The National Committee for Quality Assurance has issued its State of Health Care Quality Report 2013, based on data collected in 2012 from HEDIS reports. Here are five key takeaways:

* Overuse of antibiotics remains a concern, with no progress made. Antibiotic resistance caused by overuse results in sickening two million people annually with 23,000 deaths.

* Measures to combat child obesity improved for the second straight year. Measures showing substantial gains included obesity assessments, counseling on physical activity and giving advice on nutrition.

* Children enrolled in Medicaid HMOs increasingly are receiving immunizations for influenza and rotavirus, but an alarming decline in kids in commercial HMOs getting critical immunizations continues.

* Diagnoses of patients needing substance abuse treatment continues to decline, particularly among Medicare patients. This suggests the fast-growing senior population is not going to get the treatment that many need.

* Medicaid patients increasingly are happy with their primary and specialty care, a bright spot in national health status as Medicaid will grow under the Affordable Care Act.

The full NCQA State of Health Care Quality Report 2013 is available here.

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