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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.