NationalHispanic Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Hispanic 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
Lung cancer deaths per 100,000 population per year Hispanic, all races 17.7 27.5 Achieved: 36% better
Breast cancer deaths per 100,000 female population per year Hispanic, all races 13.5 17.8 Achieved: 24% better
Suicide deaths among persons age 12 and over per 100,000 population Hispanic, all races 7.50 9.38 Achieved: 20% better
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance Hispanic, all races 13.1 14.1 Achieved: 7% 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 Hispanic, all races 71.3 75.8 Achieved: 6% better
Colorectal cancer deaths per 100,000 population per year Hispanic, all races 11.0 11.5 Achieved: 5% better
Obstetric trauma per 1,000 instrument-assisted deliveries Hispanic, all races 94.7 94.3 0%
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) Hispanic, all races 95.1 96.8 2%
Children ages 19-35 months who received 3 or more doses of polio vaccine Hispanic, all races 94.5 97.3 3%
Children ages 19-35 months who received 1 or more doses of varicella vaccine Hispanic, all races 92.7 95.7 3%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine Hispanic, all races 93.2 96.4 3%
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them Hispanic, all races 80.3 83.3 4%
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them Hispanic, all races 88.4 92.1 4%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine Hispanic, all races 92.3 96.4 4%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined Hispanic, all races 91.0 95.9 5%
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access Hispanic, all races 69.0 72.8 5%
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) Hispanic, all races 79.6 83.9 5%
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team Hispanic, all races 74.3 79.0 6%
Persons age 13 and over living with HIV who know their serostatus Hispanic, all races 83.1 89.1 7%
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine Hispanic, all races 84.5 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 Hispanic, all races 87.6 95.2 8%
Hospice patients and family caregivers who always got help as soon as they need from hospice care team Hispanic, all races 75.7 82.3 8%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Family caregivers who received right amount of emotional and spiritual supports from hospice care team Hispanic, all races 81.3 90.9 11%
Women ages 21-65 who received a Pap smear in the last 3 years Hispanic, all races 77.5 86.9 11%
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine Hispanic, all races 84.9 95.4 11%
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine Hispanic, all races 85.1 96.2 12%
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over Hispanic, all races 58.6 51.7 13%
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 Hispanic, all races 58.3 67.6 14%
Hospital admissions for short-term complications of diabetes per 100,000 population, adults Hispanic, all races 64.6 56.8 14%
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 Hispanic, all races 81.4 95.9 15%
Women ages 50-74 who received a mammogram in the last 2 years Hispanic, all races 72.2 85.2 15%
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine Hispanic, all races 36.0 43.3 17%
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine Hispanic, all races 38.4 46.4 17%
Birth trauma - injury to neonate per 1,000 selected live births Hispanic, all races 1.54 1.29 19%
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) Hispanic, all races 42.5 35.5 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 Hispanic, all races 58.2 74.3 22%
Deaths per 1,000 adult hospital admissions with congestive heart failure Hispanic, all races 14.2 11.5 23%
Deaths per 1,000 adult hospital admissions with pneumonia Hispanic, all races 16.5 12.8 29%
Adolescent ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine Hispanic, all races 44.1 62.2 29%
People age 12 and over treated for substance abuse who completed treatment course Hispanic, all races 44.4 63.1 30%
Hospital admissions for bacterial pneumonia per 100,000 population, adults age 18 and over Hispanic, all races 215.0 161.5 33%
Hospital admissions for asthma per 100,000 population, adults ages 18-39 Hispanic, all races 27.7 20.4 36%
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, adults age 40 and over Hispanic, all races 18.5 13.6 36%
Dialysis patients who were registered on a waiting list for transplantation Hispanic, all races 15.5 28.2 45%
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy Hispanic, all races 28.1 54.1 48%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), adults age 40 and over Hispanic, all races 17.2 11.4 51%
Hospital admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, adults age 40 and over Hispanic, all races 330.5 216.7 52%
Hospital admissions for short-term complications of diabetes per 100,000 population, children ages 6-17 Hispanic, all races 21.8 13.6 60%
Hospital admissions for immunization-preventable influenza per 100,000 population, adults age 65 and over Hispanic, all races 230.1 142.8 61%
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure Hispanic, all races 11.0 28.8 62%
Hospital admissions for congestive heart failure per 100,000 population Hispanic, all races 328.8 202.0 63%
Sepsis diagnoses per 1,000 elective-surgery admissions of length 4 or more days, adults Hispanic, all races 17.1 10.4 65%
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over Hispanic, all races 13.1 6.94 89%
Hospital admissions for asthma per 100,000 population, children ages 2-17 Hispanic, all races 83.7 38.1 120%
HIV infection deaths per 100,000 population Hispanic, all races 1.80 0.75 140%
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults Hispanic, all races 0.63 0.26 142%
Hospital admissions for hypertension per 100,000 population, adults age 18 and over Hispanic, all races 57.5 20.4 182%
Hospital admissions for angina per 100,000 population, adults age 18 and over Hispanic, all races 14.2 4.90 190%
Hospital admissions for long-term complications of diabetes per 100,000 population, adults Hispanic, all races 165.9 54.8 203%
Hospital admissions for lower extremity amputations per 1,000 population, adults age 18 and over with diabetes Hispanic, all races 30.4 9.03 237%
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults Hispanic, all races 17.6 3.28 437%
New HIV cases per 100,000 population age 13 and over Hispanic, all races 23.1 4.30 437%
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 Hispanic, all races 3.30
People who were unable to get or delayed in getting needed dental care in the last 12 months Hispanic, all races 4.80
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults Hispanic, all races 6.70
Children ages 2-19 who visited emergency department for asthma Hispanic, all races 134.4
Children ages 2-9 who visited emergency department for asthma Hispanic, all races 163.6
Children ages 10-19 who visited emergency department for asthma Hispanic, all races 108.7
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults Hispanic, all races 337.0
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Hispanic, all races 64.9
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months Hispanic, all races 2.10
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year Hispanic, all races 69.4
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year Hispanic, all races 59.1
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends Hispanic, all races 40.1
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone Hispanic, all races 17.6
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 Hispanic, all races 7.50
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 Hispanic, all races 6.60
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year Hispanic, all races 58.0
Adults age 40 and over with diabetes whose condition was diagnosed Hispanic, all races 74.1
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Hispanic, all races 20.8
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Hispanic, all races 24.8
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 Hispanic, all races 8.70
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children Hispanic, all races 452.6
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months Hispanic, all races 35.5
People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months Hispanic, all races 17.6
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 Hispanic, all races 10.4
Children 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 Hispanic, all races 6.30
Adults with limited English proficiency and usual source of care (USC) and the USC had language assistance Hispanic, all races 92.5
Adults age 40 and over with diagnosed diabetes with hemoglobin A1c less than 8.0% (optimal control) Hispanic, all races 61.5
Adults age 40 and over with diagnosed diabetes with blood pressure less than 130/80 mm Hg Hispanic, all races 50.4
Adult surgery patients with catheter-associated urinary tract infection Hispanic, all races 4.18
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 Hispanic, all races 0.58
Hospital admissions for dehydration per 100,000 population, adults age 18 and over Hispanic, all races 82.6
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 Hispanic, all races 10.5
Hospital admissions for urinary tract infection (UTI) per 100,000 population, adults age 18 and over Hispanic, all races 186.6
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 Hispanic, all races 12.2
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults Hispanic, all races 1.57
Hospital admissions for urinary tract infection (UTI) per 100,000 population, children ages 3 months to 17 years Hispanic, all races 29.1
Hospital admissions for pediatric gastroenteritis per 100,000 population, children ages 3 months to 17 years Hispanic, all races 49.7
People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months Hispanic, all races 6.50
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults Hispanic, all races 1.73
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults Hispanic, all races 8.12
Adults with limited English proficiency who had a usual source of care Hispanic, all races 59.1
People with a usual source of care who sometimes or never asked person to help make decisions when there was a choice between treatments Hispanic, all races 19.4
Adjusted incident rates of end stage renal disease (ESRD) due to diabetes per million population Hispanic, all races 302.6
Kidney failure due to diabetes among persons with diabetes Hispanic, all races 3724.8
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults Hispanic, all races 4.98
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months Hispanic, all races 60.1
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults Hispanic, all races 0.11
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults Hispanic, all races 1.19
Adults with hypertension with blood pressure less than 140/90 mm/Hg Hispanic, all races 40.9
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms Hispanic, all races 64.3
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 Hispanic, all races 14.4
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 Hispanic, all races 17.0
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults Hispanic, all races 2.47
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children Hispanic, all races 0.51
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair Hispanic, all races 24.2
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 Hispanic, all races 7.70
People under age 65 with any period of uninsurance during the year Hispanic, all races 33.6
Hospital patients with an anticoagulant-related adverse drug event to low-molecular-weight heparin (LMWH) and factor Xa Hispanic, all races 3.11
People under age 65 with health insurance Hispanic, all races 80.4
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, adults ages 18-89 or obstetric admissions Hispanic, all races 120.1
People under age 65 with any private health insurance Hispanic, all races 45.3
Adults age 65 and over with any private health insurance Hispanic, all races 24.9
Deaths per 1,000 hospital admissions with expected low-mortality Hispanic, all races 0.34
Adverse drug event with IV heparin in adult hospital patients who received an anticoagulant Hispanic, all races 10.7
People under age 65 who were uninsured all year Hispanic, all races 18.9
Hospital patients who received a hypoglycemic agent who had an adverse drug events with hypoglycemic agents Hispanic, all races 9.91
People with a usual source of care who usually asks about prescription medications and treatments from other doctors Hispanic, all races 78.4
People with a specific source of ongoing care Hispanic, all races 82.9
People with a usual primary care provider Hispanic, all races 70.1
People in fair or poor health with a specific source of ongoing care Hispanic, all races 90.0
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking Hispanic, all races 62.0
Adult smokers who attempt to quit in the past year Hispanic, all races 59.9
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine Hispanic, all races 41.0
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine Hispanic, all races 54.4
Exclusive breastfeeding through 3 months Hispanic, all races 40.4
Adults who ever smoked and quitted recently Hispanic, all races 10.5
Children with obesity 2-19 years of age who had been told by a doctor or health professional that they were overweight Hispanic, all races 50.2
Adults with obesity age 20 and over who had been told by a doctor or health professional that they were overweight Hispanic, all races 63.7
Adolescent males ages 16-17 who received 3 or more doses of human papillomavirus (HPV) vaccine Hispanic, all races 33.0
Children ages 6 months to 17 years who received influenza vaccination Hispanic, all races 54.3
Children ages 2-19 with obesity Hispanic, all races 21.9
Adults with obesity who ever received advice from a health professional to exercise more Hispanic, all races 63.1
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 Hispanic, all races 56.1
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 Hispanic, all races 47.3
Children ages 3-5 who ever had their vision checked by a health provider Hispanic, all races 64.3
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods Hispanic, all races 55.0
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy Hispanic, all races 63.0
Children who had their height and weight measured by a health provider within the past 2 years Hispanic, all races 90.8
Children ages 2-17 who had a dental visit in the calendar year Hispanic, all races 50.1
Children ages 2-17 who had a preventive dental service in the calendar year Hispanic, all races 42.7
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high Hispanic, all races 86.8
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 Hispanic, all races 42.1
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 Hispanic, all races 51.4
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 Hispanic, all races 64.9
Adults age 65 and over who received an influenza vaccination in the last 12 months Hispanic, all races 64.1
Children ages 0-17 with wellness checkup in the past 12 months Hispanic, all races 80.2
Adults who received a blood cholesterol measurement in the last 5 years Hispanic, all races 83.1
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 Hispanic, all races 40.0
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months Hispanic, all races 42.7
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 Hispanic, all races 38.8
Adults ages 18 and over who received influenza vaccination Hispanic, all races 33.3
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income Hispanic, all races 13.3
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination Hispanic, all races 19.5
Adults age 65 and over who ever received pneumococcal vaccination Hispanic, all races 41.7
People without a usual source of care who indicated a financial or insurance reason for not having a source of care Hispanic, all races 24.1
People unable to get or delayed in getting needed medical care due to financial or insurance reasons Hispanic, all races 56.8
Doctor's office, emergency department, and outpatient department visits where antibiotics were prescribed for a diagnosis of common cold per 10,000 population Hispanic, all races 72.6
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons Hispanic, all races 73.2
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) Hispanic, all races 19.8
Adults who had a preventive dental service in the calendar year Hispanic, all races 27.2
People unable to get or delayed in getting needed dental care due to financial or insurance reasons Hispanic, all races 74.3
Adults with a dental visit in the calendar year Hispanic, all races 20.4
Infant mortality per 1,000 live births, birth weight 2,500 grams or more Hispanic, all races 1.60
Women who completed a pregnancy in the last 12 months who received early and adequate prenatal care Hispanic, all races 13.9
Live-born infants with low birth weight (less than 2,500 g) Hispanic, all races 7.20
Infant mortality per 1,000 live births, birth weight less than 1,500 grams Hispanic, all races 214.4
Infant mortality per 1,000 live births, birth weights 1,500-2,499 grams Hispanic, all races 13.5