MassachusettsPatient Safety Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to Patient Safety 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
Long-stay nursing home residents with a urinary tract infection 2.3 2.8 Achieved: 20% better
Home health care patients whose management of oral medications improved 74.0 66.2 Achieved: 12% better
Home health care patients whose surgical wound was improved 93.0 93.1 0.1%
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%
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%
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%
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder 2.3 2.1 8.1%
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
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%
High-risk, long-stay nursing home patients with pressure ulcer 3.5 3.0 14.6%
Short-stay nursing home patients with pressure ulcers that are new or worsened 0.4 0.3 22.6%
Long-stay nursing home patients experiencing one or more falls with major injury 0.6 0.4 44.2%