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NWS-6.1 Data Details

NWS-6.1 Increase the proportion of physician office visits made by patients with a diagnosis of cardiovascular disease, diabetes, or hyperlipidemia that include counseling or education related to diet or nutrition

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Ambulatory Medical Care Survey (NAMCS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent (age adjusted—see Comments)
Baseline (Year)
20.8 (2007)
Target
22.9
Target-Setting Method
10 percent improvement
Numerator
Number of visits by ambulatory patients aged 20 years and over to non-Federal physicians in office-based practice with diagnosis of cardiovascular disease (ICD-9-CM codes 391-392.0, 393-398, 401, 402, 404, 410-416, 420-429), diabetes mellitus (ICD-9-CM code 250), or hyperlipidemia (ICD-9-CM codes 272.0-272.4) OR whose physician reports that the patient currently has congestive heart failure, diabetes, hyperlipidemia, hypertension or ischemic heart disease in which diet and nutrition education was ordered or provided
Denominator
Number of visits by ambulatory patients aged 20 years and over to non-Federal physicians in office-based practice with diagnosis of cardiovascular disease, diabetes mellitus, or hyperlipidemia or the physician reports that the patient currently has congestive heart failure, diabetes, hyperlipidemia, hypertension or ischemic heart disease
Questions Used to Obtain the National Baseline Data

From the 2007 National Ambulatory Medical Care Survey patient record:

[NUMERATOR:]

Was any health education ordered or provided at this visit? (A check box is provided for "diet/nutrition.")

[NUMERATOR AND DENOMINATOR:]

(Question 5a) As specifically as possible, list diagnose related to this visit including chronic conditions (For example, depression, obesity, or asthma. Up to three diagnoses may be reported.)

  1. Primary Diagnosis:_______________
  2. Other: _______________
  3. Other: _______________

(Question 5b) Regardless of the diagnosis written in 5a, does the patient now have: (A list of 15 conditions is provided for the physicians to check. Conditions relevant to this question are: has congestive heart failure, diabetes, hyperlipidemia, hypertension or ischemic heart disease.)

Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 20-44, 45-64, 65+
  • Sex: 20-44, 45-64, 65+
  • Race/Ethnicity: 20-44, 45-64, 65+
  • Geographic Location: 20-44, 45-64, 65+
  • Health Insurance Status: 20-44, 45-64
Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 19-17 in that the definition was modified to include patients with a diagnosis of cardiovascular disease, diabetes, or hyperlipidemia not only based on the ICD-9-CM codes, but also those whose physician reported that they have congestive heart failure, diabetes, hyperlipidemia, hypertension or ischemic heart disease using the checkboxes in the patient record.