NationalDiabetes Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Diabetes 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
Hospital admissions for short-term complications of diabetes per 100,000 population, adults 85.8 56.8 51%
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 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
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
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
Adults age 40 and over with diagnosed diabetes with hemoglobin A1c less than 8.0% (optimal control) 67.6
Adults age 40 and over with diagnosed diabetes with blood pressure less than 130/80 mm Hg 50.6
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