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
Adult hospital patients who did not receive good communication about discharge information 11.3 11.1 2%
Hospital patients with heart failure who were given complete written discharge instructions 94.6 96.2 2%
Percent of 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 67.6 7%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Home health patients who had timely initiation of care 91.7 81.0 13%
Home health care patients who had an emergency department visit without hospitalization 3.60 2.86 26%
Admissions for bacterial pneumonia per 100,000 population, age 18 and over 288.1 211.9 36%
Home health care patients who need urgent, unplanned medical care 21.1 15.2 39%
Home health care patients who had to be admitted to the hospital 24.8 17.7 40%
Potentially avoidable hospitalizations for acute conditions per 100,000 population, age 18 and over 580.4 401.3 45%
Home health care patients who had an emergency department visit and then hospitalized, United States, 2010-2013 17.6 11.9 48%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
Adult hospital patients who strongly disagree or disagree that they understood the purpose for taking each of their medications after discharge 2.88 1.90 52%
Adult hospital patients who strongly disagree or disagree that they understood how to manage their health after discharge 3.92 2.58 52%
Admissions with diabetes with short-term complications per 100,000 population, ages 6-17 26.2 16.2 62%
Admissions for angina without cardiac procedure per 100,000 population, age 18 and over 13.3 8.15 63%
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 5.42 3.20 69%
Potentially avoidable hospitalizations for acute conditions per 100,000 population, age 6-17 42.1 23.0 83%
Admissions with diabetes with short-term complications per 100,000 population, age 18 and over 82.6 44.7 85%
Admissions with chronic obstructive pulmonary disease (COPD) or asthma per 100,000 population, age 40 and over 480.9 254.6 89%
Potentially avoidable hospitalizations for chronic conditions per 100,000 population, age 6-17 101.5 51.5 97%
Admissions with diabetes with long-term complications per 100,000 population, age 18 and over 120.0 58.3 106%
Admissions for asthma per 100,000 population, age 18 to 39 50.0 23.1 117%
Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes 18.4 7.71 138%
Admissions for asthma per 100,000 population, ages 2-17 107.4 42.7 151%
Admissions with hypertension per 100,000 population, age 18 and over 57.8 17.6 227%
Admissions for uncontrolled diabetes without complications per 100,000 population, age 18 and over 15.4 4.35 253%
Measures With No Available Benchmark Information
Measure Estimate Benchmark Distance to Benchmark
Emergency department visits for congestive heart failure (CHF) per 100,000 population (including inpatient admissions), age 18 and over 374.3
Admissions with perforated appendix per 1,000 admissions with appendicitis, age 18 and over 338.4
Admissions with perforated appendix per 1,000 admissions with appendicitis, ages 1-17 376.5
Admissions for urinary tract infection (UTI) per 100,000 population, age 18 and over 181.5
Admissions for urinary tract infection (UTI) per 100,000 population, ages 3 months to 17 years 28.2
Admissions for pediatric gastroenteritis per 100,000 population, ages 3 months to 17 years 53.4
People with a usual source of care who usually asks about prescription medications and treatments from other doctors 79.9
Rate of emergency department visits with a principal diagnosis of mental health ONLY, per 100,000 population 1193.1
Rate of emergency department visits with a principal diagnosis of substance abuse ONLY, per 100,000 population 540.0
Rate of emergency department visits with a principal diagnosis of co-occurring of mental health, alcohol and substance abuse, per 100,000 population 33.7
Emergency department visits with a principal diagnosis related to dental conditions 308.2
Emergency department visits for asthma per 100,000 population (including inpatient admissions), age 18-39 582.0
Emergency department visits for asthma per 100,000 population (including inpatient admissions), ages 2-17 932.1
Children ages 2-19 with hospital emergency department visit for asthma per 10,000 population 93.5
Children ages 2-9 with hospital emergency department visit for asthma per 10,000 population 129.2
Children ages 10-19 with hospital emergency department visit for asthma per 10,000 population 64.9
Admissions for dehydration per 100,000 population, age 18 and over 110.8
Potentially avoidable hospitalizations for chronic conditions, excluding COPD, per 100,000 population, age 18 and over 655.9