| Potential Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
HDS-2
Reduce coronary heart disease deaths
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 129.2 coronary heart disease deaths per 100,000 population occurred in 2007 (age adjusted to the year 2000 standard population) | ||||||||||
| Target: | 103.4 deaths per 100,000 population | ||||||||||
| Target-Setting Method: | Projection/trend analysis | ||||||||||
| Data Sources: |
National Vital Statistics System-Mortality (NVSS-M), CDC/NCHS; Bridged-race Population Estimates, CDC/NCHS and Census |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
| Baseline: | 43.5 stroke deaths per 100,000 population occurred in 2007 (age adjusted to the year 2000 standard population) | ||||||||||
| Target: | 34.8 deaths per 100,000 population | ||||||||||
| Target-Setting Method: | Projection/trend analysis | ||||||||||
| Data Sources: |
National Vital Statistics System-Mortality (NVSS-M), CDC/NCHS; Bridged-race Population Estimates, CDC/NCHS and Census |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-4
Increase the proportion of adults who have had their blood pressure measured within the preceding 2 years and can state whether their blood pressure was normal or high
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 29.9 percent of adults aged 18 years and over had high blood pressure/hypertension in 2005–08 (age adjusted to the year 2000 standard population) | ||||||||
| Target: | 26.9 percent | ||||||||
| Target-Setting Method: | 10 percent improvement | ||||||||
| Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
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| Baseline: | 3.5 percent of children and adolescents aged 8 to 17 years had high blood pressure/hypertension in 2005–08 | ||||||
| Target: | 3.2 percent | ||||||
| Target-Setting Method: | 10 percent improvement | ||||||
| Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
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| Baseline: | 74.6 percent of adults aged 18 years and over had their blood cholesterol checked within the preceding 5 years in 2008 (age adjusted to the year 2000 standard population) | ||||||||
| Target: | 82.1 percent | ||||||||
| Target-Setting Method: | 10 percent improvement | ||||||||
| Data Sources: |
National Health Interview Survey (NHIS), CDC/NCHS |
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| Data: |
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| Baseline: | 15.0 percent of adults aged 20 years and over had total blood cholesterol levels of 240 mg/dL or greater in 2005–08 (age adjusted to the year 2000 standard population) | ||||||||
| Target: | 13.5 percent | ||||||||
| Target-Setting Method: | 10 percent improvement | ||||||||
| Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
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| Baseline: | 197.7 mg/dL was the mean total blood cholesterol level for adults aged 20 years and over in 2005–08 (age adjusted to the year 2000 standard population) | ||||||||
| Target: | 177.9 mg/dL (mean) | ||||||||
| Target-Setting Method: | 10 percent improvement | ||||||||
| Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
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HDS-9.1
Increase the proportion of adults with prehypertension who meet the recommended guidelines for body mass index (BMI)
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 28.7 percent of adults aged 18 years and over with prehypertension met the recommended guidelines for body mass index in 2005–08 (age adjusted to the year 2000 standard population) | ||||||
| Target: | 33.0 percent | ||||||
| Target-Setting Method: | Minimal statistical significance | ||||||
| Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-9.2
Increase the proportion of adults with prehypertension who meet the recommended guidelines for saturated fat consumption
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 31.4 percent of adults aged 18 years and over with high prehypertension met the recommended guidelines for saturated fat consumption in 2005–08 (age adjusted to the year 2000 standard population) | ||||||
| Target: | 35.7 percent | ||||||
| Target-Setting Method: | Minimal statistical significance | ||||||
| Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
|
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| Revision History: | This objective was revised. Read more about the revision history. |
| Potential Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
HDS-9.4
Increase the proportion of adults with prehypertension who meet the recommended guidelines for physical activity
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 37.4 percent of adults aged 18 years and over with prehypertension met the recommended guidelines for physical activity in 2007–10 (age adjusted to the year 2000 standard population) | ||||||
| Target: | 42.1 percent | ||||||
| Target-Setting Method: | Minimal statistical significance | ||||||
| Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
| Potential Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
HDS-10.1
Increase the proportion of adults with hypertension who meet the recommended guidelines for body mass index (BMI)
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 18.0 percent of adults aged 18 years and over with high blood pressure/hypertension met the recommended guidelines for body mass index (BMI) in 2005–08 (age adjusted to the year 2000 standard population) | ||||||||
| Target: | 21.6 percent | ||||||||
| Target-Setting Method: | Minimal statistical significance | ||||||||
| Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-10.2
Increase the proportion of adults with hypertension who meet the recommended guidelines for saturated fat consumption
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 30.5 percent of adults aged 18 years and over with high blood pressure/hypertension met the recommended guidelines for saturated fat consumption in 2005–08 (age adjusted to the year 2000 standard population) | ||||||||
| Target: | 35.7 percent | ||||||||
| Target-Setting Method: | Minimal statistical significance | ||||||||
| Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-10.3
Increase the proportion of adults with hypertension who meet the recommended guidelines for sodium intake
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 0.66 percent of adults aged 18 years and over with high blood pressure/hypertension met the recommended guidelines for sodium intake in 2009–12 (age adjusted to the year 2000 standard population) | ||||||||
| Target: | 1.19 percent | ||||||||
| Target-Setting Method: | Minimal statistical significance | ||||||||
| Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-10.4
Increase the proportion of adults with hypertension who meet the recommended guidelines for physical activity
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 28.0 percent of adults aged 18 years and over with high blood pressure/hypertension met the recommended guidelines for physical activity in 2007–10 (age adjusted to the year 2000 standard population) | ||||||||
| Target: | 33.7 percent | ||||||||
| Target-Setting Method: | Minimal statistical significance | ||||||||
| Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
|
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| Revision History: | This objective was revised. Read more about the revision history. |
| Potential Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
|
HDS-11
Increase the proportion of adults with hypertension who are taking the prescribed medications to lower their blood pressure
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 63.2 percent of adults aged 18 years and over with high blood pressure/hypertension were taking the prescribed medications to lower their blood pressure in 2005–08 (age adjusted to the year 2000 standard population) | ||||||||
| Target: | 69.5 percent | ||||||||
| Target-Setting Method: | 10 percent improvement | ||||||||
| Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-12
Increase the proportion of adults with hypertension whose blood pressure is under control
LHI
Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.
| Baseline: | 43.7 percent of adults aged 18 years and over with high blood pressure/hypertension had it under control in 2005–08 (age adjusted to the year 2000 standard population) | ||||||||
| Target: | 61.2 percent | ||||||||
| Target-Setting Method: | Projection/trend analysis | ||||||||
| Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
|
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| More Information: |
| Potential Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
| Potential Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
| Potential Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
| Potential Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
| Potential Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
| Potential Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
| Potential Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
| Potential Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
HDS-15.1
Increase aspirin use as recommended among women aged 55 to 79 years with no history of cardiovascular disease
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 17.7 percent of office visits by women aged 55 to 79 years with no history of cardiovascular disease included prescription of aspirin or other antiplatelet medication in 2006–07 | ||||||
| Target: | 24.8 percent | ||||||
| Target-Setting Method: | Minimal statistical significance | ||||||
| Data Sources: |
National Ambulatory Medical Care Survey (NAMCS), CDC/NCHS |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-15.2
Increase aspirin use as recommended among men aged 45 to 79 years with no history of cardiovascular disease
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 15.9 percent of office visits by men aged 45 to 79 years with no history of cardiovascular disease included prescription of aspirin or other antiplatelet medication in 2006–07 | ||||||
| Target: | 19.5 percent | ||||||
| Target-Setting Method: | Minimal statistical significance | ||||||
| Data Sources: |
National Ambulatory Medical Care Survey (NAMCS), CDC/NCHS |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-16.1
Increase the proportion of adults aged 20 years and older who are aware of the early warning symptoms and signs of a heart attack and the importance of accessing rapid emergency care by calling 9–1–1 or another emergency number
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 37.2 percent of adults aged 20 years and over were aware of the early warning symptoms and signs of a heart attack and the importance of accessing rapid emergency care by calling 9–1–1 or another emergency number in 2008 (age adjusted to the year 2000 standard population) | ||||||||
| Target: | 40.9 percent | ||||||||
| Target-Setting Method: | 10 percent improvement | ||||||||
| Data Sources: |
National Health Interview Survey (NHIS), CDC/NCHS |
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| Data: |
|
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-16.2
Increase the proportion of adults aged 20 years and older who are aware of the early warning symptoms and signs of a heart attack
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 39.6 percent of adults aged 20 years and over were aware of the early warning symptoms and signs of a heart attack in 2008 (age adjusted to the year 2000 standard population) | ||||||||
| Target: | 43.6 percent | ||||||||
| Target-Setting Method: | 10 percent improvement | ||||||||
| Data Sources: |
National Health Interview Survey (NHIS), CDC/NCHS |
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| Data: |
|
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-16.3
Increase the proportion of adults aged 20 years and older who are aware of the importance of accessing rapid emergency care for a heart attack by calling 9–1–1 or another emergency number
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 91.8 percent of adults aged 20 years and over were aware of the importance of accessing rapid emergency care for a heart attack by calling 9–1–1 or another emergency number in 2008 (age adjusted to the year 2000 standard population) | ||||||||
| Target: | 93.8 percent | ||||||||
| Target-Setting Method: | 2 percentage point improvement | ||||||||
| Data Sources: |
National Health Interview Survey (NHIS), CDC/NCHS |
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| Data: |
|
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-17.1
Increase the proportion of adults aged 20 years and older who are aware of the early warning symptoms and signs of a stroke and the importance of accessing rapid emergency care by calling 9–1–1 or another emergency number
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 51.3 percent of adults aged 20 years and over were aware of the early warning symptoms and signs of a stroke and the importance of accessing rapid emergency care by calling 9–1–1 or another emergency number in 2009 (age adjusted to the year 2000 standard population) | ||||||
| Target: | 56.4 percent | ||||||
| Target-Setting Method: | 10 percent improvement | ||||||
| Data Sources: |
National Health Interview Survey (NHIS), CDC/NCHS |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-17.2
Increase the proportion of adults aged 20 years and older who are aware of the early warning symptoms and signs of a stroke
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 53.9 percent of adults aged 20 years and over were aware of the early warning symptoms and signs of a stroke in 2009 (age adjusted to the year 2000 standard population) | ||||||||
| Target: | 59.3 percent | ||||||||
| Target-Setting Method: | 10 percent improvement | ||||||||
| Data Sources: |
National Health Interview Survey (NHIS), CDC/NCHS |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-17.3
Increase the proportion of adults aged 20 years and older who are aware of the importance of accessing rapid emergency care for a stroke by calling 9–1–1 or another emergency number
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 92.7 percent of adults aged 20 years and over were aware of the importance of accessing rapid emergency care for a stroke by calling 9–1–1 or another emergency number in 2009 (age adjusted to the year 2000 standard population) | ||||||
| Target: | 94.7 percent | ||||||
| Target-Setting Method: | 2 percentage point improvement | ||||||
| Data Sources: |
National Health Interview Survey (NHIS), CDC/NCHS |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-19.1
Increase the proportion of eligible patients with heart attacks who receive fibrinolytic therapy within 30 minutes of hospital arrival
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 70.0 percent of eligible heart attack patients received fibrinolytic therapy within 30 minutes of hospital arrival in 2009 | ||||||||
| Target: | 77.0 percent | ||||||||
| Target-Setting Method: | 10 percent improvement | ||||||||
| Data Sources: |
Acute Coronary Treatment and Intervention Outcomes Network Registry (ACTION Registry), American College of Cardiology (ACC) |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-19.2
Increase the proportion of eligible patients with heart attacks who receive percutaneous intervention (PCI) within 90 minutes of hospital arrival
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 90.4 percent of eligible heart attack patients received percutaneous intervention within 90 minutes of hospital arrival in 2009 | ||||||||
| Target: | 99.4 percent | ||||||||
| Target-Setting Method: | 10 percent improvement | ||||||||
| Data Sources: |
Acute Coronary Treatment and Intervention Outcomes Network Registry (ACTION Registry), American College of Cardiology (ACC) |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-19.3
Increase the proportion of eligible patients with strokes who receive acute reperfusion therapy within 3 hours from symptom onset
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 74.1 percent of stroke patients received acute reperfusion therapy within 3 hours of symptom onset in 2009 | ||||||
| Target: | 81.5 percent | ||||||
| Target-Setting Method: | 10 percent improvement | ||||||
| Data Sources: |
Get With the Guidelines-Stroke (GWTG-Stroke), American Heart Association and American Stroke Association (AHA and ASA) |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-20.1
Increase the proportion of adults with coronary heart disease who have their low-density lipoprotein (LDL) cholesterol at or below recommended levels
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 52.3 percent of adults aged 20 years and over with coronary heart disease had their low-density lipoprotein (LDL) cholesterol at or below recommended levels in 2005–08 (age adjusted to the year 2000 standard population) | ||||||||
| Target: | 67.5 percent | ||||||||
| Target-Setting Method: | Minimal statistical significance | ||||||||
| Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
|
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-20.2
Increase the proportion of adults who have had a stroke who have their low-density lipoprotein (LDL) cholesterol at or below recommended levels
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 33.4 percent of adults aged 20 years and over who have had a stroke had their low-density lipoprotein (LDL) cholesterol at or below recommended levels in 2005–08 (age adjusted to the year 2000 standard population) | ||||||
| Target: | 56.1 percent | ||||||
| Target-Setting Method: | Minimal statistical significance | ||||||
| Data Sources: |
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS |
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| Data: |
|
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-21
Increase the proportion of adults with a history of cardiovascular disease who are using aspirin or antiplatelet therapy to prevent recurrent cardiovascular events
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 45.7 percent of office visits by adults aged 18 years and over with a history of cardiovascular disease included prescription of aspirin or other antiplatelet medication to prevent recurrent cardiovascular events in 2006–07 | ||||||
| Target: | 51.9 percent | ||||||
| Target-Setting Method: | Minimal statistical significance | ||||||
| Data Sources: |
National Ambulatory Medical Care Survey (NAMCS), CDC/NCHS |
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| Data: |
|
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-22
Increase the proportion of adult heart attack survivors who are referred to a cardiac rehabilitation program at discharge
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 77.1 percent of adult heart attack survivors were referred to a cardiac rehabilitation program at discharge in 2009 | ||||||
| Target: | 84.8 percent | ||||||
| Target-Setting Method: | 10 percent improvement | ||||||
| Data Sources: |
Acute Coronary Treatment and Intervention Outcomes Network Registry (ACTION Registry), American College of Cardiology (ACC) |
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| Data: |
|
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-23
Increase the proportion of adult stroke survivors who are assessed for and/or referred to rehabilitation services.
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 96.2 percent of stroke survivors were assessed for and/or referred to a stroke rehabilitation program in 2009 | ||||||
| Target: | Not applicable | ||||||
| Target-Setting Method: | This measure is being tracked for informational purposes. If warranted, a target will be set during the decade. | ||||||
| Data Sources: |
Get With the Guidelines-Stroke (GWTG-Stroke), American Heart Association and American Stroke Association (AHA and ASA) |
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| Data: |
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-24.1
Reduce hospitalizations of adults aged 65 to 74 years with heart failure as the principal diagnosis
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 10.4 hospitalizations for heart failure per 1,000 population aged 65 to 74 years occurred in 2007 | ||||||||
| Target: | 9.4 hospitalizations per 1,000 population | ||||||||
| Target-Setting Method: | 10 percent improvement | ||||||||
| Data Sources: |
National Hospital Discharge Survey (NHDS), CDC/NCHS; Population Estimates, Census |
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| Data: |
|
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-24.2
Reduce hospitalizations of adults aged 75 to 84 years with heart failure as the principal diagnosis
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 23.4 hospitalizations for heart failure per 1,000 population aged 75 to 84 years occurred in 2007 | ||||||||
| Target: | 21.1 hospitalizations per 1,000 population | ||||||||
| Target-Setting Method: | 10 percent improvement | ||||||||
| Data Sources: |
National Hospital Discharge Survey (NHDS), CDC/NCHS; Population Estimates, Census |
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| Data: |
|
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-24.3
Reduce hospitalizations of adults aged 85 years and older with heart failure as the principal diagnosis
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 38.7 hospitalizations for heart failure per 1,000 population aged 85 years and over occurred in 2007 | ||||||||
| Target: | 34.8 hospitalizations per 1,000 population | ||||||||
| Target-Setting Method: | 10 percent improvement | ||||||||
| Data Sources: |
National Hospital Discharge Survey (NHDS), CDC/NCHS; Population Estimates, Census |
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| Data: |
|
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| Revision History: | This objective was revised. Read more about the revision history. |
HDS-25
Increase the proportion of patients with hypertension in clinical health systems whose blood pressure is under control
Revised
This objective was revised. See Revision History for Details.
| Baseline: | 58.3 percent of office visits by adults aged 18 years and over with hypertension had blood pressure control in 2006–07 | ||||||
| Target: | 64.1 percent | ||||||
| Target-Setting Method: | 10 percent improvement | ||||||
| Data Sources: |
National Ambulatory Medical Care Survey (NAMCS), CDC/NCHS |
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| Data: |
|
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| Revision History: | This objective was revised. Read more about the revision history. |
