NationalPublic Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Public 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 Population Estimate Benchmark Distance to Benchmark
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance Medicaid 10.7 14.1 Achieved: 24% better
Obstetric trauma per 1,000 instrument-assisted deliveries Medicaid 86.0 94.3 Achieved: 9% better
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) Public 95.8 96.8 1%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined Public 90.1 95.9 6%
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, adults age 40 and over Medicaid 14.5 13.6 7%
Women ages 21-65 who received a Pap smear in the last 3 years Public only 78.8 86.9 9%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) Medicaid 40.6 35.5 14%
Deaths per 1,000 adult hospital admissions with congestive heart failure Medicaid 13.5 11.5 17%
Women ages 50-74 who received a mammogram in the last 2 years Public only 62.6 85.2 27%
Deaths per 1,000 adult hospital admissions with pneumonia Medicaid 16.3 12.8 28%
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), adults age 40 and over Medicaid 15.4 11.4 35%
Birth trauma - injury to neonate per 1,000 selected live births Medicaid 1.80 1.29 40%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Sepsis diagnoses per 1,000 elective-surgery admissions of length 4 or more days, adults Medicaid 19.8 10.4 90%
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults Medicaid 0.76 0.26 192%
Measures With No Available Benchmark Information
Measure Population Estimate Benchmark Distance to Benchmark
People who were unable to get or delayed in getting needed medical care in the last 12 months Public only 5.40
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults Medicaid 374.6
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Public only 72.0
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months Public only 4.40
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year Public only 75.8
People who were unable to get or delayed in getting needed dental care in the last 12 months Public only 7.60
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year Public only 55.8
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends Public only 41.8
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone Public only 17.4
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 Public only 10.00
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 Public only 9.40
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year Public only 57.7
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Public only 26.3
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Public only 22.7
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 Public only 12.1
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children Medicaid 468.5
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 Public only 13.8
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 Public only 8.40
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 Public only 20.2
Adults with limited English proficiency and usual source of care (USC) and the USC had language assistance Public only 90.6
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 Public only 14.8
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 Medicaid 0.93
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults Medicaid 7.18
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults Medicaid 2.14
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults Medicaid 2.50
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults Medicaid 9.22
Adults with limited English proficiency who had a usual source of care Public only 70.6
People with a usual source of care who sometimes or never asked person to help make decisions when there was a choice between treatments Public only 18.0
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults Medicaid 0.16
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults Medicaid 1.76
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms Public only 80.3
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 Public only 14.1
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 Public only 17.0
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults Medicaid 2.32
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children Medicaid 0.46
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair Medicaid 32.0
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 Public only 6.80
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, adults ages 18-89 or obstetric admissions Medicaid 119.2
Deaths per 1,000 hospital admissions with expected low-mortality Medicaid 0.45
People with a usual source of care who usually asks about prescription medications and treatments from other doctors Public only 78.9
People with a specific source of ongoing care Public only 91.0
People with a usual primary care provider Public only 79.6
People in fair or poor health with a specific source of ongoing care Public only 93.5
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking Public only 66.4
Exclusive breastfeeding through 3 months Public only 35.0
Adult smokers who attempt to quit in the past year Public only 55.2
Adults who ever smoked and quitted recently Public only 6.50
Children ages 6 months to 17 years who received influenza vaccination Public only 53.6
Children ages 2-19 with obesity Public 20.3
Adults with obesity who ever received advice from a health professional to exercise more Public only 66.0
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 Public only 58.7
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 Public only 48.1
Children ages 3-5 who ever had their vision checked by a health provider Public only 69.4
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods Public only 52.2
Children who had their height and weight measured by a health provider within the past 2 years Public only 92.5
Children ages 2-17 who had a dental visit in the calendar year Public only 47.6
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy Public only 64.3
Children ages 2-17 who had a preventive dental service in the calendar year Public only 41.0
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high Public only 92.7
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 Public only 40.4
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 Public only 55.8
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 Public only 65.4
Children ages 0-17 with wellness checkup in the past 12 months Public only 84.7
Adults who received a blood cholesterol measurement in the last 5 years Public only 85.0
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months Public only 49.9
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 Public only 38.8
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 Public only 39.4
Adults ages 18 and over who received influenza vaccination Public only 38.6
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income Public only 12.9
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination Public only 30.8
People without a usual source of care who indicated a financial or insurance reason for not having a source of care Public only 16.5
People unable to get or delayed in getting needed medical care due to financial or insurance reasons Public only 51.4
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons Public only 64.1
Adults who had a preventive dental service in the calendar year Public only 26.3
People unable to get or delayed in getting needed dental care due to financial or insurance reasons Public only 73.4
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) Public only 23.6
Adults with a dental visit in the calendar year Public only 15.6