NationalHealthy Living Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Healthy Living 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 who received influenza vaccination 93.8 96.7 3%
Long-stay nursing home patients who had flu vaccination appropriately given 90.8 94.3 4%
Children ages 19-35 months who received 1 or more doses of varicella vaccine 91.0 94.9 4%
Children ages 19-35 months who received 3 or more doses of polio vaccine 93.3 97.3 4%
Long-stay nursing home residents who were assessed for pneumococcal vaccination 93.6 97.8 4%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 91.5 95.9 5%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 91.6 96.3 5%
Short-stay nursing home patients who had flu vaccination appropriately given 86.0 91.4 6%
Home health care patients whose pain when moving around decreased 68.0 72.8 7%
Short-stay nursing home residents who were assessed for pneumococcal vaccination 86.1 92.2 7%
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 84.2 90.2 7%
Adolescents ages 16-17 who received 1 or more doses of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years 86.6 93.5 7%
Adolescents ages 13-15 who received 1 or more doses of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years 88.3 95.3 7%
Home health care patients whose bathing improved 67.8 73.4 8%
Hospital patients who received pneumococcal immunization 89.3 97.3 8%
Home health care patients who stayed at home after an episode of home health care 71.0 77.5 8%
Home health patients who had improvement in upper body dressing 70.5 77.1 9%
Home health care patients whose ability to walk or move around improved 61.8 68.6 10%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Home health care patients whose shortness of breath decreased 65.0 72.3 10%
Home health care patients whose ability to get in and out of bed improved 57.5 64.1 10%
Home health patients who had improvement in toileting 68.8 76.9 11%
Home health patients who had influenza vaccination during flu season 71.7 82.3 13%
Home health care patients whose urinary incontinence decreased 46.2 54.8 16%
Home health patients who had improvement in confusion frequency 44.3 52.9 16%
Home health patients who had pneumococcal polysaccharide vaccination 71.1 85.1 16%
Persons aged 16 to 17 years who received 1 or more doses of meningococcal conjugate vaccine 79.1 94.8 17%
Persons aged 13 to 15 years who received 1 or more doses of meningococcal conjugate vaccine 79.4 95.5 17%
Breast cancer diagnosed at advanced stage (regional, distant stage, or local stage with tumor greater than 2 cm) per 100,000 women age 40 and over 88.1 72.3 22%
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over 64.5 52.1 24%
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine 27.3 36.7 26%
Long-stay nursing home residents with too much weight loss 9.20 7.32 26%
Long-stay nursing home residents whose need for help with daily activities increased 17.4 13.6 28%
Adolescent ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine 35.0 50.9 31%
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder 43.9 33.2 32%
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over 10.1 7.10 42%
Short-stay nursing home residents with moderate to severe pain 18.8 12.6 49%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
Long-stay nursing home residents with moderate to severe pain 10.00 5.88 70%
Hospital admissions for immunization-preventable influenza per 100,000 population age 65 and over 146.0 56.2 160%
Measures With No Available Benchmark Information
Measure Estimate Benchmark Distance to Benchmark
Children with obesity 2-19 years of age who had been told by a doctor or health professional that they were overweight 48.5
Adults with obesity age 20 and over who had been told by a doctor or health professional that they were overweight 68.4
Children ages 2-5 with obesity 8.90
Children ages 6-11 with obesity 17.5
Children ages 12-19 with obesity 20.5
Adults with obesity who ever received advice from a health professional to exercise more 62.1
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 57.5
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 43.9
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods 50.1
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy 60.5
Infant mortality per 1,000 live births, birth weight 2,500 grams or more 2.00
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking 67.4
Live-born infants with low birth weight (less than 2,500 g) 8.00
Women who completed a pregnancy in the last 12 months who received early and adequate prenatal care 15.1
Infant mortality per 1,000 live births, birth weight less than 1,500 grams 220.0
Infant mortality per 1,000 live births, birth weights 1,500-2,499 grams 13.4
Women ages 50-74 who received a mammogram in the last 2 years 72.6
Women ages 21-65 who received a Pap smear in the last 3 years 80.7
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine 34.4
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination 20.2
Children ages 2-17 who had a dental visit in the calendar year 54.4
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine 47.5
Children ages 12-17 with untreated dental caries 16.6
Children ages 5-11 with untreated dental caries 18.1
Children ages 0-17 with wellness checkup in the past 12 months 83.8
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months 47.2
Adults age 65 and over who ever received pneumococcal vaccination 61.3
Children ages 5-17 with untreated dental caries 17.4
Children ages 3-5 who ever had their vision checked by a health provider 66.2
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 43.0
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 64.6
Children 41-80 lb for whom a health provider gave advice within the past 2 years about using a booster seat when riding in the car 40.6
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high 91.8
Adolescent males ages 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine 20.6
Adolescent males ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine 23.1
Adults who received a blood cholesterol measurement in the last 5 years 85.5
Children over 80 lb for whom a health provider gave advice within the past 2 years about using lap or shoulder belts when riding in a car 36.2
Adults ages 18 and over who received influenza vaccination 42.9
Adults age 65 and over who received an influenza vaccination in the last 12 months 70.9
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 36.8
Children ages 6 months to 17 years who received influenza vaccination 52.7
Children who had their height and weight measured by a health provider within the past 2 years 92.4