NationalUtilization Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Utilization 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 Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
People who needed to see a doctor but could not because of cost in the past 12 months 14.6 7.34 99%
Measures With No Available Benchmark Information
Measure Estimate Benchmark Distance to Benchmark
People unable to get or delayed in getting needed dental care due to financial or insurance reasons 77.3
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons 64.8
Men age 75 and over without prostate cancer who had a PSA test or a digital rectal exam for prostate cancer screening within the past year 74.2
People without a usual source of care who indicate a financial or insurance reason for not having a source of care 24.0
People unable to get or delayed in getting needed medical care due to financial or insurance reasons 57.4
People under age 65 whose family's health insurance premiums and out-of-pocket medical expenditures were more than 10% of total family income 17.3
People under age 65 with private insurance whose family's out-of-pocket medical expenditures were more than 10% of total family income 4.40
Doctor's office, emergency department, and outpatient department visits where antibiotics were prescribed for a diagnosis of common cold per 10,000 population 122.6