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