NationalStructural Access Quality Measures Compared to Achievable Benchmarks

The NHQDR 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 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 18.5 23.8 22.4%
Measures With No Available Benchmark Information or Supplemental Measures
Measure Estimate Benchmark Distance to Benchmark
People under age 65 with any period of uninsurance during the year 19.5
People under age 65 without health insurance 10.7
People under age 65 with any period of public insurance during the year 26.3
People with a specific source of ongoing care 88.3
People with a usual primary care provider 76.5
People in fair or poor health with a specific source of ongoing care 89.5
People under age 65 with public health insurance only 23.4
People who were unable to get or delayed in getting needed medical care in the last 12 months 4.1
People who were unable to get or delayed in getting needed dental care in the last 12 months 4.8
People who identified a hospital, emergency room, or clinic as a source of ongoing care 22.8
Composite measure: People who were unable to get or delayed in getting needed medical care, dental care, or prescription medicines in the last 12 months 10.0
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone 14.0
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist 16.3
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months 3.5
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends 44.1
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 5.0
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist 17.5
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 7.8
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 14.0
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 5.8
Emergency department visits triaged as immediate or emergent at which patients waited to see a physician for one hour or more per 10,000 population 16.6
Emergency department visits triaged as urgent at which patients waited to see a physician for one hour or more per 10,000 population 20.3
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 11.0
Median time in minutes patients who came to the emergency department with broken bones had to wait before getting pain medication 50.0
Median time in minutes patients with psychiatric or mental health conditions spent at emergency department (ED) from ED arrival to ED departure 232.0
People under age 65 with health insurance 89.3
Median time in minutes spent in the emergency department (ED) from ED arrival to ED departure for admitted patients 280.0
Median time in minutes spent in the emergency department (ED) from admission decision to ED departure for admitted patients 100.0
Median time in minutes patients spent at emergency department (ED) from ED arrival to ED departure 137.0
Median time in minutes patients spent in the emergency department before they were seen by a healthcare professional 20.0
Adults age 65 and over with any private health insurance 47.8
People under age 65 who were uninsured all year 9.0
People under age 65 with any private health insurance 65.7