NationalResidents of Rural Areas Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Residents of Rural Areas are compared to achievable benchmarks, which are derived from the top-performing States. Better performance of a State can mean higher or lower values of a measure, depending on the desired outcome. For example, low values are desirable for measures such as infant mortality, whereas high values are desirable for measures such as preventative screening. The categories of achievement have been standardized across the measure definitions so that:

 
Far away from benchmark - the value for a measure has not achieved 50% of the benchmark.
 
Close to benchmark - the value for a measure is between 50% and 90% of a benchmark (i.e., worse than the benchmark but has achieved at least half of the benchmark but not as much as 90% of a benchmark).
 
Achieved benchmark or better - the the value for a measure is no worse than 90% of the benchmark value, the measure has achieved the benchmark. This category also includes the case in which the measure’s value is equal to or better than the benchmark.
Measures That Achieved Benchmark or Better
Measure Population Estimate Benchmark Distance to Benchmark
Admissions for immunization-preventable influenza per 100,000 population, age 65 and over Micropolitan 12.6 31.3 Achieved: 60% better
Hospital admissions for immunization-preventable influenza per 100,000 population age 65 and over Noncore 16.2 31.3 Achieved: 48% better
Adolescents ages 16-17 who received 1 or more doses of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years Nonmetro 68.9 47.8 Achieved: 44% better
Adolescents ages 13-15 who received 1 or more doses of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years Nonmetro 74.8 63.4 Achieved: 18% better
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year Micropolitan 82.3 76.9 Achieved: 7% better
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year Nonmetro 81.9 76.9 Achieved: 7% better
People age 12 and over who received any treatment for illicit drug or alcohol abuse in the last 12 months Noncore 1.10 1.14 Achieved: 4% better
Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy (SLNB) at the time of surgery (lumpectomy or mastectomy) Noncore 95.1 97.1 2%
Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy (SLNB) at the time of surgery (lumpectomy or mastectomy) Micropolitan 94.6 97.1 3%
Persons aged 13 to 15 years who received 1 or more doses of meningococcal conjugate vaccine Nonmetro 58.0 61.3 5%
Deaths per 1,000 hospital admissions with abdominal aortic aneurysm repair, age 18 and over Micropolitan 34.9 33.1 5%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined Noncore 84.3 89.4 6%
Women ages 21-65 who received a Pap smear in the last 3 years Micropolitan (nonmetro) 82.8 89.8 8%
Surgical resection of colon cancer that includes at least 12 lymph nodes Micropolitan 82.2 89.4 8%
Adults age 40 and over with diagnosed diabetes who received an influenza vaccination in the calendar year Micropolitan 64.8 71.2 9%
Adults age 65 and over who ever received pneumococcal vaccination Micropolitan (nonmetro) 65.5 72.5 10%
Persons aged 16 to 17 years who received 1 or more doses of meningococcal conjugate vaccine Nonmetro 54.0 59.9 10%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis Micropolitan 85.4 95.0 10%
Women ages 21-65 who received a Pap smear in the last 3 years Noncore (nonmetro) 80.5 89.8 10%
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis Noncore 85.1 95.0 10%
Deaths per 1,000 hospital admissions with coronary artery bypass graft, age 40 and over Micropolitan 21.9 19.8 11%
Adults age 65 and over who ever received pneumococcal vaccination Noncore (nonmetro) 64.4 72.5 11%
People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months Micropolitan 11.7 13.2 11%
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Noncore 74.9 84.7 12%
Adults age 40 and over with diagnosed diabetes who received an influenza vaccination in the calendar year Nonmetro 62.9 71.2 12%
Adults who received outpatient mental health treatment or counseling in the last 12 months Nonmetro 5.70 5.08 12%
Adults who received outpatient mental health treatment or counseling in the last 12 months Noncore 5.70 5.08 12%
Adults age 65 and over who received an influenza vaccination in the last 12 months Micropolitan (nonmetro) 67.7 77.1 12%
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults Noncore 1.19 1.05 13%
People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months Micropolitan 22.4 26.0 14%
People age 12 and over who received any treatment for illicit drug or alcohol abuse in the last 12 months Nonmetro 1.30 1.14 14%
Adults age 65 and over who received an influenza vaccination in the last 12 months Noncore (nonmetro) 66.3 77.1 14%
Prostate cancer deaths per 100,000 male population per year Micropolitan 22.2 19.5 14%
Adults who received outpatient mental health treatment or counseling in the last 12 months Micropolitan 5.80 5.08 14%
People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months Nonmetro 22.3 26.0 14%
People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months Noncore 22.3 26.0 14%
Women who completed a pregnancy in the last 12 months who received early and adequate prenatal care Noncore (non-metro) 72.8 85.8 15%
Admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, age 18 and over Micropolitan 1.21 1.05 15%
Adults age 40 and over with diagnosed diabetes who received an influenza vaccination in the calendar year Noncore 60.2 71.2 15%
Deaths per 1,000 hospital admissions with acute myocardial infarction (AMI), age 18 and over Micropolitan 55.8 48.3 16%
Women ages 50-74 who received a mammogram in the last 2 years Micropolitan (nonmetro) 72.9 87.9 17%
Adults who received a blood cholesterol measurement in the last 5 years Micropolitan (nonmetro) 68.2 82.6 17%
Adults who received a blood cholesterol measurement in the last 5 years Noncore (nonmetro) 67.0 82.6 19%
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance Micropolitan 21.3 17.9 19%
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, age 40 and over Noncore 23.6 19.8 19%
Adults who received mental health treatment or counseling in the last 12 months Noncore 15.0 18.6 19%
Prostate cancer deaths per 100,000 male population per year Noncore 23.5 19.5 21%
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months Noncore (nonmetro) 39.0 49.4 21%
People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months Nonmetro 10.3 13.2 22%
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Nonmetro 65.8 84.7 22%
Deaths per 1,000 hospital admissions with pneumonia, age 18 and over Micropolitan 30.7 25.1 22%
Adults who received mental health treatment or counseling in the last 12 months Nonmetro 14.3 18.6 23%
Obstetric trauma per 1,000 instrument-assisted vaginal deliveries Micropolitan 141.6 114.3 24%
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination Noncore (nonmetro) 27.9 37.0 25%
All cancer deaths per 100,000 population per year Micropolitan 183.1 145.7 26%
Obstetric trauma per 1,000 instrument-assisted deliveries Noncore 143.7 114.3 26%
Adults who received mental health treatment or counseling in the last 12 months Micropolitan 13.8 18.6 26%
Adolescents ages 13-15 who received 3 or more doses human papillomavirus vaccine, either quadrivalent or bivalent Nonmetro 22.0 29.8 26%
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults Micropolitan 292.7 231.6 26%
Women ages 50-74 who received a mammogram in the last 2 years Noncore (nonmetro) 64.6 87.9 26%
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) Noncore 61.1 48.3 27%
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), age 40 and over Noncore 12.6 9.95 27%
Hospital electronically exchanges medication history with hospitals in system Rural 63.4 87.5 28%
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance Noncore 22.8 17.9 28%
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty, age 40 and over Micropolitan 12.7 9.95 28%
Cancer deaths per 100,000 population per year for all cancers Noncore 186.4 145.7 28%
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Micropolitan 60.7 84.7 28%
Breast cancer deaths per 100,000 female population per year Noncore 21.7 16.9 29%
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination Micropolitan (nonmetro) 26.4 37.0 29%
Colorectal cancer deaths per 100,000 population per year Micropolitan 17.1 13.3 29%
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year Micropolitan 59.0 82.8 29%
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months Micropolitan (nonmetro) 35.1 49.4 29%
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year Nonmetro 58.2 82.8 30%
Hospitals with computerized system that supports drug decision support Rural 55.3 79.3 30%
Breast cancer deaths per 100,000 female population per year Micropolitan 22.0 16.9 30%
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year Noncore 57.0 82.8 31%
People age 12 and over who received any treatment for illicit drug or alcohol abuse in the last 12 months Micropolitan 1.50 1.14 32%
Hospitals with computerized system that supports medication lists Rural 40.0 59.1 32%
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults Noncore 307.1 231.6 33%
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children Noncore 294.4 220.1 34%
Deaths per 1,000 hospital admissions with congestive heart failure (CHF), age 18 and over Micropolitan 27.2 20.0 36%
Colorectal cancer deaths per 100,000 population per year Noncore 18.1 13.3 36%
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children Micropolitan 305.8 220.1 39%
People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months Noncore 7.90 13.2 40%
Hospitals with computerized system that supports computerized physician order entry (CPOE) of medications Rural 43.0 74.4 42%
Hospitals with computerized system that supports pharmaceutical bar coding Rural 40.6 70.7 43%
Adults who received inpatient mental health treatment or counseling in the last 12 months Micropolitan 0.70 0.48 46%
Adults who received prescription medications for mental health treatment in the last 12 months Micropolitan 12.4 8.44 47%
Postoperative sepsis per 1,000 elective-surgery admissions of length 4 or more days, adults Noncore 13.4 9.00 49%
Deaths per 1,000 adult hospital admissions with pneumonia Noncore 37.6 25.1 50%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair Noncore 49.7 33.1 50%
Adults who received prescription medications for mental health treatment in the last 12 months Nonmetro 12.9 8.44 53%
Postoperative sepsis per 1,000 elective-surgery admissions of length 4 or more days, adults Micropolitan 13.8 9.00 53%
Avoidable admissions for bacterial pneumonia per 100,000 population age 18 and over Micropolitan 362.0 234.9 54%
Hospitals with fully implemented electronic medical record system Rural 26.5 57.9 54%
Birth trauma - injury to neonate per 1,000 selected live births Noncore 2.40 1.55 55%
HIV infection deaths per 100,000 population Noncore 1.40 0.90 56%
Potentially avoidable hospitalizations for acute conditions Micropolitan 623.3 398.6 56%
Admissions for asthma per 100,000 population, age 65 and over Micropolitan 170.1 107.4 58%
Deaths per 1,000 hospital admissions with expected low-mortality, age 18 and over or obstetric admissions Micropolitan 0.42 0.26 59%
Lung cancer deaths per 100,000 population per year Micropolitan 53.4 33.2 61%
Birth trauma - injury to newborn per 1,000 live births Micropolitan 2.50 1.55 61%
Adults who received prescription medications for mental health treatment in the last 12 months Noncore 13.7 8.44 62%
Deaths per 1,000 adult hospital admissions with congestive heart failure Noncore 32.6 20.0 63%
Admissions for congestive heart failure (CHF)a per 100,000 population, age 18 and over Micropolitan 323.9 195.4 66%
Adults who received inpatient mental health treatment or counseling in the last 12 months Nonmetro 0.80 0.48 67%
Adults who received inpatient mental health treatment or counseling in the last 12 months Noncore 0.80 0.48 67%
Lung cancer deaths per 100,000 population per year Noncore 55.8 33.2 68%
Admissions with diabetes with long-term complications per 100,000 population, age 18 and over Micropolitan 104.0 61.8 68%
Hospital admissions for long-term complications of diabetes per 100,000 population, adults Noncore 105.2 61.8 70%
Potentially avoidable hospitalizations for chronic conditions Micropolitan 701.5 409.5 71%
Hospital admissions for asthma per 100,000 population, age 65 and over Noncore 187.4 107.4 74%
Admissions with diabetes with short-term complications per 100,000 population, ages 6-17 Micropolitan 29.8 17.0 75%
Admissions for asthma per 100,000 population, age 18 and over Micropolitan 98.8 55.3 79%
Avoidable admissions for angina per 100,000 population age 18 and over Micropolitan 20.5 11.2 83%
Admissions with diabetes with short-term complications per 100,000 population, age 18 and over Micropolitan 70.7 38.5 84%
Hospital admissions for congestive heart failure per 100,000 population Noncore 359.2 195.4 84%
Hospital admissions for short-term complications of diabetes per 100,000 population, adults Noncore 72.7 38.5 89%
HIV infection deaths per 100,000 population Micropolitan 1.70 0.90 89%
Potentially avoidable hospitalizations for chronic conditions Noncore 781.6 409.5 91%
Admissions for asthma per 100,000 population, ages 2-17 Micropolitan 97.6 49.9 96%
Suicide deaths per 100,000 population Micropolitan 17.8 8.96 99%
Hospital admissions for asthma per 100,000 population, adults Noncore 111.0 55.3 101%
Hospital admissions for asthma per 100,000 population, ages 2-17 Noncore 104.2 49.9 109%
Avoidable admissions for bacterial pneumonia per 100,000 population age 18 and over Noncore 500.4 234.9 113%
Potentially avoidable hospitalizations for acute conditions Noncore 868.1 398.6 118%
Suicide deaths per 100,000 population Noncore 20.0 8.96 123%
Hospital admissions for short-term complications of diabetes per 100,000 population, ages 6-17 Noncore 38.1 17.0 124%
Deaths per 1,000 hospital admissions with expected low-mortality Noncore 0.61 0.26 132%
Avoidable admissions for chronic obstructive pulmonary disease per 100,000 population age 18 and over Micropolitan 259.8 105.1 147%
Avoidable admissions for angina per 100,000 population age 18 and over Noncore 29.4 11.2 163%
Avoidable admissions for hypertension per 100,000 population age 18 and over Micropolitan 51.1 16.1 217%
Avoidable admissions for chronic obstructive pulmonary disease per 100,000 population age 18 and over Noncore 344.3 105.1 228%
Admissions for uncontrolled diabetes without complications per 100,000 population, age 18 and over Micropolitan 16.7 4.55 267%
Avoidable admissions for hypertension per 100,000 population age 18 and over Noncore 64.7 16.1 301%
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults, HCUP data Noncore 25.3 4.55 456%
Measures With No Available Benchmark Information
Measure Population Estimate Benchmark Distance to Benchmark
Children ages 0-17 with wellness checkup in the past 12 months Micropolitan (nonmetro) 75.9
Adults age 50 and over who ever received a colonoscopy, sigmoidoscopy, or proctoscopy Micropolitan (nonmetro) 53.4
Adults age 50 and over who ever received a colonoscopy, sigmoidoscopy, or proctoscopy Noncore (nonmetro) 50.7
Persons with current asthma who received education about appropriate response to an asthma episode Micropolitan (nonmetro) 59.7
Persons with current asthma who received education about appropriate response to an asthma episode Noncore (non-metro) 56.9
Persons with current asthma who were advised to change things to reduce exposure to irritants Micropolitan (nonmetro) 51.5
Persons with current asthma who were advised to change things to reduce exposure to irritants Noncore (non-metro) 51.6
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy Nonmetro 46.8
Children ages 2-17 for whom a health provider ever gave advice about healthy eating Micropolitan 48.3
Children ages 2-17 for whom a health provider ever gave advice about healthy eating Noncore 43.8
Adult current smokers with a checkup in the past year who received advice in last 12 months to quit smoking Nonmetro 65.1
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical admissions, age 18 and over Micropolitan 2.35
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults Noncore 2.63
Children ages 3-6 who ever had their vision checked by a health provider Nonmetro 59.2
Children ages 3-6 who ever had their vision checked by a health provider Micropolitan 65.0
Children ages 2-19 who visited emergency department for asthma Non-MSA 102.8
Children ages 2-9 who visited emergency department for asthma Non-MSA 166.9
Children ages 10-19 who visited emergency department for asthma Non-MSA 69.0
Children ages 0-17 with wellness checkup in the past 12 months Noncore (nonmetro) 74.8
Children for whom a health provider gave advice within the past 2 years about how smoking in the house can be bad for a child Nonmetro 34.4
Children for whom a health provider gave advice about how smoking in the house can be bad for a child within the past two years Micropolitan 37.9
Children for whom a health provider gave advice about how smoking in the house can be bad for a child within the past two years Noncore 27.4
Adults age 50 and over who received a fecal occult blood test (FOBT) in the last 2 years Micropolitan (nonmetro) 13.5
Adults age 50 and over who received a fecal occult blood test (FOBT) in the last 2 years Noncore (nonmetro) 10.7
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking Micropolitan 67.9
Adults with obesity who ever received advice from a health professional to exercise more Nonmetro 54.0
Adults with obesity who ever received advice from a health provider to exercise more Micropolitan 53.7
Adults with obesity who ever received advice from a health provider to exercise more Noncore 54.5
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical admissions, age 18 and over Micropolitan 7.80
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults Noncore 7.90
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months Nonmetro 70.7
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months Micropolitan 71.6
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months Noncore 68.8
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months Nonmetro 41.8
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months Micropolitan 39.0
Children 0-40 lbs for whom a health provider gave advice within the past 2 years about using a child safety seat while riding in the car Nonmetro 55.8
Children 0-40 lb for whom a health provider gave advice about using child safety seats when riding in a car within the past two years Micropolitan 56.4
Children 0-40 lb for whom a health provider gave advice about using child safety seats when riding in a car within the past two years Noncore 54.4
Adults with obesity who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week Nonmetro 48.0
Adults with obesity who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week Micropolitan 47.6
Adults with obesity who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week Noncore 48.4
Postoperative respiratory failure per 1,000 elective-surgery admissions, age 18 and over Micropolitan 9.70
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults Noncore 9.10
Adolescents ages 16-17 who received 3 or more doses human papillomavirus vaccine, either quadrivalent or bivalent Nonmetro 31.2
Children 41-80 lbs for whom a health provider gave advice within the past 2 years about using a booster seat when riding in the car Nonmetro 23.6
Children 41-80 lb for whom a health provider gave advice about using booster seats when riding in a car within the past two years Micropolitan 21.6
Children 41-80 lb for whom a health provider gave advice about using booster seats when riding in a car within the past two years Noncore 28.1
Children over 80 lbs for whom a health provider gave advice within the past 2 years about using lap or shoulder belts when driving or riding in a car Nonmetro 21.8
Children over 80 lb for whom a health provider gave advice about using lap or shoulder belts when riding in a car within the past two years Micropolitan 22.9
Children over 80 lb for whom a health provider gave advice about using lap or shoulder belts when riding in a car within the past two years Noncore 19.9
Persons with current asthma who received written asthma management plans from their healthcare provider Micropolitan (nonmetro) 27.2
Persons with current asthma who received written asthma management plans from their healthcare provider Noncore (nonmetro) 20.1
Persons with current asthma who received instructions on use of prescribed asthma inhalers Micropolitan (nonmetro) 94.5
Persons with current asthma who received instructions on use of prescribed asthma inhalers Noncore (non-metro) 91.7
Admissions with central venous catheter-related bloodstream infection per 1,000 medical and surgical discharges of length 2 or more days, age 18 and over or obstetric admissions Micropolitan 1.20
Admissions with central venous catheter-related bloodstream infection per 1,000 medical and surgical discharges of length 2 or more days, age 18 and over or obstetric admissions Noncore 1.19
Children ages 2-17 for whom a health provider gave advice within the past 2 years about the amount and kind of exercise, sports, or physically active hobbies they should have Nonmetro 31.1
Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should have Micropolitan 33.2
Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should have Noncore 26.8
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods Nonmetro 48.7
Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods Micropolitan 47.8
Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods Noncore 50.2
Children who had their height and weight measured by a health provider within the past 2 years Nonmetro 89.4
Children who had their height and weight measured by a health provider within the past two years Micropolitan 91.9
Children who had their height and weight measured by a health provider within the past two years Noncore 84.4
Children ages 2 -17 who had a dental visit in the calendar year Nonmetro 42.8
Children ages 2-17 who had a dental visit in the calendar year Micropolitan 42.8
Children ages 2-17 who had a dental visit in the calendar year Noncore 42.8
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) Nonmetro 28.0
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) Micropolitan 28.5
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) Noncore 26.5
Children ages 2-17 for whom a health provider gave advice within the past 2 years about using a helmet when riding a bicycle or motorcycle Nonmetro 21.2
Children ages 2-17 for whom a health provider gave advice about using a helmet when riding a bicycle or motorcycle within the past two years Micropolitan 23.5
Children ages 2-17 for whom a health provider gave advice about using a helmet when riding a bicycle or motorcycle within the past two years Noncore 16.4
Children ages 10-17 with wellness checkup in the past 12 months Nonmetro 66.7
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things clearly Nonmetro 6.30
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things in a way they could understand, all adults or Medicaid (State) Micropolitan 6.40
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things in a way they could understand, all adults or Medicaid (State) Noncore 6.10
Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things clearly Nonmetro 4.00
Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things clearly, to their parents Micropolitan 4.90
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months Micropolitan 10.5
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months Noncore 12.1
Rating of health care 0-6 on a scale from 0 to 10 (best grade) for children who had a doctor's office or clinic visit in the last 12 months Nonmetro 5.70
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by parents for children who had a doctor's office or clinic visit in the last 12 months Micropolitan 6.10
Overweight adults with doctor-diagnosed arthritis who reported they received health care provider counseling weight reduction Micropolitan (nonmetro) 34.1
Overweight adults with doctor-diagnosed arthritis who reported they received health care provider counseling weight reduction Noncore (nonmetro) 35.5
Males age 75 and over who reported having a prostate-specific antigen test or a digital rectal exam within the last 12 months Non-MSA 71.5
Hospitals that have implemented select electronic capabilities including patient demographics, physician notes, nursing notes, problem list, medication list, discharge summaries, and advanced directives Rural 16.3
Hospital electronically exchanges medication history with hospitals outside system Rural 22.0
People under age 65 with any period of uninsurance during the year Nonmetro 25.3
People under age 65 with any period of uninsurance during the year Micropolitan 24.3
People under age 65 with any period of uninsurance during the year Noncore 27.8
People under age 65 with any period of public insurance during the year Nonmetro 27.4
People under age 65 with any period of public insurance during the year Micropolitan 26.2
People under age 65 with any period of public insurance during the year Noncore 30.1
People under age 65 whose family's health insurance premiums and out-of-pocket medical expenditures were more than 10% of total family income Nonmetro 17.8
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income Micropolitan 17.4
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income Noncore 18.9
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms Micropolitan (nonmetro) 71.0
People who had a hospital emergency room visit in the calendar year Nonmetro 15.2
People who had a hospital emergency room visit in the calendar year Micropolitan 16.4
People who had a hospital emergency room visit in the calendar year Noncore 12.5
People who received a hospital inpatient discharge in the calendar year Nonmetro 8.30
People who received a hospital inpatient discharge in the calendar year Micropolitan 8.60
People who received a hospital inpatient discharge in the calendar year Noncore 7.40
People with difficulty contacting their usual source of care during regular business hours over the telephone about a health problem Nonmetro 13.3
People with difficulty contacting their usual source of care over the telephone Micropolitan 13.1
People with difficulty contacting their usual source of care over the telephone Noncore 13.9
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Nonmetro 16.6
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Micropolitan 16.5
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Noncore 16.7
Physician office and hospital outpatient department visits per 100 population Non-MSA 269.9
Postoperative respiratory failure per 1,000 elective-surgery admissions, under age 18 Micropolitan 16.0
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, children ages 0-17 Noncore 26.9
Postoperative physiologic and metabolic derangements per 1,000 elective-surgery admissions, age 18 and over Micropolitan 1.61
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults Noncore 1.46
Maternal deaths per 100,000 live births Micropolitan 16.0
Maternal deaths per 100,000 live births Noncore 13.0
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say Nonmetro 6.60
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say, all adults or Medicaid (State) Micropolitan 6.80
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say, all adults or Medicaid (State) Noncore 6.20
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms Noncore (nonmetro) 77.2
Emergency department visits where the patient was transferred or admitted to the hospital and length of visit was six hours or more per 10,000 population Nonmetro 13.6
Office-based physicians with a computerized system for ordering prescriptions Non-MSA 75.4
Office-based physicians with a computerized system for sending prescriptions electronically to the pharmacy Non-metro 69.2
Office-based physicians with a computerized system for providing warnings of drug interactions or contraindications Non-metro 63.0
Office-based physicians with a computerized system for reminders Non-MSA 55.9
Office-based physicians with a computerized system for clinical decision support Non-MSA 48.7
Office-based physicians with a computerized system for recording patient demographic information Non-MSA 79.2
Office-based physicians with a computerized system for providing clinical notes Non-metro 71.3
Distribution of NON-trauma center utilizations per 100 emergency department visits related to severe injuries Micropolitan 34.4
Distribution of NON-trauma center utilizations per 100 emergency department visits related to severe injuries Noncore 36.7
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high Micropolitan (nonmetro) 91.6
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high Noncore (nonmetro) 93.0
Emergency department visits with a principal diagnosis related to mental health, alcohol, or substance abuse, per 100,000 population Micropolitan 1744.5
Emergency department visits with a principal diagnosis related to mental health, alcohol, or substance abuse, per 100,000 population Noncore 1633.4
Potentially avoidable emergency department encounters for asthma, adults Micropolitan 541.5
Potentially avoidable emergency department encounters for asthma, adults Noncore 454.4
Potentially avoidable emergency department encounters for asthma, children ages 2-17 Micropolitan 885.7
Potentially avoidable emergency department encounters for asthma, children ages 2-17 Noncore 732.9
Emergency department visits per 100 population. Non-MSA 40.5
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Nonmetro 11.2
Adults who needed care, test, or treatment in the last 12 months who sometimes or never found it easy to get care, test, or treatment Nonmetro 9.40
Adults who needed care, test, or treatment in the last 12 months who sometimes or never found it easy to get care, test, or treatment Micropolitan 10.1
Adults who needed care, test, or treatment in the last 12 months who sometimes or never found it easy to get care, test, or treatment Noncore 7.60
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, age 18 and over Micropolitan 0.10
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults Noncore 0.15
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, age 18 and over Micropolitan 1.63
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults Noncore 1.86
Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say Nonmetro 3.40
Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they or their parents had to say Micropolitan 3.20
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them Nonmetro 9.90
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them Micropolitan 10.9
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them Noncore 7.40
Female Medicare beneficiaries age 65 and over who reported ever being screened for osteoporosis with a bone mass or bone density measurement Non-MSA 64.9
Distribution of levels I and II trauma center utilizations per 100 emergency department visits related to severe injuries Micropolitan 56.3
Distribution of levels I and II trauma center utilizations per 100 emergency department visits related to severe injuries Noncore 56.4
Distribution of level III trauma center utilizations per 100 emergency department visits related to severe injuries Micropolitan 9.30
Distribution of level III trauma center utilizations per 100 emergency department visits related to severe injuries Micropolitan 12.1
Distribution of level III trauma center utilizations per 100 emergency department visits related to severe injuries Noncore 6.90
Distribution of level III trauma center utilizations per 100 emergency department visits related to severe injuries Noncore 12.1
Percent of hospital discharges where expected payer is Medicaid or uninsured Nonmetro 24.9
Percent of hospital charges where expected payer is Medicaid or uninsured Nonmetro 20.2
People under age 65 with health insurance Micropolitan (nonmetro) 81.7
People under age 65 with health insurance Noncore (nonmetro) 78.0
People under age 65 with public health insurance only Micropolitan (nonmetro) 44.4
People under age 65 with public health insurance only Noncore (nonmetro) 47.2
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them Nonmetro 7.30
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them Micropolitan 7.60
Potentially avoidable hospitalizations and emergency department encounters for congestive heart failure Micropolitan 393.8
Potentially avoidable hospitalizations and emergency department encounters for congestive heart failure Noncore 412.0
Children who needed care, test, or treatment in the last 12 months who sometimes or never found it easy to get care, test, or treatment Nonmetro 3.20
People who had an office-based or outpatient department visit in the calendar year Nonmetro 74.0
People who had an office-based or outpatient department visit in the calendar year Micropolitan 75.2
People who had an office-based or outpatient department visit in the calendar year Noncore 71.0
Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them Nonmetro 5.80
Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them Micropolitan 5.20
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months Nonmetro 11.0
Adults with doctor-diagnosed arthritis who reported they had effective, evidence-based arthritis education Micropolitan (nonmetro) 11.8
Adults with doctor-diagnosed arthritis who reported they had effective, evidence-based arthritis education Noncore (nonmetro) 9.40
Adults with doctor-diagnosed arthritis who reported they received health care provider counseling for physical activity or exercise Micropolitan (nonmetro) 54.3
Adults with doctor-diagnosed arthritis who reported they received health care provider counseling for physical activity or exercise Noncore (nonmetro) 44.2
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them Noncore 6.70
Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them Nonmetro 3.80
Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully Micropolitan 4.70
People under age 65 with any private health insurance Micropolitan (nonmetro) 55.3
People under age 65 with any private health insurance Noncore (nonmetro) 52.4
Adults age 65 and over with any private health insurance Micropolitan (nonmetro) 58.4
Adults age 65 and over with any private health insurance Noncore (nonmetro) 54.2
People under age 65 who were uninsured all year Nonmetro 14.1
People under age 65 who were uninsured all year, United States Micropolitan 12.9
People under age 65 who were uninsured all year, United States Noncore 17.0
Doctor's office, emergency department, and outpatient department visits where antibiotics were prescribed for a diagnosis of common cold per 10,000 population Non-MSA 190.9
People who received a prescription medication in the calendar year Nonmetro 65.2
People who received a prescription medication in the calendar year Micropolitan 64.9
People who received a prescription medication in the calendar year Noncore 66.1
People who had a dental visit in the calendar year Nonmetro 36.6
People who had a dental visit in the calendar year Micropolitan 37.6
People who had a dental visit in the calendar year Noncore 34.5
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, age 18 and over Micropolitan 3.74
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults Noncore 3.82
Live-born infants with low birth weight (less than 1,500 g) Micropolitan (nonmetro) 1.40
Live-born infants with low birth weight (less than 1,500 g) Noncore (non-metro) 1.40
Live-born infants with low birth weight (less than 2,500 grams) Micropolitan (nonmetro) 8.20
Live-born infants with low birth weight (less than 2,500 g) Noncore (non-metro) 8.30
People unable to get or delayed in getting needed medical care due to financial or insurance reasons Nonmetro 56.4
People unable to get or delayed in getting needed medical care due to financial or insurance reasons Micropolitan 51.4
People unable to get or delayed in getting needed dental care due to financial or insurance reasons Nonmetro 81.8
People unable to get or delayed in getting needed dental care due to financial or insurance reasons Micropolitan 78.5
People unable to get or delayed in getting needed dental care due to financial or insurance reasons Noncore 90.3
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons Nonmetro 71.4
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons Micropolitan 68.3
Admissions with accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, age less than 18 years Micropolitan 0.86
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children Noncore 0.65
Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year (11 medications) Nonmetro 3.10
Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year (11 medications) Micropolitan 2.60
Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year (33 medications) Nonmetro 18.2
Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year (33 medications) Micropolitan 18.1
Adults age 65 and over who received potentially inappropriate prescription medications in the calendar year (33 medications) Noncore 18.4
Adults with limited English proficiency who did not have a usual source of care (USC) Nonmetro 45.5
Adults with limited English proficiency and a usual source of care Nonmetro 54.1
People with a usual source of care who usually asks about prescription medications and treatments from other doctors Nonmetro 82.9
People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors Micropolitan 83.9
People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors Noncore 81.0
People under age 65 with private insurance whose family's out-of-pocket medical expenditures were more than 10% of total family income Nonmetro 5.70
People under age 65 with private insurance whose family's out-of-pocket medical expenditures were more than 10% of total family income Micropolitan 6.70
People under age 65 with private insurance whose family's out-of-pocket medical expenditures were more than 10% of total family income Noncore 3.10
People unable to get or delayed in getting needed medical care, dental care, or prescription medicines due to financial or insurance reasons Nonmetro 70.2
People unable to get or delayed in getting needed medical care, dental care, or prescription medicines due to financial or insurance reasons Micropolitan 67.1
People unable to get or delayed in getting needed medical care, dental care, or prescription medicines due to financial or insurance reasons Noncore 78.6
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions Micropolitan 114.4
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions Noncore 112.6
Adults with limited English proficiency who had a usual source of care (USC) and language assistance Nonmetro 50.8
Adults who made an appointment for routine health care in the last 12 months who sometimes or never got an appointment as soon as wanted Nonmetro 13.4
Adults who had an appointment for routine health care in the last 12 months who sometimes or never got appointments for routine care as soon as wanted Micropolitan 13.3
Adults who had an appointment for routine health care in the last 12 months who sometimes or never got appointments for routine care as soon as wanted Noncore 13.7
Adults with limited English proficiency and a usual source of care which had language assistance Nonmetro 61.5
People without a usual source of care who indicate a financial or insurance reason for not having a source of care Nonmetro 13.6
Hospital electronically exchanges medication history with ambulatory providers inside system Rural 59.6
Hospital electronically exchanges medication history with ambulatory providers outside system Rural 27.2
People without a usual source of care who indicated a financial or insurance reason for not having a source of care Micropolitan 13.5
People without a usual source of care who indicated a financial or insurance reason for not having a source of care Noncore 13.9
People with a specific source of ongoing care Micropolitan (nonmetro) 88.2
People with a specific source of ongoing care Noncore (nonmetro) 88.7
People with a usual primary care provider Nonmetro 80.3
People with a usual primary care provider Micropolitan 80.3
People with a usual primary care provider Noncore 80.2
People unable to get or delayed in getting needed medical care Nonmetro 5.00
People who were unable to get or delayed in getting needed medical care in the last 12 months Micropolitan 5.20
People who were unable to get or delayed in getting needed medical care in the last 12 months Noncore 4.50
People unable to get or delayed in getting needed dental care Nonmetro 6.10
People who were unable to get or delayed in getting needed dental care in the last 12 months Micropolitan 6.20
People who were unable to get or delayed in getting needed dental care in the last 12 months Noncore 5.60
Children who had an appointment for routine health care in the last 12 months who sometimes or never got an appointment as soon as wanted Nonmetro 5.50
Children who had an appointment for routine health care in the last 12 months who sometimes or never got appointments for routine care as soon as wanted Micropolitan 4.40
Children who had an appointment for routine health care in the last 12 months who sometimes or never got appointments for routine care as soon as wanted Noncore 7.70
Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted Nonmetro 14.4
Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted, all adults or Medicaid (State) Micropolitan 15.0
Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted, all adults or Medicaid (State) Noncore 13.2
Emergency department visit per 100,000 population Micropolitan 4486.0
People with a usual source of care whose healthcare providers sometimes or never asked for persons help to make treatment decisions Nonmetro 12.1
People with a usual source of care whose healthcare providers sometimes or never asked for the person's help to make treatment decisions Micropolitan 12.1
People with a usual source of care whose healthcare providers sometimes or never asked for the person's help to make treatment decisions Noncore 12.3
People with a usual source of care for whom healthcare providers explained and provided all treatment options Nonmetro 95.8
People with a usual source of care for whom healthcare providers explained and provided all treatment options Micropolitan 96.0
People with a usual source of care for whom healthcare providers explained and provided all treatment options Noncore 95.5
Emergency department visit per 100,000 population Noncore 4750.0
Emergency department visits with a principal diagnosis related to mental health only per 100,000 population Micropolitan 1316.4
Emergency department visits with a principal diagnosis related to mental health only per 100,000 population Noncore 1214.2
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population Micropolitan 398.1
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population Noncore 392.3
Emergency department visits with a principal diagnosis related to co-occurring of mental health, alcohol and substance abuse, per 100,000 population Micropolitan 30.0
Emergency department visits with a principal diagnosis related to co-occurring of mental health, alcohol and substance abuse, per 100,000 population Noncore 27.0
People who identified a hospital, emergency room, or clinic as a source of ongoing care Micropolitan (nonmetro) 26.3
People who identified a hospital, emergency room, or clinic as a source of ongoing care Noncore (nonmetro) 35.9
People in fair or poor health with a specific source of ongoing care Micropolitan (nonmetro) 89.5
People in fair or poor health with a specific source of ongoing care Noncore (nonmetro) 92.5
People unable to get or delayed in getting needed prescription medicines Nonmetro 4.00
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months Micropolitan 4.00
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months Noncore 3.90
People with a usual source of care, excluding hospital emergency rooms, who has office hours at nights or on weekends Nonmetro 33.5
People with a usual source of care, excluding hospital emergency rooms, who has office hours nights or weekends Micropolitan 37.0
People with a usual source of care, excluding hospital emergency rooms, who has office hours nights or weekends Noncore 25.7
Ambulatory medical care visits due to adverse effects of medical care per 1,000 persons Non-MSA 33.4
Children who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted Nonmetro 6.70
Children who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted Noncore 7.70
Emergency department visits triaged as immediate or emergent at which patients waited to see a physician for one hour or more per 10,000 population Nonmetro 12.4
Emergency department visits triaged as urgent at which patients waited to see a physician for one hour or more per 10,000 population Nonmetro 19.9