NationalAsian Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Asian 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
Hospital admissions for short-term complications of diabetes per 100,000 population, adults Non-Hispanic, API 24.3 56.8 Achieved: 57% better
HIV infection deaths per 100,000 population API 0.40 0.75 Achieved: 47% better
Hospital admissions for asthma per 100,000 population, adults ages 18-39 Non-Hispanic, API 11.0 20.4 Achieved: 46% better
Breast cancer deaths per 100,000 female population per year API 11.7 17.8 Achieved: 34% better
Hospital admissions for short-term complications of diabetes per 100,000 population, children ages 6-17 Non-Hispanic, API 9.20 13.6 Achieved: 32% better
Lung cancer deaths per 100,000 population per year API 22.2 27.5 Achieved: 19% better
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 API 62.8 75.8 Achieved: 17% better
Suicide deaths among persons age 12 and over per 100,000 population API 7.80 9.38 Achieved: 17% better
Colorectal cancer deaths per 100,000 population per year API 9.80 11.5 Achieved: 15% better
Hospital admissions for bacterial pneumonia per 100,000 population, adults age 18 and over Non-Hispanic, API 140.2 161.5 Achieved: 13% better
Hospital admissions for lower extremity amputations per 1,000 population, adults age 18 and over with diabetes Non-Hispanic, API 8.30 9.03 Achieved: 8% better
Hospital admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, adults age 40 and over Non-Hispanic, API 200.7 216.7 Achieved: 7% better
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over API 49.2 51.7 Achieved: 5% better
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher Asian 96.2 96.5 0%
Acute stroke patients for whom IV thrombolytic therapy was initiated at hospital within 3 hours of time last known well Asian 92.6 92.9 0%
Hospital admissions for long-term complications of diabetes per 100,000 population, adults Non-Hispanic, API 55.1 54.8 1%
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine Asian, single race 90.0 90.6 1%
Children ages 19-35 months who received 3 or more doses of polio vaccine Asian, single race 96.5 97.3 1%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine Asian, single race 95.5 96.4 1%
Adults who reported having any problems with the care they received from their home health providers in the last 2 months of care Asian, single race 90.4 89.5 1%
Stroke patients prescribed statin medication at hospital discharge Asian 96.9 98.6 2%
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 Asian 95.0 96.7 2%
Hospital patients who received influenza vaccination Asian 95.1 97.0 2%
Children ages 19-35 months who received 1 or more doses of varicella vaccine Asian, single race 93.8 95.7 2%
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, Asian 94.7 96.8 2%
Hospital patients who received pneumococcal immunization Asian 94.9 97.2 2%
Stroke patients who received venous thromboembolism (VTE) prophylaxis Asian 96.2 98.7 3%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined Non-Hispanic, Asian 92.9 95.9 3%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine Asian, single race 92.8 96.4 4%
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care Asian, single race 29.2 30.6 4%
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 Asian, single race 82.1 86.1 5%
Adults who reported that home health providers talk about pain in the last 2 months of care Asian, single race 86.7 91.4 5%
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access API 68.8 72.8 5%
Adults who reported being told what care and services they would get when they first started getting home health care Asian, single race 86.4 91.4 6%
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 Asian, single race 75.2 80.2 6%
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 Asian, single race 82.9 88.5 6%
Hospital admissions for congestive heart failure per 100,000 population Non-Hispanic, API 216.4 202.0 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 Asian, single race 87.5 95.9 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 Asian, single race 86.4 95.2 9%
Persons age 13 and over living with HIV who know their serostatus Non-Hispanic, Asian 80.4 89.1 10%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care Asian, single race 84.7 95.0 11%
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine Asian, single race 84.9 96.2 12%
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine Asian, single race 84.0 95.4 12%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care Asian, single race 76.2 88.0 13%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care Asian, single race 79.9 92.5 14%
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 Asian, single race 71.7 83.4 14%
Dialysis patients who were registered on a waiting list for transplantation API 24.2 28.2 14%
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, Asian 63.3 74.3 15%
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, Asian 57.5 67.6 15%
Women ages 21-65 who received a Pap smear in the last 3 years Asian, single race 73.1 86.9 16%
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 Asian, single race 72.7 86.9 16%
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over API 8.10 6.94 17%
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 Asian, single race 24.4 29.5 17%
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) Non-Hispanic, API 42.1 35.5 19%
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care Asian, single race 27.7 34.2 19%
Percent of hemodialysis patients whose hemoglobin level is less than 10 g/dL Asian 13.8 11.4 21%
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 Asian, single race 28.6 36.2 21%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers Asian, single race 18.6 23.8 22%
Women ages 50-74 who received a mammogram in the last 2 years Asian, single race 66.3 85.2 22%
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 Asian, single race 50.5 67.8 25%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital Asian, single race 10.00 7.75 29%
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine Asian, single race 32.9 46.4 29%
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), adults age 40 and over Non-Hispanic, API 15.0 11.4 32%
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy API 36.2 54.1 33%
Deaths per 1,000 adult hospital admissions with congestive heart failure Non-Hispanic, API 15.9 11.5 38%
Adolescent ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine Asian, single race 38.3 62.2 38%
Hospital admissions for asthma per 100,000 population, children ages 2-17 Non-Hispanic, API 53.2 38.1 40%
Hospital admissions for hypertension per 100,000 population, adults age 18 and over Non-Hispanic, API 28.5 20.4 40%
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults Non-Hispanic, API 4.60 3.28 40%
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, adults age 40 and over Non-Hispanic, API 20.0 13.6 47%
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 Asian, single race 11.6 7.70 51%
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure API 14.1 28.8 51%
New HIV cases per 100,000 population age 13 and over Non-Hispanic, Asian 6.50 4.30 51%
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 Asian, single race 4.90 3.22 52%
Deaths per 1,000 adult hospital admissions with pneumonia Non-Hispanic, API 20.1 12.8 57%
Birth trauma - injury to neonate per 1,000 selected live births Non-Hispanic, API 2.16 1.29 67%
Hospital admissions for angina per 100,000 population, adults age 18 and over Non-Hispanic, API 8.90 4.90 82%
Obstetric trauma per 1,000 instrument-assisted deliveries Non-Hispanic, API 181.1 94.3 92%
Sepsis diagnoses per 1,000 elective-surgery admissions of length 4 or more days, adults Non-Hispanic, API 20.4 10.4 96%
Hospital admissions for immunization-preventable influenza per 100,000 population, adults age 65 and over Non-Hispanic, API 291.6 142.8 104%
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance Non-Hispanic, API 36.9 14.1 161%
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults Non-Hispanic, API 0.88 0.26 238%
Measures With No Available Benchmark Information
Measure Population Estimate Benchmark Distance to Benchmark
People who were unable to get or delayed in getting needed medical care in the last 12 months Asian, single race 1.90
People who were unable to get or delayed in getting needed dental care in the last 12 months Asian, single race 4.40
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults Asian, single race 6.80
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults Non-Hispanic, API 429.2
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months Asian, single race 1.10
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends Asian, single race 45.6
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year Asian, single race 52.8
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year Asian, single race 49.0
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Asian, single race 57.9
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone Asian, single race 11.1
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things in a way they could understand Asian, single race 6.80
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say Asian, single race 5.90
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year Asian, single race 67.2
Adults age 40 and over with diabetes whose condition was diagnosed Non-Hispanic, Asian 63.2
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Asian, single race 21.9
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them Asian, single race 6.70
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children Non-Hispanic, API 445.4
Adults who had a doctor's office or clinic visit in the last 12 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment Asian, single race 8.70
Adults with limited English proficiency and usual source of care (USC) and the USC had language assistance Asian, single race 78.3
Adults age 40 and over with diagnosed diabetes with hemoglobin A1c less than 8.0% (optimal control) Non-Hispanic, Asian 78.8
Adults age 40 and over with diagnosed diabetes with blood pressure less than 130/80 mm Hg Non-Hispanic, Asian 62.0
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 Non-Hispanic, API 0.37
Hospital admissions for dehydration per 100,000 population, adults age 18 and over Non-Hispanic, API 46.7
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them Asian, single race 11.5
Hospital admissions for urinary tract infection (UTI) per 100,000 population, adults age 18 and over Non-Hispanic, API 83.7
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 Asian, single race 13.2
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults Non-Hispanic, API 1.28
Hospital admissions for urinary tract infection (UTI) per 100,000 population, children ages 3 months to 17 years Non-Hispanic, API 16.5
Hospital admissions for pediatric gastroenteritis per 100,000 population, children ages 3 months to 17 years Non-Hispanic, API 32.8
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults Non-Hispanic, API 2.46
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults Non-Hispanic, API 6.00
Adults with limited English proficiency who had a usual source of care Asian, single race 73.1
People with a usual source of care who sometimes or never asked person to help make decisions when there was a choice between treatments Asian, single race 17.6
Adjusted incident rates of end stage renal disease (ESRD) due to diabetes per million population API 206.9
Kidney failure due to diabetes among persons with diabetes API 2855.4
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults Non-Hispanic, API 5.44
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults Non-Hispanic, API 1.44
Adults with hypertension with blood pressure less than 140/90 mm/Hg Non-Hispanic, Asian 42.1
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms Asian, single race 70.4
Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as needed Asian, single race 17.7
Adults who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed Asian, single race 25.3
Children who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed Asian, single race 13.0
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults Non-Hispanic, API 2.51
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children Non-Hispanic, API 0.61
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair Non-Hispanic, API 24.2
People under age 65 with any period of uninsurance during the year Asian, single race 15.4
People with a specific source of ongoing care Asian, single race 87.0
Hospital patients with an anticoagulant-related adverse drug event to low-molecular-weight heparin (LMWH) and factor Xa Non-Hispanic, Asian 11.4
People under age 65 with health insurance Asian, single race 93.5
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, adults ages 18-89 or obstetric admissions Non-Hispanic, API 122.4
People under age 65 with any private health insurance Asian, single race 75.1
Adults age 65 and over with any private health insurance Asian, single race 33.9
Deaths per 1,000 hospital admissions with expected low-mortality Non-Hispanic, API 0.34
People under age 65 who were uninsured all year Asian, single race 7.40
Hospital patients who received a hypoglycemic agent who had an adverse drug events with hypoglycemic agents Non-Hispanic, Asian 9.38
People with a usual source of care who usually asks about prescription medications and treatments from other doctors Asian, single race 77.0
People with a usual primary care provider Asian, single race 74.2
People in fair or poor health with a specific source of ongoing care Asian, single race 88.3
Adult smokers who attempt to quit in the past year Asian, single race 54.5
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine Asian, single race 37.1
Exclusive breastfeeding through 3 months Non-Hispanic, Asian 41.5
Adults who ever smoked and quitted recently Asian, single race 16.6
Adolescent males ages 16-17 who received 3 or more doses of human papillomavirus (HPV) vaccine Asian, single race 26.6
Children ages 6 months to 17 years who received influenza vaccination Asian, single race 66.8
Children ages 2-19 with obesity Non-Hispanic, Asian 8.60
Adults with obesity who ever received advice from a health professional to exercise more Asian, single race 62.0
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 Asian, single race 52.4
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 Asian, single race 45.9
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods Asian, single race 48.5
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy Asian, single race 63.0
Children who had their height and weight measured by a health provider within the past 2 years Asian, single race 91.0
Children ages 2-17 who had a dental visit in the calendar year Asian, single race 56.8
Children ages 2-17 who had a preventive dental service in the calendar year Asian, single race 46.8
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high Asian, single race 90.3
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 Asian, single race 33.5
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 Asian, single race 38.8
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 Asian, single race 59.3
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income Asian, single race 12.3
Adults who received a blood cholesterol measurement in the last 5 years Asian, single race 86.5
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 Asian, single race 42.4
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months Asian, single race 45.0
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 Asian, single race 38.9
Children ages 0-17 with wellness checkup in the past 12 months Asian, single race 84.5
Adults ages 18 and over who received influenza vaccination Asian, single race 48.4
Adults age 65 and over who received an influenza vaccination in the last 12 months Asian, single race 83.4
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination Asian, single race 23.0
Adults age 65 and over who ever received pneumococcal vaccination Asian, single race 49.3
People without a usual source of care who indicated a financial or insurance reason for not having a source of care Asian, single race 8.90
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) Asian, single race 16.9
Adults who had a preventive dental service in the calendar year Asian, single race 39.5
People unable to get or delayed in getting needed dental care due to financial or insurance reasons Asian, single race 67.0
Adults with a dental visit in the calendar year Asian, single race 32.1
Infant mortality per 1,000 live births, birth weight 2,500 grams or more API 1.20
Women who completed a pregnancy in the last 12 months who received early and adequate prenatal care API 14.3
Live-born infants with low birth weight (less than 2,500 g) API 8.40
Infant mortality per 1,000 live births, birth weight less than 1,500 grams API 186.5
Infant mortality per 1,000 live births, birth weights 1,500-2,499 grams API 7.70