NationalUninsured Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Uninsured 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
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) Uninsured 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 Uninsured 91.9 95.9 4%
Obstetric trauma per 1,000 instrument-assisted deliveries Uninsured 102.7 94.3 9%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Women ages 21-65 who received a Pap smear in the last 3 years Uninsured 60.6 86.9 30%
Deaths per 1,000 adult hospital admissions with congestive heart failure Uninsured 16.0 11.5 39%
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance Uninsured 20.0 14.1 41%
Sepsis diagnoses per 1,000 elective-surgery admissions of length 4 or more days, adults Uninsured 14.7 10.4 41%
Birth trauma - injury to neonate per 1,000 selected live births Uninsured 1.90 1.29 47%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Deaths per 1,000 adult hospital admissions with pneumonia Uninsured 19.6 12.8 53%
Women ages 50-74 who received a mammogram in the last 2 years Uninsured 35.4 85.2 58%
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) Uninsured 63.3 35.5 78%
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, adults age 40 and over Uninsured 25.0 13.6 84%
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults Uninsured 0.56 0.26 115%
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), adults age 40 and over Uninsured 26.5 11.4 133%
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 Uninsured 6.40
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults Uninsured 373.6
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months Uninsured 3.50
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year Uninsured 47.8
People who were unable to get or delayed in getting needed dental care in the last 12 months Uninsured 9.30
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year Uninsured 44.2
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends Uninsured 37.5
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone Uninsured 22.9
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 Uninsured 11.2
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Uninsured 62.5
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year Uninsured 49.9
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Uninsured 43.2
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 Uninsured 10.9
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children Uninsured 496.5
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 Uninsured 18.5
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 Uninsured 21.0
Adults with limited English proficiency and usual source of care (USC) and the USC had language assistance Uninsured 91.2
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 Uninsured 10.2
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 Uninsured 18.6
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 Uninsured 0.48
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults Uninsured 5.94
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults Uninsured 1.58
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults Uninsured 1.57
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults Uninsured 8.92
Adults with limited English proficiency who had a usual source of care Uninsured 38.6
People with a usual source of care who sometimes or never asked person to help make decisions when there was a choice between treatments Uninsured 20.5
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults Uninsured 0.09
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults Uninsured 1.11
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms Uninsured 54.0
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 Uninsured 28.6
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 Uninsured 22.6
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults Uninsured 1.80
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children Uninsured 0.85
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair Uninsured 51.5
People under age 65 with any period of uninsurance during the year Total 20.7
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, adults ages 18-89 or obstetric admissions Uninsured 147.7
Deaths per 1,000 hospital admissions with expected low-mortality Uninsured 0.37
People with a usual source of care who usually asks about prescription medications and treatments from other doctors Uninsured 81.3
People with a specific source of ongoing care Uninsured 53.9
People with a usual primary care provider Uninsured 43.3
People in fair or poor health with a specific source of ongoing care Uninsured 57.7
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking Uninsured 42.3
Exclusive breastfeeding through 3 months Uninsured 40.6
Adult smokers who attempt to quit in the past year Uninsured 51.6
Adults who ever smoked and quitted recently Uninsured 5.60
Children ages 6 months to 17 years who received influenza vaccination Uninsured 43.0
Children ages 2-19 with obesity Uninsured 19.3
Adults with obesity who ever received advice from a health professional to exercise more Uninsured 51.3
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 Uninsured 52.3
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 Uninsured 28.8
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods Uninsured 40.7
Children who had their height and weight measured by a health provider within the past 2 years Uninsured 83.6
Children ages 2-17 who had a dental visit in the calendar year Uninsured 27.3
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy Uninsured 47.9
Children ages 2-17 who had a preventive dental service in the calendar year Uninsured 20.2
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high Uninsured 76.8
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 Uninsured 35.1
Children ages 0-17 with wellness checkup in the past 12 months Uninsured 52.7
Adults who received a blood cholesterol measurement in the last 5 years Uninsured 66.5
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months Uninsured 16.5
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 Uninsured 24.3
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 Uninsured 22.4
Adults ages 18 and over who received influenza vaccination Uninsured 15.0
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income Full-year uninsured 10.2
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination Uninsured 10.8
People without a usual source of care who indicated a financial or insurance reason for not having a source of care Uninsured 38.9
People unable to get or delayed in getting needed medical care due to financial or insurance reasons Uninsured 81.6
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons Uninsured 85.9
Adults who had a preventive dental service in the calendar year Uninsured 13.7
People unable to get or delayed in getting needed dental care due to financial or insurance reasons Uninsured 91.0
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) Uninsured 16.3
Adults with a dental visit in the calendar year Uninsured 8.40