NationalResidents of Rural Areas Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Residents of Rural Areas 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
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) Noncore 94.8 96.8 2%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined Noncore 89.9 95.9 6%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
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 Nonmetropolitan 84.0 95.2 12%
Women ages 21-65 who received a Pap smear in the last 3 years Noncore (nonmetropolitan) 74.0 86.9 15%
Obstetric trauma per 1,000 instrument-assisted deliveries Noncore 108.9 94.3 15%
Breast cancer deaths per 100,000 female population per year Noncore 20.6 17.8 16%
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 Nonmetropolitan 80.7 95.9 16%
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), adults age 40 and over Noncore 13.7 11.4 20%
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance Noncore 17.6 14.1 24%
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine Nonmetropolitan 72.4 96.2 25%
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine Nonmetropolitan 71.1 95.4 25%
Women ages 50-74 who received a mammogram in the last 2 years Noncore (nonmetropolitan) 60.3 85.2 29%
Birth trauma - injury to neonate per 1,000 selected live births Noncore 1.70 1.29 32%
Hospital admissions for asthma per 100,000 population, children ages 2-17 Noncore 53.5 38.1 40%
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine Nonmetropolitan 27.3 46.4 41%
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, adults age 40 and over Noncore 19.8 13.6 46%
Sepsis diagnoses per 1,000 elective-surgery admissions of length 4 or more days, adults Noncore 15.2 10.4 46%
HIV infection deaths per 100,000 population Noncore 1.10 0.75 47%
Colorectal cancer deaths per 100,000 population per year Noncore 17.1 11.5 48%
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine Nonmetropolitan 22.3 43.3 48%
Adolescent ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine Nonmetropolitan 31.7 62.2 49%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Hospital admissions for asthma per 100,000 population, adults ages 18-39 Noncore 35.4 20.4 74%
Hospital admissions for short-term complications of diabetes per 100,000 population, adults Noncore 100.1 56.8 76%
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults Noncore 0.46 0.26 77%
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) Noncore 63.0 35.5 77%
Lung cancer deaths per 100,000 population per year Noncore 49.8 27.5 81%
Hospital admissions for congestive heart failure per 100,000 population Noncore 368.0 202.0 82%
Hospital admissions for immunization-preventable influenza per 100,000 population, adults age 65 and over Noncore 280.7 142.8 97%
Hospital admissions for long-term complications of diabetes per 100,000 population, adults Noncore 108.6 54.8 98%
Hospital admissions for short-term complications of diabetes per 100,000 population, children ages 6-17 Noncore 28.7 13.6 111%
Hospital admissions for hypertension per 100,000 population, adults age 18 and over Noncore 45.4 20.4 123%
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population Noncore 225.5 99.4 127%
Hospital admissions for lower extremity amputations per 1,000 population, adults age 18 and over with diabetes Noncore 20.9 9.03 131%
Deaths per 1,000 adult hospital admissions with pneumonia Noncore 29.7 12.8 132%
Suicide deaths among persons age 12 and over per 100,000 population Noncore 22.7 9.38 142%
Deaths per 1,000 adult hospital admissions with congestive heart failure Noncore 28.3 11.5 146%
Hospital admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, adults age 40 and over Noncore 586.5 216.7 171%
Hospital admissions for angina per 100,000 population, adults age 18 and over Noncore 13.3 4.90 171%
Hospital admissions for bacterial pneumonia per 100,000 population, adults age 18 and over Noncore 460.4 161.5 185%
Emergency department visits involving opioid-related diagnoses per 100,000 population Noncore 183.9 59.2 211%
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults Noncore 16.5 3.28 403%
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 Noncore 4.90
People who were unable to get or delayed in getting needed dental care in the last 12 months Noncore 4.20
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults Noncore 15.4
Hospitalizations and emergency department encounters for congestive heart failure Noncore 467.9
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults Noncore 411.9
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months Noncore 3.80
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends Noncore 28.8
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year Nonmetropolitan 77.6
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year Noncore 62.5
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Noncore 68.2
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone Noncore 17.1
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Noncore 22.0
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 Noncore 7.70
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year Noncore 56.9
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Nonmetropolitan 17.5
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 Noncore 8.10
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 Nonmetropolitan 7.30
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 Noncore 5.10
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children Noncore 462.2
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 Noncore 26.8
Adults with limited English proficiency and usual source of care (USC) and the USC had language assistance Nonmetropolitan 91.3
Adults with limited English proficiency who had a usual source of care Noncore 65.1
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 Noncore 0.29
Hospital admissions for dehydration per 100,000 population, adults age 18 and over Noncore 128.9
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 Noncore 12.2
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 Noncore 17.1
Hospital admissions for urinary tract infection (UTI) per 100,000 population, adults age 18 and over Noncore 219.7
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults Noncore 1.85
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults Noncore 0.96
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults Noncore 0.17
Hospital admissions for urinary tract infection (UTI) per 100,000 population, children ages 3 months to 17 years Noncore 36.4
Hospital admissions for pediatric gastroenteritis per 100,000 population, children ages 3 months to 17 years Noncore 53.7
People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months Noncore 11.1
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults Noncore 6.09
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults Noncore 4.53
People with a usual source of care who sometimes or never asked person to help make decisions when there was a choice between treatments Noncore 16.4
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months Noncore 69.0
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months Noncore 38.2
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults Noncore 2.18
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms Noncore (nonmetropolitan) 70.1
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 Noncore 9.10
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 Noncore 18.6
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 Nonmetropolitan 3.80
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults Noncore 2.68
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children Noncore 0.60
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair Noncore 26.1
People under age 65 with any period of uninsurance during the year Noncore 27.9
People with a specific source of ongoing care Noncore (nonmetropolitan) 90.1
People under age 65 with health insurance Noncore (nonmetropolitan) 87.2
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, adults ages 18-89 or obstetric admissions Noncore 77.6
People under age 65 with any private health insurance Noncore (nonmetropolitan) 58.2
Adults age 65 and over with any private health insurance Noncore (nonmetropolitan) 50.7
Deaths per 1,000 hospital admissions with expected low-mortality Noncore 0.35
People under age 65 who were uninsured all year Noncore 12.0
People with a usual source of care who usually asks about prescription medications and treatments from other doctors Noncore 80.3
Emergency department visits with a principal diagnosis related to mental health only per 100,000 population Noncore 1279.1
People with a usual primary care provider Noncore 81.8
People in fair or poor health with a specific source of ongoing care Noncore (nonmetropolitan) 91.7
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 Nonmetropolitan 1.90
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population Noncore 470.7
Emergency department encounters for asthma, adults Noncore 529.1
Emergency department encounters for asthma, children ages 2-17 Noncore 710.5
Children ages 2-19 who visited emergency department for asthma Nonmetropolitan 73.7
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking Noncore 59.7
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine Nonmetropolitan 32.9
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine Nonmetropolitan 40.0
Exclusive breastfeeding through 3 months Nonmetropolitan 45.2
Adolescent males ages 16-17 who received 3 or more doses of human papillomavirus (HPV) vaccine Nonmetropolitan 22.7
Adults with obesity who ever received advice from a health professional to exercise more Noncore 56.8
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 Noncore 54.1
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 Noncore 48.0
Children ages 3-5 who ever had their vision checked by a health provider Nonmetropolitan 59.9
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods Noncore 47.6
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy Noncore 55.4
Children who had their height and weight measured by a health provider within the past 2 years Noncore 92.0
Children ages 2-17 who had a dental visit in the calendar year Noncore 50.9
Children ages 2-17 who had a preventive dental service in the calendar year Noncore 44.6
Adults who received a blood cholesterol measurement in the last 5 years Noncore (nonmetropolitan) 80.1
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 Noncore 33.2
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 Noncore 42.8
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 Nonmetropolitan 71.9
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high Noncore (nonmetropolitan) 92.2
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income Noncore 23.5
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 Nonmetropolitan 24.0
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 Noncore 31.0
Children ages 0-17 with wellness checkup in the past 12 months Noncore (nonmetropolitan) 77.9
Adults who had a preventive dental service in the calendar year Noncore 32.7
People without a usual source of care who indicated a financial or insurance reason for not having a source of care Nonmetropolitan 8.30
People unable to get or delayed in getting needed medical care due to financial or insurance reasons Nonmetropolitan 52.8
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) Noncore 19.2
Adults with a dental visit in the calendar year Noncore 24.4
People unable to get or delayed in getting needed dental care due to financial or insurance reasons Nonmetropolitan 79.3
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons Nonmetropolitan 56.6
Live-born infants with low birth weight (less than 2,500 g) Noncore 8.10
Infant mortality per 1,000 live births, birth weight 2,500 grams or more Noncore 2.90
Infant mortality per 1,000 live births, birth weight less than 1,500 grams Noncore 224.7
Infant mortality per 1,000 live births, birth weights 1,500-2,499 grams Noncore 13.7