Indicator Definitions: Cardiovascular Diseases
Major Cardiovascular Disease
Prevalence of major cardiovascular disease among US adults (18+); BRFSS
Measure: Self-report: “Has a doctor, nurse, or other health professional ever told you that you had”: “…angina or coronary heart disease?”; a heart attack (also called myocardial infarction)?”; “a stroke?” Numerator: Adults (18+) who answered “yes” to any of the questions: “Has a doctor, nurse, or other health professional ever told you that you had…?”: …angina or coronary heart disease: a heart attack (also called myocardial infarction), a stroke. Denominator: Adults (18+) who answered “yes” or “no” to the questions: “Has a doctor, nurse, or other health professional ever told you that you had …angina or coronary heart disease, …a heart attack, also called myocardial infarction, …a stroke?” Respondents missing answers to all 3 questions were excluded.
Data Source: Behavioral Risk Factor Surveillance System; Centers for Disease Control and Prevention (BRFSS)
Million Hearts Cardiovascular event rates among US adults (18+); HCUP/NVSS
Measure: Million Hearts cardiovascular events (ICD-10: I21, I63, I60-I61, I6789, I200, I24, I201, I208, I209, G450-G452, G458-G462, I67841, I67848, I50, I110, I130, I7102, I713, I75, I70, I739, I10, I119, I129, I1310, I46). Numerator: Number of adults (18+) with Million Hearts events hospitalizations or deaths. Denominator: U.S. Adults (18+) / 100,000
Data Source: Healthcare Cost and Utilization Project; Nationwide Inpatient Sample (HCUP)
Major cardiovascular disease hospitalization rate among US adults (18+); HCUP-NIS
Measure: In-patient hospitalizations with a primary diagnosis of major cardiovascular disease (ICD-10: I00-I78). Numerator: Number of adult (18+) hospitalizations with major cardiovascular disease as the primary diagnosis. Denominator: U.S. Adults (18+) / 100,000
Data Source: Healthcare Cost and Utilization Project; Nationwide Inpatient Sample (HCUP)
Prevalence of in-hospital mortality among major cardiovascular disease hospitalizations, US adults (18+); HCUP-NIS
Measure: In-hospital mortality rate (%) among adult (18+) in-patient hospitalizations with primary diagnosis of major cardiovascular disease (ICD-10: I00-I78). Numerator: Number of in-hospital mortalities. Denominator: Number of adult (18+) in-patient hospitalizations with a primary diagnosis of major cardiovascular disease.
Data Source: Healthcare Cost and Utilization Project; Nationwide Inpatient Sample (HCUP)
Major cardiovascular disease hospitalization rate among Medicare Fee-For-Service beneficiaries (65+); CMS Medicare
Measure: In-patient hospitalizations with a primary diagnosis of major cardiovascular disease (ICD-10: I00-I78). Numerator: Medicare Fee-For-Service beneficiaries who were hospitalized during the year with a principal diagnosis of major cardiovascular disease. Denominator: Medicare beneficiaries aged 65+ years enrolled in Part A but not enrolled in managed care plan (HMO/GHO).
Data Source: Centers for Medicare and Medicaid Services; Medicare (Medicare)
Prevalence of in-hospital mortality among major cardiovascular disease hospitalizations, Medicare Fee-For-Service beneficiaries (65+); CMS Medicare
Measure: In-hospital mortality rate (%) among in-patient hospitalizations with primary diagnosis of major cardiovascular disease (ICD-10: I00-I78). Numerator: Number of in-hospital mortalities. Denominator: Medicare Fee-For-Service beneficiaries hospitalized with a primary diagnosis of major cardiovascular disease.
Data Source: Centers for Medicare and Medicaid Services; Medicare (Medicare)
Prevalence of major cardiovascular disease among US adults (20+); NHANES
Measure: Self-report: “Has a doctor or other health professional ever told you that you had…”: “…coronary heart disease?”; “…angina, also called angina pectoris?”; “…a heart attack (also called myocardial infarction?”; “…a stroke?” Numerator: Adults (20+) who answered “yes” to any of the questions “Has a doctor or other health professional ever told you that you had…”: “…coronary heart disease?”; “…angina, also called angina pectoris?”; “…a heart attack (also called myocardial infarction?”; “…a stroke?” Denominator: Adults (20+) who answered “yes” or “no” to the questions “Has a doctor or other health professional ever told you that you had…”: “…coronary heart disease?”; “…angina, also called angina pectoris?”; “…a heart attack (also called myocardial infarction)?”; “…a stroke?”. Excludes participants missing answers for all 4 questions.
Prevalence of major cardiovascular disease among US adults (18+); NHIS
Measure: Self-report: “Have you ever been told by a doctor or other health professional that you had…”: “…coronary heart disease?”; “…a heart attack, also called myocardial infarction?”; “…angina, also called angina pectoris?”; “…a stroke?” Numerator: Adults (18+) who answered “yes” to any of the questions “Has a doctor or other health professional ever told you that you had…”: “…coronary heart disease?”; “…angina, also called angina pectoris?”; “…a heart attack (also called myocardial infarction?”; “…a stroke?” Denominator: Adults (18+) who answered “yes” or “no” to the questions “Has a doctor or other health professional ever told you that you had…”: “…coronary heart disease?”; “…angina, also called angina pectoris?”; “…a heart attack (also called myocardial infarction)?”; “…a stroke?”. Excludes participants missing answers for all 4 questions.
Major cardiovascular disease mortality rate among US adults (18+); NVSS
Measure: Mortality rate from major cardiovascular disease as the underlying cause of death (ICD-10: I00-I78) among US adults (18+) Numerator: Number of adults (18+) who died with major cardiovascular disease listed as the underlying cause of death. Denominator: Number of adults (18+) / 100,000.
Diseases of the Heart (Heart Disease)
Heart disease hospitalization rate among US adults (18+); HCUP-NIS
Measure: In-patient hospitalizations with a primary diagnosis of heart disease (diseases of the heart; ICD-10: I00-I09, I11, I13, I20-I51). Numerator: Number of adult (18+) hospitalizations with heart disease (diseases of the heart) as the primary diagnosis. Denominator: U.S. Adults (18+) / 100,000
Data Source: Healthcare Cost and Utilization Project; Nationwide Inpatient Sample (HCUP)
Prevalence of in-hospital mortality among all heart disease hospitalizations, US adults (18+); HCUP-NIS
Measure: In-hospital mortality rate (%) among adult (18+) in-patient hospitalizations with primary diagnosis of heart disease (diseases of the heart; ICD-10: I00-I09, I11, I13, I20-I51) Numerator: Number of in-hospital mortalities. Denominator: Number of adult (18+) in-patient hospitalizations with heart disease (diseases of the heart) as the primary diagnosis.
Data Source: Healthcare Cost and Utilization Project; Nationwide Inpatient Sample (HCUP)
Heart disease hospitalization rate among Medicare beneficiaries (65+); CMS Medicare
Measure: In-patient hospitalizations with a primary diagnosis of heart disease (diseases of the heart; ICD-10: I00-I09, I11, I13, I20-I51). Numerator: Medicare Fee-For-Service beneficiaries who were hospitalized during the year with a principal diagnosis of heart disease (diseases of the heart). Denominator: Medicare beneficiaries aged 65+ years enrolled in Part A but not enrolled in managed care plan (HMO/GHO).
Data Source: Centers for Medicare and Medicaid Services; Medicare (Medicare)
Prevalence of in-hospital mortality among all heart disease hospitalizations, Medicare Fee-For-Service beneficiaries (65+); CMS Medicare
Measure: In-hospital mortality rate (%) among in-patient hospitalizations with primary diagnosis of heart disease (diseases of the heart; ICD-10: I00-I09, I11, I13, I20-I51) Numerator: Number of in-hospital mortalities. Denominator: Medicare Fee-For-Service beneficiaries hospitalized with a primary diagnosis of heart disease (diseases of the heart).
Data Source: Centers for Medicare and Medicaid Services; Medicare (Medicare)
Diseases of the heart (heart disease) mortality rate among US adults (18+); NVSS
Measure: Mortality rate from heart disease (diseases of the heart) as the underlying cause of death (ICD-10: I00-I78) among US adults (18+) Numerator: Number of adults (18+) who died with heart disease (diseases of the heart) listed as the underlying cause of death. Denominator: Number of adults (18+) / 100,000.
Acute Myocardial Infarction (Heart Attack)
Prevalence of acute myocardial infarction (heart attack) among US adults (18+); BRFSS
Measure: Self-report: “Has a doctor, nurse, or other health professional ever told you that you had a heart attack, also called myocardial infarction?” Numerator: Adults (18+) who answered “yes” to the question: “Has a doctor, nurse, or other health professional ever told you that you had a heart attack, also called myocardial infarction?” Denominator: Adults (18+) who answered “yes” or “no” to the question: “Has a doctor, nurse, or other health professional ever told you that you had a heart attack, also called myocardial infarction?”
Data Source: Behavioral Risk Factor Surveillance System; Centers for Disease Control and Prevention (BRFSS)
Prevalence of post-hospitalization rehabilitation among heart attack patients, US adults (18+); BRFSS
Measure: Self-report: “Following your heart attack, did you go to any kind of outpatient rehabilitation? This is sometimes called ‘rehab’.” Numerator: Adults (18+) who answered “yes” to the question “Following your heart attack, did you go to any kind of outpatient rehabilitation?” Denominator: Adults (18+) who had ever been told they had a heart attack/myocardial infarction and answered “yes” or “no” to the question “Following your heart attack, did you go to any kind of outpatient rehabilitation?”
Data Source: Behavioral Risk Factor Surveillance System; Centers for Disease Control and Prevention (BRFSS)
Acute Myocardial Infarction (heart attack) hospitalization rate among US adults (18+); HCUP-NIS
Measure: In-patient hospitalizations with a primary diagnosis of myocardial infarction (heart attack; ICD-10: I21-I22). Numerator: Number of adult (18+) hospitalizations with myocardial infarction (heart attack) as the primary diagnosis. Denominator: U.S. Adults (18+) / 100,000
Data Source: Healthcare Cost and Utilization Project; Nationwide Inpatient Sample (HCUP)
Prevalence of in-hospital mortality among heart attack hospitalizations, US adults (18+); HCUP-NIS
Measure: In-hospital mortality rate (%) among adult (18+) in-patient hospitalizations with primary diagnosis of myocardial infarction (heart attack; ICD-10: I21-I22). Numerator: Number of in-hospital mortalities. Denominator: Number of adult (18+) hospitalizations with myocardial infarction (heart attack) as the primary diagnosis.
Data Source: Healthcare Cost and Utilization Project; Nationwide Inpatient Sample (HCUP)
Acute Myocardial Infarction (heart attack) hospitalization rate among Medicare Fee-For-Service beneficiaries (65+); CMS Medicare
Measure: In-patient hospitalizations with a primary diagnosis of myocardial infarction (heart attack; ICD-10: I21-I22). Numerator: Medicare Fee-For-Service beneficiaries who were hospitalized during the year with a principal diagnosis of heart attack (acute myocardial infarction). Denominator: Medicare beneficiaries aged 65+ years enrolled in Part A but not enrolled in managed care plan (HMO/GHO).
Data Source: Centers for Medicare and Medicaid Services; Medicare (Medicare)
Prevalence of in-hospital mortality among heart attack hospitalizations, Medicare Fee-For-Service beneficiaries (65+); CMS Medicare
Measure: In-hospital mortality rate (%) among in-patient hospitalizations with primary diagnosis of myocardial infarction (heart attack; ICD-10: I21-I22). Numerator: Number of in-hospital mortalities. Denominator: Medicare Fee-For-Service beneficiaries hospitalized with a primary diagnosis of myocardial infarction (heart attack).
Data Source: Centers for Medicare and Medicaid Services; Medicare (Medicare)
Prevalence of acute myocardial infarction (heart attack) among US adults (20+); NHANES
Measure: Self-report: “Has a doctor or other health professional ever told you that you had a heart attack (also called myocardial infarction)?” Numerator: Adults (20+) who answered “yes” to the question “Has a doctor or other health professional ever told you that you had a heart attack (also called myocardial infarction)?” Denominator: Adults (20+) who answered “yes” or “no” to the question “Has a doctor or other health professional ever told you that you had a heart attack (also called myocardial infarction)?”
Prevalence of acute myocardial infarction (heart attack) among US adults (18+); NHIS
Measure: Self-report: “Has a doctor or other health professional ever told you that you had a heart attack (also called myocardial infarction)?” Numerator: Adults (18+) who answered “yes” to the question “Has a doctor or other health professional ever told you that you had a heart attack (also called myocardial infarction)?” Denominator: Adults (18+) who answered “yes” or “no” to the question “Has a doctor or other health professional ever told you that you had a heart attack (also called myocardial infarction)?”
Acute Myocardial Infarction (heart attack) mortality rate among US adults (18+); NVSS
Measure: Mortality rate from acute myocardial infarction (heart attack) as the underlying cause of death (ICD-10: I21-I22) among US adults (18+) Numerator: Number of adults (18+) who died with acute myocardial infarction (heart attack) listed as the underlying cause of death. Denominator: Number of adults (18+) / 100,000.
Coronary Heart Disease
Prevalence of coronary heart disease among US adults (18+); BRFSS
Measure: Self-report: “Has a doctor, nurse, or other health professional ever told you that you had angina or coronary heart disease?”. Numerator: Adults (18+) who answered “yes” to the question: “Has a doctor, nurse, or other health professional ever told you that you had angina or coronary heart disease?” Denominator: Adults (18+) who answered “yes” or “no” to the question: “Has a doctor, nurse, or other health professional ever told you that you had angina or coronary heart disease?”
Data Source: Behavioral Risk Factor Surveillance System; Centers for Disease Control and Prevention (BRFSS)
Coronary heart disease hospitalization rate among US adults (18+); HCUP-NIS
Measure: In-patient hospitalizations with a primary diagnosis of coronary heart disease (ICD-10 codes I20- I25). Numerator: Number of adult (18+) hospitalizations with coronary heart disease as the primary diagnosis. Denominator: U.S. Adults (18+) / 100,000
Data Source: Healthcare Cost and Utilization Project; Nationwide Inpatient Sample (HCUP)
Prevalence of in-hospital mortality among coronary heart disease hospitalizations, US adults (18+); HCUP-NIS
Measure: In-hospital mortality rate (%) among adult (18+) in-patient hospitalizations with a primary diagnosis of coronary heart disease (ICD-10: I20- I25). Numerator: Number of in-hospital mortalities. Denominator: Number of adult (18+) hospitalizations with coronary heart disease as the primary diagnosis.
Data Source: Healthcare Cost and Utilization Project; Nationwide Inpatient Sample (HCUP)
Coronary heart disease hospitalization rate among Medicare beneficiaries (65+); CMS Medicare
Measure: In-patient hospitalizations with a primary diagnosis of coronary heart disease (ICD-10 codes I20- I25). Numerator: Medicare Fee-For-Service beneficiaries who were hospitalized during the year with a principal diagnosis of coronary heart disease. Denominator: Medicare beneficiaries aged 65+ years enrolled in Part A but not enrolled in managed care plan (HMO/GHO).
Data Source: Centers for Medicare and Medicaid Services; Medicare (Medicare)
Prevalence of in-hospital mortality among coronary heart disease hospitalizations, Medicare Fee-For-Service beneficiaries (65+); CMS Medicare
Measure: In-hospital mortality rate (%) among in-patient hospitalizations with a primary diagnosis of coronary heart disease (ICD-10: I20- I25). Numerator: Number of in-hospital mortalities. Denominator: Medicare Fee-For-Service beneficiaries hospitalized with a primary diagnosis of coronary heart disease.
Data Source: Centers for Medicare and Medicaid Services; Medicare (Medicare)
Prevalence of coronary heart disease among US adults (20+); NHANES
Measure: Self-report: “Has a doctor or other health professional ever told you that you had coronary heart disease?” Numerator: Adults (20+) who answered “yes” to the question “Has a doctor or other health professional ever told you that you had coronary heart disease?” Denominator: Adults (20+) who answered “yes” or “no” to the question “Has a doctor or other health professional ever told you that you had coronary heart disease?”
Prevalence of coronary heart disease among US adults (18+); NHIS
Measure: Self-report: “Has a doctor or other health professional ever told you that you had coronary heart disease?” Numerator: Adults (18+) who answered “yes” to the question “Has a doctor or other health professional ever told you that you had coronary heart disease?” Denominator: Adults (18+) who answered “yes” or “no” to the question “Has a doctor or other health professional ever told you that you had coronary heart disease?”
Coronary heart disease mortality rate among US adults (18+); NVSS
Measure: Mortality rate from coronary heart disease as the underlying cause of death (ICD-10: I20-I25) among US adults (18+) Numerator: Number of adults (18+) who died with coronary heart disease listed as the underlying cause of death. Denominator: Number of adults (18+) / 100,000.
Heart Failure
Heart failure hospitalization rate among US adults (18+); HCUP-NIS
Measure: In-patient hospitalizations with a primary diagnosis of heart failure (ICD-10: I50). Numerator: Number of adult (18+) hospitalizations with heart failure as the primary diagnosis. Denominator: U.S. Adults (18+) / 100,000
Data Source: Healthcare Cost and Utilization Project; Nationwide Inpatient Sample (HCUP)
Prevalence of in-hospital mortality among heart failure hospitalizations, US adults (18+); HCUP-NIS
Measure: In-hospital mortality rate (%) among adult (18+) in-patient hospitalizations with a primary diagnosis of heart failure (ICD-10: I50). Numerator: Number of in-hospital mortalities. Denominator: Number of adult (18+) hospitalizations with heart failure as the primary diagnosis.
Data Source: Healthcare Cost and Utilization Project; Nationwide Inpatient Sample (HCUP)
Heart failure hospitalization rate among Medicare Fee-For-Service beneficiaries (65+); CMS Medicare
Measure: In-patient hospitalizations with a primary diagnosis of heart failure (ICD-10: I50). Numerator: Medicare Fee-For-Service beneficiaries who were hospitalized during the year with a principal diagnosis of heart failure. Denominator: Medicare beneficiaries aged 65+ years enrolled in Part A but not enrolled in managed care plan (HMO/GHO).
Data Source: Centers for Medicare and Medicaid Services; Medicare (Medicare)
Prevalence of in-hospital mortality among heart failure hospitalizations, Medicare Fee-For-Service beneficiaries (65+); CMS Medicare
Measure: In-hospital mortality rate (%) among in-patient hospitalizations with a primary diagnosis of heart failure (ICD-10: I50). Numerator: Number of in-hospital mortalities. Denominator: Medicare Fee-For-Service beneficiaries hospitalized with a primary diagnosis of heart failure.
Data Source: Centers for Medicare and Medicaid Services; Medicare (Medicare)
Prevalence of heart failure among US adults (20+); NHANES
Measure: Self-report: “Has a doctor or other health professional ever told you that you had heart failure?” Numerator: Adults (20+) who answered “yes” to the question “Has a doctor or other health professional ever told you that you had heart failure?” Denominator: Adults (20+) who answered “yes” or “no” to the question “Has a doctor or other health professional ever told you that you had heart failure?”
Heart failure mortality rate among US adults (18+); NVSS
Measure: Mortality rate from heart failure as the underlying cause of death (ICD-10: I50) among US adults (18+) Numerator: Number of adults (18+) who died with heart failure listed as the underlying cause of death. Denominator: Number of adults (18+) / 100,000.
Stroke
Prevalence of stroke among US adults (18+); BRFSS
Measure: Self-report: “Has a doctor, nurse, or other health professional ever told you that you had a stroke?” Numerator: Adults (18+) who answered “yes” to the question “Has a doctor, nurse, or other health professional ever told you that you had a stroke?” Denominator: Adults (18+) who answered “yes” or “no” to the question “Has a doctor, nurse, or other health professional ever told you that you had a stroke?”
Data Source: Behavioral Risk Factor Surveillance System; Centers for Disease Control and Prevention (BRFSS)
Cerebrovascular disease hospitalization rate among US adults (18+); HCUP-NIS
Measure: In-patient hospitalizations with a primary diagnosis of cerebrovascular disease (stroke; ICD-10: I60-I69). Numerator: Number of adult (18+) hospitalizations with cerebrovascular disease (stroke) as the primary diagnosis. Denominator: U.S. Adults (18+) / 100,000
Data Source: Healthcare Cost and Utilization Project; Nationwide Inpatient Sample (HCUP)
Prevalence of in-hospital mortality among cerebrovascular disease hospitalizations, US adults (18+); HCUP-NIS
Measure: In-hospital mortality rate (%) among adult (18+) in-patient hospitalizations with primary diagnosis of cerebrovascular disease (stroke; ICD-10 I60-I69). Numerator: Number of in-hospital mortalities. Denominator: Number of adult (18+) hospitalizations with cerebrovascular disease (stroke) as the primary diagnosis.
Data Source: Healthcare Cost and Utilization Project; Nationwide Inpatient Sample (HCUP)
Cerebrovascular disease (stroke) hospitalization rate among Medicare Fee-For-Service beneficiaries (65+); CMS Medicare
Measure: In-patient hospitalizations with a primary diagnosis of cerebrovascular disease (stroke; ICD-10: I60-I69). Numerator: Medicare Fee-For-Service beneficiaries who were hospitalized during the year with a principal diagnosis of cerebrovascular disease (stroke). Denominator: Medicare beneficiaries aged 65+ years enrolled in Part A but not enrolled in managed care plan (HMO/GHO).
Data Source: Centers for Medicare and Medicaid Services; Medicare (Medicare)
Prevalence of in-hospital mortality among cerebrovascular disease hospitalizations, Medicare Fee-For-Service beneficiaries (65+); CMS Medicare
Measure: In-hospital mortality rate (%) among in-patient hospitalizations with primary diagnosis of cerebrovascular disease (stroke; ICD-10 I60-I69). Numerator: Number of in-hospital mortalities. Denominator: Medicare Fee-For-Service beneficiaries hospitalized with a primary diagnosis of cerebrovascular disease (stroke).
Data Source: Centers for Medicare and Medicaid Services; Medicare (Medicare)
Prevalence of stroke among US adults (20+); NHANES
Measure: Self-report: “Has a doctor or other health professional ever told you that you had a stroke?” Numerator: Adults (20+) who answered “yes” to the question “Has a doctor or other health professional ever told you that you had a stroke?” Denominator: Adults (20+) who answered “yes” or “no” to the question “Has a doctor or other health professional ever told you that you had a stroke?”
Prevalence of stroke among US adults (18+); NHIS
Measure: Self-report: “Has a doctor or other health professional ever told you that you had a stroke?” Numerator: Adults (18+) who answered “yes” to the question “Has a doctor or other health professional ever told you that you had a stroke?” Denominator: Adults (18+) who answered “yes” or “no” to the question “Has a doctor or other health professional ever told you that you had a stroke?”
Cerebrovascular disease (stroke) mortality rate among US adults (18+); NVSS
Measure: Mortality rate from cerebrovascular disease (stroke) as the underlying cause of death (ICD-10: I60-I69) among US adults (18+) Numerator: Number of adults (18+) who died with cerebrovascular disease (stroke) listed as the underlying cause of death. Denominator: Number of adults (18+) / 100,000.
Ischemic stroke mortality rate among US adults (18+); NVSS
Measure: Mortality rate from ischemic stroke as the underlying cause of death (ICD-10: I63, I65-I66) among US adults (18+) Numerator: Number of adults (18+) who died with ischemic stroke listed as the underlying cause of death. Denominator: Number of adults (18+) / 100,000.
Hemorrhagic stroke mortality rate among US adults (18+); NVSS
Measure: Mortality rate from hemorrhagic stroke as the underlying cause of death (ICD-10: I60-I62) among US adults (18+) Numerator: Number of adults (18+) who died with hemorrhagic stroke listed as the underlying cause of death. Denominator: Number of adults (18+) / 100,000.
