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Table 2 Rates and change over time in the QICH indicator set, 2007-2009.

From: Community healthcare in Israel: quality indicators 2007-2009

Healthcare quality indicators Denominator populationa Rates Rate differenceb Rate change (%)b
   2007 2008 2009   
Asthma       
   Treatment: influenza vaccination for individuals with persistent asthma 51,931 29.1% 31.6% 40.0% +10.9 37.5
   Treatment: Use of appropriate control medication for individuals with persistent asthma 51,931 76.2% 78.1% 79.7% +3.5 4.6
Cancer       
   Primary prevention: breast cancer screening - mammography 695,621 60.7% 64.7% 67.7% +7.0 11.5
   Primary prevention: colon cancer screening - fecal occult blood test 1,078,021 22.1% 24.4% 27.4% +5.3 24.0
Cardiovascular health       
   Primary prevention: body mass index documentation (adolescents) 511,374 27.9% 46.3% 60.8% +32.9 117.9
   Primary prevention: body mass index documentation (adults) 3,719,937 43.9% 56.6% 69.7% +25.8 58.8
   Primary prevention: blood pressure documentation 3,755,235 72.8% 78.3% 83.5% +10.7 14.7
   Effectiveness of care: cholesterol assessment of adequate control following cardiac intervention 56,726 68.6% 71.4% 72.1% +3.5 5.1
   Treatment: treatment with ACEI/ARB following cardiac intervention 65,299 63.1% 64.7% 66.4% +3.3 5.2
   Primary prevention: cholesterol documentation 2,575,726 77.4% 79.0% 80.5% +3.1 4.0
   Primary prevention: cholesterol assessment of adequate control 2,072,458 68.9% 70.9% 71.7% +2.8 4.1
   Treatment: treatment with beta blockers following cardiac intervention 65,299 68.4% 67.9% 70.2% +1.8 2.6
   Primary prevention: blood pressure assessment of adequate control 3,135,531 92.9% 93.6% 94.1% +1.2 1.3
   Treatment: treatment with statins and other LDL modifying medications following a cardiac intervention 65,299 84.2% 83.8% 84.6% +0.4 0.5
Child health       
   Primary prevention: anemia screening for infants 151,741 66.4% 70.5% 73.5% +7.1 10.7
Diabetes       
   Treatment: BMI documentation 320,275 74.4% 81.3% 83.6% +9.2 12.4
   Effectiveness of care: treatment of inadequate glycemic control 39,514 44.8% 48.8% 53.1% +8.2 18.5
   Treatment: influenza vaccination 332,706 47.1% 51.4% 55.0% +7.9 16.8
   Effectiveness of care: cholesterol - adequate control 300,885 60.3% 63.7% 65.6% +5.3 8.8
   Treatment: kidney function documentation 332,854 71.3% 70.4% 74.3% +3.0 4.2
   Treatment: blood pressure documentation 330,437 90.0% 91.9% 91.9% +1.9 2.1
   Effectiveness of care: blood pressure - adequate control 303,710 67.0% 68.5% 68.6% +1.6 2.4
   Treatment: eye care documentation 332,854 63.0% 63.5% 64.3% +1.3 2.1
   Treatment: glycemic control documentation 332,854 91.7% 91.6% 92.3% +0.6 0.7
   Effectiveness of care: glycemic control - inadequate controlc 307,244 13.3% 13.5% 12.9% -0.4 -3.0
   Treatment: cholesterol documentation 332,854 90.9% 90.3% 90.4% -0.5 -0.6
   Effectiveness of care: glycemic control - adequate control 307,244 49.4% 47.9% 48.0% -1.4 -2.8
Immunizations for older adults       
   Primary prevention: influenza vaccination for older adults 709,755 51.9% 55.3% 56.7% +4.8 9.2
  1. BMI, body mass index; LDL, low density lipoproteins; ACEI, angiotensin-converting enzyme inhibitors; ARB, angiotensin receptor blockers; QICH, National Program for Quality Indicators in Community Healthcare in Israel
  2. aThe denominator population are all eligible individuals in 2009.
  3. bThe numbers represent absolute differences in percentage points from 2007 to 2009 or changes relative to 2007.
  4. cDecreased rates indicates a greater quality of care.