Appendix Core Measures | 2017 Senior Report

Behaviors
Dental Visit*
Percentage of adults aged 65 years and older who reported visiting a dental health professional within the past 12 months
Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System, 2014
Excessive Drinking
Percentage of adults aged 65 years and older who reported either binge drinking (having four or more [women] or five or more [men] drinks on one occasion in the past month) or chronic drinking (having eight or more [women] or 15 or more [men] drinks per week)
CDC, Behavioral Risk Factor Surveillance System, 2015
Obesity
Percentage of adults aged 65 years and older with a body mass index of 30.0 or higher based on reported height and weight
CDC, Behavioral Risk Factor Surveillance System, 2015
Pain Management
Percentage of adults aged 65 years and older with arthritis who reported that arthritis or joint pain does not limit their usual activities
CDC, Behavioral Risk Factor Surveillance System, 2015
Physical Inactivity
Percentage of adults aged 65 years and older with fair or better health status who reported doing no physical activity or exercise other than their regular job in the past 30 days
CDC, Behavioral Risk Factor Surveillance System, 2015
Smoking
Percentage of adults aged 65 years and older who are smokers (reported smoking at least 100 cigarettes in their lifetime and currently smoke every or some days)
CDC, Behavioral Risk Factor Surveillance System, 2015
Community & Environment
Community Support
Expenditures captured by the Administration on Aging per adult aged 60 years and older living in poverty
U.S. Department of Health and Human Services (HHS), Administration on Aging, State Program Reports; U.S. Census Bureau, American Community Survey, 2014
Food Insecurity
Percentage of adults aged 60 years and older who faced the threat of hunger in the past 12 months
National Foundation to End Senior Hunger, The State of Senior Hunger in America, 2014
Home-delivered Meals
Number of meals served as a percentage of seniors aged 60 years and older with independent-living difficulty
U.S. HHS, Administration on Aging, State Program Reports; U.S. Census Bureau, American Community Survey, 2014
Nursing Home Quality
Percentage of certified nursing home beds rated four- or five-stars over a three-month period
U.S. HHS, Centers for Medicare & Medicaid Services, Nursing Home Compare, December 2016-February 2017
Poverty
Percentage of adults aged 65 years and older who live in households at or below 100 percent of the poverty threshold
U.S. Census Bureau, American Community Survey, 2015
Volunteerism
Percentage of adults aged 65 years and older who reported volunteering in the past 12 months
Corporation for National & Community Service, 2013-2015
Policy
Geriatrician Shortfall 
Percentage of geriatricians required to meet estimated need
American Geriatrics Society, 2016
Healthcare-associated Infection (HAI) Policies
Percentage of 24 reporting and validation policies implemented in the state to monitor healthcare-associated infections in hospitals
CDC, National and State Healthcare Associated Infections Progress Report, 2014
Low-care Nursing Home Residents
Percentage of nursing home residents who do not require physical assistance for late-loss activities of daily living
Brown University, Shaping Long Term Care in America Project, 2015
Prescription Drug Coverage**
Percentage of Medicare enrollees aged 65 years and older who have a creditable prescription drug plan
The Henry J Kaiser Family Foundation, State Health Facts, 2014
SNAP Reach
Number of adults aged 60 years and older who participate in Supplemental Nutrition Assistance Program (SNAP) as a percentage of adults aged 60 years and older living in poverty
U.S. Department of Agriculture, Food and Nutrition Service; U.S. Census Bureau, American Community Survey, 2015
Clinical Care
Dedicated Health Care Provider
Percentage of adults aged 65 years and older who reported having a personal doctor or health care provider
CDC, Behavioral Risk Factor Surveillance System, 2015
Diabetes Management
Percentage of Medicare enrollees aged 65 to 75 years with diabetes receiving a blood lipids test
The Dartmouth Atlas of Health Care, 2014
Flu Vaccine
Percentage of adults aged 65 years and older who reported receiving a flu vaccine in the past year
CDC, Behavioral Risk Factor Surveillance System, 2015
Health Screenings*
Percentage of women aged 65 to 74 years who reported receiving a mammogram in the past two years and the percentage of adults aged 65 to 75 years who reported receiving colorectal cancer screening within the recommended time period
CDC, Behavioral Risk Factor Surveillance System, 2014
Home Health Care* 
Number of personal care and home health aides per 1,000 adults aged 75 years or older
U.S. Department of Labor, Bureau of Labor Statistics, 2015
Hospice Care
Percentage of chronically ill Medicare decedents aged 65 years and older who were enrolled in hospice during the last six months of life
The Dartmouth Atlas of Health Care, 2014
Hospital Deaths
Percentage of deaths occurring in a hospital among chronically ill Medicare decedents aged 65 years and older
The Dartmouth Atlas of Health Care, 2014
Hospital Readmissions
Percentage of hospitalized Medicare enrollees aged 65 years and older who were readmitted within 30 days of discharge
The Dartmouth Atlas of Health Care, 2014
Preventable Hospitalizations
Number of discharges for ambulatory care-sensitive conditions per 1,000 Medicare enrollees aged 65 years and older
The Dartmouth Atlas of Health Care, 2014
Outcomes
Able-bodied
Percentage of adults aged 65 years and older with no cognitive, visual, auditory, ambulatory, self-care, and/or independent living difficulty disability
U.S. Census Bureau, American Community Survey, 2015
Falls*
Percentage of adults aged 65 years and older who reported they had fallen in the past 12 months
CDC, Behavioral Risk Factor Surveillance System, 2014
Frequent Mental Distress
Percentage of adults aged 65 years and older who reported their mental health was not good 14 or more days in the past 30 days
CDC, Behavioral Risk Factor Surveillance System, 2015
High Health Status
Percentage of adults aged 65 years and older who reported that their health is very good or excellent
CDC, Behavioral Risk Factor Surveillance System, 2015
Hip Fracture
Number of hospitalizations for hip fracture per 1,000 Medicare enrollees aged 65 years and older
The Dartmouth Atlas of Health Care, 2014
ICU Use
Percentage of Medicare decedents aged 65 years and older spending seven or more days in the intensive care unit/critical care unit (ICU) during the last six months of life
The Dartmouth Atlas of Health Care, 2014
Premature Death
Deaths per 100,000 adults aged 65 to 74 years
CDC, National Vital Statistics System, 2015
Teeth Extractions*
Percentage of adults aged 65 years and older who reported having had all teeth removed due to tooth decay or gum disease
CDC, Behavioral Risk Factor Surveillance System, 2014
 *The data appearing in this edition are the same that appeared in the 2016 edition. A data update was not available at the time of this publication.
**The prescription drug coverage data used in the 2016 edition was from 2012; the data in this edition is from 2014. 
Core Measures

Behaviors

Dental Visit*

Excessive Drinking

Obesity

Pain Management

Physical Inactivity

Smoking

Community & Environment

Community Support

Food Insecurity

Home-delivered Meals

Nursing Home Quality

Poverty

Volunteerism

Policy

Geriatrician Shortfall

Healthcare-associated Infection (HAI) Policies

Low-care Nursing Home Residents

Prescription Drug Coverage**

SNAP Reach

Clinical Care

Dedicated Health Care Provider

Diabetes Management

Flu Vaccine

Health Screenings*

Home Health Care*

Hospice Care

Hospital Deaths

Hospital Readmissions

Preventable Hospitalizations

Outcomes

Able-bodied

Falls*

Frequent Mental Distress

High Health Status

Hip Fracture

ICU Use

Premature Death

Teeth Extractions*

Reports

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