LouisianaAmerican Indian/Alaska Native (AI/AN) Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to American Indian/Alaska Native (AI/AN) 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 Population Estimate Benchmark Distance to Benchmark
Adults home health patients age 18 and over who reported that home health providers talked with them about the side effects of medicines in the last 2 months of care AI/AN 35.6 29.5 Achieved: 21% better
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital AI/AN 6.7 7.8 Achieved: 14% better
Adults who reported getting the help or advice they needed the same day they contacted their home health providers AI/AN 26.4 23.8 Achieved: 11% better
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care AI/AN 36.2 33.9 Achieved: 7% better
Adults who reported that home health providers talked with them about the purpose for taking their new or changed prescription medicines in the last 2 months of care AI/AN 37.4 35.9 Achieved: 4% better
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care AI/AN 31.3 30.4 Achieved: 3% better
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care AI/AN 96.3 95.0 Achieved: 1% better
Adults who reported a home health provider talking with them about how to set up their home so they can move around safely when they first started getting home health care AI/AN 81.0 80.1 Achieved: 1% better
Adults who reported that home health providers talk about pain in the last 2 months of care AI/AN 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 AI/AN 83.4 83.3 -0.1%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care AI/AN 92.6 92.5 -0.1%
Adults who reported a home health provider asking to see all the prescription and over-the-counter medicines they were taking, when they first started getting home health care AI/AN 85.3 85.5 0.3%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care AI/AN 87.7 87.9 0.3%
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 AI/AN 85.9 86.8 1.0%
Adults who reported that home health providers always seem informed and up-to-date about all the cares or treatments they got at home in the last 2 months of care AI/AN 66.3 67.6 1.9%
Adults who reported a home health provider talking with them about all the prescription and over-the-counter medicines they were taking when they first started getting home health care AI/AN 84.7 88.2 4.0%
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care AI/AN 90.2 94.0 4.1%
Adults who reported being told what care and services they would get when they first started getting home health care AI/AN 85.3 91.3 6.6%
Home health care patients who stayed at home after an episode of home health care AI/AN 70.5 77.5 9.0%
Home health care patients whose ability to walk or move around improved AI/AN 65.0 71.5 9.1%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Home health care patients whose bathing improved AI/AN 67.6 75.4 10.3%
Home health patients who had influenza vaccination during flu season AI/AN 69.4 84.8 18.2%
Home health patients who had pneumococcal polysaccharide vaccination AI/AN 66.9 86.1 22.3%
Adult hospital patients who did not receive good communication about discharge information AI/AN 10.1 7.7 30.8%
Home health care patients who had to be admitted to the hospital AI/AN 25.3 17.7 42.6%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Home health care patients who had an emergency department visit and then hospitalized AI/AN 21.6 13.5 59.5%
Adult hospital patients who strongly disagree or disagree that staff took their preferences and those of their family and caregiver into account when deciding what the patients discharge health care would be AI/AN 8.7 3.2 168.5%
Home health care patients who had an emergency department visit without a hospitalization AI/AN 8.2 2.9 186.1%
Measures With No Available Benchmark Information or Supplemental Measures
Measure Population Estimate Benchmark Distance to Benchmark
Short-stay home health patients who had drug education on all medications AI/AN 96.4
Adult hospital patients who always had good communication with doctors in the hospital AI/AN 85.2
Adult hospital patients who strongly agree that they understood the purpose for taking each of their medications after discharge AI/AN 57.1
Adult hospital patients who strongly agree that they understood how to manage their health after discharge AI/AN 54.4
Adult hospital patients who always had good communication with nurses in the hospital AI/AN 82.3