LouisianaPerson-Centered Care Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to Person-Centered Care 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
Family members who definitely received trainings about taking care their family member from hospice care team 79.4 78.4 Achieved: 1% better
Adults who reported that home health providers always listen carefully to them in the last 2 months of care 88.7 87.9 Achieved: 1% better
Adults who reported that home health providers always explained things in a way that was easy to understand in the last 2 months of care 87.4 86.8 Achieved: 1% better
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care 93.0 92.5 Achieved: 1% better
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care 95.3 95.0 -0.3%
Adults who reported that home health providers talk about pain in the last 2 months of care 91.4 91.2 -0.2%
Adults who reported that home health providers always kept them informed about when they would arrive at their home in the last 2 months of care 83.4 83.3 -0.1%
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team 79.1 79.0 -0.1%
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them 83.2 83.3 0.1%
Family caregivers who rated the hospice care for their family member best (9-10) on a scale of 0-10 (where 0 is the worst and 10 is the best) 83.6 83.9 0.4%
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care 93.6 94.0 0.5%
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them 91.6 92.1 0.5%
Hospice patients and family caregivers who always got help as soon as they need from hospice care team 81.6 82.3 0.9%
Adults who reported being told what care and services they would get when they first started getting home health care 89.6 91.3 1.9%
Family caregivers who received right amount of emotional and spiritual supports from hospice care team 89.2 90.9 1.9%
Family caregivers who would definitely recommend this hospice to their friends and family 86.7 88.4 1.9%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital 8.3 7.8 7.0%
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care 27.6 30.4 9.3%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
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, Medicare fee-for-service 5.4 3.8 40.5%
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, Medicare managed care 3.5 2.4 44.4%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
Rating of health care 0-6 on a scale from 0 (worst grade) to 10 (best grade) by adults who had a doctor´s office or clinic visit in the last 12 months, Medicare fee-for-service 13.7 8.8 56.6%
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, Medicare fee-for-service 5.2 3.2 63.3%
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, Medicare fee-for-service 4.3 2.4 78.1%
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, Medicare managed care 5.2 2.8 89.5%
Rating of health care 0-6 on a scale from 0 (worst grade) to 10 (best grade) by adults who had a doctor´s office or clinic visit in the last 12 months, Medicare managed care 13.6 7.2 90.2%
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, Medicare managed care 3.7 1.9 94.3%
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, Medicare managed care 3.3 1.7 97.0%
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, Medicare fee-for-service 5.6 2.7 111.7%
Measures With No Available Benchmark Information or Supplemental Measures
Measure Estimate Benchmark Distance to Benchmark
Composite measure: Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, Medicare fee 5.1
Composite measure: Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, Medicare man 3.9
Adult hospital patients who strongly agree that they understood how to manage their health after discharge 57.4
Adult hospital patients who strongly agree that they understood the purpose for taking each of their medications after discharge 54.8
Adult hospital patients who always had good communication with nurses in the hospital 83.8
Adult hospital patients who always had good communication with doctors in the hospital 86.0