Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.
Almost all U.S. citizens aged 65 and over are enrolled in Medicare.
Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.
In 2012, 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.
Additional resources about the objective.
In 2012, 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.
From the 2007 Medicare Current Beneficiary Survey:
Because of a health or physical problem, do you have any difficulty with the following?
Long-term care facility residents are assumed to have at least one ADL limitation and are therefore included under this objective as having a moderate to severe functional limitation.
This Indicator uses Age-Adjustment Groups:
In 2012, 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.
From the 2008 National Health Interview Survey:
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?
In 2012, 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.
Specialists with geriatric certification are included in the data sources listed.
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.
Discharges with a disposition indicating that the patient was transferred to an acute care hospital are excluded.
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 population from the Vintage matching the data year for the postcensal period based on the 2000 census. For example, July 1, 2007 civilian 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.
Rates by geographic location are for the civilian noninstitutionalised population.
States that collect this information are so indicated in the NCEA.
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