GeorgiaNursing Home Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to Nursing Home 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 - a State's value for a measure has not achieved 50% of the benchmark.
 
Close to benchmark - a State's 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 - a State's 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 Estimate Benchmark Distance to Benchmark
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine 91.1 94.1 3.2%
Long-stay nursing home residents who were assessed for pneumococcal vaccination 94.3 98.0 3.8%
Short-stay nursing home residents who were assessed for pneumococcal vaccination 88.3 95.3 7.3%
Short-stay nursing home patients who had flu vaccination appropriately given 84.2 92.9 9.4%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Long-stay nursing home residents with a urinary tract infection 3.9 3.3 18.8%
Short-stay nursing home residents with moderate to severe pain 13.3 10.8 22.9%
Long-stay nursing home residents whose ability to move independently worsened 17.5 13.7 27.4%
Long-stay nursing home residents with too much weight loss 6.9 5.4 28.4%
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder 3.3 2.5 28.7%
Long-stay nursing home residents whose need for help with daily activities increased 14.9 10.6 40.3%
Long-stay nursing home patients experiencing one or more falls with major injury 0.6 0.4 43.9%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
Long-stay nursing home residents with physical restraints 0.4 0.2 65.2%
Long-stay nursing home residents with moderate to severe pain 8.3 4.7 77.2%
Short-stay nursing home patients with pressure ulcers that are new or worsened 0.5 0.3 82.1%
High-risk, long-stay nursing home patients with pressure ulcer 6.5 3.4 90.9%
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder 47.6 16.7 185.0%
Long-stay nursing home residents have depressive symptoms 4.9 1.1 326.1%