National Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures 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 Achieved Benchmark or Better
Measure Estimate Benchmark Distance to Benchmark
Stroke patients who received venous thromboembolism (VTE) prophylaxis 97.5 98.7 1%
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher 95.2 96.5 1%
Stroke patients prescribed statin medication at hospital discharge 97.1 98.6 2%
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care 93.4 95.0 2%
Family caregivers who received right amount of emotional and spiritual supports from hospice care team 89.0 90.9 2%
Stroke patients with educational material addressing activation of emergency medical system, follow-up after discharge, educations prescribed at discharge, risk factors for stroke, warning signs and symptoms of stroke 94.6 96.7 2%
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them 89.7 92.1 3%
Adults who reported that home health providers talk about pain in the last 2 months of care 89.0 91.4 3%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care 90.1 92.5 3%
Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy (SLNB) at the time of surgery (lumpectomy or mastectomy) 94.1 96.8 3%
Adults who reported being told what care and services they would get when they first started getting home health care 88.8 91.4 3%
Hospital patients who received influenza vaccination 94.1 97.0 3%
Adults who reported having any problems with the care they received from their home health providers in the last 2 months of care 92.5 89.5 3%
Children ages 19-35 months who received 3 or more doses of polio vaccine 93.7 97.3 4%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 92.6 96.4 4%
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 83.3 86.9 4%
Children ages 19-35 months who received 1 or more doses of varicella vaccine 91.8 95.7 4%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care 84.4 88.0 4%
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them 79.6 83.3 4%
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) 80.1 83.9 5%
Persons age 13 and over living with HIV who know their serostatus 85.0 89.1 5%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 91.9 96.4 5%
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 79.4 83.4 5%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined 91.2 95.9 5%
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 84.0 88.5 5%
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team 74.8 79.0 5%
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 75.9 80.2 5%
Hospice patients and family caregivers who always got help as soon as they need from hospice care team 77.5 82.3 6%
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 63.5 67.8 6%
Women ages 21-65 who received a Pap smear in the last 3 years 81.2 86.9 7%
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 84.6 90.6 7%
Acute stroke patients for whom IV thrombolytic therapy was initiated at hospital within 3 hours of time last known well 85.5 92.9 8%
Adolescents ages 13-15 who received 1 or more doses of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years 87.1 95.2 9%
Hospital patients who received pneumococcal immunization 87.7 97.2 10%
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 77.6 86.1 10%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Adolescents ages 16-17 who received 1 or more doses of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years 85.3 95.9 11%
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access 63.8 72.8 12%
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 31.4 36.2 13%
Breast cancer deaths per 100,000 female population per year 20.3 17.8 14%
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine 81.9 96.2 15%
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine 80.8 95.4 15%
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care 28.8 34.2 16%
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 56.9 67.6 16%
Women ages 50-74 who received a mammogram in the last 2 years 71.6 85.2 16%
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) 41.2 35.5 16%
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care 25.6 30.6 16%
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 24.7 29.5 16%
Breast cancer diagnosed at advanced stage (regional, distant stage, or local stage with tumor greater than 2 cm) per 100,000 women age 40 and over 88.3 75.8 16%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers 19.0 23.8 20%
Persons age 13 and over living with diagnosed HIV whose most recent viral load in the last 12 months was under 200 copies/mL 57.9 74.3 22%
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over 64.0 51.7 24%
Colorectal cancer deaths per 100,000 population per year 14.3 11.5 24%
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance 17.7 14.1 25%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital 9.80 7.75 26%
Obstetric trauma per 1,000 instrument-assisted deliveries 119.3 94.3 26%
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), adults age 40 and over 14.6 11.4 28%
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine 31.9 46.4 31%
People age 12 and over treated for substance abuse who completed treatment course 43.2 63.1 32%
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy 35.6 54.1 34%
Adult hospital patients who did not receive good communication about discharge information 10.5 7.70 36%
Adolescent ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine 39.4 62.2 37%
Deaths per 1,000 adult hospital admissions with pneumonia 17.5 12.8 37%
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine 27.1 43.3 37%
Deaths per 1,000 adult hospital admissions with congestive heart failure 15.9 11.5 38%
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, adults age 40 and over 19.0 13.6 40%
Dialysis patients who were registered on a waiting list for transplantation 15.7 28.2 44%
Sepsis diagnoses per 1,000 elective-surgery admissions of length 4 or more days, adults 15.3 10.4 47%
Birth trauma - injury to neonate per 1,000 selected live births 1.90 1.29 47%
Percent of hemodialysis patients whose hemoglobin level is less than 10 g/dL 16.8 11.4 47%
Lung cancer deaths per 100,000 population per year 40.5 27.5 47%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
Hospital admissions for short-term complications of diabetes per 100,000 population, adults 85.8 56.8 51%
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over 10.5 6.94 51%
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 13.2 28.8 54%
Hospital admissions for bacterial pneumonia per 100,000 population, adults age 18 and over 249.4 161.5 54%
Adult hospital patients who strongly disagree or disagree that staff took their preferences and those of their family and caregiver into account when deciding what the patients discharge health care would be 5.40 3.22 68%
Hospital admissions for congestive heart failure per 100,000 population 340.7 202.0 69%
Suicide deaths among persons age 12 and over per 100,000 population 16.0 9.38 71%
Hospital admissions for immunization-preventable influenza per 100,000 population, adults age 65 and over 259.8 142.8 82%
Hospital admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, adults age 40 and over 422.0 216.7 95%
Hospital admissions for asthma per 100,000 population, adults ages 18-39 39.9 20.4 96%
Hospital admissions for short-term complications of diabetes per 100,000 population, children ages 6-17 27.1 13.6 99%
Hospital admissions for long-term complications of diabetes per 100,000 population, adults 115.9 54.8 112%
Hospital admissions for lower extremity amputations per 1,000 population, adults age 18 and over with diabetes 19.3 9.03 114%
Hospital admissions for asthma per 100,000 population, children ages 2-17 87.2 38.1 129%
Hospital admissions for angina per 100,000 population, adults age 18 and over 11.8 4.90 141%
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population 251.3 99.4 153%
HIV infection deaths per 100,000 population 1.90 0.75 153%
Hospital admissions for hypertension per 100,000 population, adults age 18 and over 51.9 20.4 154%
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults 0.84 0.26 223%
New HIV cases per 100,000 population age 13 and over 15.1 4.30 251%
Emergency department visits involving opioid-related diagnoses per 100,000 population 209.0 59.2 253%
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults 12.7 3.28 287%
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
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults 11.6
Children ages 2-9 who visited emergency department for asthma 144.0
Children ages 10-19 who visited emergency department for asthma 61.4
Hospitalizations and emergency department encounters for congestive heart failure 372.9
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults 393.8
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
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year 76.0
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 63.2
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year 69.4
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
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say 5.60
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year 61.3
Adults age 40 and over with diabetes whose condition was diagnosed 77.1
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
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them 6.70
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things in a way they could understand 5.10
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children 457.7
People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months 18.3
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 and usual source of care (USC) and the USC had language assistance 89.6
Adults with limited English proficiency who had a usual source of care 61.9
Hospital admissions for urinary tract infection (UTI) per 100,000 population, children ages 3 months to 17 years 25.6
Adults age 40 and over with diagnosed diabetes with blood pressure less than 130/80 mm Hg 50.6
Adult surgery patients with catheter-associated urinary tract infection 2.67
Hospital admissions with central venous catheter-related bloodstream infection per 1,000 medical and surgical discharges of length 2 or more days, adults age 18 and over or obstetric admissions 0.67
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them 9.60
Hospital admissions for dehydration per 100,000 population, adults age 18 and over 100.0
Adults age 40 and over with diagnosed diabetes with hemoglobin A1c less than 8.0% (optimal control) 67.6
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months 11.1
Hospital admissions for urinary tract infection (UTI) per 100,000 population, adults age 18 and over 164.2
Adult surgery patients with postoperative pneumonia events 1.24
Adult surgery patients with postoperative venous thromboembolic events 0.20
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults 2.10
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults 1.51
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults 0.16
Hospital admissions for pediatric gastroenteritis per 100,000 population, children ages 3 months to 17 years 50.8
People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months 8.20
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults 7.83
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults 5.43
People with a usual source of care who sometimes or never asked person to help make decisions when there was a choice between treatments 15.2
Adjusted incident rates of end stage renal disease (ESRD) due to diabetes per million population 164.1
Kidney failure due to diabetes among persons with diabetes 2378.1
Inpatient adverse events in adults receiving knee replacement 1.66
Mechanical adverse events in adult patients receiving central venous catheter placement 2.85
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults 2.27
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months 67.2
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months 39.3
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults 1.13
Inpatient adverse events in adults receiving hip joint replacement due to degenerative conditions 1.66
Inpatient adverse events in adults receiving hip joint replacement due to fracture 11.8
Adults with hypertension with blood pressure less than 140/90 mm/Hg 47.8
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms 71.3
Doctor's office, emergency department, and outpatient department visits where antibiotics were prescribed for a diagnosis of common cold per 10,000 population 72.1
People under age 65 with health insurance 89.7
Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival 55.7
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
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children 0.49
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair 29.3
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 11.9
People with a specific source of ongoing care 88.2
Hospital patients who received a hypoglycemic agent who had an adverse drug events with hypoglycemic agents 7.71
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, adults ages 18-89 or obstetric admissions 111.7
Deaths per 1,000 hospital admissions with expected low-mortality 0.31
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
Hospital patients with an anticoagulant-related adverse drug event to warfarin 5.73
Adverse drug event with IV heparin in adult hospital patients who received an anticoagulant 10.8
Hospital patients with an anticoagulant-related adverse drug event to low-molecular-weight heparin (LMWH) and factor Xa 3.01
People under age 65 with any period of uninsurance during the year 20.7
People with a usual source of care who usually asks about prescription medications and treatments from other doctors 81.0
Emergency department visits with a principal diagnosis related to mental health only per 100,000 population 1345.6
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population 712.5
People with a usual primary care provider 76.5
People in fair or poor health with a specific source of ongoing care 90.5
Adults age 65 and over who received in the calendar year at least 1 of 11 prescription medications that should be avoided in older adults 1.30
Emergency department visits with a principal diagnosis related to dental conditions 312.9
Emergency department encounters for asthma, adults 535.1
Emergency department encounters for asthma, children ages 2-17 897.8
Children ages 2-19 who visited emergency department for asthma 97.7
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine 37.1
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine 49.1
Exclusive breastfeeding through 3 months 44.4
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking 65.3
Children with obesity 2-19 years of age who had been told by a doctor or health professional that they were overweight 48.5
Adults with obesity age 20 and over who had been told by a doctor or health professional that they were overweight 68.4
Adolescent males ages 16-17 who received 3 or more doses of human papillomavirus (HPV) vaccine 29.7
Children ages 2-19 with obesity 17.0
Adults with obesity who ever received advice from a health professional to exercise more 63.4
Adults with obesity who do not now spend half an hour or more in moderate or vigorous physical activity at least five times a week 55.8
Children ages 2-17 for whom a health provider gave advice within the past 2 years about the amount and kind of exercise, sports, or physically active hobbies they should have 47.8
Children ages 6 months to 17 years who received influenza vaccination 53.1
Children for whom a health provider gave advice within the past 2 years about how smoking in the house can be bad for a child 45.5
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods 51.2
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy 64.0
Children who had their height and weight measured by a health provider within the past 2 years 93.8
Children ages 2-17 who had a dental visit in the calendar year 54.5
Children ages 5-17 with untreated dental caries 17.4
Children ages 2-17 who had a preventive dental service in the calendar year 46.4
Children ages 3-5 who ever had their vision checked by a health provider 68.7
Adults who received a blood cholesterol measurement in the last 5 years 85.5
Children 41-80 lbs for whom a health provider gave advice within the past 2 years about using a booster seat when riding in the car 39.7
Children over 80 lbs for whom a health provider gave advice within the past 2 years about using lap or shoulder belts when riding in a car 35.2
Children 0-40 lbs for whom a health provider gave advice within the past 2 years about using a child safety seat while riding in the car 64.5
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high 91.8
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income 16.7
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months 46.0
Adults ages 18 and over who received influenza vaccination 44.6
Children ages 2-17 for whom a health provider gave advice within the past 2 years about using a helmet when riding a bicycle or motorcycle 38.3
Children ages 0-17 with wellness checkup in the past 12 months 84.0
Adults age 65 and over who received an influenza vaccination in the last 12 months 73.5
Adults who had a preventive dental service in the calendar year 40.9
People without a usual source of care who indicated a financial or insurance reason for not having a source of care 14.9
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination 23.0
Adults age 65 and over who ever received pneumococcal vaccination 63.6
People unable to get or delayed in getting needed medical care due to financial or insurance reasons 47.7
People unable to get or delayed in getting needed dental care due to financial or insurance reasons 72.0
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) 23.0
Adults with a dental visit in the calendar year 33.1
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons 61.0
Live-born infants with low birth weight (less than 2,500 g) 8.10
Infant mortality per 1,000 live births, birth weight less than 1,500 grams 217.1
Infant mortality per 1,000 live births, birth weights 1,500-2,499 grams 12.8
Infant mortality per 1,000 live births, birth weight 2,500 grams or more 2.00