NationalStructural Access Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Structural Access are compared to achievable benchmarks, which are derived from the top-performing States. Better performance of a State can mean higher or lower values of a measure, depending on the desired outcome. For example, low values are desirable for measures such as infant mortality, whereas high values are desirable for measures such as preventative screening. The categories of achievement have been standardized across the measure definitions so that:

 
Far away from benchmark - the value for a measure has not achieved 50% of the benchmark.
 
Close to benchmark - the value for a measure is between 50% and 90% of a benchmark (i.e., worse than the benchmark but has achieved at least half of the benchmark but not as much as 90% of a benchmark).
 
Achieved benchmark or better - the the value for a measure is no worse than 90% of the benchmark value, the measure has achieved the benchmark. This category also includes the case in which the measure’s value is equal to or better than the benchmark.
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Adults who reported getting the help or advice they needed the same day they contacted their home health providers 19.0 23.8 20%
Measures With No Available Benchmark Information
Measure Estimate Benchmark Distance to Benchmark
People who were unable to get or delayed in getting needed medical care in the last 12 months 4.30
People who were unable to get or delayed in getting needed dental care in the last 12 months 5.50
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months 3.50
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends 41.9
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone 14.9
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist 16.1
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist 18.5
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 7.30
Children 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 4.80
Adults with limited English proficiency who had a usual source of care 61.9
Adults who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed 13.8
Children who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed 5.20
Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as needed 11.9
People with a specific source of ongoing care 88.2
People under age 65 with health insurance 89.7
People under age 65 with any private health insurance 65.7
Adults age 65 and over with any private health insurance 48.2
People under age 65 who were uninsured all year 9.50
People under age 65 with any period of uninsurance during the year 20.7
People with a usual primary care provider 76.5
People in fair or poor health with a specific source of ongoing care 90.5