NationalLow Income Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Low Income 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
Adolescents ages 16-17 years who received 1 or more doses of tetanus-diphtheria-acellular pertussis (Tdap) vaccine Negative/poor 83.3 47.8 Achieved: 74% better
Adolescents ages 13-15 years who received 1 or more doses of tetanus-diphtheria-acellular pertussis (Tdap) vaccine Negative/poor 86.3 63.4 Achieved: 36% better
Adolescents ages 16-17 years who received 1 or more doses of meningococcal conjugate vaccine Negative/poor 76.1 59.9 Achieved: 27% better
Adolescent females ages 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine Negative/poor 36.3 29.8 Achieved: 22% better
People age 12 and over who needed treatment for an alcohol problem and who received such treatment at a specialty facility in the last 12 months Negative/poor 13.6 13.2 Achieved: 3% better
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine Negative/poor 27.1 27.2 0%
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 Negative/poor 25.9 26.0 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) Negative/poor 93.6 97.0 4%
Children ages 19-35 months who received 1 or more doses of varicella vaccine Negative/poor 90.4 94.2 4%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined Negative/poor 85.3 89.3 4%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine Negative/poor 90.7 95.0 5%
Children ages 19-35 months who received 3 or more doses of polio vaccine Negative/poor 89.4 97.7 8%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine Negative/poor 88.6 96.8 8%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Adults ages 18-64 at high risk (e.g., COPD) who ever received influenza vaccination Negative/poor 44.2 49.4 10%
Children ages 19-35 months who received 4 or more doses of diphtheria-pertussis-tetanus vaccine Negative/poor 78.3 89.3 12%
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis Negative/poor 83.1 95.2 13%
Adults age 40 and over with diagnosed diabetes who received 2 or more hemoglobin A1c measurements in the calendar year Negative/poor 65.5 76.9 15%
Adolescents ages 13-15 years who received 1 or more doses of meningococcal conjugate vaccine Negative/poor 79.5 94.0 15%
Adolescent ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine Negative/poor 31.7 37.7 16%
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year Negative/poor 59.6 71.2 16%
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Negative/poor 67.0 84.7 21%
Adults who received a blood cholesterol measurement in the last 5 years Negative/poor 64.2 82.6 22%
Women ages 21-65 who received a Pap smear in the last 3 years Negative/poor 66.6 89.8 26%
Adults age 65 and over who received an influenza vaccination in the last 12 months Negative/poor 57.0 77.1 26%
Adults age 65 and over who ever received pneumococcal vaccination Negative/poor 49.0 72.5 32%
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination Negative/poor 24.7 37.0 33%
Women ages 50-74 who received a mammogram in the last 2 years Negative/poor 57.0 87.9 35%
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year Negative/poor 51.9 82.8 37%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
People who needed to see a doctor but could not because of cost in the past 12 months Negative/poor 35.1 7.34 378%
Measures With No Available Benchmark Information
Measure Population Estimate Benchmark Distance to Benchmark
People with a specific source of ongoing care Negative/poor 78.1
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 Negative/poor 10.7
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Negative/poor 23.4
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 Negative/poor 18.2
Children 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 Negative/poor 4.50
People under age 65 with health insurance Negative/poor 72.0
Emergency department visits for congestive heart failure (CHF) per 100,000 population (including inpatient admissions), age 18 and over First quartile (lowest income) 489.4
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults Negative/poor 14.3
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 Negative/poor 14.5
Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully Negative/poor 5.80
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 Negative/poor 11.7
Rate of emergency department visits with a principal diagnosis of mental health ONLY, per 100,000 population First quartile (lowest income) 1536.9
Children 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 or their parents could understand Negative/poor 5.30
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 Negative/poor 11.6
Rate of emergency department visits with a principal diagnosis of substance abuse ONLY, per 100,000 population First quartile (lowest income) 662.8
Rate of emergency department visits with a principal diagnosis of co-occurring of mental health, alcohol and substance abuse, per 100,000 population First quartile (lowest income) 42.9
Adults with hypertension with blood pressure less than 140/90 mm/Hg Negative/poor 43.8
Children 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 or their parents had to say Negative/poor 4.40
Emergency department visits with a principal diagnosis related to dental conditions First quartile (lowest income) 452.0
Emergency department visits for asthma per 100,000 population (including inpatient admissions), age 18-39 First quartile (lowest income) 839.5
Emergency department visits for asthma per 100,000 population (including inpatient admissions), ages 2-17 First quartile (lowest income) 1254.5
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 Negative/poor 17.5
Children 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 Negative/poor 7.60
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 Negative/poor 22.4
Rating of health care 0-6 on a scale from 0 to 10 (best grade) for children who had a doctor's office or clinic visit in the last 12 months Negative/poor 6.50
Adults with limited English proficiency and usual source of care (USC) who had assistance Negative/poor 81.6
Adults with limited English proficiency who had usual source of care (USC) Negative/poor 64.9
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 Negative/poor 2.20
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 Negative/poor 19.0
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 Negative/poor 8.60
People under age 65 with any private health insurance Negative/poor 16.5
Adults age 65 and over with any private health insurance Negative/poor 19.3
People under age 65 who were uninsured all year Negative/poor 24.2
People under age 65 with any period of uninsurance during the year Negative/poor 40.1
People in fair or poor health with a specific source of ongoing care Negative/poor 83.0
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Negative/poor 29.6
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 Negative/poor 21.3
Adults age 40 and over with diabetes whose condition was diagnosed Negative/poor 72.3
Adults age 40 and over with diagnosed diabetes with hemoglobin A1c less than 8.0% (optimal control) Negative/poor 67.8
Men age 75 and over without prostate cancer who had a PSA test or a digital rectal exam for prostate cancer screening within the past year Less than $15,000 61.0
Adults age 40 and over with diagnosed diabetes with total cholesterol less than 200 mg/dL Negative/poor 53.0
Adults age 40 and over with diagnosed diabetes with blood pressure less than 140/80 mm Hg Negative/poor 65.1
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 Negative/poor 39.4
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods Negative/poor 48.7
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy Negative/poor 56.8
Adolescent females ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine Negative/poor 50.2
Adolescent males ages 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine Negative/poor 18.4
Adolescent males ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine Negative/poor 14.5
Children ages 12-17 with untreated dental caries Negative/poor 24.2
Children ages 5-11 with untreated dental caries Negative/poor 24.2
Children ages 5-17 with untreated dental caries Negative/poor 24.2
Children ages 3-6 who ever had their vision checked by a health provider Negative/poor 66.6
Adults with a major depressive episodea in the last 12 months who received treatment Negative/poor 70.5
Children ages 6 months to 17 years who ever received influenza vaccination Negative/poor 50.4
Children who had their height and weight measured by a health provider within the past 2 years Negative/poor 91.0
Children ages 12-17 with a major depressive episode in the last 12 months who received treatmentb Negative/poor 33.6
Children ages 2 -17 who had a dental visit in the calendar year Negative/poor 45.1
Children ages 3-5 who ever had their vision checked by a health provider Negative/poor 62.0
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 Negative/poor 56.4
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms Negative/poor 71.3
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 Negative/poor 65.5
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 Negative/poor 37.8
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high Negative/poor 85.3
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 Negative/poor 33.9
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 Negative/poor 31.6
Persons with current asthma who received written asthma management plans from their healthcare provider Negative/poor 41.5
Persons with current asthma who received education about appropriate response to an asthma episode Negative/poor 64.0
Children ages 10-17 with wellness checkup in the past 12 months Negative/poor 68.8
Persons with current asthma who were advised to change things to reduce exposure to irritants Negative/poor 47.0
Adults ages 18 and over who ever received influenza vaccination Negative/poor 31.9
Children ages 0-17 who had a wellness checkup in the last 12 months Negative/poor 80.8
Children ages 0-17 who had a wellness checkup in the last 12 months Negative/poor 80.8
Percent of children ages 2-5 who were obesea Negative/poor 12.0
Percent of children ages 6-11 who are obsesa Negative/poor 24.6
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking Negative/poor 68.3
Percent of children with obesity 2-19 years of age who had been told by a doctor or health professional that they were overweightc: United States 2001-2004 Negative/poor 44.7
People under age 65 whose family's health insurance premiums and out-of-pocket medical expenditures were more than 10% of total family income Negative/poor 24.3
Percent of adults with obesity age 20 and over who had been told by a doctor or health professional that they were overweight a: United States 2001-2004 Negative/poor 62.7
People under age 65 with private insurance whose family's out-of-pocket medical expenditures were more than 10% of total family income Negative/poor 27.6
Percent of children ages 12-19 who were obesea Negative/poor 21.7
Adults with obesity who ever received advice from a health professional to exercise more Negative/poor 61.2
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 Negative/poor 64.0