SAMPLE HOSPITAL

Quarter 1 - Report Card

(January 1, 2011 - March 31, 2011)

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Table of Contents

Quarter One Quality and Completeness of Race/Ethnicity Date

Comparison of Hospital and County Level Demographic Data

Race/Ethnicity Stratified by Quality Indicators

New Mexico Race and Ethnicity Data Quarter One Report

DATES: January 1, 2011 - March 31, 2011

FACILITY NAME: Sample

FILES RECEIVED: Yes

NUMBER OF RECORDS: 3119

QUARTER 1 RACE AND ETHNICITY VARIABLE EVALUATION:

PERCENT OF:	(%)	NUMBER OF:	(n)
Patients with Ethnicity Coding	100.0	Patients with Ethnicity Coding	3119
Patients with Missing Ethnicity	10.00	Patients with Missing Ethnicity	312
Patients with Unknown Ethnicity	0	Patients with Unknown Ethnicity	0
Invalid Ethnicity Entries	0.0	Invalid Ethnicity Entries	0
PERCENT OF:	(%)	NUMBER OF:	(n)
Patients with Race Coding	100.0	Patients with Race Coding	3119
Patients with Missing Race	0.0	Patients with Missing Race	0.0
Patients with Unknown Race	0	Patients with Unknown Race	0
Invalid Race Entries	0.0	Invalid Race Entries	0
R1 (Native American) Patients with Tribal Affiliation	INVALID	R1 (Native American) Patients with Tribal Affiliation	INVALID

COMMENTS:

• Patients were categorized as American Indian, however there are no tribal identifiers. Those that are American Indian should have a tribal affiliation. All other races should not have a tribal affiliation.

QUESTIONS:

• Were race/ethnicity/tribal affiliation fields based on self-report?

Graphics clockwise from upper left:

Pie chart. American Indian or Alaska Native 30%; Asian 20%; African American/Black 20%; Native Hawaiians or Pacific Islander 5%; White 10%; Other 5%; Two or more races 10%.

Pie chart. American Indian or Alaska Native 2%; Asian 0%; African American/Black 0%; Native Hawaiians or Pacific Islander 0%; White 84%; Other 11%; Two or more races 3%.

Pie chart. Hispanic 26%; Non-Hispanic 74%.

Pie chart. Hispanic 40%; Non-Hispanic 50%; Missing 10%.

QUALITY INDICATOR:

Agency for Healthcare Research and Quality (AHRQ) had developed prevention quality indicators to better assess the quality of care in hospitals. These quality indicators are measured by admission rates in the hospital:

• Bacterial pneumonia
• Urinary tract infections
• Low birth weight
• Congestive heart failure
• Adult asthma
• Uncontrolled diabetes
• Diabetes, long-term complications
• Dehydration
• Perforated appendix
• Angina without procedure
• Hypertension
• Chronic obstructive pulmonary disease
• Diabetes, short-term complications
• Lower extremity amputations among patients with diabetes

Next quarter, these report cards will show the discharge rates of congestive heart failure (ICD-9 codes 428.00-428.99) by race and ethnicity to better assess changes in the quality indicator over time.

Congestive Heart Failure (CHF) Stratified by Ethnicity for Quarter 1:

AHRQ CHF Rates Nationwide 2008 = 4.0 rate per 1,000 Patients Discharged

Ethnicity	Total Number of Discharges	Number of CHF Discharges	**Observed Rate per 1,000 Patients Discharged
Hispanic
Not Hispanic
Declined
Unknown

**Observed rate is the amount of patients discharged for CHF compared to the rate of discharges for that particular race/ethnicity

Congestive Heart Failure (CHF) Stratified by Race for Quarter 1:

AHRQ CHF Rates Nationwide 2008 = 4.0 rate per 1,000 Patients Discharged

Race	Total Number of Discharges	Number of CHF Discharges	**Observed Rate per 1,000 Patients Discharged
American Indian
Asian
Black
Native Hawaiian
White
Unknown
Other
Multiple race

**Observed rate is the amount of patients discharged for CHF compared to the rate of discharges for that particular race/ethnicity