1. Peterson-Kaiser Health System Tracker How does the quality of the U.S. healthcare system compare to other countries?

2. Peterson-Kaiser Health System Tracker Source: OECD (2013), "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on November 6, 2014). Notes: Break in series in 1987 and 1997 for Switzerland; in 1995 for Switzerland; in 1996 for Netherlands; in 1998 for Australia, Belgium, and Germany; in 1999 for United States; in 2000 for Canada and France; and in 2001 in the United Kingdom. All breaks in series coincide with changes in ICD coding. Mortality rates have fallen steadily in the U.S. and in comparable OECD countries Overall age-adjusted mortality rate per 100,000 population Comparable country average United States

3. Peterson-Kaiser Health System Tracker Source: Nolte E, McKee C. Martin. Health Affairs “Measuring the Health of Nations: Updating an Earlier Analysis” Available at: http://content.healthaffairs.org/content/27/1/58.long http://content.healthaffairs.org/content/27/1/58.long The U.S. has the highest rate of deaths amenable to health care among comparable OECD countries Amenable mortality per 100,000 population, in years, 2002 - 2003 and 2006 - 2007

4. Peterson-Kaiser Health System Tracker Source: OECD (2013), "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on November 6, 2014). Notes: Break in series in 1987 and 1997 for Switzerland; in 1995 for Switzerland; in 1996 for Netherlands; in 1998 for Australia, Belgium, and Germany; in 1999 for United States; in 2000 for Canada and France; and in 2001 in the United Kingdom. All breaks in series coincide with changes in ICD coding. Potential Years of Life Lost have fallen steadily in the U.S. and in comparable countries Overall age-specific potential years of life lost per 100,000 population United States Comparable country average

5. Peterson-Kaiser Health System Tracker Source: Institute for Health Metrics and Evaluation. Global Burden of Disease Study 2010 (GBD 2010) Data Downloads, available here: http://ghdx.healthdata.org/global-burden-disease-study-2010-gbd-2010-data-downloads http://ghdx.healthdata.org/global-burden-disease-study-2010-gbd-2010-data-downloads Disease burden is higher in the U.S. than in comparable countries Age standardized disability adjusted life year (DALY) rate per 100,000 population, 2010

6. Peterson-Kaiser Health System Tracker Source: OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on March 2, 2015). Hospital admissions for preventable diseases are more frequent in the U.S. than in comparable countries Age standardized hospital admission rate per 100,000 population, for asthma, congestive heart failure, uncontrolled diabetes, and diabetes short term complications, ages 15 and older, in years, 2010

7. Peterson-Kaiser Health System Tracker Source OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on March 2, 2015). Notes: Data for 2006 Comparable Country Average are from 2007. Foot and leg amputations due to diabetes are decreasing in the U.S. and comparable countries Age standardized diabetes lower extremity amputation rate per 100,000 population, ages 15 and older, in years 2006, 2008, and 2010

8. Peterson-Kaiser Health System Tracker Source: OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on March 2, 2015). 30-day mortality for heart attacks and ischemic stroke are lower in the U.S. than in comparable countries Admission-based age standardized 30 day in-hospital mortality rate per 100 hospital discharges for acute myocardial infarction, ischemic stroke, and hemorrhagic stroke, ages 45 and older, in years, 2010

9. Peterson-Kaiser Health System Tracker Note: Experienced medical mistake, given wrong medication or dose, lab test error, or delay receiving abnormal test results. Source: 2011 Commonwealth Fund International Health Policy Survey in Eleven Countries, available here: http://www.commonwealthfund.org/interactives-and-data/international- survey-datahttp://www.commonwealthfund.org/interactives-and-data/international- survey-data The U.S. has higher rates of medical, medication, and lab errors than comparable countries Medical, medication, or lab errors or delays in past two years, 2011

10. Peterson-Kaiser Health System Tracker Source: OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on March 2, 2015). Notes: Data for Comparable Country Average for Post-Op Pulmonary Embolism or Deep Vein Thrombosis (DVT) as well as Post-Op Sepsis are from 2011. Post-op clots are worse in the U.S. than in comparable countries, but sepsis and suture ruptures are similar Crude rate per 100,000 hospital discharges for post-operative pulmonary embolism or deep vein thrombosis, sepsis, and wound dehiscence, ages 15 and older, in years, 2010

11. Peterson-Kaiser Health System Tracker Source OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on March 2, 2015). Notes: Data for 2006, 2008, and 2010 Comparable Country Average are from 2007, 2009, and 2011 respectively There are more retained surgical items in the U.S. than across comparable countries Retained surgical item or un-retrieved device fragment crude rate per 100,000 hospital discharges, ages 15 and older, in years 2006, 2008, and 2010

12. Peterson-Kaiser Health System Tracker Source: OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on March 2, 2015). Notes: Data for 2008 and 2010 Comparable Country Average are from 2007 and 2009 respectively. Obstetric trauma during vaginal delivery is more common in the U.S. than across comparable countries Obstetric trauma during vaginal delivery with an instrument crude rate per 100 vaginal deliveries, ages 15 and older, in years 2008 and 2010

13. Peterson-Kaiser Health System Tracker Source: OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on March 2, 2015). Notes: Data for breast and cervical cancers are for females. Five-year survival rates for certain cancers are higher in the U.S. than in comparable countries Percentage of age-adjusted five-year relative survival for breast, colorectal, and cervical cancer, ages 15-99, in years 2004-2009

14. Peterson-Kaiser Health System Tracker Source : OECD (2013), "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on May 5, 2015). Notes: Data for breast and cervical cancers are for females. Mortality rates for breast and colorectal cancer in the U.S. are lower than in comparable countries Age-standardized mortality rate per 100,000 population for breast, colorectal, and cervical cancer, in years, (2010)

15. Peterson-Kaiser Health System Tracker Source: OECD (2013), "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on November 6, 2014). Notes: Break in series in 1987 and 1997 for Switzerland; in 1995 for Switzerland; in 1996 for Netherlands; in 1998 for Australia, Belgium, and Germany; in 1999 for United States; in 2000 for Canada and France; and in 2001 in the United Kingdom. All breaks in series coincide with changes in ICD coding. The mortality rate for cancers has been falling in the U.S. and across comparable countries Age-adjusted neoplasms mortality rate per 100,000 population Comparable country average United States

16. Peterson-Kaiser Health System Tracker Source: OECD (2013), "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on November 6, 2014). Notes: Break in series in 1987 and 1997 for Switzerland; in 1995 for Switzerland; in 1996 for Netherlands; in 1998 for Australia, Belgium, and Germany; in 1999 for United States; in 2000 for Canada and France; and in 2001 in the United Kingdom. All breaks in series coincide with changes in ICD coding. Switzerland does not provide data for acute myocardial infarction. Mortality rates for diseases of the circulatory system have fallen dramatically over the last 30 years Age-adjusted diseases of the circulatory system mortality rate per 100,000 population United States Comparable country average

17. Peterson-Kaiser Health System Tracker Source: OECD (2013), "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on November 6, 2014). Notes: Break in series in 1987 and 1997 for Switzerland; in 1995 for Switzerland; in 1996 for Netherlands; in 1998 for Australia, Belgium, and Germany; in 1999 for United States; in 2000 for Canada and France; and in 2001 in the United Kingdom. All breaks in series coincide with changes in ICD coding. The mortality rate for respiratory diseases is higher in the U.S. than in comparably wealthy countries Age-adjusted respiratory diseases mortality rate per 100,000 population Comparable country average United States

18. Peterson-Kaiser Health System Tracker Source: OECD (2013), "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on November 6, 2014). Notes: Break in series in 1987 and 1997 for Switzerland; in 1995 for Switzerland; in 1996 for Netherlands; in 1998 for Australia, Belgium, and Germany; in 1999 for United States; in 2000 for Canada and France; and in 2001 in the United Kingdom. All breaks in series coincide with changes in ICD coding. Mortality rates for endocrine, nutritional and metabolic diseases have fallen over the last 15 years Age-adjusted endocrine, nutritional and metabolic diseases mortality rate per 100,000 population United States Comparable country average