   prevention efforts.
                                          tests. Generally, the three measures
                                          are averaged to produce an
                                          estimate of a persons systolic or
                                          diastolic blood pressure.



Normal visual acuity is 20/30 or better   Autorefractor, Electronic Data          Assess need for refractive correction, HP2010 measure,          Paper report to participant; data       As needed     Yes
                                          Capture in National Survey              GPRA SRO measure                                                available upon request
Normal visual acuity is 20/30 or better   Autorefractor, Electronic Data          The efficacy of public health promotion efforts by the          Paper report to participant; data       As needed     Yes
                                          Capture in National Survey              Institute can be demonstrated in changes over time in the       available upon request
                                                                                  levels of uncorrected refractive error. Thus, this measure
                                                                                  is a quality control or quality of service measure for the
                                                                                  Institute in its efforts to reduce unnecessary visual
                                                                                  impairment due to uncorrected but correctable refractive
                                                                                  error.
                                          Hospital-based Cancer Registry          Quality improvement                                             Commission on Cancer                    Bi-annually   Yes




                                          Paper or Electronic Data Forms          Track time trends; Compare regions, practices                   NHANES, Epi Studies, Clinical                         Yes
                                                                                                                                                  Trials

                                          Paper or Electronic Data Forms          Track time trends; Compare regions, practices                   NHANES, Epi Studies, Clinical                         Yes
                                                                                                                                                  Trials

                                          Paper or Electronic Data Forms          Compare physicians, hospitals, systems; Track time              NHANES, Epi Studies, Clinical                         Yes
                                                                                  trends                                                          Trials

                                          Paper or Electronic Data Forms          Track time trends; Compare regions, practices                   NHANES, Epi Studies, Clinical                         Yes
                                                                                                                                                  Trials

                                          Laboratory analysis of a blood          The average level of serum cholesterol in the U.S.              The data from this study and related                  Yes
                                          sample taken on the NHANES              population is estimated from these measures. Trends of          research is published in a myriad of
                                          Mobile Exam Center (MEC),               concern, such as a rise in levels of bad cholesterol, or a      publications, reports, news articles,
                                          including total cholesterol, high       dip in good cholesterol (HDL), are used to guide US             from the government, academia,
                                          density lipoprotein (HDL), and          health policy, and provide means for the Institute              and the media at large.
                                          triglycerides. LDL is estimated from    (NHLBI) to track the efficacy of public health prevention
                                          the triglycerides.                      efforts.
                                                                      Sample survey subjects are               The efficacy of public health promotion efforts by the           The data from this study and related                             Yes
                                                                      administered a questionnaire             Institute can be demonstrated in changes over time in the        research is published in a myriad of
                                                                      containing a set of questions related    levels or awareness, treatment, and control of                   publications, reports, news articles,
                                                                      to blood pressure: 1/ has a doctor or    hypertension. Thus this measure is a quality control or          from the government, academia,
                                                                      health professional ever told you        quality of service measure for the Institute in its efforts to   and the media at large.
                                                                      you have high blood pressure, also       reduce suffering and cost from hypertension nationally.
                                                                      known as hypertension; 2/ has your
                                                                      doctor or health professional told
                                                                      you at least two times that you had
                                                                      high blood pressure; 3/ did your
                                                                      doctor or health professional
                                                                      prescribe medicines to control your
                                                                      hypertension 4/ are you now taking
                                                                      medicines for hypertension. In
                                                                      addition, blood pressure was used
                                                                      to ascertain control status. Three
                                                                      pairs (systolic, diastolic) of blood
                                                                      pressure measurements are made
                                                                      under a strict protocol using a
                                                                      mercury sphygmomanometer, as
                                                                      part of a complete physical exam,
                                                                      including a physician's exam and a
                                                                      variety of laboratory tests. Generally
                                                                      the three measures are averaged to
                                                                      produce an estimate of a persons
                                                                      systolic or diastolic blood pressure.




Minimal acceptable usage is 4 hours/night. Optimal therapy achieved   CPAP Device Electronic Data Card         Assessment of CPAP compliance during treatment of                Device card data is returned to the     As needed                No
when CPAP is used throughout the sleep period.                                                                 sleep disordered breathing                                       medical provider for interpretation

Excessive daytime sleepiness (MSLT < 10) is a symptom of insufficient Electronic EEG Recording, Close          Assess physiological sleep tendency across the day in the Paper report to patient care team;             As needed                No
sleep or a sleep disorder that is untreated or suboptimal             Circuit Video Monitoring                 absence of environmental modifiers. MSLT is a series of available upon request
therapy/compliance.                                                                                            3-5 naps at 2 hour intervals during which sleep latency is
                                                                                                               determined by EEG.
                                                                      Paper or Electronic Data Forms           Track time trends; Compare regions, practices                    NHANES, Epi Studies, Clinical                                    Yes
                                                                                                                                                                                Trials

                                                                      Document                                 Ensure compliance with applicable regulations                    To NIDCR Program Official               Annually                 No




                                                                      Minutes of Meetings                      Ensure compliance with NIDCR Clinical Terms of Award             To NIDCR Program Official               Annually or more      No
                                                                                                               and/or NIH mandate for safety oversight                                                                  frequently as
                                                                                                                                                                                                                        described in protocol

                                                                      Correspondence                           Ensure compliance with NIDCR Clinical Terms of Award             To NIDCR Program Official               Upon initiation of       No
                                                                                                               and/or Good Clinical Practices                                                                           protocol or initiation
                                                                                                                                                                                                                        of protocol
                                                                                                                                                                                                                        amendment
                                                                      Confidential Correspondence              Ensure compliance with Code of Federal Regulations               To NIDCR Program Official               As needed                No
                                                                           Confidential Reports and Medical    Ensure compliance with NIDCR Clinical Terms of Award       To NIDCR Program Official             As needed            No
                                                                           Records



                                                                           Documents, Reports, Data, etc.      Ensure compliance with NIDCR Clinical Terms of Award       To NIDCR Program Official             Annually or more      No
                                                                                                               and/or intramural research oversight                                                             frequently as
                                                                                                                                                                                                                described in protocol


                                                                           Written Reviews by Scientific       Ensure quality in research design and scientific rigor     Report provided to Scientific         As needed            No
                                                                           Experts                                                                                        Director and IRB


                                                                           Post-operative Patient Log          Lower risk factors for post operative complications        NIDCR Officials                       As needed            No



                                                                           Testing and Survey reports, e.g.,   Ensure equipment, e.g., oral and craniofacial radiographic Report to NIDCR Official and          Annually             No
                                                                           NIH Radiological Health Program     machines, comply with State or Federal Regulations         Testing/Inspection Organization
                                                                           Facility Area Survey

                                                                           Dental Clinic Records, e.g.,        Ensure compliance with State or Federal Regulations        Dental Clinic Records, e.g., Dental   As needed            No
                                                                           Instrument Sterilization Log                                                                   Clinic Sterilization Log


                                                                           PRPL Patient Data Sheet             Remove barriers to establishing volunteer patient contact; Report to Dental Clinic Director      Quarterly            No
                                                                                                               determine process improvement measures in patient
                                                                                                               recruitment

Checklist to verify all relevant medical and psychiatric information has   Paper Survey Forms                  Internal quality initiative                                Paper report to patient care team;
been documented in the medical chart                                                                                                                                      available upon request

Checklist to verify that new investigators include all the necessary       Paper Survey Forms                  Internal quality initiative                                Paper report to patient care team;
aspects of the consent process when obtaining consent                                                                                                                     available upon request

                                                                           Survey                              Estimate success of HIT adoption policy                    Peer Review Publication               Annually             Yes

                                                                           Survey                              Estimate success of HIT adoption policy                    Internet                              Annually             Yes

N/A                                                                        Family Planning Annual Report       To monitor program performance goals for a key program Title X services grantees submit          No current plan.     Yes
                                                                           (FPAR)                              activity (PART measure)                                annual reports of services provided.      Reviewed as
                                                                                                                                                                      Compilation of national data posted       indicated by CDC
                                                                                                                                                                      on OPA website and shared with            and USPSTF
                                                                                                                                                                      partners (CDC).                           screening
                                                                                                                                                                                                                recommendations.
                                                                           National Health Interview Survey,                                                              DATA2010                                                   Yes
                                                                           CDC, NCHS
                                                                           National Health Interview Survey                                                               DATA2010                                                   Yes
                                                                           (NHIS), CDC, NCHS
                                                                           National Health Interview Survey                                                               DATA2010                                                   Yes
                                                                           (NHIS), CDC, NCHS
                                                                           National Health Interview Survey                                                               DATA2010                                                   Yes
                                                                           (NHIS), CDC, NCHS
                                                                           National Health Interview Survey                                                               DATA2010                                                   Yes
                                                                           (NHIS), CDC, NCHS

                                                                           National Survey of Family Growth                                                               DATA2010                                                   Yes
                                                                           (NSFG), CDC, NCHS
                                                                           National Health Interview Survey                                                               DATA2010                                                   Yes
                                                                           (NHIS), CDC, NCHS.
                                                                           National Health Interview Survey                                                               DATA2010                                                   Yes
                                                                           (NHIS), CDC, NCHS
National Health Interview Survey      DATA2010   Yes
(NHIS), CDC, NCHS
National Health Interview Survey      DATA2010   Yes
(NHIS), CDC, NCHS
Medical Expenditure Panel Survey      DATA2010   Yes
(MEPS), AHRQ
Medical Expenditure Panel Survey      DATA2010   Yes
(MEPS), AHRQ

Liaison Committee on Medical          DATA2010   Yes
Education (LCME) Annual Medical
School Questionnaire Part II,
Association of American Medical
Colleges
Liaison Committee on Medical          DATA2010   Yes
Education (LCME) Annual Medical
School Questionnaire Part II,
Association of American Medical
Colleges
Annual Report on Osteopathic          DATA2010   Yes
Medical Education, American
Association of Colleges of
Osteopathic Medicine
Annual Report on Osteopathic          DATA2010   Yes
Medical Education, American
Association of Colleges of
Osteopathic Medicine
Survey on Women’s Health in the       DATA2010   Yes
Entry-level Baccalaureate Nursing
School Curriculum, American
Association of Colleges of Nursing
Survey on Women’s Health in the       DATA2010   Yes
Entry-level Baccalaureate Nursing
School Curriculum, American
Association of Colleges of Nursing
Collaborative Curriculum Survey,      DATA2010   Yes
American Association of Colleges of
Nursing & National Organization of
Nurse Practitioner Faculties
Collaborative Curriculum Survey,      DATA2010   Yes
American Association of Colleges of
Nursing & National Organization of
Nurse Practitioner Faculties
Survey of Predoctoral Dental          DATA2010   Yes
Educational Institutions, American
Dental Association; Profile of
Pharmacy Students, American
Association of Colleges of
Pharmacy; AAMC Data Book,
Association of American Medical
Colleges; Annual Data Report,
Association of Schools of Public
Health
Survey of Predoctoral Dental          DATA2010   Yes
Educational Institutions, American
Dental Association; Profile of
Pharmacy Students, American
Association of Colleges of
Pharmacy; AAMC Data Book,
Association of American Medical
Colleges; Annual Data Report,
Association of Schools of Public
Health
Survey of Predoctoral Dental          DATA2010   Yes
Educational Institutions, American
Dental Association; Profile of
Pharmacy Students, American
Association of Colleges of
Pharmacy; AAMC Data Book,
Association of American Medical
Colleges; Annual Data Report,
Association of Schools of Public
Health
Survey of Predoctoral Dental          DATA2010   Yes
Educational Institutions, American
Dental Association; Profile of
Pharmacy Students, American
Association of Colleges of
Pharmacy; AAMC Data Book,
Association of American Medical
Colleges; Annual Data Report,
Association of Schools of Public
Health
Annual Survey of RN (Registered       DATA2010   Yes
Nurse) Programs, National League
for Nursing, Center for Research in
Nursing Education and Community
Health
Annual Survey of RN (Registered       DATA2010   Yes
Nurse) Programs, National League
for Nursing, Center for Research in
Nursing Education and Community
Health
Annual Survey of RN (Registered       DATA2010   Yes
Nurse) Programs, National League
for Nursing, Center for Research in
Nursing Education and Community
Health
Annual Survey of RN (Registered       DATA2010   Yes
Nurse) Programs, National League
for Nursing, Center for Research in
Nursing Education and Community
Health
AAMC Data Book: Statistical           DATA2010   Yes
Information Related to Medical
Schools and Teaching Hospitals,
Association of American Medical
Colleges
AAMC Data Book: Statistical           DATA2010   Yes
Information Related to Medical
Schools and Teaching Hospitals,
Association of American Medical
Colleges
AAMC Data Book: Statistical           DATA2010   Yes
Information Related to
Medical Schools and Teaching
Hospitals,
Association of American Medical
Colleges
AAMC Data Book: Statistical           DATA2010   Yes
Information Related to
Medical Schools and Teaching
Hospitals,
Association of American Medical
Colleges
Survey of Predoctoral Dental          DATA2010   Yes
Educational Institutions, American
Dental Association

Survey of Predoctoral Dental          DATA2010   Yes
Educational Institutions, American
Dental Association

Survey of Predoctoral Dental          DATA2010   Yes
Educational Institutions, American
Dental Association

Survey of Predoctoral Dental          DATA2010   Yes
Educational Institutions, American
Dental Association

Profile of Pharmacy Students,         DATA2010   Yes
American Association of Colleges of
Pharmacy

Profile of Pharmacy Students,         DATA2010   Yes
American Association of Colleges of
Pharmacy

Profile of Pharmacy Students,         DATA2010   Yes
American Association of Colleges of
Pharmacy

Profile of Pharmacy Students,         DATA2010   Yes
American Association of Colleges of
Pharmacy

Healthcare Cost and Utilization       DATA2010   Yes
Project (HCUP), AHRQ

Healthcare Cost and Utilization       DATA2010   Yes
Project (HCUP), AHRQ

Healthcare Cost and Utilization       DATA2010   Yes
Project (HCUP), AHRQ

National Health Interview Survey      DATA2010   Yes
(NHIS), CDC, NCHS
                     National Assessment of State        DATA2010   Yes
                     Trauma System Development,
                     Emergency Medical Services
                     Resources, and Disaster Readiness
                     for Mass Casualty Events, Health
                     Resources and Services
                     Administration (HRSA)
                     National Assessment of State        DATA2010   Yes
                     Trauma System Development,
                     Emergency Medical Services
                     Resources, and Disaster Readiness
                     for Mass Casualty Events, Health
                     Resources and Services
                     Administration (HRSA)
                     National Assessment of State        DATA2010   Yes
                     Trauma System Development,
                     Emergency Medical Services
                     Resources, and Disaster Readiness
                     for Mass Casualty Events, Health
                     Resources and Services
                     Administration (HRSA)
                     National Assessment of State        DATA2010   Yes
                     Trauma System Development,
                     Emergency Medical Services
                     Resources, and Disaster Readiness
                     for Mass Casualty Events, Health
                     Resources and Services
                     Administration (HRSA)
                     National Assessment of State        DATA2010   Yes
                     Trauma System Development,
                     Emergency Medical Services
                     Resources, and Disaster Readiness
                     for Mass Casualty Events, Health
                     Resources and Services
                     Administration (HRSA)
                     National Assessment of State        DATA2010   Yes
                     Trauma System Development,
                     Emergency Medical Services
                     Resources, and Disaster Readiness
                     for Mass Casualty Events, Health
                     Resources and Services
                     Administration (HRSA)

                     National Assessment of State        DATA2010   Yes
                     Trauma System Development,
                     Emergency Medical Services
                     Resources, and Disaster Readiness
                     for Mass Casualty Events, Health
                     Resources and Services
                     Administration (HRSA)
Number, not a rate   Federal Trauma-Emergency            DATA2010   Yes
                     Medical Services System Program
                     Survey, Health Resources Services
                     Administration (HRSA)

Number, not a rate   Federal Trauma-Emergency            DATA2010   Yes
                     Medical Services System Program
                     Survey, Health Resources Services
                     Administration (HRSA)
Number, not a rate   Federal Trauma-Emergency            DATA2010   Yes
                     Medical Services System Program
                     Survey, Health Resources Services
                     Administration (HRSA)

Number, not a rate   Federal Trauma-Emergency            DATA2010   Yes
                     Medical Services System Program
                     Survey, Health Resources Services
                     Administration (HRSA)

Number, not a rate   Federal Trauma-Emergency            DATA2010   Yes
                     Medical Services System Program
                     Survey, Health Resources Services
                     Administration (HRSA)

Number, not a rate   Federal Trauma-Emergency            DATA2010   Yes
                     Medical Services System Program
                     Survey, Health Resources Services
                     Administration (HRSA)

Number, not a rate   Federal Trauma-Emergency            DATA2010   Yes
                     Medical Services System Program
                     Survey, Health Resources Services
                     Administration (HRSA)

Number, not a rate   Federal Trauma-Emergency            DATA2010   Yes
                     Medical Services System Program
                     Survey, Health Resources Services
                     Administration (HRSA)

Number, not a rate   Federal Trauma-Emergency            DATA2010   Yes
                     Medical Services System Program
                     Survey, Health Resources Services
                     Administration (HRSA)

Number, not a rate   Emergency Medical Services for      DATA2010   Yes
                     Children Annual Grantees Survey,
                     HRSA
Number, not a rate   Emergency Medical Services for      DATA2010   Yes
                     Children Annual Grantees Survey,
                     HRSA
                     National Health Interview Survey    DATA2010   Yes
                     (NHIS), CDC, NCHS

                     National Health Interview Survey    DATA2010   Yes
                     (NHIS), CDC, NCHS

                     National Health Interview Survey    DATA2010   Yes
                     (NHIS), CDC, NCHS

                     National Health Interview Survey    DATA2010   Yes
                     (NHIS), CDC, NCHS

                     National Nursing Home Survey        DATA2010   Yes
                     (NNHS), CDC, NCHS
                     National Health Interview Survey    DATA2010   Yes
                     (NHIS), CDC, NCHS
                     National Health Interview Survey    DATA2010   Yes
                     (NHIS), CDC, NCHS
                         National Health Interview Survey     DATA2010   Yes
                         (NHIS), CDC, NCHS

                         National Health Interview Survey     DATA2010   Yes
                         (NHIS), CDC, NCHS
                         National Health Interview Survey     DATA2010   Yes
                         (NHIS), CDC, NCHS
                         National Health Interview Survey     DATA2010   Yes
                         (NHIS), CDC, NCHS
                         National Health Interview Survey     DATA2010   Yes
                         (NHIS), CDC, NCHS
Measuring a difference   Medicare Part A and B, CMS           DATA2010   Yes

                         National Health Interview Survey     DATA2010   Yes
                         (NHIS), CDC, NCHS
                         National Health Interview Survey     DATA2010   Yes
                         (NHIS), CDC, NCHS

                         National Health and Nutrition        DATA2010   Yes
                         Examination Survey (NHANES),
                         CDC, NCHS
                         National Hospital Discharge Survey   DATA2010   Yes
                         (NHDS), CDC, NCHS
                         National Health Interview Survey     DATA2010   Yes
                         (NHIS), CDC, NCHS
                         National Vital Statistics System-    DATA2010   Yes
                         Mortality (NVSS-M), CDC, NCHS
                         National Vital Statistics System-    DATA2010   Yes
                         Mortality (NVSS-M), CDC, NCHS
                         National Vital Statistics System-    DATA2010   Yes
                         Mortality (NVSS-M), CDC, NCHS
                         National Vital Statistics System-    DATA2010   Yes
                         Mortality (NVSS-M), CDC, NCHS
                         National Vital Statistics System-    DATA2010   Yes
                         Mortality (NVSS-M), CDC, NCHS
                         National Vital Statistics System-    DATA2010   Yes
                         Mortality (NVSS-M), CDC, NCHS
                         National Vital Statistics System-    DATA2010   Yes
                         Mortality (NVSS-M), CDC, NCHS
                         National Vital Statistics System-    DATA2010   Yes
                         Mortality (NVSS-M), CDC, NCHS
                         Youth Risk Behavior Surveillance     DATA2010   Yes
                         System (YRBSS), CDC, NCCDPHP




                         National Health Interview Survey     DATA2010   Yes
                         (NHIS), CDC, NCHS




                         National Health Interview Survey     DATA2010   Yes
                         (NHIS), CDC, NCHS

                         National Health Interview Survey     DATA2010   Yes
                         (NHIS), CDC, NCHS
                     National Health Interview Survey     DATA2010   Yes
                     (NHIS), CDC, NCHS
                     National Health Interview Survey     DATA2010   Yes
                     (NHIS), CDC, NCHS
                     National Health Interview Survey     DATA2010   Yes
                     (NHIS), CDC, NCHS
                     National Health Interview Survey     DATA2010   Yes
                     (NHIS), CDC, NCHS
Number, not a rate   National Program of Cancer           DATA2010   Yes
                     Registries (NPCR), CDC,
                     NCCDPHP

                     Surveillance, Epidemiology, and      DATA2010   Yes
                     End Results Program (SEER), NIH,
                     NCI
                     U.S. Renal Data System (USRDS),      DATA2010   Yes
                     NIH, NIDDK
                     U.S. Renal Data System (USRDS),      DATA2010   Yes
                     NIH, NIDDK
                     USRDS Dialysis Mortality and         DATA2010   Yes
                     Morbidity Study (DMMS) Wave 2,
                     U.S. Renal Data System (USRDS),
                     NIH, NIDDK
                     Centers for Medicare & Medicaid      DATA2010   Yes
                     Services (CMS) Clinical
                     Performance Measures (CPM)
                     Project
                     U.S. Renal Data System (USRDS),      DATA2010   Yes
                     NIH, NIDDK
                     U.S. Renal Data System (USRDS),      DATA2010   Yes
                     NIH, NIDDK

                     U.S. Renal Data System (USRDS),      DATA2010   Yes
                     NIH, NIDDK

                     Centers for Medicare & Medicaid      DATA2010   Yes
                     Services (CMS) Standard Analytic
                     Files (SAF), CMS, and U.S. Renal
                     Data System (USRDS), NIH, NIDDK

                     Centers for Medicare & Medicaid      DATA2010   Yes
                     Services (CMS) Standard Analytic
                     Files (SAF), CMS, and U.S. Renal
                     Data System (USRDS), NIH, NIDDK

                     National Health Interview Survey     DATA2010   Yes
                     (NHIS), CDC, NCHS
                     National Health Interview Survey     DATA2010   Yes
                     (NHIS), CDC, NCHS
                     National Health Interview Survey     DATA2010   Yes
                     (NHIS), CDC, NCHS
                     National Health and Nutrition        DATA2010   Yes
                     Examination Survey (NHANES),
                     CDC, NCHS
                     National Vital Statistics System -   DATA2010   Yes
                     Mortality (NVSSM), CDC, NCHS
                     National Vital Statistics System -   DATA2010   Yes
                     Mortality (NVSSM), CDC, NCHS;
                     National Health Interview Survey
                     (NHIS), CDC, NCHS
                     National Vital Statistics System -      DATA2010   Yes
                     Mortality (NVSSM), CDC, NCHS;
                     National Health Interview Survey
                     (NHIS), CDC, NCHS
                     National Hospital Discharge Survey      DATA2010   Yes
                     (NHDS), CDC, NCHS; National
                     Health Interview Survey (NHIS),
                     CDC, NCHS
                     United States Renal Data Systems        DATA2010   Yes
                     (USRDS), NIH, NIDDK
                     Behavioral Risk Factor Surveillance     DATA2010   Yes
                     System (BRFSS), CDC, NCCDPHP

                     National Health Interview Survey        DATA2010   Yes
                     (NHIS), CDC, NCHS
                     Behavioral Risk Factor Surveillance     DATA2010   Yes
                     System (BRFSS), CDC, NCCDPHP

                     National Health Interview Survey        DATA2010   Yes
                     (NHIS), CDC, NCHS
                     National Health and Nutrition           DATA2010   Yes
                     Examination Survey (NHANES),
                     CDC, NCHS
                     Behavioral Risk Factor Surveillance     DATA2010   Yes
                     System (BRFSS), CDC, NCCDPHP

                     National Health Interview Survey        DATA2010   Yes
                     (NHIS), CDC, NCHS
                     National Health Interview Survey        DATA2010   Yes
                     (NHIS), CDC, NCHS

                     National Health Interview Survey        DATA2010   Yes
                     (NHIS), CDC, NCHS
                     Behavioral Risk Factor Surveillance     DATA2010   Yes
                     System (BRFSS), CDC, NCCDPHP

                     Behavioral Risk Factor Surveillance     DATA2010   Yes
                     System (BRFSS), CDC, NCCDPHP

Number, not a rate   Survey of State Developmental           DATA2010   Yes
                     Disabilities Directors, University of
                     Minnesota
Number, not a rate   Survey of State Developmental           DATA2010   Yes
                     Disabilities Directors, University of
                     Minnesota
                     National Health Interview Survey        DATA2010   Yes
                     (NHIS), CDC, NCHS
                     Data Analysis System (DANS), U.S.       DATA2010   Yes
                     Department of Education, Office of
                     Special Education
                     National Health Interview Survey        DATA2010   Yes
                     (NHIS), CDC, NCHS
                     National Health Interview Survey        DATA2010   Yes
                     (NHIS), CDC, NCHS
                     National Health Interview Survey        DATA2010   Yes
                     (NHIS), CDC, NCHS

                     National Health Interview Survey        DATA2010   Yes
                     (NHIS), CDC, NCHS

                     National Health Interview Survey        DATA2010   Yes
                     (NHIS), CDC, NCHS
                     National Health Interview Survey    DATA2010   Yes
                     (NHIS), CDC, NCHS

Number, not a rate   CDC/NCBDDD/DH-Team                  DATA2010   Yes


Number, not a rate   CDC/NCBDDD/DH-Team                  DATA2010   Yes


Number, not a rate   CDC/NCBDDD/DH-Team                  DATA2010   Yes


Number, not a rate   CDC/NCBDDD/DH-Team                  DATA2010   Yes


                     Current Population Survey (CPS),    DATA2010   Yes
                     U.S. Department of Commerce, U.S.
                     Bureau of the Census
                     School Health Policies and          DATA2010   Yes
                     Programs Study (SHPPS), CDC,
                     NCCDPHP




                     School Health Policies and          DATA2010   Yes
                     Programs Study (SHPPS), CDC,
                     NCCDPHP




                     School Health Policies and          DATA2010   Yes
                     Programs Study (SHPPS), CDC,
                     NCCDPHP




                     School Health Policies and          DATA2010   Yes
                     Programs Study (SHPPS), CDC,
                     NCCDPHP




                     School Health Policies and          DATA2010   Yes
                     Programs Study (SHPPS), CDC,
                     NCCDPHP
School Health Policies and           DATA2010   Yes
Programs Study (SHPPS), CDC,
NCCDPHP




School Health Policies and           DATA2010   Yes
Programs Study (SHPPS), CDC,
NCCDPHP




School Health Policies and           DATA2010   Yes
Programs Study (SHPPS), CDC,
NCCDPHP




School Health Policies and           DATA2010   Yes
Programs Study (SHPPS), CDC,
NCCDPHP




School Health Policies and           DATA2010   Yes
Programs Study (SHPPS), CDC,
NCCDPHP




National College Health Risk         DATA2010   Yes
Behavior Survey (NCHRBS), CDC,
NCCDPHP
National Health Interview Survey     DATA2010   Yes
(NHIS), CDC, NCHS

National Profile of Local Health     DATA2010   Yes
Departments, NACCHO


National Health Interview Survey     DATA2010   Yes
(NHIS), CDC, NCHS

Air Quality System (AQS), U.S.       DATA2010   Yes
Environmental Protection Agency
(EPA), Office of Air and Radiation
(OAR), Office of Air Quality
Planning and Standards (OAQPS)
Air Quality System (AQS), U.S.       DATA2010   Yes
Environmental Protection Agency
(EPA), Office of Air and Radiation
(OAR), Office of Air Quality
Planning and Standards (OAQPS)
                     Air Quality System (AQS), U.S.        DATA2010   Yes
                     Environmental Protection Agency
                     (EPA), Office of Air and Radiation
                     (OAR), Office of Air Quality
                     Planning and Standards (OAQPS)
                     Air Quality System (AQS), U.S.        DATA2010   Yes
                     Environmental Protection Agency
                     (EPA), Office of Air and Radiation
                     (OAR), Office of Air Quality
                     Planning and Standards (OAQPS)
                     Air Quality System (AQS), U.S.        DATA2010   Yes
                     Environmental Protection Agency
                     (EPA), Office of Air and Radiation
                     (OAR), Office of Air Quality
                     Planning and Standards (OAQPS)
                     Air Quality System (AQS), U.S.        DATA2010   Yes
                     Environmental Protection Agency
                     (EPA), Office of Air and Radiation
                     (OAR), Office of Air Quality
                     Planning and Standards (OAQPS)
                     National Household Travel Survey      DATA2010   Yes
                     (NHTS), U.S. Department of
                     Transportation
                     National Household Travel Survey      DATA2010   Yes
                     (NHTS), U.S. Department of
                     Transportation
                     National Household Travel Survey      DATA2010   Yes
                     (NHTS), U.S. Department of
                     Transportation
                     National Household Travel Survey      DATA2010   Yes
                     (NHTS), U.S. Department of
                     Transportation
                     Alternatives to Traditional           DATA2010   Yes
                     Transportation Fuels, Energy
                     Information Administration, DOE
Number, not a rate   National Emissions Inventory (NEI),   DATA2010   Yes
                     U.S. Environmental Protection
                     Agency (EPA), Office of Air and
                     Radiation (OAR), Office of Air
                     Quality Planning and Standards
                     (OAQPS)
                     Potable Water Surveillance System     DATA2010   Yes
                     (PWSS) and Safe Drinking Water
                     Information System (SDWIS), U.S.
                     Environmental Protection Agency
                     (EPA), Office of Water (OW), Office
                     of Ground Water and Drinking
                     Water (OGWDW)

Number, not a rate   State Reporting Systems, CDC,         DATA2010   Yes
                     NCID

                     Estimated Use of Water in the         DATA2010   Yes
                     United States, Department of the
                     Interior (DOI), U.S. Geological
                     Survey (USGS)
                     National Water Quality Inventory      DATA2010   Yes
                     Reports, U.S. Environmental
                     Protection Agency (EPA), Office of
                     Water (OW), Office of Wetlands,
                     Oceans, and Watersheds (OWOW)
                     National Water Quality Inventory       DATA2010   Yes
                     Reports, U.S. Environmental
                     Protection Agency (EPA), Office of
                     Water (OW), Office of Wetlands,
                     Oceans, and Watersheds (OWOW)

                     BEACH Program, U.S.                    DATA2010   Yes
                     Environmental Protection
                     Agency (EPA), Office of Water
                     (OW), Office of Science and
                     Technology (OST).
                     National Listing of Fish Advisories,   DATA2010   Yes
                     Office of Water, U.S. Environmental
                     Protection Agency (EPA), Office of
                     Water (OW), Office of Science and
                     Technology
                     (OST)
                     National Listing of Fish Advisories,   DATA2010   Yes
                     Office of Water, U.S. Environmental
                     Protection Agency (EPA), Office of
                     Water (OW), Office of Science and
                     Technology
                     (OST)
                     National Health and Nutritional        DATA2010   Yes
                     Examination Survey (NHANES),
                     CDC, NCHS
Number, not a rate   Comprehensive Environmental            DATA2010   Yes
                     Response and Cleanup Liability
                     Information System (CERCLIS),
                     U.S. Environmental Protection
                     Agency (EPA), Office of Solid
                     Waste and Emergency Response
                     (OSWER), Office of Superfund
                     Remediation and Technology
                     Innovation (OSRTI)
Number, not a rate   Comprehensive Environmental            DATA2010   Yes
                     Response and Cleanup Liability
                     Information System (CERCLIS),
                     U.S. Environmental Protection
                     Agency (EPA), Office of Solid
                     Waste and Emergency Response
                     (OSWER), Office of Superfund
                     Remediation and Technology
                     Innovation (OSRTI)
Number, not a rate   U.S. Environmental Protection          DATA2010   Yes
                     Agency (EPA), Office of Solid
                     Waste and Emergency Response
                     (OSWER), Office of Underground
                     Storage Tanks (OUST)
Number, not a rate   U.S. Environmental Protection          DATA2010   Yes
                     Agency (EPA), Office of Solid
                     Waste and Emergency Response
                     (OSWER), Office of Brownfields
                     Cleanup and Redevelopment
                     (OBCR)
Number, not a rate   Toxic Exposure Surveillance            DATA2010   Yes
                     System (TESS), American
                     Association of Poison Control
                     Centers
                     Municipal Solid Waste in the United    DATA2010   Yes
                     States, U.S. Environmental
                     Protection Agency (EPA), Office of
                     Solid Waste and Emergency
                     Response (OSWER)

                     National Survey of Lead and            DATA2010   Yes
                     Allergens in Housing, NIH, NIEHS,
                     and U.S. Department of Housing
                     and Urban Development (HUD)
                     National Survey of Lead and            DATA2010   Yes
                     Allergens in Housing, NIH, NIEHS,
                     and U.S. Department of Housing
                     and Urban Development (HUD)
                     National Survey of Lead and            DATA2010   Yes
                     Allergens in Housing, NIH, NIEHS,
                     and U.S. Department of Housing
                     and Urban Development (HUD)
                     National Health Interview Survey       DATA2010   Yes
                     (NHIS), CDC, NCHS
Number, not a rate   National Association of Home           DATA2010   Yes
                     Builders Research Center Survey,
                     NAHB
                     School Health Policies and             DATA2010   Yes
                     Programs Study (SHPPS), CDC,
                     NCCDPHP



Number, not a rate   Association of State and Territorial   DATA2010   Yes
                     Health Officials (ASTHO); CDC,
                     Division of State and Local
                     Readiness (DSLR)
                     National Health Interview Survey       DATA2010   Yes
                     (NHIS), CDC, NCHS
                     American Housing Survey (AHS),         DATA2010   Yes
                     U.S. Department of Commerce
                     (DOC), Bureau of the Census (CEN)

Number, not a rate   National Report on Human               DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Report on Human               DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Report on Human               DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Report on Human               DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Report on Human           DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Report on Human           DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Report on Human           DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Report on Human           DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Report on Human           DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Report on Human           DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Report on Human           DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Report on Human           DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Report on Human           DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Report on Human           DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Report on Human           DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Report on Human           DATA2010   Yes
                     Exposure to Environmental
                     Chemicals, CDC, NCEH; National
                     Health and Nutrition Examination
                     Survey (NHANES), CDC, NCHS
Number, not a rate   National Environmental Public       DATA2010   Yes
                     Health Tracking
                     Network, (EPHT), CDC, NCEH

Number, not a rate   Periodic surveys by the Public      DATA2010   Yes
                     Health Foundation (PHF) and the
                     Council of State and Territorial
                     Epidemiologists (CSTE)
Number, not a rate   Periodic surveys by the Public      DATA2010   Yes
                     Health Foundation (PHF) and the
                     Council of State and Territorial
                     Epidemiologists (CSTE)
Number, not a rate   Periodic surveys by the Public      DATA2010   Yes
                     Health Foundation (PHF) and the
                     Council of State and Territorial
                     Epidemiologists (CSTE)
Number, not a rate   Periodic surveys by the Public      DATA2010   Yes
                     Health Foundation (PHF) and the
                     Council of State and Territorial
                     Epidemiologists (CSTE)
Number, not a rate   Periodic surveys by the Public      DATA2010   Yes
                     Health Foundation (PHF) and the
                     Council of State and Territorial
                     Epidemiologists (CSTE)
Number, not a rate   Periodic surveys by the Public      DATA2010   Yes
                     Health Foundation (PHF) and the
                     Council of State and Territorial
                     Epidemiologists (CSTE)
Number, not a rate   Periodic surveys by the Public      DATA2010   Yes
                     Health Foundation (PHF) and the
                     Council of State and Territorial
                     Epidemiologists (CSTE)
Number, not a rate   Periodic surveys by the Public      DATA2010   Yes
                     Health Foundation (PHF) and the
                     Council of State and Territorial
                     Epidemiologists (CSTE)
Number, not a rate   Periodic surveys by the Public      DATA2010   Yes
                     Health Foundation (PHF) and the
                     Council of State and Territorial
                     Epidemiologists (CSTE)
Number, not a rate   Periodic surveys by the Public      DATA2010   Yes
                     Health Foundation (PHF) and the
                     Council of State and Territorial
                     Epidemiologists (CSTE)
Number, not a rate   Periodic surveys by the Public      DATA2010   Yes
                     Health Foundation (PHF) and the
                     Council of State and Territorial
                     Epidemiologists (CSTE)
Number, not a rate   Periodic surveys by the Public      DATA2010   Yes
                     Health Foundation (PHF) and the
                     Council of State and Territorial
                     Epidemiologists (CSTE)
Number, not a rate   Global Burden of Disease Project,   DATA2010   Yes
                     World Health Organization (WHO)
U.S. Environmental Protection       DATA2010   Yes
Agency (EPA), Office of Water
(OW), Office of Wastewater
Management (OMW); Mexico's
Comisión Nacional de Agua;
State/Local Health Departments;
American Water Works Association;
Rural Water Association; U.S.-
Mexican Border Health Association

U.S. Environmental Protection       DATA2010   Yes
Agency (EPA), Office of Water
(OW), Office of Wastewater
Management (OMW); Mexico's
Comisión Nacional de Agua;
State/Local Health Departments;
American Water Works Association;
Rural Water Association; U.S.-
Mexican Border Health Association


U.S. Environmental Protection       DATA2010   Yes
Agency (EPA), Office of Water
(OW), Office of Wastewater
Management (OMW); Mexico's
Comisión Nacional de Agua;
State/Local Health Departments;
American Water Works Association;
Rural Water Association; U.S.-
Mexican Border Health Association


U.S. Environmental Protection       DATA2010   Yes
Agency (EPA), Office of Water
(OW), Office of Wastewater
Management (OMW); Mexico's
Comisión Nacional de Agua;
State/Local Health Departments;
American Water Works Association;
Rural Water Association; U.S.-
Mexican Border Health Association


U.S. Environmental Protection       DATA2010   Yes
Agency (EPA), Office of Water
(OW), Office of Wastewater
Management (OMW); Mexico's
Comisión Nacional de Agua;
State/Local Health Departments;
American Water Works Association;
Rural Water Association; U.S.-
Mexican Border Health Association
U.S. Environmental Protection       DATA2010   Yes
Agency (EPA), Office of Water
(OW), Office of Wastewater
Management (OMW); Mexico's
Comisión Nacional de Agua;
State/Local Health Departments;
American Water Works Association;
Rural Water Association; U.S.-
Mexican Border Health Association


U.S. Environmental Protection       DATA2010   Yes
Agency (EPA), Office of Water
(OW), Office of Wastewater
Management (OMW); Mexico's
Comisión Nacional de Agua;
State/Local Health Departments;
American Water Works Association;
Rural Water Association; U.S.-
Mexican Border Health Association


U. S. Environmental Protection      DATA2010   Yes
Agency (EPA), Office of Water
(OW), Office of Wastewater
Management (OMW); Mexico's
Comisión Nacional de Agua;
State/Local Health Departments;
American Water Works Association;
Rural Water Association; U.S.-
Mexican Border Health Association


U.S. Environmental Protection       DATA2010   Yes
Agency (EPA), Office of Water
(OW), Office of Wastewater
Management (OMW); Mexico's
Comisión Nacional de Agua;
State/Local Health Departments;
American Water Works Association;
Rural Water Association; U.S.-
Mexican Border Health Association

U.S. Environmental Protection       DATA2010   Yes
Agency (EPA), Office of Water
(OW), Office of Wastewater
Management (OMW); Mexico's
Comisión Nacional de Agua;
State/Local Health Departments;
American Water Works Association;
Rural Water Association; U.S.-
Mexican Border Health Association

U.S. Environmental Protection       DATA2010   Yes
Agency (EPA), Office of Water
(OW), Office of Wastewater
Management (OMW); Mexico's
Comisión Nacional de Agua;
State/Local Health Departments;
American Water Works Association;
Rural Water Association; U.S.-
Mexican Border Health Association
U.S. Environmental Protection          DATA2010   Yes
Agency (EPA), Office of Water
(OW), Office of Wastewater
Management (OMW); Mexico's
Comisión Nacional de Agua;
State/Local Health Departments;
American Water Works Association;
Rural Water Association; U.S.-
Mexican Border Health Association


National Survey of Family Growth       DATA2010   Yes
(NSFG), CDC, NCHS; National Vital
Statistics System (NVSS), CDC,
NCHS; Abortion Provider Survey,
The Alan Guttmacher Institute
(AGI); Abortion Surveillance Data,
CDC, NCCDPHP

National Survey of Family Growth       DATA2010   Yes
(NSFG), CDC, NCHS
National Survey of Family Growth       DATA2010   Yes
(NSFG), CDC, NCHS
National Survey of Family Growth       DATA2010   Yes
(NSFG), CDC, NCHS; National Vital
Statistics System (NVSS), CDC,
NCHS; Abortion Provider Survey,
The Alan Guttmacher Institute
(AGI); Abortion Surveillance Data,
CDC, NCCDPHP

National Survey of Family Growth       DATA2010   Yes
(NSFG), CDC, NCHS, Cycle 6
National Survey of Family Growth       DATA2010   Yes
(NSFG), CDC, NCHS, Cycle 6
National Survey of Family Growth       DATA2010   Yes
(NSFG), CDC, NCHS, Cycle 6
Abortion Provider Survey, The Alan     DATA2010   Yes
Guttmacher Institute (AGI); Abortion
Surveillance Data, CDC,
NCCDPHP; National Vital Statistics
System - Natality (NVSS-N), CDC,
NCHS; National Survey of Family
Growth (NSFG), CDC, NCHS

National Survey of Family Growth       DATA2010   Yes
(NSFG), CDC, NCHS
National Survey of Family Growth       DATA2010   Yes
(NSFG), CDC, NCHS
National Survey of Family Growth       DATA2010   Yes
(NSFG), CDC, NCHS
National Survey of Family Growth       DATA2010   Yes
(NSFG), CDC, NCHS
National Survey of Family Growth       DATA2010   Yes
(NSFG), CDC, NCHS


National Survey of Family Growth       DATA2010   Yes
(NSFG), CDC, NCHS
National Survey of Family Growth   DATA2010   Yes
(NSFG), CDC, NCHS


National Survey of Family Growth   DATA2010   Yes
(NSFG), CDC, NCHS


National Survey of Family Growth   DATA2010   Yes
(NSFG), CDC, NCHS


National Survey of Family Growth   DATA2010   Yes
(NSFG), CDC, NCHS


National Survey of Family Growth   DATA2010   Yes
(NSFG), CDC, NCHS


National Survey of Family Growth   DATA2010   Yes
(NSFG), CDC, NCHS


National Survey of Family Growth   DATA2010   Yes
(NSFG), CDC, NCHS



National Survey of Family Growth   DATA2010   Yes
(NSFG), CDC, NCHS



National Survey of Family Growth   DATA2010   Yes
(NSFG), CDC, NCHS



National Survey of Family Growth   DATA2010   Yes
(NSFG), CDC, NCHS



National Survey of Family Growth   DATA2010   Yes
(NSFG), CDC, NCHS



National Survey of Family Growth   DATA2010   Yes
(NSFG), CDC, NCHS



National Survey of Family Growth   DATA2010   Yes
(NSFG), CDC, NCHS
National Survey of Family Growth      DATA2010   Yes
(NSFG), CDC, NCHS



National Survey of Family Growth      DATA2010   Yes
(NSFG), CDC, NCHS



National Survey of Family Growth      DATA2010   Yes
(NSFG), CDC, NCHS



National Survey of Family Growth      DATA2010   Yes
(NSFG), CDC, NCHS
The Alan Guttmacher Institute (AGI)   DATA2010   Yes

Foodborne Disease Active              DATA2010   Yes
Surveillance Network, CDC, NCID;
FDA, CFSAN; FSIS,OPHS, and
State agencies
Foodborne Disease Active              DATA2010   Yes
Surveillance Network, CDC, NCID;
FDA, CFSAN; FSIS,OPHS, and
State agencies
Foodborne Disease Active              DATA2010   Yes
Surveillance Network, CDC, NCID;
FDA, CFSAN; FSIS,OPHS, and
State agencies
Foodborne Disease Active              DATA2010   Yes
Surveillance Network, CDC, NCID;
FDA, CFSAN; FSIS,OPHS, and
State agencies
Foodborne Disease Active              DATA2010   Yes
Surveillance Network, CDC, NCID;
FDA, CFSAN; FSIS,OPHS, and
State agencies
Foodborne Disease Outbreak            DATA2010   Yes
Surveillance System, CDC, NCID
Foodborne Disease Outbreak            DATA2010   Yes
Surveillance System, CDC, NCID
National Vital Statistics System -    DATA2010   Yes
Mortality (NVSS-M), CDC, NCHS;
Food Safety Survey (FSS), FDA,
CFSAN and USDA, FSIS
National Vital Statistics System -    DATA2010   Yes
Mortality (NVSS-M), CDC, NCHS;
Food Safety Survey (FSS), FDA,
CFSAN and USDA, FSIS
Food Safety Survey (FSS), FDA,        DATA2010   Yes
CFSAN; USDA, FSIS
FDA Retail Food Program Database      DATA2010   Yes
of Foodborne Illness Risk Factors,
FDA, CFSAN
FDA Retail Food Program Database      DATA2010   Yes
of Foodborne Illness Risk Factors,
FDA, CFSAN
FDA Retail Food Program Database      DATA2010   Yes
of Foodborne Illness Risk Factors,
FDA, CFSAN
FDA Retail Food Program Database      DATA2010   Yes
of Foodborne Illness Risk Factors,
FDA, CFSAN
FDA Retail Food Program Database      DATA2010   Yes
of Foodborne Illness Risk Factors,
FDA, CFSAN
FDA Retail Food Program Database      DATA2010   Yes
of Foodborne Illness Risk Factors,
FDA, CFSAN
FDA Retail Food Program Database      DATA2010   Yes
of Foodborne Illness Risk Factors,
FDA, CFSAN
FDA Retail Food Program Database      DATA2010   Yes
of Foodborne Illness Risk Factors,
FDA, CFSAN
FDA Retail Food Program Database      DATA2010   Yes
of Foodborne Illness Risk Factors,
FDA, CFSAN
Computer and Internet Use             DATA2010   Yes
Supplement to the Current
Population Survey, U.S. Dept of
Commerce, Bureau of the Census
National Adult Literacy Survey,       DATA2010   Yes
2002, U.S. Dept of Education
Potential: Sponsored Survey of        DATA2010   Yes
Federal Register Notices;
Grantmakers in Health; National
Health Council
National Vital Statistics System --   DATA2010   Yes
Mortality (NVSS-M), CDC, NCHS

National Health Interview Survey      DATA2010   Yes
(NHIS), CDC, NCHS



National Registry of Myocardial       DATA2010   Yes
Infarction (NRMI–4), National Acute
Myocardial Infarction Project,
Centers for Medicare & Medicaid
Services (CMS)
National Registry of Myocardial       DATA2010   Yes
Infarction (NRMI–4), National Acute
Myocardial Infarction Project,
Centers for Medicare & Medicaid
Services (CMS)
National Health Interview Survey      DATA2010   Yes
(NHIS), CDC, NCHS
National EMS Information System       DATA2010   Yes
(NEMSIS), National Association of
State EMS Directors (NASEMSD),
in coordination with U.S. Dept of
Transportation, NHTSA, and HRSA,
Trauma/EMS Systems

National Hospital Discharge Survey    DATA2010   Yes
(NHDS), CDC, NCHS
National Hospital Discharge Survey    DATA2010   Yes
(NHDS), CDC, NCHS
National Hospital Discharge Survey    DATA2010   Yes
(NHDS), CDC, NCHS
National Vital Statistics System --   DATA2010   Yes
Mortality (NVSS-M), CDC, NCHS
National Health Interview Survey      DATA2010   Yes
(NHIS), CDC, NCHS

National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS
National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS

National Health Interview Survey      DATA2010   Yes
(NHIS), CDC, NCHS

National Health Interview Survey      DATA2010   Yes
(NHIS), CDC, NCHS

National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS
National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS
National Health Interview Survey      DATA2010   Yes
(NHIS), CDC, NCHS
National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS

HIV/AIDS Surveillance System,         DATA2010   Yes
CDC, NCHSTP
HIV/AIDS Surveillance System,         DATA2010   Yes
CDC, NCHSTP
HIV/AIDS Surveillance System,         DATA2010   Yes
CDC, NCHSTP
HIV/AIDS Surveillance System,         DATA2010   Yes
CDC, NCHSTP
National Survey of Family Growth      DATA2010   Yes
(NSFG), CDC, NCHS
National Survey of Family Growth      DATA2010   Yes
(NSFG), CDC, NCHS
Uniform Facility Data Set (UFDS),     DATA2010   Yes
SAMHSA

National TB Surveillance System,      DATA2010   Yes
CDC, DTBE
Adult Spectrum of Disease (ASD)       DATA2010   Yes
Surveillance Project, CDC,
NCHSTP
Adult Spectrum of Disease (ASD)       DATA2010   Yes
Surveillance Project, CDC,
NCHSTP
Adult Spectrum of Disease (ASD)       DATA2010   Yes
Surveillance Project, CDC,
NCHSTP
Adult Spectrum of Disease (ASD)       DATA2010   Yes
Surveillance Project, CDC,
NCHSTP
National Vital Statistics System,     DATA2010   Yes
CDC, NCHS
HIV/AIDS Surveillance System,         DATA2010   Yes
CDC, NCHHSTP
Number, not a rate   HIV/AIDS Surveillance System,        DATA2010   Yes
                     CDC, NCHHSTP
Number, not a rate   National Notifiable Disease          DATA2010   Yes
                     Surveillance System (NNDSS),
                     CDC, EPO, National Congenital
                     Rubella Syndrome Registry
                     (NCRSR), CDC, NIP - congenital
                     rubella syndrome; Active Bacterial
                     Core Surveillance (ABCs),
                     Emerging infections Programs,
                     CDC, NCID - haemophilus
                     influenzae type b; National Health
                     Interview Survey (NHIS), CDC,
                     NCHS - varicella

Number, not a rate   National Notifiable Disease          DATA2010   Yes
                     Surveillance System (NNDSS),
                     CDC, EPO, National Congenital
                     Rubella Syndrome Registry
                     (NCRSR), CDC, NIP - congenital
                     rubella syndrome; Active Bacterial
                     Core Surveillance (ABCs),
                     Emerging infections Programs,
                     CDC, NCID - haemophilus
                     influenzae type b; National Health
                     Interview Survey (NHIS), CDC,
                     NCHS - varicella
Number, not a rate   National Notifiable Disease          DATA2010   Yes
                     Surveillance System (NNDSS),
                     CDC, EPO, National Congenital
                     Rubella Syndrome Registry
                     (NCRSR), CDC, NIP - congenital
                     rubella syndrome; Active Bacterial
                     Core Surveillance (ABCs),
                     Emerging infections Programs,
                     CDC, NCID - haemophilus
                     influenzae type b; National Health
                     Interview Survey (NHIS), CDC,
                     NCHS - varicella
Number, not a rate   National Notifiable Disease          DATA2010   Yes
                     Surveillance System (NNDSS),
                     CDC, EPO, National Congenital
                     Rubella Syndrome Registry
                     (NCRSR), CDC, NIP - congenital
                     rubella syndrome; Active Bacterial
                     Core Surveillance (ABCs),
                     Emerging infections Programs,
                     CDC, NCID - haemophilus
                     influenzae type b; National Health
                     Interview Survey (NHIS), CDC,
                     NCHS - varicella
Number, not a rate   National Notifiable Disease          DATA2010   Yes
                     Surveillance System (NNDSS),
                     CDC, EPO, National Congenital
                     Rubella Syndrome Registry
                     (NCRSR), CDC, NIP - congenital
                     rubella syndrome; Active Bacterial
                     Core Surveillance (ABCs),
                     Emerging infections Programs,
                     CDC, NCID - haemophilus
                     influenzae type b; National Health
                     Interview Survey (NHIS), CDC,
                     NCHS - varicella
Number, not a rate   National Notifiable Disease          DATA2010   Yes
                     Surveillance System (NNDSS),
                     CDC, EPO, National Congenital
                     Rubella Syndrome Registry
                     (NCRSR), CDC, NIP - congenital
                     rubella syndrome; Active Bacterial
                     Core Surveillance (ABCs),
                     Emerging infections Programs,
                     CDC, NCID - haemophilus
                     influenzae type b; National Health
                     Interview Survey (NHIS), CDC,
                     NCHS - varicella
Number, not a rate   National Notifiable Disease          DATA2010   Yes
                     Surveillance System (NNDSS),
                     CDC, EPO, National Congenital
                     Rubella Syndrome Registry
                     (NCRSR), CDC, NIP - congenital
                     rubella syndrome; Active Bacterial
                     Core Surveillance (ABCs),
                     Emerging infections Programs,
                     CDC, NCID - haemophilus
                     influenzae type b; National Health
                     Interview Survey (NHIS), CDC,
                     NCHS - varicella
Number, not a rate   National Notifiable Disease          DATA2010   Yes
                     Surveillance System (NNDSS),
                     CDC, EPO, National Congenital
                     Rubella Syndrome Registry
                     (NCRSR), CDC, NIP - congenital
                     rubella syndrome; Active Bacterial
                     Core Surveillance (ABCs),
                     Emerging infections Programs,
                     CDC, NCID - haemophilus
                     influenzae type b; National Health
                     Interview Survey (NHIS), CDC,
                     NCHS - varicella
Number, not a rate   National Notifiable Disease          DATA2010   Yes
                     Surveillance System (NNDSS),
                     CDC, EPO, National Congenital
                     Rubella Syndrome Registry
                     (NCRSR), CDC, NIP - congenital
                     rubella syndrome; Active Bacterial
                     Core Surveillance (ABCs),
                     Emerging infections Programs,
                     CDC, NCID - haemophilus
                     influenzae type b; National Health
                     Interview Survey (NHIS), CDC,
                     NCHS - varicella
Number, not a rate   National Notifiable Disease          DATA2010   Yes
                     Surveillance System (NNDSS),
                     CDC, EPO, National Congenital
                     Rubella Syndrome Registry
                     (NCRSR), CDC, NIP - congenital
                     rubella syndrome; Active Bacterial
                     Core Surveillance (ABCs),
                     Emerging infections Programs,
                     CDC, NCID - haemophilus
                     influenzae type b; National Health
                     Interview Survey (NHIS), CDC,
                     NCHS - varicella
Number, not a rate   National Notifiable Disease          DATA2010   Yes
                     Surveillance System (NNDSS),
                     CDC, EPO, National Congenital
                     Rubella Syndrome Registry
                     (NCRSR), CDC, NIP - congenital
                     rubella syndrome; Active Bacterial
                     Core Surveillance (ABCs),
                     Emerging infections Programs,
                     CDC, NCID - haemophilus
                     influenzae type b; National Health
                     Interview Survey (NHIS), CDC,
                     NCHS - varicella
Number, not a rate   Perinatal Hepatitis B Prevention     DATA2010   Yes
                     Program, CDC, NCID; National Vital
                     Statistics System (NVSS), CDC,
                     NCHS; State Perinatal Hepatitis B
                     Prevention Programs; State Vital
                     Statistics Systems
                     National Notifiable Diseases         DATA2010   Yes
                     Surveillance System
                     (NNDSS), CDC, NCID, EPO;
                     Sentinel Counties Study of Viral
                     Hepatitis
                     National Notifiable Diseases         DATA2010   Yes
                     Surveillance System
                     (NNDSS), CDC, NCID, EPO;
                     Sentinel Counties Study of Viral
                     Hepatitis
                     National Notifiable Diseases         DATA2010   Yes
                     Surveillance System
                     (NNDSS), CDC, NCID, EPO;
                     Sentinel Counties Study of Viral
                     Hepatitis
Number, not a rate   National Notifiable Diseases         DATA2010   Yes
                     Surveillance System
                     (NNDSS), CDC, NCID, EPO;
                     Sentinel Counties Study of Viral
                     Hepatitis
Number, not a rate   National Notifiable Diseases         DATA2010   Yes
                     Surveillance System
                     (NNDSS), CDC, NCID, EPO;
                     Sentinel Counties Study of Viral
                     Hepatitis
Number, not a rate   National Notifiable Diseases         DATA2010   Yes
                     Surveillance System
                     (NNDSS), CDC, NCID, EPO;
                     Sentinel Counties Study of Viral
                     Hepatitis
Number, not a rate   National Notifiable Diseases         DATA2010   Yes
                     Surveillance System (NNDSS),
                     CDC, NCID, EPO; Sentinel
                     Counties Study of Viral Hepatitis
                     Active Bacterial Core Surveillance   DATA2010   Yes
                     (ABCs), CDC, NCID, Emerging
                     Infections Program Network
                     Active Bacterial Core Surveillance   DATA2010   Yes
                     (ABCs), CDC, NCID, Emerging
                     Infections Program Network, Arctic
                     Investigations Program (for
                     information on Alaska Natives)
                     Active Bacterial Core Surveillance   DATA2010   Yes
                     (ABCs), CDC, NCID, Emerging
                     Infections Program Network, Arctic
                     Investigations Program (for
                     information on Alaska Natives)
                     Active Bacterial Core Surveillance   DATA2010   Yes
                     (ABCs), CDC, NCID, Emerging
                     Infections Program Network, Arctic
                     Investigations Program (for
                     information on Alaska Natives)
                     Active Bacterial Core Surveillance   DATA2010   Yes
                     (ABCs), CDC, NCID, Emerging
                     Infections Program Network, Arctic
                     Investigations Program (for
                     information on Alaska Natives)
                     National Notifiable Diseases         DATA2010   Yes
                     Surveillance System (NNDSS),
                     CDC, EPO
                     National Notifiable Diseases         DATA2010   Yes
                     Surveillance System (NNDSS),
                     CDC, EPO, Active Bacterial Core
                     Surveillance (ABCs), Emerging
                     Infections Program Network, NCID
                     National Notifiable Diseases         DATA2010   Yes
                     Surveillance System (NNDSS),
                     CDC, EPO
                     Sentinel Counties Study of Viral     DATA2010   Yes
                     Hepatitis, CDC, NCID
                     National TB Surveillance System,     DATA2010   Yes
                     CDC, NCHSTP
                     National TB Surveillance System,     DATA2010   Yes
                     CDC, NCHSTP

                     Aggregate Reports for Tuberculosis   DATA2010   Yes
                     Program Evaluation, CDC, NCHSTP

                     Survey of State Public Health        DATA2010   Yes
                     Laboratories, CDC, NCHSTP


                     Active Bacterial Core Surveillance   DATA2010   Yes
                     (ABCs), CDC, NCID, Emerging
                     Infections Program Network
                     National Hospital Discharge Survey   DATA2010   Yes
                     (NHDS), CDC, NCHS
                     National Ambulatory Medical Care     DATA2010   Yes
                     Survey (NAMCS), CDC, NCHS;
                     National Hospital Ambulatory
                     Medical Care Survey (NHAMCS),
                     CDC, NCHS
National Ambulatory Medical Care      DATA2010   Yes
Survey (NAMCS), CDC, NCHS;
National Hospital Ambulatory
Medical Care Survey (NHAMCS),
CDC, NCHS
National Crime Victimization Survey   DATA2010   Yes
(NCVS), Department of Justice
(DOJ), Bureau of Justice Statistics
(BJS)
National Crime Victimization Survey   DATA2010   Yes
(NCVS), Department of Justice
(DOJ), Bureau of Justice Statistics
(BJS)
Youth Risk Behavior Surveillance      DATA2010   Yes
System (YRBSS), CDC, NCCDPHP

Youth Risk Behavior Surveillance      DATA2010   Yes
System (YRBSS), CDC, NCCDPHP

National Vital Statistics System -    DATA2010   Yes
Mortality and Natality (NVSS-M and
NVSS-N), CDC, NCHS
National Vital Statistics System -    DATA2010   Yes
Mortality and Natality (NVSS-M and
NVSS-N), CDC, NCHS
National Vital Statistics System -    DATA2010   Yes
Mortality and Natality (NVSS-M and
NVSS-N), CDC, NCHS
National Vital Statistics System -    DATA2010   Yes
Mortality and Natality (NVSS-M and
NVSS-N), CDC, NCHS
National Vital Statistics System -    DATA2010   Yes
Mortality and Natality (NVSS-M and
NVSS-N), CDC, NCHS
National Vital Statistics System -    DATA2010   Yes
Mortality and Natality (NVSS-M and
NVSS-N), CDC, NCHS
National Vital Statistics System -    DATA2010   Yes
Mortality and Natality (NVSS-M and
NVSS-N), CDC, NCHS
National Vital Statistics System -    DATA2010   Yes
Mortality and Natality (NVSS-M and
NVSS-N), CDC, NCHS
National Vital Statistics System -    DATA2010   Yes
Mortality (NVSSM), CDC, NCHS
National Vital Statistics System -    DATA2010   Yes
Mortality (NVSSM), CDC, NCHS
National Vital Statistics System -    DATA2010   Yes
Mortality (NVSSM), CDC, NCHS
National Vital Statistics System -    DATA2010   Yes
Mortality (NVSSM), CDC, NCHS
National Vital Statistics System -    DATA2010   Yes
Mortality (NVSSM), CDC, NCHS
National Vital Statistics System -    DATA2010   Yes
Mortality and Natality (NVSS-M and
NVSS-N), CDC, NCHS
National Hospital Discharge Survey    DATA2010   Yes
(NHDS), CDC, NCHS
National Vital Statistics System -    DATA2010   Yes
Natality (NVSS-N), CDC, NCHS
National Vital Statistics System -    DATA2010   Yes
Natality (NVSS-N), CDC, NCHS
         National Survey of Early Childhood    DATA2010   Yes
         Health (NSECH), CDC, NCHS

         Title V Reporting System, HRSA,       DATA2010   Yes
         MCHB
         National Vital Statistics System -    DATA2010   Yes
         Natality (NVSS-N), CDC, NCHS
         National Vital Statistics System -    DATA2010   Yes
         Natality (NVSS-N), CDC, NCHS
         National Vital Statistics System -    DATA2010   Yes
         Natality (NVSS-N), CDC, NCHS
         National Vital Statistics System -    DATA2010   Yes
         Natality (NVSS-N), CDC, NCHS
         National Immunization Survey (NIS),   DATA2010   Yes
         CDC, NCIRD and NCHS
         National Vital Statistics System -    DATA2010   Yes
         Natality (NVSS-N), CDC, NCHS
         National Vital Statistics System -    DATA2010   Yes
         Natality (NVSS-N), CDC, NCHS
         National Vital Statistics System -    DATA2010   Yes
         Natality (NVSS-N), CDC, NCHS
         National Infant Sleep Position        DATA2010   Yes
         Study, NIH, NICHD
         Metropolitan Atlanta Developmental    DATA2010   Yes
         Disabilities Surveillance Program
         (MADDSP), CDC, NCBDDD

         Metropolitan Atlanta Developmental    DATA2010   Yes
         Disabilities Surveillance Program
         (MADDSP), CDC, NCBDDD

Median   Metropolitan Atlanta Developmental    DATA2010   Yes
         Disabilities Surveillance Program
         (MADDSP), CDC, NCBDDD

         Metropolitan Atlanta Developmental    DATA2010   Yes
         Disabilities Surveillance Program
         (MADDSP), CDC, NCBDDD

         National Health and Nutrition         DATA2010   Yes
         Examination Survey (NHANES),
         CDC, NCHS
Median   National Health and Nutrition         DATA2010   Yes
         Examination Survey (NHANES),
         CDC, NCHS
         National Survey on Drug Use and       DATA2010   Yes
         Health (NSDUH), SAMSHA
         National Survey on Drug Use and       DATA2010   Yes
         Health (NSDUH), SAMSHA
         National Survey on Drug Use and       DATA2010   Yes
         Health (NSDUH), SAMSHA
         National Survey on Drug Use and       DATA2010   Yes
         Health (NSDUH), SAMSHA
         Fetal Alcohol Syndrome                DATA2010   Yes
         Surveillance Network (FASSNet),
         CDC, NCBDDD
         National Immunization Survey (NIS),   DATA2010   Yes
         CDC, NCIRD and NCHS
         National Immunization Survey (NIS),   DATA2010   Yes
         CDC, NCIRD and NCHS
         National Immunization Survey (NIS),   DATA2010   Yes
         CDC, NCIRD and NCHS
National Immunization Survey (NIS),   DATA2010   Yes
CDC, NCIRD and NCHS
National Immunization Survey (NIS),   DATA2010   Yes
CDC, NCIRD and NCHS
National Hospital Discharge Survey    DATA2010   Yes
(NHDS), CDC, NCHS
National Survey of Children with      DATA2010   Yes
Special Health Care Needs
(NSHCN), CDC, NCHS
National Survey of Children with      Data2010   Yes
Special Health Care Needs
(NSHCN), CDC, NCHS
National Survey of Pharmacy           DATA2010   Yes
Practice in Acute Care Settings,
American Society of Health Systems
Pharmacists
Annual Health Care Information and    DATA2010   Yes
Management Systems Society
(HIMSS) Leadership Survey,
Healthcare Information and
Management Society

National Survey of Ambulatory Care    DATA2010   Yes
Responsibilities of Pharmacists in
Managed Care and Integrated
Health Systems, American Society
of Health Systems Pharmacists
(ASHP)

National Survey of Ambulatory Care    DATA2010   Yes
Responsibilities of Pharmacists in
Managed Care and Integrated
Health Systems, American Society
of Health Systems Pharmacists
(ASHP)

National Survey of Ambulatory Care    DATA2010   Yes
Responsibilities of Pharmacists in
Managed Care and Integrated
Health Systems, American Society
of Health Systems Pharmacists
(ASHP)
Evaluation of written prescription    DATA2010   Yes
information provided in community
pharmacies, Food and Drug
Administration (FDA)
National Survey of Prescription       DATA2010   Yes
Medicine Information Received by
Consumers, Food and Drug
Administration (FDA)
National Survey of Prescription       DATA2010   Yes
Medicine Information Received by
Consumers, Food and Drug
Administration (FDA)
National Health Interview Survey      DATA2010   Yes
(NHIS), CDC, NCHS
National Vital Statistics System--    DATA2010   Yes
Mortality (NVSSM), CDC, NCHS
Youth Risk Behavior Surveillance      DATA2010   Yes
System (YRBSS), CDC, NCCDPHP
Projects for Assistance in Transition   DATA2010   Yes
from Homelessness (PATH) Annual
Application,
SAMHSA, CMHS
National Comorbidity Survey-            DATA2010   Yes
Replication (NCS-R), NIH, NIMH
Youth Risk Behavior Surveillance        DATA2010   Yes
System (YRBSS), CDC, NCCDPHP

National Household Survey on Drug       DATA2010   Yes
Abuse (SAMHSA), OAS
Epidemiologic Catchment Area            DATA2010   Yes
(ECA) Program, NIH, NIMH;
National Comorbidity Survey-
Replication (NCS-R)
Epidemiologic Catchment Area            DATA2010   Yes
(ECA) Program, NIH, NIMH;
National Comorbidity Survey-
Replication (NCS-R)
Epidemiologic Catchment Area            DATA2010   Yes
(ECA) Program, NIH, NIMH;
National Comorbidity Survey-
Replication (NCS-R)
Epidemiologic Catchment Area            DATA2010   Yes
(ECA) Program, NIH, NIMH;
National Comorbidity Survey-
Replication (NCS-R)
Epidemiologic Catchment Area            DATA2010   Yes
(ECA) Program, NIH, NIMH;
National Comorbidity Survey-
Replication (NCS-R)
National Health and Nutrition           DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS
National Health and Nutrition           DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS
National Health and Nutrition           DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS
National Health and Nutrition           DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS
National Health and Nutrition           DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS
Pediatric Nutrition Surveillance        DATA2010   Yes
System (PedNSS), CDC,
NCCDPHP
Continuing Survey of Food Intakes       DATA2010   Yes
by Individuals (CSFII), U.S.
Department of Agriculture
Agricultural Research Service
Continuing Survey of Food Intakes       DATA2010   Yes
by Individuals (CSFII), U.S.
Department of Agriculture
Agricultural Research Service
Continuing Survey of Food Intakes       DATA2010   Yes
by Individuals (CSFII), U.S.
Department of Agriculture
Agricultural Research Service
Continuing Survey of Food Intakes     DATA2010   Yes
by Individuals (CSFII), U.S.
Department of Agriculture
Agricultural Research Service
Continuing Survey of Food Intakes     DATA2010   Yes
by Individuals (CSFII), U.S.
Department of Agriculture
Agricultural Research Service
National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS
National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS
National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS
National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS
National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS
National Ambulatory Medical Care      DATA2010   Yes
Survey (NAMCS), CDC, NCHS



Food Security Supplement to the       DATA2010   Yes
Current Population Survey (CPS),
U.S. Census Bureau, US Dept of
Commerce
Census of Fatal Occupational          DATA2010   Yes
Injuries (CFOI), DOL, BLS
Census of Fatal Occupational          DATA2010   Yes
Injuries (CFOI), DOL, BLS
Census of Fatal Occupational          DATA2010   Yes
Injuries (CFOI), DOL, BLS
Census of Fatal Occupational          DATA2010   Yes
Injuries (CFOI), DOL, BLS
Census of Fatal Occupational          DATA2010   Yes
Injuries (CFOI), DOL, BLS
Survey of Occupational Injuries and   DATA2010   Yes
Illnesses, DOL, BLS, National
Electronic Injury Surveillance
System (NEISS), CPSC, NIOSH
Survey of Occupational Injuries and   DATA2010   Yes
Illnesses, DOL, BLS, National
Electronic Injury Surveillance
System (NEISS), CPSC, NIOSH
Survey of Occupational Injuries and   DATA2010   Yes
Illnesses, DOL, BLS, National
Electronic Injury Surveillance
System (NEISS), CPSC, NIOSH
Survey of Occupational Injuries and   DATA2010   Yes
Illnesses, DOL, BLS, National
Electronic Injury Surveillance
System (NEISS), CPSC, NIOSH
Survey of Occupational Injuries and   DATA2010   Yes
Illnesses, DOL, BLS, National
Electronic Injury Surveillance
System (NEISS), CPSC, NIOSH
Survey of Occupational Injuries and     DATA2010   Yes
Illnesses, DOL, BLS, National
Electronic Injury Surveillance
System (NEISS), CPSC, NIOSH
Survey of Occupational Injuries and     DATA2010   Yes
Illnesses, DOL, BLS, National
Electronic Injury Surveillance
System (NEISS), CPSC, NIOSH
Survey of Occupational Injuries and     DATA2010   Yes
Illnesses, DOL, BLS, National
Electronic Injury Surveillance
System (NEISS), CPSC, NIOSH
Survey of Occupational Injuries and     DATA2010   Yes
Illnesses, DOL, BLS
National Surveillance System for        DATA2010   Yes
Pneumoconiosis Mortality (NSSPM),
CDC, NIOSH
Census of Fatal Occupational            DATA2010   Yes
Injuries (CFOI), DOL, BLS
National Crime Victimization            DATA2010   Yes
Survey, DOJ, BJS
Adult Blood Lead Epidemiology and       DATA2010   Yes
Surveillance Program(ABLES),
CDC, NIOSH
Survey of Occupational Injuries and     DATA2010   Yes
Illnesses, DOL, BLS
National Surveillance System for        DATA2010   Yes
Health Care Workers (NaSH), CDC,
NCID, Exposure Prevention
Information Network (EPINet),
International Health Care Worker
Safety Center, University of Virginia

Potential: Survey of Occupational       DATA2010   Yes
Injuries and Illnesses (SOII), DOL,
BLS
National Health and Nutrition           DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS;
California Oral Health Assessment
of Children, 1993-94, Dental Health
Foundation

National Health and Nutrition           DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS;
California Oral Health Assessment
of Children, 1993-94, Dental Health
Foundation
National Health and Nutrition           DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS;
California Oral Health Assessment
of Children, 1993-94, Dental Health
Foundation
National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS;
California Oral Health Assessment
of Children, 1993-94, Dental Health
Foundation
National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS;
California Oral Health Assessment
of Children, 1993-94, Dental Health
Foundation

National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS;
California Oral Health Assessment
of Children, 1993-94, Dental Health
Foundation

National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS;
California Oral Health Assessment
of Children, 1993-94, Dental Health
Foundation

National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS

National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS
National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS
National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS
Surveillance, Epidemiology, and       DATA2010   Yes
End Results (SEER), NIH, NCI
National Health Interview Survey      DATA2010   Yes
(NHIS), CDC, NCHS

National Health and Nutrition         DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS;
Hawai'i Children's Oral Health
Assessment, 1999, State of Hawaii
Department of Health
National Health and Nutrition        DATA2010   Yes
Examination Survey (NHANES),
CDC, NCHS; Oral Health Survey of
Native Americans, 1999, IHS;
Hawai'i Children's Oral Health
Assessment, 1999, State of Hawaii
Department of Health
CDC Fluoridation Census, CDC,        DATA2010   Yes
NCCDPHP
Medical Expenditure Panel Survey     DATA2010   Yes
(MEPS), AHRQ
Medical Expenditure Panel Survey     DATA2010   Yes
(MEPS), AHRQ
Medical Expenditure Panel Survey     DATA2010   Yes
(MEPS), AHRQ
National Health Interview Survey,    DATA2010   Yes
CDC, NCHS
National Vital Statistics System     DATA2010   Yes
(NVSS), CDC, NCHS
National Vital Statistics System     DATA2010   Yes
(NVSS), CDC, NCHS
National Vital Statistics System     DATA2010   Yes
(NVSS), CDC, NCHS
National Vital Statistics System     DATA2010   Yes
(NVSS), CDC, NCHS
National Vital Statistics System     DATA2010   Yes
(NVSS), CDC, NCHS
National Hospital Discharge Survey   DATA2010   Yes
(NHDS), CDC, NCHS
National Hospital Discharge Survey   DATA2010   Yes
(NHDS), CDC, NCHS
National Hospital Discharge Survey   DATA2010   Yes
(NHDS), CDC, NCHS
National hospital Ambulatory         DATA2010   Yes
Medical Care Survey (NHAMCS),
CDC, NCHS
National hospital Ambulatory         DATA2010   Yes
Medical Care Survey (NHAMCS),
CDC, NCHS
National hospital Ambulatory         DATA2010   Yes
Medical Care Survey (NHAMCS),
CDC, NCHS
National health Interview Survey,    DATA2010   Yes
CDC, NCHS
National health Interview Survey,    DATA2010   Yes
CDC, NCHS


National health Interview Survey,    DATA2010   Yes
CDC, NCHS

National health Interview Survey,    DATA2010   Yes
CDC, NCHS

National Health Interview Survey,    DATA2010   Yes
CDC, NCHS

National Health Interview Survey,    DATA2010   Yes
CDC, NCHS
National Health Interview Survey,    DATA2010   Yes
CDC, NCHS
National Health Interview Survey,    DATA2010   Yes
CDC, NCHS
National Health Interview Survey,    DATA2010   Yes
CDC, NCHS
National Health Interview Survey,    DATA2010   Yes
CDC, NCHS
Potential: National Health and       DATA2010   Yes
Nutrition Examination Survey, CDC,
NCHS
STD Surveillance System, CDC,        DATA2010   Yes
NCHSTP, National Job Training
Program, U.S. Department of Labor

STD Surveillance System, CDC,        DATA2010   Yes
NCHSTP, National Job Training
Program, U.S. Department of Labor

STD Surveillance System, CDC,        DATA2010   Yes
NCHSTP, National Job Training
Program, U.S. Department of Labor

STD Surveillance System, CDC,        DATA2010   Yes
NCHSTP, National Job Training
Program, U.S. Department of Labor

STD Surveillance System, CDC,        DATA2010   Yes
NCHSTP
STD Surveillance System, CDC,        DATA2010   Yes
NCHSTP
STD Surveillance System, CDC,        DATA2010   Yes
NCHSTP
National Health and Nutrition        DATA2010   Yes
Examination Survey, CDC, NCHS
Potential: National Health and       DATA2010   Yes
Nutrition Examination Survey, CDC,
NCHS
National Survey of Family Growth     DATA2010   Yes
(NSFG), CDC, NCHS
National Survey of Family Growth     DATA2010   Yes
(NSFG), CDC, NCHS


STD Surveillance System, CDC,        DATA2010   Yes
NCHSTP, National Vital Statistics
System (NVSS), CDC, NCHS
Youth Risk Behavior Surveillance     DATA2010   Yes
System (YRBSS), CDC, NCCDPHP

Youth Risk Behavior Surveillance     DATA2010   Yes
System (YRBSS), CDC, NCCDPHP

Youth Risk Behavior Surveillance     DATA2010   Yes
System (YRBSS), CDC, NCCDPHP

Health Employer Data and             DATA2010   Yes
Information Set (HEDIS), National
Committee for Quality Assurance
(NCQA)
Health Employer Data and             DATA2010   Yes
Information Set (HEDIS), National
Committee for Quality Assurance
(NCQA)
Fatality Analysis Reporting System   DATA2010   Yes
(FARS), DOT, NHTSA
National Vital Statistics System     DATA2010   Yes
(NVSS), CDC, NCHS
National Vital Statistics System     DATA2010   Yes
(NVSS), CDC, NCHS
Drug Abuse Warning Network           DATA2010   Yes
(DAWN), SAMHSA
Potential: National Hospital         DATA2010   Yes
Ambulatory Medical Care Survey
(NHAMCS), CDC, NCHS
YRBSS, CDC, NCCDPHP                  DATA2010   Yes


Potential: National Crime            DATA2010   Yes
Victimization Survey (NCVS), U.S.
Department of Justice, Bureau of
Justice Statistics
National Household Survey on Drug    DATA2010   Yes
Abuse (NHSDA), SAMHSA
National Survey on Drug Use and      DATA2010   Yes
Health Abuse (NSDUH), SAMHSA,
Monitoring the Future Study, NIH,
NIDA
National Survey on Drug Use and      DATA2010   Yes
Health Abuse (NSDUH), SAMHSA
National Survey on Drug Use and      DATA2010   Yes
Health Abuse (NSDUH), SAMHSA
Monitoring the Future Study (MTY),   DATA2010   Yes
NIH, NIDA
Monitoring the Future Study (MTY),   DATA2010   Yes
NIH, NIDA
Alcohol Epidemiologic Data System    DATA2010   Yes
(AEDS), NIH, NIAAA
Alcohol Epidemiologic Data System    DATA2010   Yes
(AEDS), NIH, NIAAA
Alcohol Epidemiologic Data System    DATA2010   Yes
(AEDS), NIH, NIAAA
Monitoring the Future Study (MTY),   DATA2010   Yes
NIH, NIDA
Monitoring the Future Study (MTY),   DATA2010   Yes
NIH, NIDA
National Survey on Drug Use and      DATA2010   Yes
Health (NSDUH), SAMHSA
Monitoring the Future Study (MTY),   DATA2010   Yes
NIH, NIDA
Monitoring the Future Study (MTY),   DATA2010   Yes
NIH, NIDA
Monitoring the Future Study (MTY),   DATA2010   Yes
NIH, NIDA
Monitoring the Future Study (MTY),   DATA2010   Yes
NIH, NIDA
Monitoring the Future Study (MTY),   DATA2010   Yes
NIH, NIDA
Monitoring the Future Study (MTY),   DATA2010   Yes
NIH, NIDA
National Survey on Drug Use and      DATA2010   Yes
Health (NSDUH), SAMHSA
National Survey on Drug Use and       DATA2010   Yes
Health (NSDUH), SAMHSA
National Survey on Drug Use and       DATA2010   Yes
Health (NSDUH), SAMHSA
National Survey on Drug Use and       DATA2010   Yes
Health (NSDUH), SAMHSA

National Survey on Drug Use and       DATA2010   Yes
Health (NSDUH), SAMHSA

Potential: Survey of Inmates in       DATA2010   Yes
State and Federal Correctional
Facilities and Survey of Inmates in
Local Jails, Department of Justice,
Bureau of Justice Statistics
Treatment Episodes data System,       DATA2010   Yes
SAMHSA, OAS
Potential: National Hospital          DATA2010   Yes
Ambulatory Medical Care Survey
(NHAMCS), CDC, NCHS

Potential: National Hospital          DATA2010   Yes
Ambulatory Medical Care Survey
(NHAMCS), CDC, NCHS

NHIS, CDC, NCHS                       DATA2010   Yes


Youth Risk Behavior Surveillance      DATA2010   Yes
System (YRBSS), CDC, NCCDPHP




National Survey on Drug Use and       DATA2010   Yes
Health (NSDUH), SAMHSA
National Survey on Drug Use and       DATA2010   Yes
Health (NSDUH), SAMHSA

NHIS, CDC, NCHS                       DATA2010   Yes

NHIS, CDC, NCHS                       DATA2010   Yes

YRBSS, CDC, NCCDPHP                   DATA2010   Yes

NHIS, CDC, NCHS                       DATA2010   Yes

NHANES, CDC, NCHS                     DATA2010   Yes

Current Population Survey (CPS),      DATA2010   Yes
U.S. Bureau of the Census and U.S.
Bureau of Labor Statistics
National Youth Tobacco Survey         DATA2010   Yes
(NYTS), American Legacy
Foundation and CDC
Monitoring the Future Study (MTY),    DATA2010   Yes
NIH, NIDA
Monitoring the Future Study (MTY),    DATA2010   Yes
NIH, NIDA
Monitoring the Future Study (MTY),    DATA2010   Yes
NIH, NIDA
National Health Interview Survey,     DATA2010   Yes
CDC, NCHS
National Health Interview Survey,         DATA2010                         Yes
CDC, NCHS
National Health and Nutrition             DATA2010                         Yes
Examination Survey, CDC, NCHS
National Health Interview survey,         DATA2010                         Yes
CDC, NCHS
National Health Interview Survey,         DATA2010                         Yes
CDC, NCHS
National Health Interview Survey,         DATA2010                         Yes
CDC, NCHS
National Health Interview Survey,         DATA2010                         Yes
CDC, NCHS
Survey of Occupational Injuries and       DATA2010                         Yes
Illnesses (ASOII), U.S. Department
of Labor, Bureau of Labor Statistics;
National Electronic Injury
Surveillance System (NEISS),
CPSC and CDC, NIOSH


National Health Interview Survey,         DATA2010                         Yes
CDC, NCHS
National Health Interview Survey,         DATA2010                         Yes
CDC, NCHS
State-based Early Hearing                 DATA2010                         Yes
Detection and Intervention (EHDI)
Program Network, CDC and/or
specific State data
National Ambulatory Medical Care          DATA2010                         Yes
Survey (NAMCS), CDC, NCHS;
National Hospital Ambulatory
Medical Care Survey (NHAMCS),
CDC, NCHS
NHIS, CDC, NCHS; NHANES, CDC,             DATA2010                         Yes
NCHS; Healthcare Cost and
Utilization Project (HCUP), AHRQ

NHANES, CDC, NCHS                         DATA2010                         Yes




NHIS, CDC, NCHS                           DATA2010                         Yes


Uniform Reporting System           GPRA   SAMHSA Web site                  No
http://mentalhealth.samhsa.gov/cmh
s/MentalHealthStatistics/UniformRe
port.asp

Uniform Reporting System           GPRA   SAMHSA Web site; Note: This      Yes
http://mentalhealth.samhsa.gov/cmh        measure has been discontinued.
s/MentalHealthStatistics/UniformRe
port.asp
Uniform Reporting System           GPRA   SAMHSA Web site; Note: This      Yes
http://mentalhealth.samhsa.gov/cmh        measure has been discontinued.
s/MentalHealthStatistics/UniformRe
port.asp
Transformation Accountability      GPRA   SAMHSA Web site                  Yes
System
Transformation Accountability      GPRA   SAMHSA Web site                  Yes
System
Uniform Reporting System           GPRA      SAMHSA Web site   Yes
http://mentalhealth.samhsa.gov/cmh
s/MentalHealthStatistics/UniformRe
port.asp
Uniform Reporting System           GPRA      SAMHSA Web site   Yes
http://mentalhealth.samhsa.gov/cmh
s/MentalHealthStatistics/UniformRe
port.asp
Transformation Accountability      GPRA      SAMHSA Web site   Yes
System

Uniform Reporting System           GPRA      SAMHSA Web site   Yes
http://mentalhealth.samhsa.gov/cmh
s/MentalHealthStatistics/UniformRe
port.asp and National Co-morbidity
Study Replication
Uniform Reporting System              GPRA   SAMHSA Web site   Yes
http://mentalhealth.samhsa.gov/cmh
s/MentalHealthStatistics/UniformRe
port.asp
Uniform Reporting System              GPRA   SAMHSA Web site   Yes
http://mentalhealth.samhsa.gov/cmh
s/MentalHealthStatistics/UniformRe
port.asp
Uniform Reporting System              GPRA   SAMHSA Web site   Yes
http://mentalhealth.samhsa.gov/cmh
s/MentalHealthStatistics/UniformRe
port.asp
Uniform Reporting System              GPRA   SAMHSA Web site   Yes
http://mentalhealth.samhsa.gov/cmh
s/MentalHealthStatistics/UniformRe
port.asp
Uniform Reporting System              GPRA   SAMHSA Web site   Yes
http://mentalhealth.samhsa.gov/cmh
s/MentalHealthStatistics/UniformRe
port.asp
Uniform Reporting System              GPRA   SAMHSA Web site   Yes
http://mentalhealth.samhsa.gov/cmh
s/MentalHealthStatistics/UniformRe
port.asp
Uniform Reporting System              GPRA   SAMHSA Web site   Yes
http://mentalhealth.samhsa.gov/cmh
s/MentalHealthStatistics/UniformRe
port.asp
Uniform Reporting System              GPRA   SAMHSA Web site   Yes
http://mentalhealth.samhsa.gov/cmh
s/MentalHealthStatistics/UniformRe
port.asp
Uniform Reporting System              GPRA   SAMHSA Web site   Yes
http://mentalhealth.samhsa.gov/cmh
s/MentalHealthStatistics/UniformRe
port.asp
Uniform Reporting System              GPRA   SAMHSA Web site   Yes
http://mentalhealth.samhsa.gov/cmh
s/MentalHealthStatistics/UniformRe
port.asp
Program Budget and CSAT               GPRA   SAMHSA Web site   Yes
Services Accountability Information
System
Number of people served by public mental health system   Uniform Reporting System           GPRA               SAMHSA Web site              Yes
                                                         http://mentalhealth.samhsa.gov/cmh
                                                         s/MentalHealthStatistics/UniformRe
                                                         port.asp
                                                         HCAHPS                             Public reporting   Hospital Compare             Yes




                                                         HCAHPS                             Public reporting   Hospital Compare             Yes




                                                         HCAHPS                             Public reporting   Hospital Compare   Current   Yes




                                                         HCAHPS                             Public reporting   Hospital Compare   Current   Yes




                                                         HCAHPS                             Public reporting   Hospital Compare   Current   Yes




                                                         HCAHPS                             Public reporting   Hospital Compare   Current   Yes




                                                         HCAHPS                             Public reporting   Hospital Compare   Current   Yes


                                                         HCAHPS                             Public reporting   Hospital Compare   Current   Yes


                                                         HCAHPS                             Public reporting   Hospital Compare   Current   Yes


                                                         HCAHPS                             Public reporting   Hospital Compare   Current   Yes
NEW_NQF_Endor
sement
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