MassachusettsHispanic Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to Hispanic 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	Population	Estimate	Benchmark	Distance to Benchmark
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	Hispanic, all races	0.0	4.4	Achieved: 100% better
Long-stay nursing home residents with a urinary tract infection	Hispanic, all races	1.9	3.3	Achieved: 42% better
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season	Hispanic, all races	51.5	47.8	Achieved: 8% better
Long-stay nursing home residents with too much weight loss	Hispanic, all races	5.2	5.4	Achieved: 4% better
Short-stay home health patients who had diabetic foot care and patient education	Hispanic, all races	98.6	98.6	0.0%
High-risk, long-stay nursing home patients with pressure ulcer	Hispanic, all races	3.4	3.4	0.3%
Long-stay nursing home residents who were assessed for pneumococcal vaccination	Hispanic, all races	90.3	98.0	7.8%
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine	Hispanic, all races	86.6	94.1	8.0%
Short-stay nursing home patients who had flu vaccination appropriately given	Hispanic, all races	84.1	92.9	9.5%

Measures That Are Close to Benchmark

Measure	Population	Estimate	Benchmark	Distance to Benchmark
Adults who received a blood cholesterol measurement in the last 5 years	Hispanic, all races	74.0	82.3	10.0%
Home health care patients whose surgical wound was improved	Hispanic, all races	88.8	80.3	10.5%
Adults age 65 and over who received an influenza vaccination in the last flu season	Hispanic, all races	62.3	70.3	11.4%
Home health patients who had influenza vaccination during flu season	Hispanic, all races	74.2	84.8	12.5%
Home health care patients whose management of oral medications improved	Hispanic, all races	57.4	66.0	13.0%
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination	Hispanic, all races	38.8	44.8	13.4%
Short-stay nursing home residents who were assessed for pneumococcal vaccination	Hispanic, all races	82.2	95.3	13.7%
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year	Hispanic, all races	55.4	65.8	15.9%
Home health care patients whose ability to walk or move around improved	Hispanic, all races	59.6	71.5	16.6%
Home health care patients whose ability to get in and out of bed improved	Hispanic, all races	58.5	70.3	16.7%
Adults age 65 and over who ever received pneumococcal vaccination	Hispanic, all races	63.6	78.7	19.2%
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder	Hispanic, all races	3.0	2.5	20.1%
Home health care patients whose pain when moving around decreased	Hispanic, all races	58.1	73.8	21.2%
Home health care patients who stayed at home after an episode of home health care	Hispanic, all races	60.6	77.5	21.8%
Home health care patients whose bathing improved	Hispanic, all races	57.0	75.4	24.4%
Home health patients who had improvement in upper body dressing	Hispanic, all races	57.9	77.4	25.2%
Long-stay nursing home residents with moderate to severe pain	Hispanic, all races	5.9	4.7	25.3%
Home health care patients whose shortness of breath decreased	Hispanic, all races	57.5	77.0	25.4%
Home health patients who had pneumococcal polysaccharide vaccination	Hispanic, all races	63.0	86.1	26.8%
Long-stay nursing home residents whose ability to move independently worsened	Hispanic, all races	17.8	13.7	29.5%

Measures That Are Far From Benchmark

Measure	Population	Estimate	Benchmark	Distance to Benchmark
Short-stay nursing home residents with moderate to severe pain	Hispanic, all races	16.5	10.8	52.5%
Long-stay nursing home residents whose need for help with daily activities increased	Hispanic, all races	16.3	10.6	53.5%
Long-stay nursing home residents have depressive symptoms	Hispanic, all races	2.0	1.1	73.9%
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 managed care	Hispanic, all races	13.0	7.2	81.6%
Home health care patients who had an emergency department visit without a hospitalization	Hispanic, all races	5.3	2.9	84.0%
Home health care patients who had to be admitted to the hospital	Hispanic, all races	33.3	17.7	87.7%
Home health care patients who had an emergency department visit and then hospitalized	Hispanic, all races	26.5	13.5	95.7%
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	Hispanic, all races	17.1	8.3	107.0%
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	Hispanic, all races	18.2	6.4	184.7%
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder	Hispanic, all races	47.6	16.7	185.0%
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	Hispanic, all races	17.8	4.9	262.7%
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	Hispanic, all races	10.5	2.8	280.7%
Long-stay nursing home residents with physical restraints	Hispanic, all races	1.2	0.2	417.4%
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	Hispanic, all races	10.3	1.9	437.0%

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	Hispanic, all races	96.9
People who needed to see a doctor but could not because of cost in the past 12 months	Hispanic, all races	23.6