MassachusettsEffective Treatment Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to Effective Treatment 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:

Measures That Achieved Benchmark or Better

Measure	Estimate	Benchmark	Distance to Benchmark
Dialysis patients who were registered on a waiting list for transplantation	32.1	28.2	Achieved: 14% better
Breast cancer deaths per 100,000 female population per year	16.9	17.8	Achieved: 5% better
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher	97.3	96.5	Achieved: 1% better
Short-stay home health patients who had diabetic foot care and patient education	98.5	98.6	0.1%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined	94.8	95.3	0.5%
Stroke patients prescribed statin medication at hospital discharge	97.5	98.6	1.1%
Colorectal cancer deaths per 100,000 population per year	11.7	11.5	1.4%
Stroke patients who received venous thromboembolism (VTE) prophylaxis	96.8	98.7	2.0%
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis	94.4	97.0	2.7%
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy	52.6	54.1	2.7%
Stroke patients with educational material addressing activation of emergency medical system, follow-up after discharge, educations prescribed at discharge, risk factors for stroke, warning signs and symptoms of stroke	92.2	96.7	4.7%
Persons age 13 and over living with HIV who know their serostatus	85.6	91.9	6.9%
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment	88.4	95.4	7.4%
Acute stroke patients for whom IV thrombolytic therapy was initiated at hospital within 3 hours of time last known well	86.0	92.9	7.4%
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)	89.5	96.8	7.5%
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access	67.1	72.8	7.8%
Ratio of observed deaths to expected deaths among Medicare hemodialysis patients	0.9	0.9	8.2%
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	60.3	66.2	9.0%

Measures That Are Close to Benchmark

Measure	Estimate	Benchmark	Distance to Benchmark
Suicide deaths among persons age 12 and over per 100,000 population	10.6	9.4	13.0%
Persons age 13 and over living with diagnosed HIV whose most recent viral load in the last 12 months was under 200 copies/mL	65.0	76.1	14.6%
People age 12 and over treated for substance abuse who completed treatment course	55.0	65.2	15.7%
HIV infection deaths per 100,000 population	0.9	0.8	20.0%
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year	52.3	65.8	20.6%
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure	19.1	28.8	33.7%
Lung cancer deaths per 100,000 population per year	37.3	27.5	35.8%

Measures That Are Far From Benchmark

Measure	Estimate	Benchmark	Distance to Benchmark
Long-stay nursing home residents have depressive symptoms	2.1	1.1	84.3%
Drug overdose deaths involving natural and semisynthetic opioids per 100,000 resident population	3.6	1.9	91.5%
New HIV cases per 100,000 population age 13 and over	10.5	4.2	150.0%
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population	452.5	102.9	339.9%
Drug overdose deaths involving any opioid per 100,000 resident population	28.2	4.0	598.0%
Emergency department visits involving opioid-related diagnoses per 100,000 population	562.4	65.2	761.9%
Drug overdose deaths involving other synthetic opioids (other than methadone) per 100,000 resident population	24.5	0.7	3256.2%

Measures With No Available Benchmark Information or Supplemental Measures

Measure	Estimate	Benchmark	Distance to Benchmark
Tamoxifen or third generation aromatase inhibitor was recommended or administered within 1 year of diagnosis for women with AJCC T1cN0M0 or stage IB to stage III hormone receptor-positive breast cancer	90.3
Radiation therapy was recommended or administered following any mastectomy within 1 year of diagnosis of breast cancer for women with 4 positive regional lymph nodes	95.6
Median time in minutes outpatients with chest pain or possible heart attack who got drugs to break up blood clots after arrival	22.0
Median time in minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital and did not have contraindication to fibrinolytic	57.0
Median time in minutes outpatients with chest pain or possible heart attack from emergency department arrival to get ECG	7.0
Outpatients with chest pain or possible heart attack who received fibrinolytic therapy within 30 minutes of arrival	82.0
Combination chemotherapy was recommended or administered within 4 months of diagnosis for women under 70 with AJCC T1cN0MO or Stage IB-III hormone receptor negative breast cancer	97.2
Use of brachytherapy in patients treated with primary radiation with curative intent in any stage of cervical cancer	83.3
Adjuvant chemotherapy was recommended or administered within 4 months of diagnosis for patients under the age of 80 with AJCC Stage III lymph node positive colon cancer	89.3
Composite measure: Cancer deaths per 100,000 population per year for all cancers	150.2
Patients who came to the emergency department (ED) with stroke symptoms and received head CT or MRI who received the interpretation of the results within 45 minutes of ED arrival	76.0
Percent of hemodialysis patients whose hemoglobin level is less than 10 g/dL	20.6
New AIDS cases per 100,000 population age 13 and over	4.7
Patients with end stage renal disease due to diabetes	43.1