MassachusettsState Snapshot for Ambulatory

In this comparison, the NHQDR measures for Massachusetts for the most recent data year and the baseline year are compared to the average of all States.

Historically, the State Snapshots have included State-specific estimates for selected AHRQ Quality Indicators (QIs) based on Healthcare Cost and Utilization Project (HCUP) data. The 2018 QDR does not include State-specific QI estimates based on 2016 HCUP data because the International Classification of Diseases, Tenth Revision, Clinical Modification/Procedure Coding System version of the QI software used did not include risk adjustment. State-specific QIs will be reported in future QDRs when the estimates can be risk adjusted.

Measures Better Than Average in The Recent Year

Measure	Recent Year	Recent Rate	Recent Performance	Baseline Year	Baseline Rate	Baseline Performance
Ratio of observed deaths to expected deaths among Medicare hemodialysis patients	2017	0.9	Better than Average	2000	1.0	Average
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher	2017	97.3	Better than Average			Missing
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	2017	6.9	Better than Average	2011	5.3	Average
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	2017	9.2	Better than Average	2010	8.2	Average
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	2017	8.3	Better than Average	2010	11.3	Better than Average
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	2017	10.3	Better than Average	2010	8.5	Better than Average
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	2017	4.3	Better than Average	2010	6.5	Average
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access	2016	67.1	Better than Average	2012	64.8	Better than Average
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy	2016	52.6	Better than Average	2012	47.4	Better than Average
Dialysis patients who were registered on a waiting list for transplantation	2016	32.1	Better than Average	2000	19.6	Better than Average
People age 12 and over treated for substance abuse who completed treatment course	2016	55.0	Better than Average	2008	59.1	Better than Average
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine	2016	98.6	Better than Average	2000	96.1	Better than Average
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine	2016	96.8	Better than Average	2000	93.3	Better than Average
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine	2016	90.6	Better than Average	2008	46.9	Average
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine	2016	94.0	Better than Average	2000	87.7	Better than Average
Adolescents ages 13-15 who received 1 or more doses of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years	2016	96.5	Better than Average	2008	49.8	Average
Adolescents ages 16-17 who received 1 or more doses of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years	2016	97.0	Better than Average	2008	32.3	Average
Children ages 19-35 months who received 1 or more doses of varicella vaccine	2016	97.0	Better than Average	2000	79.5	Better than Average
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine	2016	90.3	Better than Average	2008	61.2	Better than Average
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	2015	60.3	Better than Average	2014	63.6	Better than Average
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over	2015	7.2	Better than Average	2004	9.7	Better than Average
Adults who received a blood cholesterol measurement in the last 5 years	2015	82.2	Better than Average	2013	82.6	Better than Average
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season	2015	43.7	Better than Average	2013	51.5	Better than Average
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over	2015	57.0	Better than Average	2004	92.9	Worse than Average
Breast cancer diagnosed at advanced stage (regional, distant stage, or local stage with tumor greater than 2 cm) per 100,000 women age 40 and over	2015	77.9	Better than Average	2004	95.4	Average
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure	2013	19.1	Better than Average	2000	27.8	Better than Average

Measures That Are Average in The Recent Year

Measure	Recent Year	Recent Rate	Recent Performance	Baseline Year	Baseline Rate	Baseline Performance
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist, Medicare fee-for-service	2017	9.4	Average	2010	7.5	Average
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	2017	3.3	Average	2010	3.3	Average
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	2017	3.8	Average	2010	3.1	Better than Average
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	2017	3.1	Average	2010	3.8	Average
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	2017	4.7	Average	2010	4.0	Average
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	2017	8.1	Average	2011	5.1	Better than Average
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	2017	4.2	Average	2010	4.7	Average
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	2017	4.2	Average	2010	5.5	Average
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	2017	5.4	Average	2010	4.4	Better than Average
Adults who had a doctor´s office or clinic visit in the last 12 months who sometimes or never got advice to quit smoking from provider, Medicare managed care	2017	30.3	Average	2010	38.3	Better than Average
Adults who had a doctor´s office or clinic visit in the last 12 months who sometimes or never got advice to quit smoking from provider, Medicare fee-for-service	2017	37.4	Average	2010	32.9	Better than Average
Children ages 19-35 months who received 3 or more doses of polio vaccine	2016	99.6	Average	2000	94.1	Better than Average
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine	2016	32.9	Average			Missing
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year	2015	52.3	Average	2013	64.2	Better than Average
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment	2015	88.4	Average	2008	82.3	Average
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination	2015	38.3	Average	2013	38.4	Average
Adults age 65 and over who received an influenza vaccination in the last flu season	2015	61.2	Average	2013	66.4	Better than Average
Adults age 65 and over who ever received pneumococcal vaccination	2015	73.9	Average	2013	70.4	Average