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.

Due to changes in methodology, including a transition from International Classification of Diseases, Ninth Revision (ICD-9) to Tenth Revision (ICD-10) codes and updates to the Quality Indicators software, the current measure set does not contain AHRQ Quality Indicator measure results based on Healthcare Cost and Utilization Project (HCUP) data. These changes to the measure set had a significant impact on overall meter scores, so they are not provided at this time. When data become available, State scores will again be included.

Measures Better Than Average in The Recent Year
Measure Recent Year Recent Rate Recent Performance Baseline Year Baseline Rate Baseline Performance
Adult hemodialysis patients with adequate dialysis - (Kt/V) 1.2 or higher 2018 97.1 Better than Average 2015 94.7 Better than Average
Ratio of observed deaths to expected deaths among hemodialysis patients 2018 0.9 Better than Average 2000 1.0 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 fee-for-service 2018 5.7 Better than Average 2011 5.3 Average
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never listened carefully to them, Medicare fee-for-service 2018 2.6 Better than Average 2010 4.0 Average
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never showed respect for what they had to say, Medicare fee-for-service 2018 1.8 Better than Average 2010 3.3 Average
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never spent enough time with them, Medicare fee-for-service 2018 4.5 Better than Average 2010 4.4 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 managed care 2018 8.2 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 2018 9.4 Better than Average 2010 8.5 Better than Average
Adults who had a doctor's office or clinic visit in the last 6 or 12 months who sometimes or never got advice to quit smoking from provider, Medicare managed care 2018 26.7 Better than Average 2010 38.3 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 2017 55.4 Better than Average 2012 47.4 Better than Average
Dialysis patients who were registered on a waiting list for transplantation 2017 29.1 Better than Average 2000 19.6 Better than Average
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access 2017 68.6 Better than Average 2012 64.8 Better than Average
People age 12 and over treated for substance abuse who completed treatment course 2017 54.0 Better than Average 2008 59.1 Better than Average
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 2017 92.6 Better than Average 2000 87.7 Better than Average
Children ages 19-35 months who received 3 or more doses of polio vaccine 2017 96.1 Better than Average 2000 94.1 Better than Average
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 2017 98.3 Better than Average 2000 96.1 Better than Average
Children ages 19-35 months who received 1 or more doses of varicella vaccine 2017 97.6 Better than Average 2000 79.5 Better than Average
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine 2017 94.9 Better than Average 2008 61.2 Better than Average
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine 2017 92.5 Better than Average 2008 46.9 Average
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine 2017 45.1 Better than Average Missing
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 2017 96.4 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 2017 95.8 Better than Average 2008 32.3 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 2016 62.4 Better than Average 2014 63.6 Better than Average
Women ages 50-74 who received a mammogram in the last 2 years 2016 86.0 Better than Average 2014 88.1 Better 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 2016 79.5 Better than Average 2004 95.4 Average
Women ages 21-65 who received a Pap smear in the last 3 years 2016 84.1 Better than Average 2014 88.0 Better than Average
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over 2016 8.0 Better than Average 2004 9.7 Better than Average
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over 2016 48.7 Better than Average 2004 92.9 Worse than Average
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 2014 17.8 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 6 or 12 months who sometimes or never found it easy to see a specialist, Medicare managed care 2018 10.6 Average 2010 8.2 Average
Adults who needed to see a specialist in the last 6 or 12 months who sometimes or never found it easy to see a specialist, Medicare fee-for-service 2018 8.1 Average 2010 7.5 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 2018 8.9 Average 2011 5.1 Better than Average
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never listened carefully to them, Medicare managed care 2018 3.6 Average 2010 4.7 Average
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never explained things in a way they could understand, Medicare fee-for-service 2018 3.8 Average 2010 3.1 Better than Average
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never showed respect for what they had to say, Medicare managed care 2018 3.0 Average 2010 3.8 Average
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never spent enough time with them, Medicare managed care 2018 5.0 Average 2010 6.5 Average
Adults who had a doctor's office or clinic visit in the last 6 or 12 months who sometimes or never got advice to quit smoking from provider, Medicare fee-for-service 2018 34.4 Average 2010 32.9 Better than Average
Adults who received a blood cholesterol measurement in the last 5 years 2017 86.5 Average 2013 82.6 Better than Average
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 2017 92.9 Average 2000 93.3 Better than Average
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment 2016 89.3 Average 2008 82.3 Average
Measures Worse Than Average in The Recent Year
Measure Recent Year Recent Rate Recent Performance Baseline Year Baseline Rate Baseline Performance
Hemodialysis patients whose hemoglobin level is less than 10 g/dL 2018 23.6 Worse than Average 2015 24.2 Worse than Average