2023 National Healthcare Quality and Disparities Report
Appendix B. Quality Trends and Disparities Tables
Appendix B contains data tables showing trends in quality for measures by topic (e.g., Access, Person-Centered Care), as well as single-year disparities information by demographic group (e.g., race, income). Data years vary by measure and data source and some data may not be available for some measures or groups.
Data Source Changes Due to the COVID-19 Pandemic
Due to the coronavirus disease of 2019 (COVID-19) pandemic, many data sources modified their data collection methodology in 2020. The hospital, home health care, and hospice Consumer Assessment of Healthcare Providers and Systems data were collected only for the last two quarters of 2020. The Quality and Safety Review System data were only collected for the last quarter of 2020.
For Outcome and Assessment Information Set data, the Centers for Medicare & Medicaid Services (CMS) granted a temporary exemption for reporting home health care data to CMS through June 30, 2020. The data collection for the 2020 National Survey on Drug Use and Health and 2020 National Health Interview Survey were also modified due to the pandemic.
Measure Data
- COVID-19 Experiences (PDF, 5.4 MB).
- Access to Care (PDF, 2.3 MB).
- Affordable Care (PDF, 1.2 MB).
- Effectiveness of Care (PDF, 10.5 MB).
- Patient Safety (PDF, 3.5 MB).
- Person-Centered Care (PDF, 2.3 MB).
- Care Coordination (PDF, 3.6 MB).
- Healthy Living (PDF, 6.6 MB).
- Supplemental Measures (PDF, 5.7 MB).
Abbreviations Used in Appendix B
- AHA = American Hospital Association.
- AI/AN = American Indian or Alaska Native.
- BRFSS = Behavioral Risk Factor Surveillance System.
- CDC = Centers for Disease Control and Prevention.
- COVID-19 = coronavirus disease of 2019.
- ED = emergency department.
- HCAHPS = Hospital Consumer Assessment of Healthcare Providers and Systems.
- HCUP = Healthcare Cost and Utilization Project.
- HCUP_NEDS = HCUP Nationwide Emergency Department Sample.
- HHCAHPS = Home Health Consumer Assessment of Healthcare Providers and Systems.
- HIQR = Hospital Inpatient Quality Reporting Program.
- HOQR = Hospital Outpatient Quality Reporting Program.
- HOSPICE_CAHPS = Hospice Consumer Assessment of Healthcare Providers and Systems.
- HRSA = Health Resources and Services Administration.
- MDS = Minimum Data Set.
- MEPS = Medical Expenditure Panel Survey.
- MSA = metropolitan statistical area.
- NAMCS = National Ambulatory Medical Care Survey.
- NCDB = National Cancer Database.
- NEHRS = National Electronic Health Records Survey.
- NHAMCS = National Hospital Ambulatory Medical Care Survey.
- NHANES = National Health and Nutrition Examination Survey.
- NHIS = National Health Interview Survey.
- NHPI = Native Hawaiian/Pacific Islander.
- NHSS = National HIV Surveillance System.
- NIS = National Immunization Survey.
- NIS_ACM = National Immunization Survey-Adult COVID Module.
- NIS_TEEN = National Immunization Survey for ages 13-17.
- NPCR_USCS = National Program of Cancer Registries, U.S. Cancer Statistics.
- NSDUH = National Survey on Drug Use and Health.
- NTBSS = National Tuberculosis Surveillance System.
- NVSS-L = National Vital Statistics System-Linked Birth and Infant Death Data.
- NVSS_M = National Vital Statistics System-Mortality.
- NVSS_N = National Vital Statistics System-Natality.
- OASIS = Outcome and Assessment Information Set.
- PL = federal poverty level.
- QSRS = Quality and Safety Review System.
- TEDS = Treatment Episode Data Set.
- UMKECC = University of Michigan Kidney Epidemiology and Cost Center.
- USRDS = United States Renal Data System.
- WPDM_IHS = Workload and Population Data Mart, Indian Health Service.