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.

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
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 2018 84.8 Better than Average 2012 84.3 Better than Average
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 2018 33.9 Better than Average 2012 35.5 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 2018 32.0 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 2018 26.6 Better than Average 2012 28.2 Better than Average
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care 2018 25.5 Better than Average 2012 27.3 Worse than Average
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them 2018 90.6 Better than Average 2015 89.9 Average
Family members who definitely received trainings about taking care their family member from hospice care team 2018 76.6 Better than Average 2015 75.7 Better than Average
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
Home health care patients whose surgical wound was improved 2017 93.0 Better than Average 2013 92.6 Better than Average
Home health care patients whose management of oral medications improved 2017 74.0 Better than Average 2013 59.4 Better than Average
High-risk, long-stay nursing home patients with pressure ulcer 2017 3.5 Better than Average 2013 4.1 Better than Average
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder 2017 2.3 Better than Average 2013 2.9 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
Long-stay nursing home residents have depressive symptoms 2017 1.5 Better than Average 2013 3.3 Better than Average
Home health care patients whose ability to walk or move around improved 2017 80.5 Better than Average 2013 67.7 Better than Average
Home health care patients whose ability to get in and out of bed improved 2017 80.0 Better than Average 2013 62.8 Better than Average
Home health care patients whose bathing improved 2017 80.6 Better than Average 2013 69.5 Better than Average
Home health patients who had improvement in toileting 2017 78.6 Better than Average 2013 74.1 Better than Average
Long-stay nursing home residents with moderate to severe pain 2017 5.0 Better than Average 2013 6.9 Better than Average
Long-stay nursing home residents with too much weight loss 2017 4.2 Better than Average 2013 4.5 Better than Average
Home health care patients whose shortness of breath decreased 2017 78.4 Better than Average 2013 69.1 Better than Average
Home health patients who had improvement in upper body dressing 2017 80.1 Better than Average 2013 73.7 Better than Average
Home health care patients whose pain when moving around decreased 2017 80.1 Better than Average 2013 71.4 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 2016 62.4 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 2016 68.3 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 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 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 2018 76.2 Average 2012 74.2 Average
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 2018 76.4 Average 2012 76.6 Worse than Average
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them 2018 80.7 Average 2015 79.6 Average
Hospice patients and family caregivers who always got help as soon as they need from hospice care team 2018 78.1 Average 2015 77.3 Average
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team 2018 75.6 Average 2015 74.7 Average
Family caregivers who received right amount of emotional and spiritual supports from hospice care team 2018 89.2 Average 2015 88.4 Average
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) 2018 80.9 Average 2015 78.6 Worse than Average
Family caregivers who would definitely recommend this hospice to their friends and family 2018 84.8 Average 2015 84.0 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 2018 64.5 Average 2012 62.7 Average
Long-stay nursing home residents with a urinary tract infection 2017 2.3 Average 2013 4.5 Better than Average
Long-stay nursing home patients experiencing one or more falls with major injury 2017 0.6 Average 2013 0.5 Average
Short-stay nursing home patients with pressure ulcers that are new or worsened 2017 0.4 Average 2013 0.6 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 being told what care and services they would get when they first started getting home health care 2018 88.4 Worse than Average 2012 88.0 Average
Adults who reported that home health providers talk about pain in the last 2 months of care 2018 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 2018 75.6 Worse than Average 2012 78.8 Average
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care 2018 89.1 Worse than 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 2018 82.6 Worse than Average 2012 83.0 Better than Average
Adults who reported that home health providers always listen carefully to them in the last 2 months of care 2018 83.5 Worse than 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 2018 92.8 Worse than Average 2012 93.4 Better than Average
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care 2018 92.0 Worse than Average 2012 92.9 Better than Average
Hemodialysis patients whose hemoglobin level is less than 10 g/dL 2018 23.6 Worse than Average 2015 24.2 Worse than Average
Long-stay nursing home residents whose need for help with daily activities increased 2017 22.4 Worse than Average 2013 22.4 Average
Long-stay nursing home residents whose ability to move independently worsened 2017 25.1 Worse than Average 2013 25.8 Worse than Average
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder 2017 79.0 Worse than Average 2013 66.9 Average
Long-stay nursing home residents with physical restraints 2017 0.6 Worse than Average 2013 1.6 Worse than Average
Short-stay nursing home residents with moderate to severe pain 2017 12.4 Worse than Average 2013 18.3 Worse than Average
Home health care patients who stayed at home after an episode of home health care 2017 80.7 Worse than Average 2013 81.3 Average