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NWS-6.1 Data Details

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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.

Data Source: 
National Ambulatory Medical Care Survey
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent (age adjusted—see Comments)
Baseline (Year): 
11.5 (2012)
Target: 
12.7
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

Comparable Healthy People 2010 Objective: 
Adapted from HP2010 objective
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
    Age Adjustment Notes: 

    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.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2019, the baseline was reset from 2007 to 2012 due to a methodological change in the data source. The baseline value was revised from 20.8 to 11.5. The target was proprotionally adjusted from 22.9 to 12.7 using the original target-setting method.