Massachusetts Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures 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 a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never showed respect for what they had to say, Medicare fee-for-service 1.8 2.4 Achieved: 26% better
Long-stay nursing home residents with a urinary tract infection 2.3 2.8 Achieved: 20% better
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never listened carefully to them, Medicare fee-for-service 2.6 3.2 Achieved: 18% better
Home health care patients whose management of oral medications improved 74.0 66.2 Achieved: 12% better
Long-stay nursing home residents with too much weight loss 4.2 4.7 Achieved: 11% better
Home health care patients whose ability to get in and out of bed improved 80.0 72.6 Achieved: 10% better
Home health care patients whose ability to walk or move around improved 80.5 74.2 Achieved: 9% better
Home health care patients whose pain when moving around decreased 80.1 75.1 Achieved: 7% better
Adults who received a blood cholesterol measurement in the last 5 years 86.5 82.3 Achieved: 5% better
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine 45.1 43.2 Achieved: 4% better
Adults who had a doctor's office or clinic visit in the last 6 or 12 months who sometimes or never got advice to quit smoking from provider, Medicare managed care 26.7 27.7 Achieved: 4% better
Dialysis patients who were registered on a waiting list for transplantation 29.1 28.2 Achieved: 3% better
Home health care patients whose bathing improved 80.6 78.2 Achieved: 3% better
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy 55.4 54.1 Achieved: 2% better
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 92.6 90.6 Achieved: 2% better
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 98.3 96.4 Achieved: 2% better
Children ages 19-35 months who received 1 or more doses of varicella vaccine 97.6 95.7 Achieved: 2% better
Women ages 50-74 who received a mammogram in the last 2 years 86.0 84.7 Achieved: 2% better
Home health patients who had influenza vaccination during flu season 95.4 94.1 Achieved: 1% better
Adolescents ages 13-15 who received 1 or more doses of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years 96.4 95.2 Achieved: 1% better
Home health patients who had improvement in upper body dressing 80.1 79.3 Achieved: 1% better
Adult hemodialysis patients with adequate dialysis - (Kt/V) 1.2 or higher 97.1 96.5 Achieved: 1% better
Home health care patients whose shortness of breath decreased 78.4 78.4 0.0%
Home health care patients whose surgical wound was improved 93.0 93.1 0.1%
Women ages 21-65 who received a Pap smear in the last 3 years 84.1 84.2 0.1%
Adolescents ages 16-17 who received 1 or more doses of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years 95.8 95.9 0.1%
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over 48.7 48.6 0.2%
Home health patients who had improvement in toileting 78.6 78.9 0.4%
Colorectal cancer deaths per 100,000 population per year 11.6 11.5 0.5%
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine 94.9 95.4 0.5%
Adults who had an appointment for routine health care in the last 6 or 12 months who sometimes or never got an appointments for routine care as soon as wanted, Medicare fee-for-service 9.6 9.5 0.6%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined 94.3 95.4 1.1%
Children ages 19-35 months who received 3 or more doses of polio vaccine 96.1 97.3 1.2%
Hospital patients who received influenza vaccination 95.1 96.6 1.6%
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them 90.6 92.1 1.6%
Family caregivers who received right amount of emotional and spiritual supports from hospice care team 89.2 90.9 1.9%
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care 92.0 94.0 2.2%
Family members who definitely received trainings about taking care their family member from hospice care team 76.6 78.4 2.2%
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care 92.8 95.0 2.3%
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them 80.7 83.3 3.1%
Adults who reported being told what care and services they would get when they first started getting home health care 88.4 91.3 3.2%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 92.9 96.4 3.6%
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) 80.9 83.9 3.6%
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over 8.0 7.7 3.6%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care 89.1 92.5 3.6%
Adults who reported that home health providers talk about pain in the last 2 months of care 87.9 91.2 3.7%
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis 92.5 96.2 3.8%
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine 92.5 96.2 3.8%
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 84.8 88.2 3.9%
Breast cancer deaths per 100,000 female population per year 18.5 17.8 4.0%
Family caregivers who would definitely recommend this hospice to their friends and family 84.8 88.4 4.1%
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team 75.6 79.0 4.3%
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 64.5 67.6 4.6%
Ratio of observed deaths to expected deaths among hemodialysis patients 0.9 0.9 4.7%
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 82.6 86.8 4.8%
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 76.2 80.1 4.9%
Short-stay nursing home patients who had flu vaccination appropriately given 87.7 92.2 4.9%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care 83.5 87.9 5.1%
Hospice patients and family caregivers who always got help as soon as they need from hospice care team 78.1 82.3 5.1%
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care 32.0 33.9 5.5%
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 33.9 35.9 5.6%
Home health care patients who stayed at home after an episode of home health care 80.7 85.5 5.7%
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access 68.6 72.8 5.7%
Persons age 13 and over living with diagnosed HIV who had at least two CD4 or viral load tests performed at least 3 months apart during the last year, among reporting jurisdictions 62.4 66.2 5.8%
Long-stay nursing home residents who were assessed for pneumococcal vaccination 91.1 97.0 6.1%
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment 89.3 95.4 6.4%
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine 87.8 93.9 6.5%
Persons age 13 and over living with HIV who know their serostatus 85.6 91.9 6.9%
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 9.4 8.8 7.3%
Home health patients who had pneumococcal polysaccharide vaccination 84.1 91.0 7.6%
Breast cancer diagnosed at advanced stage (regional, distant stage, or local stage with tumor greater than 2 cm) per 100,000 women age 40 and over 79.5 73.8 7.8%
Short-stay nursing home residents who were assessed for pneumococcal vaccination 84.1 91.4 7.9%
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder 2.3 2.1 8.1%
Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy (SLNB) at the time of surgery (lumpectomy or mastectomy) 87.9 96.4 8.8%
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 75.6 83.3 9.2%
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 26.6 29.5 10.0%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Persons age 13 and over living with diagnosed HIV whose most recent viral load in the last 12 months was under 200 copies/mL 68.3 76.1 10.2%
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 76.4 85.5 10.7%
Adults who needed to see a specialist in the last 6 or 12 months who sometimes or never found it easy to see a specialist, Medicare fee-for-service 8.1 7.2 11.6%
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 8.2 7.2 14.5%
High-risk, long-stay nursing home patients with pressure ulcer 3.5 3.0 14.6%
Long-stay nursing home residents with moderate to severe pain 5.0 4.3 15.5%
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care 25.5 30.4 16.2%
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never spent enough time with them, Medicare fee-for-service 4.5 3.8 16.7%
People age 12 and over treated for substance abuse who completed treatment course 54.0 65.2 17.2%
Short-stay nursing home residents with moderate to severe pain 12.4 10.5 18.1%
Adults who had a doctor's office or clinic visit in the last 6 or 12 months who sometimes or never got advice to quit smoking from provider, Medicare fee-for-service 34.4 28.8 19.4%
HIV infection deaths per 100,000 population 0.9 0.8 20.0%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers 19.0 23.8 20.3%
Adult hospital patients who did not receive good communication about discharge information 9.3 7.7 20.5%
Long-stay nursing home residents whose ability to move independently worsened 25.1 20.7 21.3%
Suicide deaths among persons age 12 and over per 100,000 population 11.4 9.4 21.5%
Short-stay nursing home patients with pressure ulcers that are new or worsened 0.4 0.3 22.6%
Infants born in the calendar year who received breastfeeding exclusively through 3 months 47.7 63.6 25.0%
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder 79.0 63.0 25.5%
Lung cancer deaths per 100,000 population per year 35.2 27.5 28.2%
Adults who needed care right away for an illness, injury, or condition in the last 6 or 12 months who sometimes or never got care as soon as wanted, Medicare managed care 5.7 4.3 30.3%
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 5.7 4.4 31.1%
Long-stay nursing home residents whose need for help with daily activities increased 22.4 17.1 31.1%
Long-stay nursing home residents have depressive symptoms 1.5 1.1 35.4%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital 10.6 7.8 36.6%
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 17.8 28.8 38.1%
Home health care patients who had to be admitted to the hospital 15.0 10.5 42.9%
Long-stay nursing home patients experiencing one or more falls with major injury 0.6 0.4 44.2%
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never explained things in a way they could understand, Medicare fee-for-service 3.8 2.7 45.3%
Hemodialysis patients whose hemoglobin level is less than 10 g/dL 23.6 16.1 46.2%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never listened carefully to them, Medicare managed care 3.6 2.4 50.6%
Adults who had an appointment for routine health care in the last 6 or 12 months who sometimes or never got an appointments for routine care as soon as wanted, Medicare managed care 12.5 8.2 51.5%
Home health care patients who had an emergency department visit and then hospitalized 13.6 8.9 53.5%
Home health care patients who had an emergency department visit without a hospitalization 4.4 2.8 55.7%
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 5.2 3.2 63.0%
Adults who needed care right away for an illness, injury, or condition in the last 6 or 12 months who sometimes or never got care as soon as wanted, Medicare fee-for-service 9.3 5.6 64.5%
Adults who needed to see a specialist in the last 6 or 12 months who sometimes or never found it easy to see a specialist, Medicare managed care 10.6 6.4 66.1%
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never showed respect for what they had to say, Medicare managed care 3.0 1.7 80.1%
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 8.9 4.9 82.0%
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never spent enough time with them, Medicare managed care 5.0 2.8 82.9%
Drug overdose deaths involving natural and semisynthetic opioids per 100,000 resident population 3.6 1.9 91.1%
Long-stay nursing home residents with physical restraints 0.6 0.3 103.7%
People age 12 and over with opioid (either prescription opioid or heroin) use disorder in the past year 0.7 0.3 143.3%
New HIV cases per 100,000 population age 13 and over 10.8 4.2 157.1%
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population 463.8 102.9 350.9%
Drug overdose deaths involving any opioid per 100,000 resident population 29.3 4.0 625.2%
Emergency department visits involving opioid-related diagnoses per 100,000 population 527.1 65.2 707.8%
Drug overdose deaths involving other synthetic opioids (other than methadone) per 100,000 resident population 26.8 0.7 3571.2%
Measures With No Available Benchmark Information
Measure Estimate Benchmark Distance to Benchmark
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season
Adults age 65 and over who received an influenza vaccination in the last flu season
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination
Adults age 65 and over who ever received pneumococcal vaccination
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine
Adults who had an appointment for routine health care in the last 6 months who sometimes or never got an appointments for routine care as soon as wanted, Medicaid
Adults who needed care right away for an illness, injury, or condition in the last 6 months who sometimes or never got care as soon as wanted, Medicaid
Adults who needed to see a specialist in the last 6 months who sometimes or never found it easy to see a specialist, Medicaid
Adults who had a doctor's office or clinic visit in the last 6 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment, Medicaid
Adults who had a doctor's office or clinic visit in the last 6 months whose health providers sometimes or never listened carefully to them, Medicaid
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never explained things in a way they could understand, Medicare managed care
Adults who had a doctor's office or clinic visit in the last 6 months whose health providers sometimes or never explained things in a way they could understand, Medicaid
Adults who had a doctor's office or clinic visit in the last 6 months whose health providers sometimes or never showed respect for what they had to say, Medicaid
Adults who had a doctor's office or clinic visit in the last 6 months whose health providers sometimes or never spent enough time with them, Medicaid
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, Medicaid
Adults who had a doctor's office or clinic visit in the last 6 months who sometimes or never got advice to quit smoking from provider, Medicaid