NationalWomen Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Women 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
Suicide deaths among persons age 12 and over per 100,000 population Female 7.30 9.38 Achieved: 22% better
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher Female 96.0 96.5 1%
Stroke patients who received venous thromboembolism (VTE) prophylaxis Female 97.4 98.7 1%
Persons age 13 and over living with HIV who know their serostatus Female 87.8 89.1 1%
Family caregivers who received right amount of emotional and spiritual supports from hospice care team Female 89.5 90.9 2%
Stroke patients prescribed statin medication at hospital discharge Female 96.6 98.6 2%
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them Female 90.0 92.1 2%
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 Female 94.4 96.7 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) Total 94.1 96.8 3%
Hospital patients who received influenza vaccination Female 94.2 97.0 3%
Children ages 19-35 months who received 3 or more doses of polio vaccine Female 93.5 97.3 4%
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them Female 79.9 83.3 4%
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) Female 80.5 83.9 4%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine Female 92.3 96.4 4%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine Female 92.1 96.4 4%
Children ages 19-35 months who received 1 or more doses of varicella vaccine Female 91.5 95.7 4%
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team Female 75.3 79.0 5%
Hospice patients and family caregivers who always got help as soon as they need from hospice care team Female 77.9 82.3 5%
Colorectal cancer deaths per 100,000 population per year Female 12.2 11.5 6%
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine Female 85.0 90.6 6%
Women ages 21-65 who received a Pap smear in the last 3 years Total 81.2 86.9 7%
Acute stroke patients for whom IV thrombolytic therapy was initiated at hospital within 3 hours of time last known well Female 85.0 92.9 9%
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 Female 86.8 95.2 9%
Hospital patients who received pneumococcal immunization Female 87.7 97.2 10%
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 Female 86.4 95.9 10%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Breast cancer deaths per 100,000 female population per year Total 20.3 17.8 14%
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine Female 82.4 96.2 14%
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine Female 81.0 95.4 15%
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 Female 57.2 67.6 15%
Women ages 50-74 who received a mammogram in the last 2 years Total 71.6 85.2 16%
Breast cancer diagnosed at advanced stage (regional, distant stage, or local stage with tumor greater than 2 cm) per 100,000 women age 40 and over Total 88.3 75.8 16%
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine Female 37.1 46.4 20%
Adolescent ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine Female 49.1 62.2 21%
Lung cancer deaths per 100,000 population per year Female 33.5 27.5 22%
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access Female 56.3 72.8 23%
Hospital admissions for lower extremity amputations per 1,000 population, adults age 18 and over with diabetes Female 11.2 9.03 24%
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance Total 17.7 14.1 25%
Persons age 13 and over living with diagnosed HIV whose most recent viral load in the last 12 months was under 200 copies/mL Female 55.2 74.3 26%
Obstetric trauma per 1,000 instrument-assisted deliveries Total 119.3 94.3 26%
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) Female 45.3 35.5 28%
New HIV cases per 100,000 population age 13 and over Female 5.60 4.30 30%
Birth trauma - injury to neonate per 1,000 selected live births Female 1.70 1.29 32%
Deaths per 1,000 adult hospital admissions with pneumonia Female 17.0 12.8 33%
HIV infection deaths per 100,000 population Female 1.00 0.75 33%
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy Female 35.9 54.1 34%
Deaths per 1,000 adult hospital admissions with congestive heart failure Female 15.5 11.5 35%
Sepsis diagnoses per 1,000 elective-surgery admissions of length 4 or more days, adults Female 14.1 10.4 36%
People age 12 and over treated for substance abuse who completed treatment course Female 38.4 63.1 39%
Hospital admissions for congestive heart failure per 100,000 population Female 292.2 202.0 45%
Hospital admissions for short-term complications of diabetes per 100,000 population, adults Female 82.4 56.8 45%
Dialysis patients who were registered on a waiting list for transplantation Female 14.7 28.2 48%
Hospital admissions for bacterial pneumonia per 100,000 population, adults age 18 and over Female 240.1 161.5 49%
Percent of hemodialysis patients whose hemoglobin level is less than 10 g/dL Female 17.1 11.4 50%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over Total 10.5 6.94 51%
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), adults age 40 and over Female 17.4 11.4 53%
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure Female 12.7 28.8 56%
Hospital admissions for long-term complications of diabetes per 100,000 population, adults Female 91.2 54.8 66%
Hospital admissions for immunization-preventable influenza per 100,000 population, adults age 65 and over Female 247.8 142.8 74%
Hospital admissions for asthma per 100,000 population, children ages 2-17 Female 69.9 38.1 83%
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, adults age 40 and over Female 28.4 13.6 109%
Hospital admissions for short-term complications of diabetes per 100,000 population, children ages 6-17 Female 29.1 13.6 114%
Hospital admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, adults age 40 and over Female 470.9 216.7 117%
Hospital admissions for angina per 100,000 population, adults age 18 and over Female 10.8 4.90 120%
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population Female 251.1 99.4 152%
Hospital admissions for asthma per 100,000 population, adults ages 18-39 Female 53.3 20.4 162%
Hospital admissions for hypertension per 100,000 population, adults age 18 and over Female 54.6 20.4 168%
Emergency department visits involving opioid-related diagnoses per 100,000 population Female 179.9 59.2 204%
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults Female 0.91 0.26 250%
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults Female 11.8 3.28 260%
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 Female 4.90
People who were unable to get or delayed in getting needed dental care in the last 12 months Female 6.00
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults Female 13.1
Children ages 2-9 who visited emergency department for asthma Female 114.9
Children ages 10-19 who visited emergency department for asthma Female 61.0
Hospitalizations and emergency department encounters for congestive heart failure Female 315.7
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults Female 353.4
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months Female 4.10
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends Female 40.9
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year Female 76.6
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year Female 62.0
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Female 67.7
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone Female 15.2
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Female 16.3
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 Female 5.40
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year Female 60.6
Adults age 40 and over with diabetes whose condition was diagnosed Female 81.9
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist Female 18.2
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 Female 7.30
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 Female 6.80
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 Female 4.60
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children Female 460.0
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 Female 17.5
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 Female 5.70
Adults with limited English proficiency and usual source of care (USC) and the USC had language assistance Female 88.7
Adults with limited English proficiency who had a usual source of care Female 69.9
Adults age 40 and over with diagnosed diabetes with hemoglobin A1c less than 8.0% (optimal control) Female 68.5
Adults age 40 and over with diagnosed diabetes with blood pressure less than 130/80 mm Hg Female 54.1
Adult surgery patients with catheter-associated urinary tract infection Female 2.97
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 Female 0.58
Hospital admissions for dehydration per 100,000 population, adults age 18 and over Female 101.8
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 Female 9.40
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 Female 10.5
Hospital admissions for urinary tract infection (UTI) per 100,000 population, adults age 18 and over Female 215.3
Adult surgery patients with postoperative pneumonia events Female 0.83
Adult surgery patients with postoperative venous thromboembolic events Female 0.54
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults Female 1.93
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults Female 1.18
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults Female 0.38
Hospital admissions for urinary tract infection (UTI) per 100,000 population, children ages 3 months to 17 years Female 42.7
Hospital admissions for pediatric gastroenteritis per 100,000 population, children ages 3 months to 17 years Female 48.5
People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months Female 7.40
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults Female 6.62
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults Female 5.01
People with a usual source of care who sometimes or never asked person to help make decisions when there was a choice between treatments Female 15.1
Adjusted incident rates of end stage renal disease (ESRD) due to diabetes per million population Female 132.1
Kidney failure due to diabetes among persons with diabetes Female 2064.1
Inpatient adverse events in adults receiving knee replacement Female 1.53
Mechanical adverse events in adult patients receiving central venous catheter placement Female 3.26
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months Female 71.6
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months Female 40.3
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults Female 0.62
Inpatient adverse events in adults receiving hip joint replacement due to degenerative conditions Female 4.23
Adults with hypertension with blood pressure less than 140/90 mm/Hg Female 56.0
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms Female 73.4
Inpatient adverse events in adults receiving hip joint replacement due to fracture Female 13.4
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 Female 11.0
Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival Female 50.0
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 Female 13.7
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 Female 5.10
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults Female 2.58
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children Female 0.37
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair Female 51.0
People under age 65 with any period of uninsurance during the year Female 19.1
People with a specific source of ongoing care Female 90.9
Hospital patients who received a hypoglycemic agent who had an adverse drug events with hypoglycemic agents Female 8.11
People under age 65 with health insurance Female 91.0
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, adults ages 18-89 or obstetric admissions Female 98.9
People under age 65 with any private health insurance Female 65.4
Adults age 65 and over with any private health insurance Female 47.9
Deaths per 1,000 hospital admissions with expected low-mortality Female 0.23
Hospital patients with an anticoagulant-related adverse drug event to warfarin Female 5.68
Adverse drug event with IV heparin in adult hospital patients who received an anticoagulant Female 11.8
Hospital patients with an anticoagulant-related adverse drug event to low-molecular-weight heparin (LMWH) and factor Xa Female 3.42
People under age 65 who were uninsured all year Female 8.00
People with a usual source of care who usually asks about prescription medications and treatments from other doctors Female 81.0
Emergency department visits with a principal diagnosis related to mental health only per 100,000 population Female 1389.4
People with a usual primary care provider Female 79.9
People in fair or poor health with a specific source of ongoing care Female 91.5
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 Female 1.30
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population Female 435.2
Emergency department visits with a principal diagnosis related to dental conditions Female 315.2
Emergency department encounters for asthma, adults Female 637.2
Emergency department encounters for asthma, children ages 2-17 Female 715.5
Children ages 2-19 who visited emergency department for asthma Female 84.6
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking Female 69.9
Adult smokers who attempt to quit in the past year Female 56.1
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine Total 37.1
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine Total 49.1
Adults who ever smoked and quitted recently Female 7.40
Children with obesity 2-19 years of age who had been told by a doctor or health professional that they were overweight Female 51.2
Adults with obesity age 20 and over who had been told by a doctor or health professional that they were overweight Female 73.5
Children ages 2-19 with obesity Female 17.1
Adults with obesity who ever received advice from a health professional to exercise more Female 67.2
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 Female 49.6
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 Female 60.9
Children ages 6 months to 17 years who received influenza vaccination Female 53.0
Children ages 3-5 who ever had their vision checked by a health provider Female 68.5
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods Female 51.3
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy Female 65.3
Children who had their height and weight measured by a health provider within the past 2 years Female 93.7
Children ages 2-17 who had a dental visit in the calendar year Female 56.2
Children ages 5-17 with untreated dental caries Female 16.4
Children ages 2-17 who had a preventive dental service in the calendar year Female 47.4
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 Female 40.0
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 Female 46.0
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 Female 67.8
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high Female 94.1
Adults ages 18 and over who received influenza vaccination Female 48.9
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income Female 18.0
Adults who received a blood cholesterol measurement in the last 5 years Female 87.3
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months Female 48.5
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 Female 37.1
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 Female 38.8
Children ages 0-17 with wellness checkup in the past 12 months Female 83.8
Adults age 65 and over who received an influenza vaccination in the last 12 months Female 73.9
Adults who had a preventive dental service in the calendar year Female 44.2
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination Female 23.9
Adults age 65 and over who ever received pneumococcal vaccination Female 64.2
People without a usual source of care who indicated a financial or insurance reason for not having a source of care Female 16.6
People unable to get or delayed in getting needed medical care due to financial or insurance reasons Female 47.0
Doctor's office, emergency department, and outpatient department visits where antibiotics were prescribed for a diagnosis of common cold per 10,000 population Female 80.3
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons Female 64.0
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) Female 22.3
People unable to get or delayed in getting needed dental care due to financial or insurance reasons Female 72.0
Adults with a dental visit in the calendar year Female 36.2
Infant mortality per 1,000 live births, birth weight 2,500 grams or more Female 1.80
Live-born infants with low birth weight (less than 2,500 g) Female 8.80
Infant mortality per 1,000 live births, birth weight less than 1,500 grams Female 196.7
Infant mortality per 1,000 live births, birth weights 1,500-2,499 grams Female 11.6