The Commonwealth Fund

Health Policy, Health Reform, and Performance Improvement

Performance Snapshots

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Hospitalizations for Ambulatory Care–Sensitive Conditions

Are rates of potentially preventable hospitalizations increasing or decreasing over time?

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Between 1994 and 2003, hospital admission rates increased for five of 16 ambulatory care–sensitive conditions (which might indicate worsening in ambulatory care access or quality for those conditions) and decreased for five conditions (which might indicate improvement in ambulatory care access or quality).

Medical Home for Children and Adolescents

How many children and adolescents receive care from a personal doctor or nurse that meets the definition of a medical home?

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In 2003, less than one-half (46%) of U.S. children and adolescents received care that met the American Academy of Pediatrics' definition of a medical home. Rates ranged from 34 percent to 61 percent among the states.

Physicians' Use of Information Tools and Performance Data

How many physicians use information tools and performance data to improve the quality of care they deliver?

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Only about one-quarter to one-half of U.S. physicians surveyed in 2003 used valuable patient data and information technologies to manage patient care. Only one-quarter or fewer received performance feedback on the quality of care they deliver, and only one-third participated in collaborative or redesign efforts to improve patient care.

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