State-level information used to create the State Snapshots is based on data collected for the National Healthcare Quality Report (NHQR).
Performance Measures- Summary measures of quality of care and States' performances relative to all States and the region by:
- Overall health care quality
- Types of care (preventive, acute, and chronic)
- Settings of care (hospitals, ambulatory care, nursing home, and home health)
- Five clinical conditions
- Special focus areas on diabetes, asthma, Healthy People 2010, clinical preventive services, and disparities
Time frame: (as of June, 2010) 2008
Available at: http://statesnapshots.ahrq.gov/snaps08/index.jsp?menuId=1&state=MI
State-Specific information includes:
- State Dashboard
- Overall Health Care Quality
- Strongest and Weakest Measures
- Strongest Measures are those in which the State performed above the all-State average and are strongest among their measures relative to all reporting States. This State may be leading the way in quality in these measures
- Weakest Measures are those in which the State performed below the all-State average and are weakest among their measures relative to all reporting States. These measures highlight some of the opportunities for improvement.
- Types of Care
- Type-of-care summary measures track consumer aims (staying healthy, getting better, living with illness) with provider roles (preventing sickness, treating acute disease, and managing chronic illness) in maintaining health.
- Select one of the types of care below for this State's data:
- Preventive Care measures assess whether health care providers deliver specific services that prevent disease and detect it early.
- Acute Care measures assess how well health care providers deliver specific services known to cure disease or speed recovery.
- Chronic Care measures assess how well health care providers monitor and manage patients with incurable conditions so patients can live better lives.
- Settings of Care
- Settings-of-care summary measures track the quality of care delivered in different care settings.
- Select one of the settings of care below for this State's data.
- Hospital Care assesses the quality of care provided to patients with specific health problems when they are treated in the hospital.
- Ambulatory Care assesses the quality of care provided to patients with specific conditions when they are treated in doctors' offices, clinics, and other sites of walk-in care.
- Nursing Home Care assesses the quality of care provided to residents of nursing homes.
- Home Health Care assesses the quality of care given by home health agencies to clients who receive care at home from a health care professional.
Care by Clinical Are
Care-by-clinical-area summary measures track the quality of care delivered for specific types of conditions. These measures include prevention, process, and outcome measures covered above under Type of Care and Setting of Care but reorganized by clinical area.
Select one of the clinical areas below for this State's data:
Cancer measures assess the quality of care provided to patients with cancer. These measures address cancer screening rates and cancer mortality rates.
Diabetes measures assess the quality of care provided to patients with diabetes. These measures address prevention, processes of care, and outcomes of care.
Heart Disease measures assess the quality of care provided to patients with heart disease, including heart attack (also called acute myocardial infarction [AMI]) and heart failure. These measures address prevention, processes of in-hospital care, and outcomes of ambulatory care.
Maternal and Child Health measures assess the quality of care provided to pregnant women, infants, and children. These measures address prevention and outcomes of care.
Respiratory Diseases measures assess the quality of care provided to patients with asthma or pneumonia and to those at risk of influenza. These measures address prevention, processes of care, and outcomes of care.
Focus on Diabetes
section includes data on prevalence, care quality, costs, potential savings from diabetes care quality improvement efforts, and disparities in treatment.
Take a closer look at Michigan's performance in the treatment of patients with diabetes across these areas
Prevalence
Quality of Care - Processes of Care
Quality of Care - Outcomes of Care
Quality Improvement - Lives and Expenses
Quality Improvement - Excess Costs of Diabetes
Disparities in Treatment - By Income
Disparities in Treatment: By Race/Ethnicity- Focus on Asthma
- This section includes data on asthma prevalence, quality of care as reflected in potentially preventable asthma hospitalizations, and potential returns on investment of an asthma care quality improvement program.
- Take a closer look at asthma and asthma treatment in Michigan:
- Prevalence
- Quality of Care
- Quality Improvement
- Focus on Healthy People 2010
- Healthy People 2010 is a set of health goals intended to increase life expectancy, improve quality of life, and eliminate health disparities throughout the Nation. Launched by the U.S. Department of Health and Human Services in 2000, the goals provide Federal, State, and local government agencies and nongovernmental organizations with a framework for assessing progress in a comprehensive set of focus areas. Twenty-four Healthy People 2010 measures, sorted by focus area, are shown in the following table; for each measure, the Healthy People 2010 target rate is compared to the most recent State rate and the baseline State rate.
- Access to Quality Health Services
- Cancer
- Chronic Kidney Disease
- Heart Disease and Stroke
- HIV
- Immunization and Infectious Diseases
- Maternal, Infant, and Child Health
- Mental Health and Mental Illnes
- Focus on Clinical Preventive Services
- The Clinical Preventive Services summary measure represents compliance with selected recommendations of the U.S. Preventive Services Task Force and the CDC's Advisory Committee on Immunization Practice. These two expert bodies use the best research evidence available to make recommendations on preventive services for people without symptoms of disease. Such services include immunizations, tests to screen for the presence of diseases, and behavioral counseling (such as programs that encourage smokers to quit). Most preventive services are provided in primary care ambulatory clinical settings.
Focus on Disparities
A major aim of U.S. health care policy is to improve the quality of care in the Nation. To accomplish this goal, the socioeconomic, racial, ethnic, and gender inequalities that exist in access, treatment, and outcomes of care must be addressed. This section includes data on disparities in potentially preventable hospitalizations for respiratory conditions, heart disease, and diabetes among racial, ethnic, and socioeconomic groups.
Take a closer look at disparities in Michigan
Blacks (Non-Hispanic)
Asian/Pacific Islanders (Non-Hispanic)
Hispanics (All Races)
Low-Income
State Rankings for Selected Measures
The following ranking shows how well this State is performing among all the States on 18 important measures of health care quality from the 2008 National Healthcare Quality Report. These measures were selected to represent a broad range of many common diseases.
Cancer
Diabetes
End stage renal disease
Heart and vascular diseases
Maternal and child health
Mental health
Respiratory diseases
HIV and AIDS
Surgical Care
Nursing home, home health, and hospice care
Getting appointments for care
Patient experience of care- Contextual Factors
- Demographics — Percent of State Population:
- Under poverty level (2005-2006)
- Uninsured (2005-2006)
- Under Medicaid (2005-2006)
- Age 65 and over (2005-2006)
- Black (2005-2006)
- Hispanic (2005-2006)
- Without college degree (2004)
- Health Status — Percent of State Population:
- Overweight/obese (2006)
- At risk of heart disease and stroke (2003)
- Reporting poor mental health (2004)
- Resources
- Specialist physicians per 100,000 population (2003)
- Admissions per 1,000 population (2005)
- HMO penetration rate (2006)
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