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PA-11.1 Data Details

PA-11.1 Increase the proportion of office visits made by patients with a diagnosis of cardiovascular disease, diabetes, or hyperlipidemia that include counseling or education related to exercise

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)
13.0 (2007)
Target
14.3
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 exercise 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 (as defined in the Numerator statement) OR whose 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:

[NUMERATOR:]

Physician's diagnoses for this visit -- as specifically as possible, list diagnose related to this visit including chronic conditions (e.g., depression, obesity, asthma, etc.) [Up to three diagnoses may be reported.]

  1. _________________
  2. _________________
  3. _________________

Regardless of the diagnosis written in 5a, does the patient now have - Mark (X) all that apply. [List of 15 conditions includes: congestive heart failure, diabetes, hyperlipidemia, hypertension or ischemic heart disease.]

Health education: Mark (X) all ordered or provided at this visit.

  1. None
  2. Asthma education
  3. Diet/Nutrition
  4. Exercise
  5. Growth/Development
  6. Injury prevention
  7. Stress management
  8. Tobacco use/exposure
  9. Weight reduction
  10. Other
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Because certain questions in the NAMCS are rotated, updated estimates may be available on a periodic rather than an annual basis.

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