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NationalNative Hawaiian/Pacific Islander (NHPI) Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to Native Hawaiian/Pacific Islander (NHPI) 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 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
Long-stay nursing home residents with a urinary tract infection Non-Hispanic, NHPI 1.7 2.8 Achieved: 41% better
Short-stay nursing home residents with moderate to severe pain Non-Hispanic, NHPI 8.1 10.5 Achieved: 23% better
Long-stay nursing home residents with too much weight loss Non-Hispanic, NHPI 4.3 4.7 Achieved: 9% better
Long-stay nursing home residents whose need for help with daily activities increased Non-Hispanic, NHPI 15.9 17.1 Achieved: 7% better
Home health care patients whose pain when moving around decreased Non-Hispanic, NHPI 77.7 75.1 Achieved: 3% better
Adults who received a blood cholesterol measurement in the last 5 years NHPI, single race 84.3 82.3 Achieved: 2% better
Home health patients who had influenza vaccination during flu season Non-Hispanic, NHPI 94.7 94.1 Achieved: 1% better
Home health care patients whose ability to get in and out of bed improved Non-Hispanic, NHPI 73.0 72.6 -0.5%
Home health care patients who stayed at home after an episode of home health care Non-Hispanic, NHPI 85.0 85.5 0.6%
Home health care patients whose ability to walk or move around improved Non-Hispanic, NHPI 73.5 74.2 0.9%
Home health care patients whose shortness of breath decreased Non-Hispanic, NHPI 77.2 78.4 1.5%
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 NHPI, single race 84.2 85.5 1.5%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine NHPI, single race 94.5 96.4 1.9%
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them NHPI 90.0 92.1 2.2%
Adults who reported that home health providers talk about pain in the last 2 months of care NHPI, single race 89.1 91.2 2.4%
Family caregivers who would definitely recommend this hospice to their friends and family NHPI 86.2 88.4 2.5%
Adults who reported being told what care and services they would get when they first started getting home health care NHPI, single race 89.0 91.3 2.5%
Infants born in the calendar year who received breastfeeding exclusively through 3 months Non-Hispanic, NHPI 61.8 63.6 2.8%
Family caregivers who received right amount of emotional and spiritual supports from hospice care team NHPI 88.3 90.9 2.9%
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine Non-Hispanic, NHPI 91.1 93.9 3.0%
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them NHPI 80.7 83.3 3.1%
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 NHPI, single race 92.8 95.9 3.3%
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care NHPI, single race 90.9 94.0 3.3%
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care NHPI, single race 91.0 95.0 4.2%
Home health care patients whose bathing improved Non-Hispanic, NHPI 74.8 78.2 4.3%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital NHPI, single race 8.1 7.8 4.4%
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 NHPI, single race 84.1 88.2 4.7%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care NHPI, single race 83.8 87.9 4.7%
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 NHPI, single race 79.3 83.3 4.8%
Hospice patients and family caregivers who always got help as soon as they need from hospice care team NHPI 78.4 82.3 4.8%
Home health care patients whose surgical wound was improved Non-Hispanic, NHPI 88.5 93.1 4.9%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine NHPI, single race 91.5 96.4 5.0%
Children ages 19-35 months who received 3 or more doses of polio vaccine NHPI, single race 92.2 97.3 5.2%
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team NHPI 74.8 79.0 5.3%
Home health patients who had improvement in upper body dressing Non-Hispanic, NHPI 74.9 79.3 5.5%
Long-stay nursing home residents who were assessed for pneumococcal vaccination Non-Hispanic, NHPI 91.6 97.0 5.6%
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 NHPI, single race 75.6 80.1 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) NHPI 79.1 83.9 5.8%
Home health care patients whose management of oral medications improved Non-Hispanic, NHPI 62.4 66.2 5.8%
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment Native Hawaiian 89.9 95.4 5.8%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care NHPI, single race 87.0 92.5 5.9%
Long-stay nursing home residents whose ability to move independently worsened Non-Hispanic, NHPI 22.0 20.7 6.3%
Short-stay nursing home residents who were assessed for pneumococcal vaccination Non-Hispanic, NHPI 85.3 91.4 6.6%
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 NHPI, single race 81.0 86.8 6.6%
Short-stay nursing home patients who had flu vaccination appropriately given Non-Hispanic, NHPI 85.2 92.2 7.6%
Home health patients who had pneumococcal polysaccharide vaccination Non-Hispanic, NHPI 84.0 91.0 7.7%
Hospital patients who received influenza vaccination NHPI 88.7 96.6 8.2%
Children ages 19-35 months who received 1 or more doses of varicella vaccine NHPI, single race 87.2 95.7 8.9%
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 NHPI, single race 61.5 67.6 9.0%
Home health patients who had improvement in toileting Non-Hispanic, NHPI 71.4 78.9 9.5%
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care NHPI, single race 27.5 30.4 9.6%
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care NHPI, single race 30.6 33.9 9.7%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
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 NHPI, single race 26.5 29.5 10.3%
Persons age 13 and over living with HIV who know their serostatus Non-Hispanic, NHPI 82.4 91.9 10.3%
Long-stay nursing home residents with moderate to severe pain Non-Hispanic, NHPI 4.8 4.3 10.4%
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 NHPI, single race 31.4 35.9 12.6%
Home health care patients who had to be admitted to the hospital Non-Hispanic, NHPI 12.1 10.5 15.2%
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder Non-Hispanic, NHPI 2.4 2.1 16.3%
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, NHPI 63.4 76.1 16.7%
Home health care patients who had an emergency department visit and then hospitalized Non-Hispanic, NHPI 10.4 8.9 17.4%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers NHPI, single race 18.9 23.8 20.7%
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, NHPI 51.0 66.2 23.0%
Short-stay nursing home patients with pressure ulcers that are new or worsened Non-Hispanic, NHPI 0.4 0.3 38.7%
Adult hospital patients who did not receive good communication about discharge information NHPI, single race 11.1 7.7 43.8%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Home health care patients who had an emergency department visit without a hospitalization Non-Hispanic, NHPI 4.7 2.8 68.2%
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 NHPI, single race 5.5 3.2 69.6%
High-risk, long-stay nursing home patients with pressure ulcer Non-Hispanic, NHPI 5.2 3.0 73.4%
People age 12 and over with opioid (either prescription opioid or heroin) use disorder in the past year NHPI, single race 0.5 0.3 76.7%
New HIV cases per 100,000 population age 13 and over Non-Hispanic, NHPI 8.9 4.2 111.9%
Long-stay nursing home residents have depressive symptoms Non-Hispanic, NHPI 3.8 1.1 231.9%
Measures With No Available Benchmark Information
Measure Population Estimate Benchmark Distance to Benchmark
People under age 65 with health insurance NHPI, single race 90.6
People under age 65 with any private health insurance NHPI, single race 50.1
People under age 65 with any period of uninsurance during the year NHPI
People with a specific source of ongoing care NHPI, single race 85.8
People with a usual primary care provider NHPI
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends NHPI, single race
People with a usual source of care who usually asks about prescription medications and treatments from other doctors NHPI, single race
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high NHPI, single race 77.0
Adults with a dental visit in the calendar year NHPI