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California

2006 National Healthcare Quality Report

Ranking on Selected Measures


The following ranking shows how well this State is performing among all the States on 15 important measures of health care quality from the 2006 National Healthcare Quality Report, selected to represent a broad range of many common diseases.

Measure1 Definition All-State Average2 State Rate State Rank
Cancer
Breast cancer deaths Cancer deaths per 100,000 female population per year for breast cancer 25.2 23.6 13
Colorectal cancer deaths Cancer deaths per 100,000 population per year for colorectal cancer 18.9 17 5
Diabetes
Diabetes flu shots Percent of noninstitutionalized high-risk adults age 18-64 with diabetes who had an influenza immunization in the past year 42.3 37 37
End stage renal disease
Dialysis and good urea reduction -- Medicare Percent of Medicare hemodialysis patients with urea reduction ratio 65 percent or higher 93.2 90.6 43
Heart Disease
Beta blocker prescribed at discharge for heart attack -- Medicare Percent of Medicare AMI patients with beta blocker prescribed at discharge 90.8 80.2 51
ACE inhibitor prescribed at discharge for heart attack with dysfunction -- Medicare Percent of Medicare AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge 69.7 56.9 49
Maternal and child health
Prenatal care Percent of pregnant women receiving prenatal care in first trimester 84.2 87.3 11
Children fully vaccinated Percent of children age 19-35 months who received all recommended vaccines (4:3:1:3:3) 82.0 81.3 30
Mental health
Suicide deaths Suicide deaths per 100,000 population 10.2 9.8 11
Respiratory diseases
Pneumonia vaccinations -- age 65 plus Percent of adults age 65 and over who ever received a pneumococcal vaccination 64.9 63.4 34
Nursing home and home health care
Nursing home residents -- physically restrained Chronic care: Percent of nursing home residents who were physically restrained 5.3 14.6 48
Nursing home residents -- with pressure sores in low-risk cases Chronic care: Percent of low-risk nursing home residents who have pressure sores 2.6 2.3 7
Medicare home health care -- improved mobility Percent of home health care Medicare patients who get better at walking or moving around 36.9 37.9 18
Getting appointments for care
Always get appointment for care -- Medicare, fee for service Percent of adults age 18 and over on Medicare fee for service who reported that they can always get care for illness/injury as soon as they wanted 74.7 71.4 42
Patient experience of care
High satisfaction overall with providers -- Medicare, fee for service Percent of adults age 18 and over on Medicare fee for service whose health providers always listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them 67.6 66 45


1 Further details on measure specifications are available in the NHQR Measure Specifications Appendix.

2 These All-State averages are consistently calculated across all measures and differ slightly from those in the National Healthcare Quality Report. For more information, visit the Methods page.