NationalAI/AN Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to AI/AN 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 Population Estimate Benchmark Distance to Benchmark
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 AI/AN 53.8 75.8 Achieved: 29% better
Breast cancer deaths per 100,000 female population per year AI/AN 12.8 17.8 Achieved: 28% better
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access AI/AN 76.4 72.8 Achieved: 5% better
Colorectal cancer deaths per 100,000 population per year AI/AN 11.1 11.5 Achieved: 4% better
Lung cancer deaths per 100,000 population per year AI/AN 26.7 27.5 Achieved: 3% better
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over AI/AN 6.90 6.94 Achieved: 1% better
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care AI/AN, single race 30.6 30.6 0%
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over AI/AN 51.7 51.7 0%
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher AI/AN 96.1 96.5 0%
Stroke patients prescribed statin medication at hospital discharge AI/AN 98.2 98.6 0%
Stroke patients who received venous thromboembolism (VTE) prophylaxis AI/AN 98.1 98.7 1%
Adults who reported having any problems with the care they received from their home health providers in the last 2 months of care AI/AN, single race 90.2 89.5 1%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined Non-Hispanic, AI/AN 94.3 95.9 2%
Adults who reported that home health providers talk about pain in the last 2 months of care AI/AN, single race 89.3 91.4 2%
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 AI/AN, single race 35.2 36.2 3%
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 AI/AN, single race 83.7 86.1 3%
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care AI/AN, single race 33.1 34.2 3%
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 AI/AN, single race 28.5 29.5 4%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine AI/AN, single race 92.9 96.4 4%
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them AI/AN 88.7 92.1 4%
Family caregivers who received right amount of emotional and spiritual supports from hospice care team AI/AN 87.2 90.9 4%
Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy (SLNB) at the time of surgery (lumpectomy or mastectomy) Non-Hispanic, AI/AN 92.3 96.8 5%
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care AI/AN, single race 90.6 95.0 5%
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them AI/AN 79.3 83.3 5%
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 AI/AN, single race 84.2 88.5 5%
Adults who reported being told what care and services they would get when they first started getting home health care AI/AN, single race 87.0 91.4 5%
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 AI/AN single race 90.6 95.9 6%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care AI/AN, single race 87.0 92.5 6%
Family caregivers who rated the hospice care for their family member best (9-10) on a scale of 0-10 (where 0 is the worst and 10 is the best) AI/AN 78.8 83.9 6%
Stroke patients with educational material addressing activation of emergency medical system, follow-up after discharge, educations prescribed at discharge, risk factors for stroke, warning signs and symptoms of stroke AI/AN 90.7 96.7 6%
Adults who reported that home health providers always explained things in a way that was easy to understand in the last 2 months of care AI/AN, single race 80.9 86.9 7%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care AI/AN, single race 81.8 88.0 7%
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team AI/AN 73.3 79.0 7%
Children ages 19-35 months who received 3 or more doses of polio vaccine AI/AN, single race 90.2 97.3 7%
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine AI/AN, single race 88.3 95.4 7%
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 AI/AN, single race 74.0 80.2 8%
Adults who reported that home health providers always kept them informed about when they would arrive at their home in the last 2 months of care AI/AN, single race 76.9 83.4 8%
Hospice patients and family caregivers who always got help as soon as they need from hospice care team AI/AN 75.8 82.3 8%
Persons age 13 and over living with HIV who know their serostatus Non-Hispanic, AI/AN 81.5 89.1 9%
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 AI/AN single race 86.9 95.2 9%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital AI/AN, single race 8.50 7.75 10%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers AI/AN, single race 21.5 23.8 10%
Measures That Are Close to Benchmark
Measure Population 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 AI/AN, single race 61.0 67.8 10%
Hospital patients who received influenza vaccination AI/AN 85.2 97.0 12%
Children ages 19-35 months who received 1 or more doses of varicella vaccine AI/AN single race 84.0 95.7 12%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine AI/AN, single race 84.1 96.4 13%
Hospital patients who received pneumococcal immunization AI/AN 83.4 97.2 14%
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine AI/AN, single race 77.5 90.6 14%
Persons age 13 and over living with diagnosed HIV who had at least two CD4 or viral load tests performed at least 3 months apart during the last year, among reporting jurisdictions Non-Hispanic, AI/AN 54.8 67.6 19%
Women ages 21-65 who received a Pap smear in the last 3 years AI/AN, single race 70.2 86.9 19%
Percent of hemodialysis patients whose hemoglobin level is less than 10 g/dL AI/AN 13.7 11.4 20%
Persons age 13 and over living with diagnosed HIV whose most recent viral load in the last 12 months was under 200 copies/mL Non-Hispanic, AI/AN 56.8 74.3 24%
Acute stroke patients for whom IV thrombolytic therapy was initiated at hospital within 3 hours of time last known well AI/AN 70.4 92.9 24%
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy AI/AN 34.9 54.1 35%
Women ages 50-74 who received a mammogram in the last 2 years AI/AN, single race 53.1 85.2 38%
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine AI/AN single race 23.9 46.4 49%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Adult hospital patients who did not receive good communication about discharge information AI/AN, single race 11.6 7.70 51%
Suicide deaths among persons age 12 and over per 100,000 population AI/AN 15.3 9.38 63%
Dialysis patients who were registered on a waiting list for transplantation AI/AN 9.90 28.2 65%
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure AI/AN 7.20 28.8 75%
HIV infection deaths per 100,000 population AI/AN 1.40 0.75 87%
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 AI/AN, single race 7.20 3.22 124%
New HIV cases per 100,000 population age 13 and over Non-Hispanic, AI/AN 9.70 4.30 126%
Measures With No Available Benchmark Information
Measure Population Estimate Benchmark Distance to Benchmark
People who were unable to get or delayed in getting needed dental care in the last 12 months AI/AN, single race 6.20
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends AI/AN, single race 45.8
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months AI/AN, single race 26.0
People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months AI/AN, single race 9.70
People with a usual source of care who sometimes or never asked person to help make decisions when there was a choice between treatments AI/AN, single race 17.4
Adjusted incident rates of end stage renal disease (ESRD) due to diabetes per million population AI/AN 275.8
Kidney failure due to diabetes among persons with diabetes AI/AN 1719.3
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms AI/AN, single race 77.4
People under age 65 with any period of uninsurance during the year AI/AN, single race 32.8
People under age 65 with health insurance AI/AN, single race 74.6
People under age 65 with any private health insurance AI/AN, single race 39.7
Adults age 65 and over with any private health insurance AI/AN, single race 14.8
People under age 65 who were uninsured all year AI/AN, single race 20.1
People with a usual source of care who usually asks about prescription medications and treatments from other doctors AI/AN, single race 70.4
People with a specific source of ongoing care AI/AN, single race 89.1
People with a usual primary care provider AI/AN, single race 74.3
People in fair or poor health with a specific source of ongoing care AI/AN, single race 90.4
Adult smokers who attempt to quit in the past year AI/AN, single race 48.8
Exclusive breastfeeding through 3 months Non-Hispanic, AI/AN 33.1
Children ages 6 months to 17 years who received influenza vaccination AI/AN, single race 67.2
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 AI/AN, single race 39.0
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy AI/AN, single race 58.2
Children who had their height and weight measured by a health provider within the past 2 years AI/AN, single race 86.4
Children ages 2-17 who had a dental visit in the calendar year AI/AN, single race 49.1
Children ages 2-17 who had a preventive dental service in the calendar year AI/AN, single race 34.7
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high AI/AN single race 88.3
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 AI/AN, single race 53.0
Children ages 0-17 with wellness checkup in the past 12 months AI/AN, single race 78.9
Adults who received a blood cholesterol measurement in the last 5 years AI/AN single race 77.0
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months AI/AN, single race 48.6
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 AI/AN, single race 31.8
Adults ages 18 and over who received influenza vaccination AI/AN, single race 49.5
Adults age 65 and over who received an influenza vaccination in the last 12 months AI/AN, single race 68.1
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income AI/AN, single race 16.8
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination AI/AN, single race 23.1
Adults age 65 and over who ever received pneumococcal vaccination AI/AN, single race 60.3
Adults who had a preventive dental service in the calendar year AI/AN, single race 33.9
Adults with a dental visit in the calendar year AI/AN, single race 21.5
Infant mortality per 1,000 live births, birth weight 2,500 grams or more AI/AN 3.90
Women who completed a pregnancy in the last 12 months who received early and adequate prenatal care AI/AN 12.3
Live-born infants with low birth weight (less than 2,500 g) AI/AN 7.50
Infant mortality per 1,000 live births, birth weight less than 1,500 grams AI/AN 215.5
Infant mortality per 1,000 live births, birth weights 1,500-2,499 grams AI/AN 17.9