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South Carolina

Ambulatory Care Quality Measures and Metrics Compared to All States

State Performance Ratings

Rating Number of Measures for State in Summary Measure Number of Measures for All States in Summary Measure
Better than Average = The State rate on an NHQR measure is better than the all-State/regional average and is statistically different from the all-State/regional average. 8 492
Average = The State rate on an NHQR measure is not statistically different from the all-State/regional average. 23 1057
Worse than Average = The State rate on an NHQR measure is worse than the all-State/regional average and is statistically different from the all-State/regional average. 19 615
N/A = An estimate or standard error was not available for a State measure or the relative standard error is greater than or equal to 30 percent. 0 386
Total number of measures for the State (excluding measures that are N/A) 50 2164

Measures for which South Carolina's rate is Better than the all-State Average

Quality Dimension Short Measure Name State Performance1 Most Recent Data Year State Rate All-State Average2 Regional Average Baseline Year Average Annual Change3 Direction of Change Data Source4 Full NHQR Measure Title NHQR Table Number5
Avoidable Hospitalization Adult admissions - angina without procedure Better than Average 2007 19.7 25.3 25.5 2000 -15.1% Improved HCUP Admissions for angina without procedure (excluding patients with cardiac procedures, transfers from other institutions, and obstetric admissions) per 100,000 adult population 17_2_2.3
Cancer Colonoscopy or sigmoidoscopy Better than Average 2008 66 64.2 67.1 2001 5.0% Improved BRFSS Percentage of adults age 50 and over who ever received a colonoscopy or sigmoidoscopy 1_3_2.3
End Stage Renal Disease Adequate dialysis Better than Average 2008 96.8 96.2 96.1 2000 1.3% Improved UMKECC Percentage of adult hemodialysis patients with adequate dialysis 3_1_1.2
End Stage Renal Disease End stage renal disease - hemodialysis with arteriovenous fistula Better than Average 2009 16.6 13.1 12.8 2008 0.0% Unchanged FFIAF_AVFD Percentage of new end stage renal disease patients who initiated hemodialysis with an arteriovenous fistula 3_1_5.2
Heart Disease Blood cholesterol testing Better than Average 2007 77.6 74.4 77.8 2001 -0.1% Unchanged BRFSS Percentage of adults who had their blood cholesterol checked within the preceding 5 years 4_1_3.4
Patient Centeredness Always had good communication with providers - adults on Medicaid Better than Average 2009 74.4 70.3 71.3 2007 No Data No Data CAHPS Percentage of adults who had a doctor's office or clinic visit in the last 6 months whose health providers always listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, Medicaid 14_1_1.5
Timeliness Always got routine appointments - adults on Medicare fee-for-service Better than Average 2009 66.5 61.5 62.2 2007 0.6% Unchanged CAHPS Percentage of adults who had an appointment for routine health care in the last 12 months who always got appointments for routine care as soon as wanted, Medicare fee-for-service 13_1_1.3
Timeliness Always got routine appointments - adults on Medicaid Better than Average 2009 59.9 54.2 55.5 2007 No Data No Data CAHPS Percentage of adults who had an appointment for routine health care in the last 6 months who always got appointments for routine care as soon as wanted, Medicaid 13_1_1.5


1 State Performance is for the most recent data year compared to All States

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

3 The sign on entries under the column "Average Annual Change" indicates whether the measure has risen or fallen since the baseline year. Because "+" or "-" can represent an improvement or a worsening depending on how the measure is constructed, the column "Direction of Change" helps the user know what the change means.

4 Additional information about data sources/acronyms.

5 Select for other States' rates.

Measures for which South Carolina's rate is similar to the all-State Average

Quality Dimension Short Measure Name State Performance6 Most Recent Data Year State Rate All-State Average7 Regional Average Baseline Year Average Annual Change8 Direction of Change Data Source9 Full NHQR Measure Title NHQR Table Number10
Avoidable Hospitalization Adult admissions - perforated appendix Average 2007 264.2 277.6 280.5 2000 -2.5% Improved HCUP Admissions with perforated appendix per 1,000 adult admissions with appendicitis (excluding obstetric admissions and transfers from other institutions) 17_2_5.5
Avoidable Hospitalization Pediatric admissions - perforated appendix Average 2007 301.4 297.9 303.7 2000 3.7% Worsened HCUP Admissions with perforated appendix per 1,000 admissions, ages1-17, with appendicitis (excluding transfers from other institutions, obstetric admissions, normal newborns, and neonates) 17_2_5.6
Cancer Pap tests Average 2008 80.1 79.0 82.1 2000 -1.2% Worsened BRFSS Percentage of women age 18 and over who received a Pap smear within the last 3 years 1_2_1.3
Cancer Fecal occult blood tests Average 2008 21.3 21.6 23.9 2001 -6.6% Worsened BRFSS Percentage of adults age 50 and over who received a fecal occult blood test in the last 2 years 1_3_3.3
Diabetes Diabetes hemoglobin A1c tests Average 2008 93.2 91.8 91.3 2001 1.5% Improved BRFSS Percentage of adults age 40 and over with diagnosed diabetes who received a hemoglobin A1c measurement in the calendar year 2_1_2.3
Diabetes Diabetes foot exams Average 2008 73.4 74.3 75.5 2001 -0.8% Unchanged BRFSS Percentage of adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year 2_1_4.3
Diabetes Diabetes with flu shots Average 2008 40 47.0 45.3 2001 -2.3% Worsened BRFSS Percentage of noninstitutionalized high-risk adults ages 18-64 with diabetes who had an influenza immunization in the past year 2_1_5.3
Maternal and Child Health Children fully vaccinated Average 2008 78.8 77.7 78.0 2000 0.0% Unchanged NIS Percentage of children ages 19-35 months who received all recommended vaccines (4:3:1:3:3) 6_3_1.3
Maternal and Child Health Children receiving DPT vaccine Average 2008 84.7 84.8 85.5 2000 0.3% Unchanged NIS Percentage of children ages 19-35 months who received 4 or more doses of diphtheria-pertussis-tetanus vaccine 6_3_2.3
Maternal and Child Health Children receiving polio vaccine Average 2008 94.6 96.2 93.7 2000 -0.1% Unchanged NIS Percentage of children ages 19-35 months who received 3 or more doses of polio vaccine 6_3_3.3
Maternal and Child Health Children receiving MMR vaccine Average 2008 88.5 92.2 92.2 2000 -0.5% Unchanged NIS Percentage of children ages 19-35 months who received 1 dose of measles-mumps-rubella vaccine 6_3_4.3
Maternal and Child Health Children receiving Hib vaccine Average 2008 90.2 91.7 91.4 2000 -1.0% Worsened NIS Percentage of children ages 19-35 months who received 3 or more doses of Haemophilus influenzae type B (Hib) vaccine 6_3_5.3
Maternal and Child Health Children receiving hepititis B vaccine Average 2008 95.8 94.3 94.8 2000 0.1% Unchanged NIS Percentage of children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 6_3_6.3
Maternal and Child Health Children receiving varicella vaccine Average 2008 89.2 90.7 91.8 2000 3.0% Improved NIS Percentage of children ages 19-35 months who received 1 or more dose of varicella vaccine 6_3_7.3
Patient Centeredness Always had good communication with providers - adults on Medicare fee-for-service Average 2009 75.9 74.7 74.0 2007 -1.2% Worsened CAHPS Percentage of adults who had a doctor's office or clinic visit in the last 12 months whose health providers always listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, Medicare fee-for-service 14_1_1.3
Patient Centeredness Always had good communication with providers - adults on Medicare managed care Average 2009 76.6 75.4 74.7 2007 No Data No Data CAHPS Percentage of adults who had a doctor's office or clinic visit in the last 12 months whose health providers always listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, Medicare managed care 14_1_1.4
Patient Centeredness Always had good communication with providers - children on Medicaid Average 2009 75.5 73.9 77.0 2007 No Data No Data CAHPS Percentage of children who had a doctor's office or clinic visit in the last 6 months whose health providers always listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them, Medicaid 14_1_2.3
Respiratory Diseases Pneumonia vaccine ever - age 65 plus Average 2008 67.1 67.6 66.6 2001 1.6% Improved BRFSS Percentage of adults age 65 and over who ever received a pneumococcal vaccination 8_1_5.4
Timeliness Always got routine appointments - children on Medicaid Average 2009 66.8 65.8 66.6 2007 No Data No Data CAHPS Percentage of children who had an appointment for routine health care in the last 6 months who always got appointments for routine care as soon as wanted, Medicaid 13_1_2.3
Timeliness Always got appointment for illness/injury/condition - adults on Medicare fee-for-service Average 2009 72.3 69.5 68.8 2007 -0.7% Unchanged CAHPS Percentage of adults who needed care right away for an illness, injury, or condition in the last 12 months who always got care as soon as wanted, Medicare fee-for-service 13_1_3.3
Timeliness Always got appointment for illness/injury/condition - adults on Medicare managed care Average 2009 63.3 69.7 68.2 2007 No Data No Data CAHPS Percentage of adults who needed care right away for an illness, injury, or condition in the last 12 months who got care as soon as wanted, Medicare managed care 13_1_3.4
Timeliness Always got appointment for illness/injury/condition - adults on Medicaid Average 2009 62.6 59.7 59.5 2007 No Data No Data CAHPS Percentage of adults who needed care right away for an illness, injury, or condition in the last 6 months who got care as soon as wanted, Medicaid 13_1_3.5
Timeliness Always got appointment for illness/injury/condition - children on Medicaid Average 2009 73.8 76.4 77.3 2007 No Data No Data CAHPS Percentage of children who needed care right away for an illness, injury, or condition in the last 6 months who always got care as soon as wanted, Medicaid 13_1_4.3


6 State Performance is for the most recent data year compared to All States

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

8 The sign on entries under the column "Average Annual Change" indicates whether the measure has risen or fallen since the baseline year. Because "+" or "-" can represent an improvement or a worsening depending on how the measure is constructed, the column "Direction of Change" helps the user know what the change means.

9 Additional information about data sources/acronyms.

10 Select for other States' rates.

Measures for which South Carolina's rate is Worse than the all-State Average

Quality Dimension Short Measure Name State Performance11 Most Recent Data Year State Rate All-State Average12 Regional Average Baseline Year Average Annual Change13 Direction of Change Data Source14 Full NHQR Measure Title NHQR Table Number15
Avoidable Hospitalization Adult admissions - hypertension Worse than Average 2007 77.8 49.7 70.0 2000 4.4% Worsened HCUP Admissions for hypertension (excluding patients with cardiac procedures, obstetric conditions, and transfers from other institutions) per 100,000 adult population 17_2_1.3
Avoidable Hospitalization Adult admissions - COPD Worse than Average 2007 203.1 168.5 189.7 2004 -4.4% Improved HCUP Adult admissions for chronic obstructive pulmonary disease (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 and over, by State, 2004-2007 17_2_3.3
Avoidable Hospitalization Adult admissions - bacterial pneumonia Worse than Average 2007 373.9 339.1 320.0 2000 -2.6% Improved HCUP Bacterial pneumonia admissions (excluding sickle cell or hemoglobin-S conditions, transfers from other institutions, and obstetric admissions) per 100,000 adult population 17_2_4.3
Cancer Mammograms Worse than Average 2008 74 76.2 77.6 2000 -0.8% Unchanged BRFSS Percentage of women age 40 and over who received a mammogram in the last 2 years 1_1_1.3
Diabetes Diabetes eye exams Worse than Average 2008 68.3 73.5 74.0 2001 -0.2% Unchanged BRFSS Percentage of adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 2_1_3.3
Diabetes Adult admissions - diabetes, uncomplicated Worse than Average 2007 25.5 15.6 23.3 2000 -7.8% Improved HCUP Adult admissions for uncontrolled diabetes without complications (excluding obstetric admissions and transfers from other institutions) per 100,000 population 2_3_1.3
Diabetes Adult admissions - diabetes, short-term complications Worse than Average 2007 79.6 55.3 65.4 2000 3.0% Worsened HCUP Adult admissions for diabetes with short-term complications (excluding obstetric admissions and transfers from other institutions) per 100,000 population 2_3_2.5
Diabetes Pediatric admissions - diabetes, short-term complications Worse than Average 2007 40.1 29.1 30.0 2000 0.7% Unchanged HCUP Pediatric admissions ages 6-17 for diabetes with short-term complications (excluding transfers from other institutions) per 100,000 population 2_3_2.6
Diabetes Adult admissions - diabetes, long-term complications Worse than Average 2007 150.8 113.7 123.4 2000 -0.6% Unchanged HCUP Adult admissions for diabetes with long-term complications (excluding obstetric admissions and transfers from other institutions) per 100,000 population 2_3_3.3
End Stage Renal Disease Dialysis and on kidney transplant list Worse than Average 2006 10.5 15.9 11.9 2000 -1.6% Worsened USRDS Percentage of dialysis patients under age 70 who were registered on a waiting list for transplantation 3_1_2.3
End Stage Renal Disease Renal failure and kidney transplant Worse than Average 2004 14.3 16.8 15.0 2000 -2.3% Worsened USRDS Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 3_1_3.3
End Stage Renal Disease Mortality ratio for dialysis patients Worse than Average 2008 1 0.9 0.9 2000 -1.2% Improved UMKECC Ratio of observed deaths to expected deaths among hemodialysis patients 3_1_4.1
Heart Disease Adult admissions - heart failure Worse than Average 2007 456.2 379.0 426.6 2000 -3.2% Improved HCUP Adult admissions for congestive heart failure (excluding patients with cardiac procedures, obstetric conditions, and transfers from other institutions) per 100,000 population 4_3_4.1
Respiratory Diseases Flu vaccine - age 65 and over Worse than Average 2008 68.9 71.7 69.6 2001 0.3% Unchanged BRFSS Percentage of adults age 65 and over who received an influenza vaccination in the last 12 months 8_1_2.4
Respiratory Diseases Admissions for seniors - influenza Worse than Average 2007 21.7 16.6 16.2 2000 -13.6% Improved HCUP Immunization-preventable influenza admissions ages 65 and over (excluding transfers from other institutions) per 100,000 population 8_1_3.3
Respiratory Diseases Pediatric admissions - asthma Worse than Average 2007 174 118.7 139.9 2000 -1.1% Improved HCUP Pediatric asthma admissions ages 2-17 (excluding patients with cystic fibrosis or anomalies of the respiratory system and transfers from other institutions) per 100,000 population 8_3_2.7
Respiratory Diseases Admissions for seniors - asthma Worse than Average 2007 232.9 199.9 227.2 2000 3.5% Worsened HCUP Adult asthma admissions age 65 and over (excluding patients with cystic fibrosis or anomalies of the respiratory system, obstetric admissions and transfers from other institutions) per 100,000 population 8_3_2.8
Respiratory Diseases Adult admissions - asthma Worse than Average 2007 121.6 103.3 120.6 2000 -0.2% Unchanged HCUP Adult asthma admissions (excluding patients with cystic fibrosis or anomalies of the respiratory system, obstetric admissions, and transfers from other institutions) per 100,000 population 8_3_2.9
Timeliness Always got routine appointments - adults on Medicare managed care Worse than Average 2009 56.8 61.6 61.8 2007 No Data No Data CAHPS Percentage of adults who had an appointment for routine health care in the last 12 months who always got appointments for routine care as soon as wanted, Medicare managed care 13_1_1.4


11 State Performance is for the most recent data year compared to All States

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

13 The sign on entries under the column "Average Annual Change" indicates whether the measure has risen or fallen since the baseline year. Because "+" or "-" can represent an improvement or a worsening depending on how the measure is constructed, the column "Direction of Change" helps the user know what the change means.

14 Additional information about data sources/acronyms.

15 Select for other States' rates.