MassachusettsPerson-Centered Care Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to Person-Centered Care 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
Family members who definitely received trainings about taking care their family member from hospice care team	77.4	78.4	1.2%
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care	92.5	94.0	1.6%
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care	93.4	95.0	1.7%
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them	90.3	92.1	1.9%
Family caregivers who received right amount of emotional and spiritual supports from hospice care team	89.2	90.9	1.9%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care	90.0	92.5	2.7%
Adults who reported being told what care and services they would get when they first started getting home health care	88.6	91.3	3.0%
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them	80.4	83.3	3.5%
Adults who reported that home health providers talk about pain in the last 2 months of care	87.9	91.2	3.7%
Family caregivers who would definitely recommend this hospice to their friends and family	85.1	88.4	3.8%
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	83.3	86.8	4.0%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care	84.3	87.9	4.2%
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)	80.2	83.9	4.5%
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team	75.3	79.0	4.7%
Hospice patients and family caregivers who always got help as soon as they need from hospice care team	77.2	82.3	6.2%
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	77.4	83.3	7.1%

Measures That Are Close to Benchmark

Measure	Estimate	Benchmark	Distance to Benchmark
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care	26.1	30.4	14.2%
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	8.3	7.2	16.1%
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	10.3	8.8	17.8%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital	10.4	7.8	34.0%
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 fee-for-service	3.3	2.4	38.0%
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 fee-for-service	5.4	3.8	39.9%
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 fee-for-service	3.8	2.7	44.2%
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 fee-for-service	4.7	3.2	49.4%

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 12 months whose health providers sometimes or never spent enough time with them, Medicare managed care	4.3	2.8	57.5%
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	4.2	2.4	74.5%
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	3.1	1.7	86.7%
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	4.2	1.9	116.1%

Measures With No Available Benchmark Information or Supplemental Measures

Measure	Estimate	Benchmark	Distance to Benchmark
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	3.9
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	4.3
Adult hospital patients who strongly agree that they understood the purpose for taking each of their medications after discharge	51.9
Adult hospital patients who strongly agree that they understood how to manage their health after discharge	53.6
Adult hospital patients who always had good communication with doctors in the hospital	80.6
Adult hospital patients who always had good communication with nurses in the hospital	81.2