MassachusettsAsian Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to Asian 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 Population Estimate Benchmark Distance to Benchmark
Long-stay nursing home residents with a urinary tract infection Asian 2.5 3.3 Achieved: 25% better
Long-stay nursing home residents with too much weight loss Asian 4.5 5.4 Achieved: 16% better
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 Asian 34.1 29.5 Achieved: 15% better
Short-stay nursing home residents with moderate to severe pain Asian 9.2 10.8 Achieved: 15% better
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care Asian 38.4 33.9 Achieved: 13% better
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care Asian 34.4 30.4 Achieved: 13% better
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 Asian 38.9 35.9 Achieved: 8% better
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 Asian 85.3 80.1 Achieved: 6% better
Adults who reported getting the help or advice they needed the same day they contacted their home health providers Asian 24.0 23.8 Achieved: 1% better
Short-stay home health patients who had diabetic foot care and patient education Asian 99.1 98.6 Achieved: 1% better
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 Asian 85.6 85.5 -0.1%
Long-stay nursing home residents whose ability to move independently worsened Asian 13.8 13.7 0.4%
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine Asian 92.7 94.1 1.5%
Home health care patients whose pain when moving around decreased Asian 72.1 73.8 2.3%
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care Asian 91.7 94.0 2.5%
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 Asian 85.9 88.2 2.6%
Adults who reported that home health providers talk about pain in the last 2 months of care Asian 87.5 91.2 4.1%
High-risk, long-stay nursing home patients with pressure ulcer Asian 3.5 3.4 4.1%
Adults who reported being told what care and services they would get when they first started getting home health care Asian 86.4 91.3 5.4%
Home health care patients who stayed at home after an episode of home health care Asian 72.9 77.5 5.9%
Home health care patients whose management of oral medications improved Asian 61.6 66.0 6.6%
Short-stay nursing home patients who had flu vaccination appropriately given Asian 86.7 92.9 6.7%
Home health care patients whose ability to walk or move around improved Asian 66.2 71.5 7.4%
Home health care patients whose surgical wound was improved Asian 87.1 80.3 8.4%
Home health patients who had influenza vaccination during flu season Asian 77.4 84.8 8.7%
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care Asian 85.9 95.0 9.6%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care Asian 79.5 87.9 9.6%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care Asian 82.1 92.5 11.2%
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 Asian 59.2 67.6 12.4%
Home health care patients whose shortness of breath decreased Asian 67.2 77.0 12.8%
Long-stay nursing home residents who were assessed for pneumococcal vaccination Asian 85.3 98.0 12.9%
Home health patients who had improvement in upper body dressing Asian 67.1 77.4 13.3%
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 Asian 71.2 83.3 14.5%
Home health care patients whose bathing improved Asian 64.4 75.4 14.5%
Home health care patients whose ability to get in and out of bed improved Asian 58.7 70.3 16.5%
Adult hospital patients who did not receive good communication about discharge information Asian 9.0 7.7 16.6%
Short-stay nursing home residents who were assessed for pneumococcal vaccination Asian 79.1 95.3 17.0%
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 Asian 72.0 86.8 17.0%
Adults who received a blood cholesterol measurement in the last 5 years Asian 65.5 82.3 20.4%
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder Asian 3.1 2.5 23.6%
Home health patients who had pneumococcal polysaccharide vaccination Asian 63.4 86.1 26.4%
Long-stay nursing home residents whose need for help with daily activities increased Asian 13.6 10.6 28.1%
Home health care patients who had to be admitted to the hospital Asian 23.2 17.7 30.8%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital Asian 10.4 7.8 34.0%
Home health care patients who had an emergency department visit and then hospitalized Asian 18.9 13.5 39.6%
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 Asian 4.6 3.2 42.0%
Home health care patients who had an emergency department visit without a hospitalization Asian 4.1 2.9 42.5%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder Asian 47.5 16.7 184.4%
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 Asian 21.2 7.2 195.7%
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 Asian 24.7 8.3 199.0%
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist, Medicare managed care Asian 22.2 6.4 246.8%
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 Asian 17.9 4.9 265.3%
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 Asian 13.7 2.8 398.5%
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 Asian 10.4 1.9 442.7%
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 Asian 9.4 1.7 466.9%
Measures With No Available Benchmark Information or Supplemental Measures
Measure Population Estimate Benchmark Distance to Benchmark
Short-stay home health patients who had drug education on all medications Asian 98.1
People who needed to see a doctor but could not because of cost in the past 12 months Asian 23.8
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 Asian 11.0
Adult hospital patients who always had good communication with doctors in the hospital Asian 80.2
Adult hospital patients who strongly agree that they understood the purpose for taking each of their medications after discharge Asian 53.9
Adult hospital patients who strongly agree that they understood how to manage their health after discharge Asian 48.4
Adult hospital patients who always had good communication with nurses in the hospital Asian 76.9