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
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance First quartile (lowest income) 13.4 14.1 Achieved: 5% better
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) Poor 93.6 96.8 3%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine Negative/poor 92.4 96.4 4%
Obstetric trauma per 1,000 instrument-assisted deliveries First quartile (lowest income) 98.8 94.3 5%
Children ages 19-35 months who received 1 or more doses of varicella vaccine Negative/poor 90.7 95.7 5%
Children ages 19-35 months who received 3 or more doses of polio vaccine Negative/poor 91.9 97.3 6%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine Negative/poor 90.2 96.4 6%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined Poor 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 Negative/poor 86.1 95.2 10%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine Negative/poor 80.2 90.6 11%
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 Negative/poor 83.3 95.9 13%
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine Negative/poor 82.7 95.4 13%
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) First quartile (lowest income) 40.6 35.5 14%
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine Negative/poor 82.3 96.2 14%
Women ages 21-65 who received a Pap smear in the last 3 years Negative/poor 72.7 86.9 16%
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine Negative/poor 36.0 46.4 22%
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine Negative/poor 31.7 43.3 27%
Deaths per 1,000 adult hospital admissions with congestive heart failure First quartile (lowest income) 14.7 11.5 28%
Women ages 50-74 who received a mammogram in the last 2 years Negative/poor 59.0 85.2 31%
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), adults age 40 and over First quartile (lowest income) 15.0 11.4 32%
Adolescent ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine Negative/poor 39.1 62.2 37%
Deaths per 1,000 adult hospital admissions with pneumonia First quartile (lowest income) 18.3 12.8 43%
Birth trauma - injury to neonate per 1,000 selected live births First quartile (lowest income) 1.90 1.29 47%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, adults age 40 and over First quartile (lowest income) 21.5 13.6 58%
Sepsis diagnoses per 1,000 elective-surgery admissions of length 4 or more days, adults First quartile (lowest income) 16.9 10.4 63%
Hospital admissions for immunization-preventable influenza per 100,000 population, adults age 65 and over First quartile (lowest income) 255.8 142.8 79%
Hospital admissions for bacterial pneumonia per 100,000 population, adults age 18 and over First quartile (lowest income) 333.4 161.5 106%
Hospital admissions for congestive heart failure per 100,000 population First quartile (lowest income) 479.5 202.0 137%
Hospital admissions for short-term complications of diabetes per 100,000 population, adults First quartile (lowest income) 140.2 56.8 147%
Hospital admissions for short-term complications of diabetes per 100,000 population, children ages 6-17 First quartile (lowest income) 38.7 13.6 185%
Hospital admissions for asthma per 100,000 population, adults ages 18-39 First quartile (lowest income) 62.9 20.4 209%
Hospital admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, adults age 40 and over First quartile (lowest income) 672.1 216.7 210%
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults First quartile (lowest income) 0.81 0.26 212%
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population First quartile (lowest income) 332.3 99.4 234%
Hospital admissions for long-term complications of diabetes per 100,000 population, adults First quartile (lowest income) 188.0 54.8 243%
Hospital admissions for lower extremity amputations per 1,000 population, adults age 18 and over with diabetes First quartile (lowest income) 32.6 9.03 261%
Hospital admissions for angina per 100,000 population, adults age 18 and over First quartile (lowest income) 17.8 4.90 263%
Hospital admissions for asthma per 100,000 population, children ages 2-17 First quartile (lowest income) 143.8 38.1 277%
Hospital admissions for hypertension per 100,000 population, adults age 18 and over First quartile (lowest income) 85.7 20.4 320%
Emergency department visits involving opioid-related diagnoses per 100,000 population First quartile (lowest income) 252.8 59.2 327%
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults First quartile (lowest income) 23.1 3.28 604%
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 Negative/poor 5.80
People who were unable to get or delayed in getting needed dental care in the last 12 months Negative/poor 7.90
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 12.9
Hospitalizations and emergency department encounters for congestive heart failure First quartile (lowest income) 539.0
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults First quartile (lowest income) 388.6
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months Negative/poor 4.60
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends Negative/poor 40.7
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year Negative/poor 68.1
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year Negative/poor 58.4
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Negative/poor 65.8
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone Negative/poor 17.6
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 23.7
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 9.00
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year Negative/poor 62.3
Adults age 40 and over with diabetes whose condition was diagnosed Negative/poor 77.7
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 25.5
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 14.1
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 11.5
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 10.7
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children First quartile (lowest income) 464.8
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 22.0
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 8.70
Adults with limited English proficiency and usual source of care (USC) and the USC had language assistance Negative/poor 93.4
Adults with limited English proficiency who had a usual source of care Negative/poor 59.4
Adults age 40 and over with diagnosed diabetes with hemoglobin A1c less than 8.0% (optimal control) Negative/poor 67.3
Adults age 40 and over with diagnosed diabetes with blood pressure less than 130/80 mm Hg Negative/poor 45.6
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 First quartile (lowest income) 0.73
Hospital admissions for dehydration per 100,000 population, adults age 18 and over First quartile (lowest income) 134.7
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 Negative/poor 13.6
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 Negative/poor 18.1
Hospital admissions for urinary tract infection (UTI) per 100,000 population, adults age 18 and over First quartile (lowest income) 212.4
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults First quartile (lowest income) 2.15
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults First quartile (lowest income) 1.70
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults First quartile (lowest income) 0.20
Hospital admissions for urinary tract infection (UTI) per 100,000 population, children ages 3 months to 17 years First quartile (lowest income) 35.9
Hospital admissions for pediatric gastroenteritis per 100,000 population, children ages 3 months to 17 years First quartile (lowest income) 63.5
People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months Negative/poor 15.1
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults First quartile (lowest income) 8.08
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults First quartile (lowest income) 5.74
People with a usual source of care who sometimes or never asked person to help make decisions when there was a choice between treatments Negative/poor 19.0
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months Negative/poor 66.7
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months Negative/poor 40.4
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults First quartile (lowest income) 1.28
Adults with hypertension with blood pressure less than 140/90 mm/Hg Negative/poor 45.0
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms Negative/poor 72.5
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 17.0
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 6.90
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults First quartile (lowest income) 2.28
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children First quartile (lowest income) 0.46
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair First quartile (lowest income) 30.7
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 16.3
People under age 65 with any period of uninsurance during the year Negative/poor 30.6
People with a specific source of ongoing care Negative/poor 81.9
People under age 65 with health insurance Negative/poor 81.5
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, adults ages 18-89 or obstetric admissions First quartile (lowest income) 118.9
People under age 65 with any private health insurance Negative/poor 19.8
Adults age 65 and over with any private health insurance Negative/poor 15.9
Deaths per 1,000 hospital admissions with expected low-mortality First quartile (lowest income) 0.29
People under age 65 who were uninsured all year Negative/poor 15.5
People with a usual source of care who usually asks about prescription medications and treatments from other doctors Negative/poor 78.0
Emergency department visits with a principal diagnosis related to mental health only per 100,000 population First quartile (lowest income) 1827.7
People with a usual primary care provider Negative/poor 71.9
People in fair or poor health with a specific source of ongoing care Negative/poor 87.2
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
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population First quartile (lowest income) 951.2
Emergency department encounters for asthma, adults First quartile (lowest income) 815.9
Emergency department encounters for asthma, children ages 2-17 First quartile (lowest income) 1414.9
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking Negative/poor 67.6
Adult smokers who attempt to quit in the past year Negative/poor 56.8
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine Negative/poor 40.9
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine Negative/poor 51.0
Exclusive breastfeeding through 3 months Negative/poor 35.8
Adults who ever smoked and quitted recently Negative/poor 4.50
Children with obesity 2-19 years of age who had been told by a doctor or health professional that they were overweight Negative/poor 48.5
Adults with obesity age 20 and over who had been told by a doctor or health professional that they were overweight Negative/poor 65.2
Adolescent males ages 16-17 who received 3 or more doses of human papillomavirus (HPV) vaccine Negative/poor 28.4
Children ages 2-19 with obesity Negative/poor 19.4
Adults with obesity who ever received advice from a health professional to exercise more Negative/poor 62.1
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 Negative/poor 58.2
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 Negative/poor 47.8
Children ages 6 months to 17 years who received influenza vaccination Negative/poor 50.6
Children ages 3-5 who ever had their vision checked by a health provider Negative/poor 63.1
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods Negative/poor 48.1
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy Negative/poor 62.2
Children who had their height and weight measured by a health provider within the past 2 years Negative/poor 92.3
Children ages 2-17 who had a dental visit in the calendar year Negative/poor 43.1
Children ages 5-17 with untreated dental caries Negative/poor 24.6
Children ages 2-17 who had a preventive dental service in the calendar year Negative/poor 35.5
Adults who received a blood cholesterol measurement in the last 5 years Negative/poor 79.7
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 44.8
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 58.6
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 66.4
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 86.2
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income Negative/poor 22.6
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months Negative/poor 40.0
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 37.4
Adults ages 18 and over who received influenza vaccination Negative/poor 35.9
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 40.5
Children ages 0-17 with wellness checkup in the past 12 months Negative/poor 82.2
Adults age 65 and over who received an influenza vaccination in the last 12 months Negative/poor 68.4
Adults who had a preventive dental service in the calendar year Negative/poor 22.7
People without a usual source of care who indicated a financial or insurance reason for not having a source of care Negative/poor 24.3
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination Negative/poor 23.4
Adults age 65 and over who ever received pneumococcal vaccination Negative/poor 48.7
People unable to get or delayed in getting needed medical care due to financial or insurance reasons Negative/poor 50.9
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) Negative/poor 25.5
Adults with a dental visit in the calendar year Negative/poor 13.5
People unable to get or delayed in getting needed dental care due to financial or insurance reasons Negative/poor 73.5
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons Negative/poor 65.4