NationalCare Coordination Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Care Coordination 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
Hospital patients with heart failure discharged home with written instructions or educational material 94.6 97.2 3%
Home health patients who had timely initiation of care 91.7 94.9 3%
Adults who reported that home health providers always seem informed and up-to-date about all the care or treatment you got at home, in the last 2 months of care 63.1 67.8 7%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Home health care patients who received urgent, unplanned medical care 21.1 16.0 32%
Adult hospital patients who did not receive good communication about discharge information 10.9 7.95 36%
Home health care patients who had an emergency department visit and then hospitalized 17.6 12.8 38%
Home health care patients who had to be admitted to the hospital 24.8 17.6 41%
Hospital admissions for short-term complications of diabetes per 100,000 population, ages 6-17 24.3 16.3 49%
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 81.5 52.3 56%
Avoidable admissions for bacterial pneumonia per 100,000 population age 18 and over 255.8 160.3 60%
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 3.18 70%
Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes, HCUP data 18.7 9.70 93%
Hospital admissions for asthma per 100,000 population, age 18 to 39 46.6 24.1 94%
Avoidable admissions for chronic obstructive pulmonary disease or asthma per 100,000 population age 40 and over 431.8 218.6 98%
Hospital admissions for long-term complications of diabetes per 100,000 population, adults 115.9 52.6 120%
Hospital admissions for asthma per 100,000 population, ages 2-17 106.3 47.7 123%
Avoidable admissions for angina per 100,000 population age 18 and over 11.9 5.05 136%
Avoidable admissions for hypertension per 100,000 population age 18 and over 54.2 20.4 166%
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults, HCUP data 14.2 4.10 245%
Measures With No Available Benchmark Information
Measure Estimate Benchmark Distance to Benchmark
Potentially avoidable hospitalizations and emergency department encounters for congestive heart failure 377.7
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults 363.2
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children 411.4
Emergency department visits with a principal diagnosis related to dental conditions 337.0
Potentially avoidable emergency department encounters for asthma, adults 594.1
Potentially avoidable emergency department encounters for asthma, children ages 2-17 957.6
People with a usual source of care who usually asks about prescription medications and treatments from other doctors 80.8
Emergency department visits with a principal diagnosis related to mental health only per 100,000 population 1391.0
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population 640.0
Emergency department visits with a principal diagnosis related to co-occurring of mental health, alcohol and substance abuse, per 100,000 population 41.0
Admissions for dehydration per 100,000 population, age 18 and over 97.5
Admissions for urinary tract infection (UTI) per 100,000 population, age 18 and over 172.0
Admissions for urinary tract infection (UTI) per 100,000 population, ages 3 months to 17 years 27.1
Admissions for pediatric gastroenteritis per 100,000 population, ages 3 months to 17 years 36.5