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 94.1 97.0 3%
Children ages 19-35 months who received 3 or more doses of polio vaccine 93.7 97.3 4%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 92.6 96.4 4%
Children ages 19-35 months who received 1 or more doses of varicella vaccine 91.8 95.7 4%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 91.9 96.4 5%
Women ages 21-65 who received a Pap smear in the last 3 years 81.2 86.9 7%
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 84.6 90.6 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 87.1 95.2 9%
Hospital patients who received pneumococcal immunization 87.7 97.2 10%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
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 85.3 95.9 11%
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine 81.9 96.2 15%
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine 80.8 95.4 15%
Women ages 50-74 who received a mammogram in the last 2 years 71.6 85.2 16%
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 88.3 75.8 16%
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over 64.0 51.7 24%
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine 31.9 46.4 31%
Adolescent ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine 39.4 62.2 37%
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine 27.1 43.3 37%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over 10.5 6.94 51%
Hospital admissions for immunization-preventable influenza per 100,000 population, adults age 65 and over 259.8 142.8 82%
Measures With No Available Benchmark Information
Measure Estimate Benchmark Distance to Benchmark
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine 37.1
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine 49.1
Exclusive breastfeeding through 3 months 44.4
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking 65.3
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
Adolescent males ages 16-17 who received 3 or more doses of human papillomavirus (HPV) vaccine 29.7
Children ages 2-19 with obesity 17.0
Adults with obesity who ever received advice from a health professional to exercise more 63.4
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 55.8
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 47.8
Children ages 6 months to 17 years who received influenza vaccination 53.1
Children ages 3-5 who ever had their vision checked by a health provider 68.7
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 45.5
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods 51.2
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy 64.0
Children who had their height and weight measured by a health provider within the past 2 years 93.8
Children ages 2-17 who had a dental visit in the calendar year 54.5
Children ages 5-17 with untreated dental caries 17.4
Children ages 2-17 who had a preventive dental service in the calendar year 46.4
Adults who received a blood cholesterol measurement in the last 5 years 85.5
Children 41-80 lbs for whom a health provider gave advice within the past 2 years about using a booster seat when riding in the car 39.7
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 64.5
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
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months 46.0
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 35.2
Adults ages 18 and over who received influenza vaccination 44.6
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 38.3
Children ages 0-17 with wellness checkup in the past 12 months 84.0
Adults age 65 and over who received an influenza vaccination in the last 12 months 73.5
Adults who had a preventive dental service in the calendar year 40.9
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination 23.0
Adults age 65 and over who ever received pneumococcal vaccination 63.6
Adults with a dental visit in the calendar year 33.1
Live-born infants with low birth weight (less than 2,500 g) 8.10
Infant mortality per 1,000 live births, birth weight less than 1,500 grams 217.1
Infant mortality per 1,000 live births, birth weights 1,500-2,499 grams 12.8
Infant mortality per 1,000 live births, birth weight 2,500 grams or more 2.00