NationalPatient Safety Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Patient Safety 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 a home health provider talking with them about all the prescription and over-the-counter medicines they were taking when they first started getting home health care 84.0 88.5 5%
Adults who reported a home health provider talking with them about how to set up their home so they can move around safely when they first started getting home health care 75.9 80.2 5%
Adults who reported a home health provider asking to see all the prescription and over-the-counter medicines they were taking, when they first started getting home health care 77.6 86.1 10%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Adults who reported that home health providers talked with them about the purpose for taking their new or changed prescription medicines in the last 2 months of care 31.4 36.2 13%
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care 28.8 34.2 16%
Adults home health patients age 18 and over who reported that home health providers talked with them about the side effects of medicines in the last 2 months of care 24.7 29.5 16%
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance 17.7 14.1 25%
Obstetric trauma per 1,000 instrument-assisted deliveries 119.3 94.3 26%
Sepsis diagnoses per 1,000 elective-surgery admissions of length 4 or more days, adults 15.3 10.4 47%
Birth trauma - injury to neonate per 1,000 selected live births 1.90 1.29 47%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults 0.84 0.26 223%
Measures With No Available Benchmark Information
Measure Estimate Benchmark Distance to Benchmark
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults 11.6
Adult surgery patients with catheter-associated urinary tract infection 2.67
Hospital admissions with central venous catheter-related bloodstream infection per 1,000 medical and surgical discharges of length 2 or more days, adults age 18 and over or obstetric admissions 0.67
Adult surgery patients with postoperative pneumonia events 1.24
Adult surgery patients with postoperative venous thromboembolic events 0.20
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults 2.10
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults 1.51
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults 0.16
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults 7.83
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults 5.43
Inpatient adverse events in adults receiving knee replacement 1.66
Mechanical adverse events in adult patients receiving central venous catheter placement 2.85
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults 1.13
Inpatient adverse events in adults receiving hip joint replacement due to degenerative conditions 1.66
Inpatient adverse events in adults receiving hip joint replacement due to fracture 11.8
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults 2.27
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children 0.49
Hospital patients who received a hypoglycemic agent who had an adverse drug events with hypoglycemic agents 7.71
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, adults ages 18-89 or obstetric admissions 111.7
Deaths per 1,000 hospital admissions with expected low-mortality 0.31
Hospital patients with an anticoagulant-related adverse drug event to warfarin 5.73
Adverse drug event with IV heparin in adult hospital patients who received an anticoagulant 10.8
Hospital patients with an anticoagulant-related adverse drug event to low-molecular-weight heparin (LMWH) and factor Xa 3.01
Adults age 65 and over who received in the calendar year at least 1 of 11 prescription medications that should be avoided in older adults 1.30