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 2.5 3.3 Achieved: 24% better
Short-stay nursing home residents with moderate to severe pain Non-Hispanic, NHPI 9.3 10.8 Achieved: 14% 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 care patients whose pain when moving around decreased Non-Hispanic, NHPI 74.8 73.8 Achieved: 1% better
Home health care patients who stayed at home after an episode of home health care Non-Hispanic, NHPI 77.7 77.5 -0.3%
Stroke patients prescribed statin medication at hospital discharge NHPI 98.6 98.6 0.0%
Short-stay home health patients who had diabetic foot care and patient education Non-Hispanic, NHPI 97.8 98.6 0.8%
Long-stay nursing home residents with too much weight loss Non-Hispanic, NHPI 5.4 5.4 1.3%
Hospital patients who received pneumococcal immunization NHPI 95.6 97.2 1.6%
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 84.1 85.5 1.7%
Stroke patients who received venous thromboembolism (VTE) prophylaxis NHPI 96.9 98.7 1.9%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine NHPI, single race 94.5 96.4 1.9%
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment Native Hawaiian 93.5 95.4 2.0%
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine NHPI, single race 88.6 90.6 2.2%
Family caregivers who would definitely recommend this hospice to their friends and family NHPI 86.4 88.4 2.3%
Hospice patients and family caregivers who always got help as soon as they need from hospice care team NHPI 80.4 82.3 2.4%
Children ages 19-35 months who received 3 or more doses of polio vaccine NHPI, single race 94.8 97.3 2.5%
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine Non-Hispanic, NHPI 91.6 94.1 2.7%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital NHPI, single race 8.0 7.8 3.4%
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them NHPI 88.9 92.1 3.4%
Adults who reported that home health providers talk about pain in the last 2 months of care NHPI, single race 88.0 91.2 3.6%
Children ages 19-35 months who received 1 or more doses of varicella vaccine NHPI, single race 91.9 95.7 4.0%
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 NHPI 92.8 96.7 4.0%
Acute stroke patients for whom IV thrombolytic therapy was initiated at hospital within 3 hours of time last known well NHPI 89.0 92.9 4.2%
Home health patients who had timely initiation of care Non-Hispanic, NHPI 91.3 95.3 4.2%
Long-stay nursing home residents who were assessed for pneumococcal vaccination Non-Hispanic, NHPI 93.8 98.0 4.3%
Adults who reported being told what care and services they would get when they first started getting home health care NHPI, single race 87.4 91.3 4.3%
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 80.1 83.9 4.6%
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 32.3 33.9 4.7%
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them NHPI 79.3 83.3 4.8%
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 89.3 94.0 5.0%
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%
Home health care patients whose ability to walk or move around improved Non-Hispanic, NHPI 67.6 71.5 5.5%
Family caregivers who received right amount of emotional and spiritual supports from hospice care team NHPI 85.9 90.9 5.5%
Short-stay nursing home patients who had flu vaccination appropriately given Non-Hispanic, NHPI 87.7 92.9 5.6%
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 28.7 30.4 5.7%
Hospital patients who received influenza vaccination NHPI 91.5 97.0 5.7%
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 83.2 88.2 5.7%
Short-stay nursing home residents who were assessed for pneumococcal vaccination Non-Hispanic, NHPI 89.8 95.3 5.7%
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 75.5 80.1 5.7%
Home health care patients whose shortness of breath decreased Non-Hispanic, NHPI 72.6 77.0 5.8%
Home health care patients whose ability to get in and out of bed improved Non-Hispanic, NHPI 65.8 70.3 6.3%
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care NHPI, single race 88.5 95.0 6.8%
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 27.5 29.5 6.9%
Home health care patients whose bathing improved Non-Hispanic, NHPI 70.0 75.4 7.1%
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 33.1 35.9 7.9%
Home health care patients who had to be admitted to the hospital Non-Hispanic, NHPI 19.2 17.7 8.2%
Home health patients who had improvement in upper body dressing Non-Hispanic, NHPI 70.7 77.4 8.6%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care NHPI, single race 84.4 92.5 8.7%
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 75.5 83.3 9.3%
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 61.0 67.6 9.8%
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 78.2 86.8 9.9%
Home health care patients whose surgical wound was improved Non-Hispanic, NHPI 88.3 80.3 9.9%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Adults who reported that home health providers always listen carefully to them in the last 2 months of care NHPI, single race 79.0 87.9 10.2%
Persons age 13 and over living with HIV who know their serostatus Non-Hispanic, NHPI 82.2 91.9 10.6%
Home health care patients who had an emergency department visit and then hospitalized Non-Hispanic, NHPI 15.0 13.5 10.8%
Long-stay nursing home residents with moderate to severe pain Non-Hispanic, NHPI 5.3 4.7 11.9%
Home health care patients whose management of oral medications improved Non-Hispanic, NHPI 57.7 66.0 12.5%
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 60.8 76.1 20.1%
Long-stay nursing home residents whose ability to move independently worsened Non-Hispanic, NHPI 17.0 13.7 23.7%
Long-stay nursing home residents whose need for help with daily activities increased Non-Hispanic, NHPI 13.2 10.6 24.3%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers NHPI, single race 18.0 23.8 24.5%
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 49.4 66.2 25.4%
Adult hospital patients who did not receive good communication about discharge information NHPI, single race 10.6 7.7 37.0%
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder Non-Hispanic, NHPI 3.7 2.5 46.5%
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 4.4 2.9 52.6%
Short-stay nursing home patients with pressure ulcers that are new or worsened Non-Hispanic, NHPI 0.5 0.3 89.3%
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 6.2 3.2 92.0%
High-risk, long-stay nursing home patients with pressure ulcer Non-Hispanic, NHPI 6.7 3.4 95.6%
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder Non-Hispanic, NHPI 46.2 16.7 176.6%
Long-stay nursing home residents have depressive symptoms Non-Hispanic, NHPI 3.2 1.1 180.0%
New HIV cases per 100,000 population age 13 and over Non-Hispanic, NHPI 17.8 4.2 323.8%
Long-stay nursing home residents with physical restraints Non-Hispanic, NHPI 1.2 0.2 443.5%
Measures With No Available Benchmark Information or Supplemental Measures
Measure Population Estimate Benchmark Distance to Benchmark
People under age 65 without health insurance NHPI, single race 11.2
People under age 65 with public health insurance only NHPI, single race 33.0
People with a specific source of ongoing care NHPI, single race 79.9
Short-stay home health patients who had drug education on all medications Non-Hispanic, NHPI 97.4
People who identified a hospital, emergency room, or clinic as a source of ongoing care NHPI, single race 28.7
Patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it NHPI 1.5
Median time in minutes patients spent in the emergency department before they were seen by a healthcare professional NHPI 23.0
Median time in minutes patients who came to the emergency department with broken bones had to wait before getting pain medication NHPI 54.0
Median time in minutes patients with psychiatric or mental health conditions spent at emergency department (ED) from ED arrival to ED departure NHPI 232.0
Median time in minutes spent in the emergency department (ED) from ED arrival to ED departure for admitted patients NHPI 306.0
Median time in minutes spent in the emergency department (ED) from admission decision to ED departure for admitted patients NHPI 118.0
Median time in minutes patients spent at emergency department (ED) from ED arrival to ED departure NHPI 134.0
People under age 65 with health insurance NHPI, single race 88.8
People under age 65 with any private health insurance NHPI, single race 55.0
Patients who came to the emergency department (ED) with stroke symptoms and received head CT or MRI who received the interpretation of the results within 45 minutes of ED arrival NHPI 68.3
Adolescents ages 13-15 years (excluding adolescents who have had varicella) vaccinated with at least 2 doses of varicella NHPI, single race 96.6
Adolescents ages 16-17 years (excluding adolescents who have had varicella) vaccinated with at least 2 doses of varicella NHPI, single race 92.8
Women who completed a pregnancy in the last 12 months who received early and adequate prenatal care Non-Hispanic, NHPI 49.5
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
Infants born in the calendar year who received breastfeeding through 3 months Non-Hispanic, NHPI 45.3
Median time in minutes outpatients with chest pain or possible heart attack who got drugs to break up blood clots after arrival NHPI 27.0
Outpatients with chest pain or possible heart attack who received fibrinolytic therapy within 30 minutes of arrival NHPI 72.2
Median time in minutes outpatients with chest pain or possible heart attack from emergency department arrival to get ECG NHPI 9.0
Patients who received appropriate care for severe sepsis and septic shock NHPI 48.3
Ryan-White HIV patients with at least one HIV care visit and most recent viral load 200 during the year Non-Hispanic, NHPI 84.8
Adults who received mental health treatment or counseling in the last 12 months NHPI, single race 5.6
Ryan-White HIV patients with at least one HIV care visit and at least 2 ambulatory visit dates at least 90 days apart during the year Non-Hispanic, NHPI 77.3
Adults who received prescription medications for mental health treatment in the last 12 months NHPI, single race 3.2
People who needed to see a doctor but could not because of cost in the past 12 months NHPI, single race 10.7
Median time in minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital and did not have contraindication to fibrinolytic NHPI 66.0
Adult hospital patients who always had good communication with doctors in the hospital NHPI, single race 83.7
Adult hospital patients who always had good communication with nurses in the hospital NHPI, single race 81.4
Adult hospital patients who strongly agree that they understood how to manage their health after discharge NHPI, single race 57.0
Adult hospital patients who strongly agree that they understood the purpose for taking each of their medications after discharge NHPI, single race 57.2