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Older Adults Data DetailsNew

About the Data

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

National Data Source
Medicare Administrative Data; Centers for Medicare & Medicaid Services (CMS)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
6.4 (2008)
Target
7.0
Target-Setting Method
10 percent improvement
Numerator
Number of beneficiaries who had the service during the time window for which they were eligible to have the service For example, a beneficiary who enrolls December 2007 is eligible to have the service from December 2007 through May, a 6-month window that crosses 2 calendar years
Denominator
Number of beneficiaries who enrolled in Medicare Part B in the calendar year of interest
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Almost all U.S. citizens aged 65 and over are enrolled in Medicare.

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

The original baseline was revised from 7.3 to 6.4 due to a change in programming. The target was adjusted from 8.0 to 7.0 to reflect the revised baseline using the original target-setting method.

OA-2 Increase the proportion of older adults who are up to date on a core set of clinical preventive services

About the Data

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

National Data Source
Behavioral Risk Factor Surveillance System (BRFSS); Centers for Disease Control and Prevention, Public Health Surveillance and Informatics Program Office (CDC/PHSIPO)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
46.3 (2008)
Target
50.9
Target-Setting Method
10 percent improvement
Numerator
Number of men aged 65 and older reporting flu shot in past year, PPV ever and either a colonoscopy/sigmoidoscopy in 10 years or FOBT in past year
Denominator
Number of men aged 65 years of age and older
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Not applicable
Caveats and Limitations
The BRFSS is conducted independently by each state and therefore methodologies may vary. Pooled national estimates may not take into account these differences and so may differ from estimates obtained using data sources that use methodologies designed to produce national estimates.

References

Additional resources about the objective.

  1. 2008 Behavioral Risk Factor Surveillance System Questionnaire, available at: http://www.cdc.gov/brfss/questionnaires/pdf-ques/2008brfss.pdf
  2. CDC, The State of Aging and Health in America 2007. New on-line interactive version available at: http://www.cdc.gov/aging.

About the Data

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

National Data Source
Behavioral Risk Factor Surveillance System (BRFSS); Centers for Disease Control and Prevention, Public Health Surveillance and Informatics Program Office (CDC/PHSIPO)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
47.9 (2008)
Target
52.7
Target-Setting Method
10 percent improvement
Numerator
Number of women aged 65 and older reporting flu shot in past year, PPV ever and either a colonoscopy/sigmoidoscopy in 10 years or FOBT in past year plus a mammogram in past 2 years
Denominator
Number of women aged 65 years of age and older
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Not applicable
Caveats and Limitations
The BRFSS is conducted independently by each state and therefore methodologies may vary. Pooled national estimates may not take into account these differences and so may differ from estimates obtained using data sources that use methodologies designed to produce national estimates.

References

Additional resources about the objective.

  1. 2008 Behavioral Risk Factor Surveillance System Questionnaire, available at: http://www.cdc.gov/brfss/questionnaires/pdf-ques/2008brfss.pdf
  2. CDC, The State of Aging and Health in America 2007. New on-line interactive version available at: http://www.cdc.gov/aging.

About the Data

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

National Data Source
Behavioral Risk Factor Surveillance System (BRFSS); Centers for Disease Control and Prevention, Public Health Surveillance and Informatics Program Office (CDC/PHSIPO)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Numerator
Number of older adults with one or more chronic health conditions who report confidence in managing their conditions
Denominator
Number of older adults with one or more chronic health conditions
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Caveats and Limitations
The BRFSS is conducted independently by each state and therefore methodologies may vary. Pooled national estimates may not take into account these differences and so may differ from estimates obtained using data sources that use methodologies designed to produce national estimates.

About the Data

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

National Data Source
Medicare Administrative Data; Centers for Medicare & Medicaid Services (CMS)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
2.0 (2008)
Target
2.2
Target-Setting Method
10 percent improvement
Numerator
Medicare beneficiaries who have been diagnosed with diabetes for whom there is a Medicare claim for the diabetes self management training service in the calendar year of interest
Denominator
Medicare beneficiaries who have been diagnosed with diabetes
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Almost all U.S. citizens aged 65 and over are enrolled in Medicare.

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

The original baseline was revised from 2.2 to 2.0 due to a change in programming. The target was adjusted from 2.4 to 2.2 to reflect the revised baseline using the original target-setting method.

About the Data

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

National Data Source
Medicare Current Beneficiary Survey (MCBS); Centers for Medicare & Medicaid Services (CMS)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent (age adjusted—see Comments)
Baseline (Year)
29.3 (2007)
Target
26.4
Target-Setting Method
10 percent improvement
Numerator
Number of survey respondents aged 65 and over with 1 or more ADL limitations OR living in a long-term care facility
Denominator
Number of survey respondents aged 65 and over
Questions Used to Obtain the National Baseline Data

From the 2007 Medicare Current Beneficiary Survey:

[NUMERATOR:]

Because of a health or physical problem, do you have any difficulty with the following?

  • Bathing or showering?
  • Dressing?
  • Eating?
  • Getting in or out of bed or chairs?
  • Walking?
  • Using the Toilet?
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Long-term care facility residents are assumed to have at least 1 ADL limitation and are therefore included under this objective as having a moderate to severe functional limitation.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Race/Ethnicity: 65-74, 75-84, 85+
  • Sex: 65-74, 75-84, 85+
  • Total: 65-74, 75-84, 85+
Caveats and Limitations
The estimate for the age group "aged 65 years and over" is age-adjusted.

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

The original baseline was revised from 28.3 to 29.3 due to a change in programming. The target was adjusted from 25.5 to 26.4 to reflect the revised baseline using the original target-setting method.

About the Data

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

National Data Source
National Health Interview Survey (NHIS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
32.6 (2008)
Target
35.9
Target-Setting Method
10 percent improvement
Numerator
Older adults aged 65 and over with reduced physical or cognitive function who engage in light, moderate, or vigorous leisure-time physical activities
Denominator
Number of older adults aged 65 and over with reduced physical or cognitive function
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

How often do you do VIGOROUS leisure-time physical activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing or heart rate?

How often do you do LIGHT OR MODERATE leisure-time physical activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT to MODERATE increase in breathing or heart rate?

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

The original baseline was revised from 33.7 to 32.6 due to a change in programming. The target was adjusted from 37.1 to 35.9 to reflect the revised baseline using the original target-setting method.

OA-7 Increase the proportion of the health care workforce with geriatric certification

About the Data

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

National Data Source
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
2.7 (2009)
Target
3.0
Target-Setting Method
10 percent improvement
Numerator
Number of licensed MDs, IMGs, and DOs with board certification or certificate of added qualification in geriatrics
Denominator
Number of licensed MDs, IMGs, and DOs
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Specialists with geriatric certification are included in the data sources listed.

About the Data

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

National Data Source
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
4.3 (2009)
Target
4.7
Target-Setting Method
10 percent improvement
Numerator
Number of licensed psychiatrists with board certification or certificate of added qualification in geriatrics
Denominator
Number of licensed psychiatrists
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Specialists with geriatric certification are included in the data sources listed.

About the Data

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

National Data Source
National Sample Survey of Registered Nurses (NSSRN); Health Resources and Services Administration, Bureau of Health Professions (HRSA/BHPr)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
1.4 (2004)
Target
1.5
Target-Setting Method
10 percent improvement
Numerator
Number of registered nurses with gerontological certification (Gerontological Nurse Specialist, Clinical Nurse Specialist in Gerontological Nursing and Gerontological Nurse Practitioner)
Denominator
Number of registered nurses
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Latest nursing data to match available denominator data are year 2004. The RN denominator data from 2008 Nurse Licensee Volume and NCLEX Examination Statistics (by The National Council of State Boards of Nursing) is available but it double counts nurses registered from different states so they recommended the Census data for denominator.

Specialists with geriatric certification are included in the data sources listed.

About the Data

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

National Data Source
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
0.20 (2007)
Target
0.22
Target-Setting Method
10 percent improvement
Numerator
Number of licensed dentists with gerontological certification
Denominator
Number of licensed dentists
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Specialists with geriatric certification are included in the data sources listed.

About the Data

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

Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
0.6 (2009)
Target
0.7
Target-Setting Method
10 percent improvement
Numerator
Number of licensed physical therapists with gerontological certification
Denominator
Number of licensed physical therapists
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Specialists with geriatric certification are included in the data sources listed.

About the Data

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

Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
0.30 (2009)
Target
0.33
Target-Setting Method
10 percent improvement
Numerator
Number of registered dieticians with gerontological certification
Denominator
Number of registered dieticians
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Specialists with geriatric certification are included in the data sources listed.

About the Data

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

National Data Source
Medicare Administrative Data; Centers for Medicare & Medicaid Services (CMS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Numerator
Number of non-institutionalized older adults with disabilities who have an unmet need for long term services
Denominator
Number of non-institutionalized older adults with disabilities
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable

About the Data

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

National Data Source
Medicare Administrative Data; Centers for Medicare & Medicaid Services (CMS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Numerator
Number of unpaid caregivers of older adults who report an unmet need for caregiver support services
Denominator
Number of unpaid caregivers of older adults
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable

About the Data

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

National Data Source
Healthcare Cost and Utilization Project-Nationwide Inpatient Sample (HCUP-NIS); Agency for Healthcare Research and Quality (AHRQ)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
No
Measure
per 100,000 
Baseline (Year)
985.8 (2007)
Target
887.3
Target-Setting Method
10 percent improvement
Numerator
Number of hospitalizations of persons aged 65 and over who have a principal or secondary diagnosis of pressure ulcer at discharge from community hospitals
Denominator
Persons aged 65 and over from 2007 Claritas data
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Discharges who have a disposition indicating they were transferred to an acute care hospital were excluded.

About the Data

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

National Data Source
National Hospital Ambulatory Medical Care Survey (NHAMCS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
per 100,000 
Baseline (Year)
5,235.1 (2007)
Target
4,711.6
Target-Setting Method
10 percent improvement
Numerator
Emergency department visits among persons aged 65 and over due to falls
Denominator
Number of persons aged 65 and over
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

In the National Hospital Ambulatory Medical Care Survey, data are collected on cause of injury at emergency department visits by means of an open-ended item, “Cause of Injury.” This item asks the respondent (typically hospital staff or Census field representatives) to describe the place and events that preceded the injury, poisoning or adverse effect. Verbatim text is coded by NCHS contracted medical coders using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), Supplementary Classification of External Causes of Injury and Poisoning. Up to three causes may be coded per visit.

FOR SINGLE DATA YEARS: Emergency department visit rates are calculated using the July 1 estimates of the civilian noninstitutionalized population from the Vintage matching the data year for the postcensal period based on the 2000 census. For example, July 1, 2007 civilian noninstitutionalized population estimates from Vintage 2007 are used as the denominator for 2007 rates. Rates for 2010 are also calculated using the July 1 estimates based on the 2000 census.

OA-12 Increase the number of States, the District of Columbia, and Tribes that collect and make publicly available information on the characteristics of victims, perpetrators, and cases of elder abuse, neglect, and exploitation

About the Data

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

National Data Source
National Center on Elder Abuse (NCEA); Administration on Aging (AoA)
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
3 (2004)
Target
4
Target-Setting Method
10 percent improvement
Numerator
Number of states that collect and report information on the characteristics of victims, perpetrators, and cases of elder abuse, neglect and exploitation
Denominator
Number of States
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

States that collect this information are so indicated in the NCEA.

About the Data

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

National Data Source
National Center on Elder Abuse (NCEA); Administration on Aging (AoA)
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Numerator
Number of Tribes that collect and make publicly available information on the characteristics of victims, perpetrators, and cases of elder abuse, neglect, and exploitation
Denominator
Number of Tribes
Comparable Healthy People 2010 Objective
Not applicable