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 96.7 2%
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 90.7 96.6 6%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined Noncore 87.7 94.4 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 84.0 93.5 10%
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 85.1 95.3 11%
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults Noncore 0.32 0.29 12%
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance Noncore 17.8 15.1 18%
Obstetric trauma per 1,000 instrument-assisted deliveries Noncore 115.7 95.2 22%
Postoperative sepsis per 1,000 elective-surgery admissions of length 4 or more days, adults Noncore 14.9 12.2 22%
Persons aged 16 to 17 years who received 1 or more doses of meningococcal conjugate vaccine Nonmetropolitan 68.0 94.8 28%
Persons aged 13 to 15 years who received 1 or more doses of meningococcal conjugate vaccine Nonmetropolitan 68.2 95.5 29%
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine Nonmetropolitan 25.1 36.7 32%
Breast cancer deaths per 100,000 female population per year Noncore 21.2 15.9 34%
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, age 40 and over Noncore 20.2 14.4 40%
Colorectal cancer deaths per 100,000 population per year Noncore 16.8 11.6 44%
Adolescent ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine Nonmetropolitan 28.1 50.9 45%
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), age 40 and over Noncore 17.6 12.1 45%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
HIV infection deaths per 100,000 population Noncore 1.20 0.73 64%
Hospital admissions for asthma per 100,000 population, ages 2-17 Noncore 78.5 47.7 65%
Birth trauma - injury to neonate per 1,000 selected live births Noncore 2.33 1.38 68%
Hospital admissions for short-term complications of diabetes per 100,000 population, ages 6-17 Noncore 28.1 16.3 73%
Lung cancer deaths per 100,000 population per year Noncore 50.7 28.0 81%
Hospital admissions for short-term complications of diabetes per 100,000 population, adults Noncore 94.8 52.3 81%
Hospital admissions for congestive heart failure per 100,000 population Noncore 368.3 198.8 85%
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) Noncore 69.2 36.8 88%
Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes, HCUP data Noncore 18.8 9.70 94%
Hospital admissions for asthma per 100,000 population, age 18 to 39 Noncore 47.1 24.1 96%
Hospital admissions for long-term complications of diabetes per 100,000 population, adults Noncore 105.5 52.6 100%
Suicide deaths per 100,000 population Noncore 21.4 10.2 109%
Deaths per 1,000 adult hospital admissions with pneumonia Noncore 32.9 14.8 123%
Avoidable admissions for hypertension per 100,000 population age 18 and over Noncore 46.7 20.4 129%
Deaths per 1,000 adult hospital admissions with congestive heart failure Noncore 29.9 12.3 143%
Avoidable admissions for chronic obstructive pulmonary disease or asthma per 100,000 population age 40 and over Noncore 604.7 218.6 177%
Hospital admissions for immunization-preventable influenza per 100,000 population age 65 and over Noncore 155.6 56.2 177%
Avoidable admissions for angina per 100,000 population age 18 and over Noncore 14.3 5.05 183%
Avoidable admissions for bacterial pneumonia per 100,000 population age 18 and over Noncore 469.6 160.3 193%
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults, HCUP data Noncore 17.0 4.10 315%
Measures With No Available Benchmark Information
Measure Population Estimate Benchmark Distance to Benchmark
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 10.5
Admissions with central venous catheter-related bloodstream infection per 1,000 medical and surgical discharges of length 2 or more days, age 18 and over or obstetric admissions Noncore 0.35
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults Noncore 2.58
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults Noncore 5.83
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults Noncore 4.12
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults Noncore 1.08
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults Noncore 0.17
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults Noncore 1.06
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 14.1
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 3.70
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 4.10
People under age 65 with health insurance Noncore (nonmetropolitan) 84.1
People under age 65 with any private health insurance Noncore (nonmetropolitan) 56.6
Adults age 65 and over with any private health insurance Noncore (nonmetropolitan) 49.5
People under age 65 who were uninsured all year Noncore 15.0
People under age 65 with any period of uninsurance during the year Noncore 26.9
People with a specific source of ongoing care Noncore (nonmetropolitan) 90.1
People with a usual primary care provider Noncore 82.9
People in fair or poor health with a specific source of ongoing care Noncore (nonmetropolitan) 92.7
People who were unable to get or delayed in getting needed medical care in the last 12 months Noncore 4.70
People who were unable to get or delayed in getting needed dental care in the last 12 months Noncore 4.70
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months Noncore 3.30
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends Noncore 28.0
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone Noncore 19.5
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Noncore 11.2
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Nonmetropolitan 9.40
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 7.90
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children Noncore 1.12
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 5.60
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 4.00
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 Nonmetropolitan 4.60
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 7.60
Children 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 4.00
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults Noncore 2.27
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions Noncore 91.5
Deaths per 1,000 hospital admissions with expected low-mortality Noncore 0.53
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
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults Noncore 13.6
Adults with limited English proficiency who had a usual source of care Noncore 52.8
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 11.2
Potentially avoidable hospitalizations and emergency department encounters for congestive heart failure Noncore 432.3
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults Noncore 382.7
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children Noncore 392.5
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 11.9
Adults with limited English proficiency and usual source of care (USC) by whether the USC had language assistance Nonmetropolitan 88.6
Emergency department visits with a principal diagnosis related to co-occurring of mental health, alcohol and substance abuse, per 100,000 population Noncore 35.0
Potentially avoidable emergency department encounters for asthma, adults Noncore 577.1
Potentially avoidable emergency department encounters for asthma, children ages 2-17 Noncore 799.6
People with a usual source of care who usually asks about prescription medications and treatments from other doctors Noncore 81.9
Emergency department visits with a principal diagnosis related to mental health only per 100,000 population Noncore 1307.0
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population Noncore 415.0
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year Nonmetropolitan 78.8
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year Noncore 57.3
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Noncore 76.0
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year Noncore 64.0
Admissions for dehydration per 100,000 population, age 18 and over Noncore 130.3
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking Noncore 63.4
Admissions for urinary tract infection (UTI) per 100,000 population, age 18 and over Noncore 227.7
Admissions for urinary tract infection (UTI) per 100,000 population, ages 3 months to 17 years Noncore 36.3
Admissions for pediatric gastroenteritis per 100,000 population, ages 3 months to 17 years Noncore 41.5
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair Noncore 21.3
Adults with obesity who ever received advice from a health professional to exercise more Noncore 61.8
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 50.2
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 35.2
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods Noncore 50.4
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy Noncore 48.1
Infant mortality per 1,000 live births, birth weight 2,500 grams or more Noncore 3.00
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
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
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
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms Noncore (nonmetropolitan) 70.1
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) Noncore 14.1
Persons with current asthma who received written asthma management plans from their healthcare provider Noncore (nonmetropolitan) 33.9
Persons with current asthma who received education about appropriate response to an asthma episode Noncore 64.1
Persons with current asthma who were advised to change things to reduce exposure to irritants Noncore 46.1
Live-born infants with low birth weight (less than 2,500 g) Noncore 8.00
Women who completed a pregnancy in the last 12 months who received early and adequate prenatal care Noncore 14.7
Infant mortality per 1,000 live births, birth weight less than 1,500 grams Noncore 215.0
Infant mortality per 1,000 live births, birth weights 1,500-2,499 grams Noncore 17.7
Women ages 50-74 who received a mammogram in the last 2 years Noncore (nonmetropolitan) 64.5
Women ages 21-65 who received a Pap smear in the last 3 years Noncore (nonmetropolitan) 77.5
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine Nonmetropolitan 33.1
Children ages 2-17 who had a dental visit in the calendar year Noncore 44.8
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine Nonmetropolitan 41.4
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 25.1
People without a usual source of care who indicated a financial or insurance reason for not having a source of care Noncore 12.7
Children ages 0-17 with wellness checkup in the past 12 months Noncore (nonmetropolitan) 74.9
Children ages 3-5 who ever had their vision checked by a health provider Nonmetropolitan 63.1
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 40.3
People unable to get or delayed in getting needed medical care due to financial or insurance reasons Nonmetropolitan 54.6
People unable to get or delayed in getting needed dental care due to financial or insurance reasons Nonmetropolitan 74.8
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 Noncore 61.7
Children 41-80 lb for whom a health provider gave advice within the past 2 years about using a booster seat when riding in the car Noncore 36.4
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons Nonmetropolitan 62.7
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
Adolescent males ages 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine Nonmetropolitan 17.3
Adolescent males ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine Nonmetropolitan 15.8
Adults who received a blood cholesterol measurement in the last 5 years Noncore (nonmetropolitan) 80.1
Children over 80 lb for whom a health provider gave advice within the past 2 years about using lap or shoulder belts when riding in a car Noncore 27.1
Adults age 65 and over who received an influenza vaccination in the last 12 months Noncore 64.3
Children who had their height and weight measured by a health provider within the past 2 years Noncore 88.0
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 19.3