NationalResidents of Rural Areas Quality Measures Compared to Achievable Benchmarks

The NHQDR 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 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
Adults who received a blood cholesterol measurement in the last 5 years Micropolitan (nonmetro) 81.3 82.3 1.2%
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 96.4 1.7%
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis Noncore 93.0 96.2 3.3%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined Noncore 91.3 95.4 4.3%
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 89.2 95.2 6.3%
Breast cancer deaths per 100,000 female population per year Noncore 19.5 17.8 9.7%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
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 86.1 95.9 10.2%
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine Nonmetropolitan 84.9 95.4 11.0%
Women ages 21-65 who received a Pap smear in the last 3 years Micropolitan (nonmetro) 74.3 84.2 11.8%
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year Noncore 68.7 79.5 13.6%
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) Noncore 47.7 40.0 19.1%
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine Nonmetropolitan 76.2 96.2 20.8%
Women ages 50-74 who received a mammogram in the last 2 years Micropolitan (nonmetro) 66.5 84.7 21.5%
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year Noncore 50.2 65.8 23.8%
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Noncore 60.2 84.0 28.4%
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine Nonmetropolitan 29.6 43.2 31.6%
Infants born in the calendar year who received breastfeeding exclusively through 3 months Nonmetropolitan 43.2 63.6 32.0%
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year Noncore 50.9 75.2 32.3%
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults Noncore 3.1 2.3 34.3%
Hospital admissions for immunization-preventable influenza per 100,000 population, adults age 65 and over Noncore 256.8 185.2 38.7%
Colorectal cancer deaths per 100,000 population per year Noncore 16.6 11.5 43.8%
Sepsis diagnoses per 1,000 elective-surgery admissions of length 4 or more days, adults Noncore 4.0 2.7 48.7%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Hospital admissions for asthma per 100,000 population, children ages 2-17 Noncore 45.4 29.4 54.4%
Hospital admissions for asthma per 100,000 population, adults ages 18-39 Noncore 25.2 15.8 59.9%
HIV infection deaths per 100,000 population Noncore 1.2 0.8 60.0%
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults Noncore 5.1 3.1 65.1%
Lung cancer deaths per 100,000 population per year Noncore 46.1 27.5 67.9%
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults Noncore 1.2 0.7 69.0%
Deaths per 1,000 adult hospital admissions with heart failure Noncore 31.9 18.3 74.3%
Hospital admissions for pediatric gastroenteritis per 100,000 population, children ages 3 months to 17 years Noncore 30.8 15.2 102.5%
Drug overdose deaths involving natural and semisynthetic opioids per 100,000 resident population Micropolitan (nonmetro) 4.0 1.9 112.1%
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults Noncore 1.0 0.5 115.2%
Hospital admissions for short-term complications of diabetes per 100,000 population, children ages 6-17 Noncore 26.3 11.7 125.4%
Hospital admissions for lower extremity amputations per 1,000 population, adults age 18 and over with diabetes Noncore 35.5 15.2 133.7%
Hospital admissions for urinary tract infection (UTI) per 100,000 population, children ages 3 months to 17 years Noncore 24.8 10.4 138.9%
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults Noncore 49.0 20.1 144.1%
Suicide deaths among persons age 12 and over per 100,000 population Noncore 23.7 9.4 152.7%
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population Noncore 282.5 102.9 174.6%
People age 12 and over with opioid (either prescription opioid or heroin) use disorder in the past year Noncore 0.9 0.3 186.7%
Drug overdose deaths involving any opioid per 100,000 resident population Micropolitan (nonmetro) 12.7 4.0 214.4%
Hospital admissions for urinary tract infection (UTI) per 100,000 population, adults age 18 and over Noncore 236.8 70.6 235.3%
Emergency department visits involving opioid-related diagnoses per 100,000 population Noncore 225.6 65.2 245.7%
Hospital admissions for community-acquired pneumonia per 100,000 population, adults age 18 and over Noncore 376.5 102.4 267.6%
Drug overdose deaths involving other synthetic opioids (other than methadone) per 100,000 resident population Micropolitan (nonmetro) 8.0 0.7 995.9%
Measures With No Available Benchmark Information
Measure Population Estimate Benchmark Distance to Benchmark
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 13.8
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 7.3
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 13.6
People under age 65 with health insurance Micropolitan (nonmetro) 85.8
People under age 65 with any private health insurance Micropolitan (nonmetro) 59.0
Adults age 65 and over with any private health insurance Micropolitan (nonmetro) 52.8
People under age 65 who were uninsured all year Noncore 7.9
People under age 65 with any period of uninsurance during the year Noncore 20.6
People with a specific source of ongoing care Micropolitan (nonmetro) 88.0
People in fair or poor health with a specific source of ongoing care Micropolitan (nonmetro) 89.7
People who were unable to get or delayed in getting needed medical care in the last 12 months Noncore 5.4
People who were unable to get or delayed in getting needed dental care in the last 12 months Noncore 4.1
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months Noncore 4.4
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends Noncore 33.3
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone Noncore 17.3
Adults who tried to make an appointment for seeing a specialist in the last 12 months who sometimes or never found it easy to get the appointment Noncore 15.6
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Nonmetropolitan 25.6
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 6.2
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 Nonmetropolitan 10.1
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 0.1
Postoperative acute kidney injury requiring dialysis per 1,000 elective surgical hospital discharges, adults Noncore 2.2
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults Noncore 0.9
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults Noncore 0.1
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children Noncore 0.3
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults Noncore 0.2
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, adults ages 18-89 or obstetric admissions Noncore 147.6
Deaths per 1,000 hospital admissions with expected low-mortality Noncore 0.3
Birth trauma - injury to neonate per 1,000 selected live births Noncore 5.7
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance Noncore 15.3
Obstetric trauma per 1,000 instrument-assisted deliveries Noncore 92.6
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
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults Noncore 10.3
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 Noncore 9.7
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 7.8
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 8.3
People with a usual primary care provider Noncore 81.0
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 10.9
Adults who rated their healthcare received in the last 12 months as poor (0-6) on a scale of 0-10 (where 0 is the worst and 10 is the best) Noncore 14.2
Adults with limited English proficiency and usual source of care (USC) and the USC had language assistance Nonmetropolitan 94.0
Adults with limited English proficiency who had a usual source of care Nonmetropolitan 69.4
People with a usual source of care whose providers sometimes or never asked them to help make decisions when there was a choice between treatments Noncore 15.5
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always gave them easy-to-understand instructions about what to do for a specific illness or health conditions Noncore 70.5
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always asked them to describe how they will follow the instructions Noncore 22.2
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always offered help in filling out forms Noncore 14.6
People with a usual source of care who usually asks about prescription medications and treatments from other doctors Noncore 85.1
Emergency department visits with a principal diagnosis related to mental health only per 100,000 population Noncore 1186.6
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population Noncore 368.9
Emergency department visits with a principal diagnosis related to dental conditions Micropolitan and noncore (rural) 491.7
Emergency department encounters for asthma, adults Noncore 349.3
Emergency department encounters for asthma, children ages 2-17 Noncore 453.2
Emergency department visits for asthma per 10,000 population, ages 2-19 Non-MSA 86.1
Hospital admissions for short-term complications of diabetes per 100,000 population, adults Noncore 65.3
Hospital admissions for long-term complications of diabetes per 100,000 population, adults Noncore 118.2
Hospitalizations and emergency department encounters for heart failure Noncore 634.9
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children Noncore 556.4
Hospital admissions for hypertension per 100,000 population, adults age 18 and over Noncore 54.8
Hospital admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, adults age 40 and over Noncore 794.0
Hospital admissions for heart failure per 100,000 population Noncore 521.2
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair Noncore 34.9
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, adults age 40 and over Noncore 27.8
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), adults age 40 and over Noncore 26.2
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months Noncore 65.4
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 39.7
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 14.1
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 12.0
Adults who filled an outpatient opioid prescription in the calendar year Noncore 17.3
Adults who filled four or more outpatient opioid prescriptions in the calendar year Noncore 7.9
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms Micropolitan (nonmetro) 72.2
Deaths per 1,000 adult hospital admissions with pneumonia Noncore 30.1
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) Noncore 16.1
Persons with current asthma who received written asthma management plans from their healthcare provider Micropolitan (nonmetro) 33.2
Live-born infants with low birth weight (less than 2,500 g) Noncore 8.4
Infant mortality per 1,000 live births, birth weight 2,500 grams or more Noncore 2.9
Adult current smokers who had a doctor's office or clinic visit in the last 12 months who received advice to quit smoking from their providers Noncore 79.7
Adults with obesity who ever received advice from a health professional to exercise more Noncore 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 Noncore 35.9
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods Noncore 44.2
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy Noncore 53.3
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high Micropolitan (nonmetro) 92.5
Adults with a dental visit in the calendar year Noncore 32.7
Adults who received a preventive dental service in the calendar year Noncore 23.0
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine Nonmetropolitan 35.2
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine Nonmetropolitan 43.9
Adolescent males ages 16-17 who received 3 or more doses of human papillomavirus (HPV) vaccine Nonmetropolitan 4.6
Children who had their height and weight measured by a health provider within the past 2 years Noncore 94.5
Children ages 2-17 who had a dental visit in the calendar year Noncore 49.5
Children ages 2-17 who received a preventive dental service in the calendar year Noncore 41.8
Children ages 3-5 who ever had their vision checked by a health provider Nonmetropolitan 71.4
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 52.5
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 61.3
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 Nonmetropolitan 30.2
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 Noncore 31.5
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 26.2
Children ages 0-17 with wellness checkup in the past 12 months Micropolitan (nonmetro) 83.4
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 23.2
People without a usual source of care who indicated a financial or insurance reason for not having a source of care Noncore 12.2
People unable to get or delayed in getting needed medical care due to financial or insurance reasons Nonmetropolitan 42.2
People unable to get or delayed in getting needed dental care due to financial or insurance reasons Nonmetropolitan 72.1
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons Nonmetropolitan 62.3