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MassachusettsStructural Access Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to Structural Access 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
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	9.3	9.5	Achieved: 2% better

Measures That Are Close to Benchmark
Measure	Estimate	Benchmark	Distance to Benchmark
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	9.4	8.3	13.7%
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 fee-for-service	6.6	5.6	17.6%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers	19.3	23.8	19.0%

Measures That Are Far From Benchmark
Measure	Estimate	Benchmark	Distance to Benchmark
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	7.7	4.3	77.0%

Measures With No Available Benchmark Information or Supplemental Measures
Measure	Estimate	Benchmark	Distance to Benchmark
Median time in minutes patients with psychiatric or mental health conditions spent at emergency department (ED) from ED arrival to ED departure	323.0
Median time in minutes patients who came to the emergency department with broken bones had to wait before getting pain medication	51.0
Median time in minutes patients spent at emergency department (ED) from ED arrival to ED departure	167.0
Median time in minutes spent in the emergency department (ED) from admission decision to ED departure for admitted patients	125.0
Median time in minutes patients spent in the emergency department before they were seen by a healthcare professional	34.0
Median time in minutes spent in the emergency department (ED) from ED arrival to ED departure for admitted patients	325.0

National Healthcare Quality and Disparities Reports

MassachusettsStructural Access Quality Measures Compared to Achievable Benchmarks

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