LouisianaBlack Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to Black 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
Long-stay nursing home residents have depressive symptoms Black 0.6 1.1 Achieved: 47% better
Long-stay nursing home patients experiencing one or more falls with major injury Black 0.2 0.4 Achieved: 41% better
Long-stay nursing home residents with a urinary tract infection Black 2.5 3.3 Achieved: 25% better
Long-stay nursing home residents with moderate to severe pain Black 4.0 4.7 Achieved: 15% better
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital Black 6.9 7.8 Achieved: 11% better
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 Black 91.8 85.5 Achieved: 7% better
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 Black 85.0 83.3 Achieved: 2% better
Adults who reported that home health providers always listen carefully to them in the last 2 months of care Black 89.7 87.9 Achieved: 2% better
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 Black 68.6 67.6 Achieved: 1% better
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 Black 89.4 88.2 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 Black 87.6 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 Black 92.8 92.5 -0.4%
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care Black 94.9 95.0 0.1%
Adults who reported that home health providers talk about pain in the last 2 months of care Black 90.8 91.2 0.5%
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care Black 92.6 94.0 1.5%
Short-stay home health patients who had diabetic foot care and patient education Black 96.9 98.6 1.7%
Adults who reported being told what care and services they would get when they first started getting home health care Black 89.4 91.3 2.1%
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 Black 76.5 80.1 4.5%
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care Black 32.3 33.9 4.7%
Long-stay nursing home residents who were assessed for pneumococcal vaccination Black 93.2 98.0 4.9%
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 Black 33.7 35.9 6.2%
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 Black 27.6 29.5 6.6%
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine Black 87.8 94.1 6.7%
Long-stay nursing home residents whose ability to move independently worsened Black 14.7 13.7 7.0%
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season Black 44.2 47.8 7.5%
Adults who received a blood cholesterol measurement in the last 5 years Black 75.7 82.3 8.0%
Home health care patients whose pain when moving around decreased Black 67.8 73.8 8.1%
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Black 77.1 84.0 8.2%
Home health care patients whose bathing improved Black 69.1 75.4 8.3%
Home health care patients whose management of oral medications improved Black 60.4 66.0 8.5%
Home health care patients whose surgical wound was improved Black 88.3 80.3 9.9%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Home health care patients whose ability to walk or move around improved Black 63.6 71.5 11.0%
Short-stay nursing home residents who were assessed for pneumococcal vaccination Black 84.3 95.3 11.5%
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year Black 69.5 79.5 12.6%
Home health patients who had improvement in upper body dressing Black 65.9 77.4 14.8%
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care Black 25.9 30.4 14.9%
Adults age 65 and over who ever received pneumococcal vaccination Black 67.0 78.7 14.9%
Home health care patients whose shortness of breath decreased Black 64.3 77.0 16.5%
Long-stay nursing home residents with too much weight loss Black 6.3 5.4 16.9%
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year Black 62.1 75.2 17.4%
Home health care patients whose ability to get in and out of bed improved Black 57.4 70.3 18.3%
Adults who had a doctor´s office or clinic visit in the last 12 months who sometimes or never got advice to quit smoking from provider, Medicare managed care Black 33.2 27.7 19.9%
Short-stay nursing home patients who had flu vaccination appropriately given Black 73.7 92.9 20.7%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers Black 18.7 23.8 21.6%
Home health patients who had influenza vaccination during flu season Black 66.4 84.8 21.7%
Home health care patients who stayed at home after an episode of home health care Black 57.2 77.5 26.2%
Home health patients who had pneumococcal polysaccharide vaccination Black 61.9 86.1 28.1%
Adults age 65 and over who received an influenza vaccination in the last flu season Black 49.5 70.3 29.6%
Long-stay nursing home residents whose need for help with daily activities increased Black 14.0 10.6 31.8%
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year Black 44.4 65.8 32.6%
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination Black 30.2 44.8 32.6%
Adult hospital patients who did not receive good communication about discharge information Black 10.7 7.7 38.6%
Home health care patients who had an emergency department visit without a hospitalization Black 4.0 2.9 40.1%
Short-stay nursing home residents with moderate to severe pain Black 16.1 10.8 48.8%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder Black 4.1 2.5 63.0%
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist, Medicare fee-for-service Black 13.0 7.2 79.0%
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 Black 6.0 3.2 85.2%
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 Black 17.5 8.8 99.9%
Home health care patients who had to be admitted to the hospital Black 37.0 17.7 108.6%
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 managed care Black 5.0 2.4 108.8%
Adults who had an appointment for routine health care in the last 12 months who sometimes or never got an appointments for routine care as soon as wanted, Medicare fee-for-service Black 20.0 9.5 110.4%
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist, Medicare managed care Black 13.6 6.4 112.4%
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, Medicare fee-for-service Black 12.0 5.6 112.8%
Home health care patients who had an emergency department visit and then hospitalized Black 29.1 13.5 114.9%
Adults who had an appointment for routine health care in the last 12 months who sometimes or never got an appointments for routine care as soon as wanted, Medicare managed care Black 18.7 8.3 125.8%
Long-stay nursing home residents with physical restraints Black 0.5 0.2 126.1%
Adults who had a doctor's office or clinic visit in the last 12 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment, Medicare managed care Black 12.8 4.9 161.2%
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 Black 19.4 7.2 171.5%
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder Black 45.8 16.7 174.3%
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 Black 4.8 1.7 188.0%
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 managed care Black 5.6 1.9 193.8%
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 Black 8.3 2.8 200.4%
High-risk, long-stay nursing home patients with pressure ulcer Black 10.2 3.4 201.5%
Short-stay nursing home patients with pressure ulcers that are new or worsened Black 0.9 0.3 210.7%
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, Medicare managed care Black 14.8 4.3 240.7%
Adults who had a doctor's office or clinic visit in the last 12 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment, Medicare fee-for-service Black 15.5 4.4 253.4%
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 Black 97.9
People who needed to see a doctor but could not because of cost in the past 12 months Black 20.3
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 Black 5.9
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 Black 5.6
Adult hospital patients who always had good communication with nurses in the hospital Black 86.8
Adult hospital patients who always had good communication with doctors in the hospital Black 89.0
Adult hospital patients who strongly agree that they understood the purpose for taking each of their medications after discharge Black 57.1
Adult hospital patients who strongly agree that they understood how to manage their health after discharge Black 60.6