MassachusettsState Snapshot for Chronic Care

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
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 2017 34.6 Better than Average 2012 35.5 Better than Average
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 2017 85.0 Better than Average 2012 84.3 Better than Average
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care 2017 32.5 Better than Average 2012 33.2 Better than Average
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 2017 27.3 Better than Average 2012 28.2 Better than Average
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 2017 76.7 Better than Average 2012 74.2 Average
Family members who definitely received trainings about taking care their family member from hospice care team 2017 77.4 Better than Average Missing
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them 2017 80.4 Better than Average Missing
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them 2017 90.3 Better than Average Missing
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care 2017 26.1 Better than Average 2012 27.3 Worse than Average
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 2017 65.4 Better than Average 2012 62.7 Average
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher 2017 97.3 Better than Average Missing
Ratio of observed deaths to expected deaths among Medicare hemodialysis patients 2017 0.9 Better than Average 2000 1.0 Average
Home health care patients whose management of oral medications improved 2016 68.8 Better than Average 2013 58.8 Better than Average
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder 2016 2.7 Better than Average 2013 3.2 Better than Average
High-risk, long-stay nursing home patients with pressure ulcer 2016 4.1 Better than Average 2013 4.5 Better than Average
Home health patients who had timely initiation of care 2016 94.6 Better than Average 2013 93.3 Better than 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
Long-stay nursing home residents have depressive symptoms 2016 2.1 Better than Average 2013 3.4 Better than Average
Short-stay home health patients who had diabetic foot care and patient education 2016 98.5 Better than Average 2013 96.0 Worse than Average
Long-stay nursing home residents with moderate to severe pain 2016 6.1 Better than Average 2013 7.5 Better than Average
Long-stay nursing home residents with too much weight loss 2016 5.0 Better than Average 2013 5.1 Better than Average
Home health care patients whose ability to get in and out of bed improved 2016 70.0 Better than Average 2013 60.1 Better than Average
Home health care patients whose ability to walk or move around improved 2016 72.3 Better than Average 2013 64.5 Better than Average
Home health care patients whose bathing improved 2016 72.5 Better than Average 2013 66.4 Better than Average
Home health patients who had improvement in upper body dressing 2016 74.0 Better than Average 2013 71.1 Better than Average
Home health care patients whose pain when moving around decreased 2016 73.8 Better than Average 2013 69.3 Better than Average
Home health care patients whose shortness of breath decreased 2016 71.9 Better than Average 2013 66.8 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
Persons age 13 and over living with diagnosed HIV whose most recent viral load in the last 12 months was under 200 copies/mL 2015 65.0 Better than Average 2014 67.9 Better than 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 reported that home health providers always treated them as gently as possible in the last 2 months of care 2017 90.0 Average 2012 90.2 Average
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 2017 83.3 Average 2012 83.0 Better than Average
Adults who reported being told what care and services they would get when they first started getting home health care 2017 88.6 Average 2012 88.0 Average
Family caregivers who would definitely recommend this hospice to their friends and family 2017 85.1 Average Missing
Family caregivers who received right amount of emotional and spiritual supports from hospice care team 2017 89.2 Average Missing
Hospice patients and family caregivers who always got help as soon as they need from hospice care team 2017 77.2 Average Missing
Family caregivers who rated the hospice care for their family member best (9-10) on a scale of 0-10 (where 0 is the worst and 10 is the best) 2017 80.2 Average Missing
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care 2017 92.5 Average 2012 92.9 Better than Average
Adults who reported that home health providers always listen carefully to them in the last 2 months of care 2017 84.3 Average 2012 84.1 Average
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care 2017 93.4 Average 2012 93.4 Better than Average
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team 2017 75.3 Average Missing
Long-stay nursing home residents with a urinary tract infection 2016 3.3 Average 2013 5.1 Better than Average
Short-stay nursing home patients with pressure ulcers that are new or worsened 2016 0.4 Average 2013 0.6 Average
Long-stay nursing home patients experiencing one or more falls with major injury 2016 0.6 Average 2013 0.5 Better than Average
Long-stay nursing home residents whose ability to move independently worsened 2016 17.2 Average 2013 15.9 Better than Average
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
Measures Worse Than Average in The Recent Year
Measure Recent Year Recent Rate Recent Performance Baseline Year Baseline Rate Baseline Performance
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 2017 76.6 Worse than Average 2012 76.6 Worse than Average
Adults who reported that home health providers talk about pain in the last 2 months of care 2017 87.9 Worse than Average 2012 85.3 Worse than Average
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 2017 77.4 Worse than Average 2012 78.8 Average
Home health care patients whose surgical wound was improved 2016 92.1 Worse than Average 2013 91.7 Worse than Average
Short-stay nursing home residents with moderate to severe pain 2016 15.2 Worse than Average 2013 18.7 Worse than Average
Long-stay nursing home residents with physical restraints 2016 0.7 Worse than Average 2013 1.5 Worse than Average
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder 2016 48.3 Worse than Average 2013 50.7 Worse than Average
Long-stay nursing home residents whose need for help with daily activities increased 2016 14.5 Worse than Average 2013 13.0 Better than Average
Home health care patients who stayed at home after an episode of home health care 2016 67.6 Worse than Average 2013 68.9 Worse than Average