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
Adults who reported that home health providers always seem informed and up-to-date about all the cares or treatments they got at home in the last 2 months of care 63.5 67.8 6%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Adult hospital patients who did not receive good communication about discharge information 10.5 7.70 36%
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 85.8 56.8 51%
Hospital admissions for bacterial pneumonia per 100,000 population, adults age 18 and over 249.4 161.5 54%
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 3.22 68%
Hospital admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, adults age 40 and over 422.0 216.7 95%
Hospital admissions for asthma per 100,000 population, adults ages 18-39 39.9 20.4 96%
Hospital admissions for short-term complications of diabetes per 100,000 population, children ages 6-17 27.1 13.6 99%
Hospital admissions for long-term complications of diabetes per 100,000 population, adults 115.9 54.8 112%
Hospital admissions for lower extremity amputations per 1,000 population, adults age 18 and over with diabetes 19.3 9.03 114%
Hospital admissions for asthma per 100,000 population, children ages 2-17 87.2 38.1 129%
Hospital admissions for angina per 100,000 population, adults age 18 and over 11.8 4.90 141%
Hospital admissions for hypertension per 100,000 population, adults age 18 and over 51.9 20.4 154%
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults 12.7 3.28 287%
Measures With No Available Benchmark Information
Measure Estimate Benchmark Distance to Benchmark
Children ages 2-9 who visited emergency department for asthma 144.0
Children ages 10-19 who visited emergency department for asthma 61.4
Hospitalizations and emergency department encounters for congestive heart failure 372.9
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults 393.8
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children 457.7
Hospital admissions for urinary tract infection (UTI) per 100,000 population, children ages 3 months to 17 years 25.6
Hospital admissions for dehydration per 100,000 population, adults age 18 and over 100.0
Hospital admissions for urinary tract infection (UTI) per 100,000 population, adults age 18 and over 164.2
Hospital admissions for pediatric gastroenteritis per 100,000 population, children ages 3 months to 17 years 50.8
People with a usual source of care who usually asks about prescription medications and treatments from other doctors 81.0
Emergency department visits with a principal diagnosis related to mental health only per 100,000 population 1345.6
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population 712.5
Emergency department visits with a principal diagnosis related to dental conditions 312.9
Emergency department encounters for asthma, adults 535.1
Emergency department encounters for asthma, children ages 2-17 897.8
Children ages 2-19 who visited emergency department for asthma 97.7