NationalAmbulatory Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Ambulatory 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 Estimate Benchmark Distance to Benchmark
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher 95.2 96.5 1%
Children ages 19-35 months who received 3 or more doses of polio vaccine 93.7 97.3 4%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 92.6 96.4 4%
Children ages 19-35 months who received 1 or more doses of varicella vaccine 91.8 95.7 4%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 91.9 96.4 5%
Women ages 21-65 who received a Pap smear in the last 3 years 81.2 86.9 7%
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 84.6 90.6 7%
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 87.1 95.2 9%
Measures That Are Close to Benchmark
Measure 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 85.3 95.9 11%
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access 63.8 72.8 12%
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine 81.9 96.2 15%
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine 80.8 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 56.9 67.6 16%
Women ages 50-74 who received a mammogram in the last 2 years 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 88.3 75.8 16%
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over 64.0 51.7 24%
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine 31.9 46.4 31%
People age 12 and over treated for substance abuse who completed treatment course 43.2 63.1 32%
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy 35.6 54.1 34%
Adolescent ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine 39.4 62.2 37%
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine 27.1 43.3 37%
Dialysis patients who were registered on a waiting list for transplantation 15.7 28.2 44%
Percent of hemodialysis patients whose hemoglobin level is less than 10 g/dL 16.8 11.4 47%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over 10.5 6.94 51%
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 13.2 28.8 54%
Measures With No Available Benchmark Information
Measure Estimate Benchmark Distance to Benchmark
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 1.30
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults 11.6
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year 76.0
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 63.2
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 5.10
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year 69.4
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year 61.3
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 6.70
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months 39.3
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 11.1
Adults with limited English proficiency and usual source of care (USC) and the USC had language assistance 89.6
Adults age 40 and over with diagnosed diabetes with hemoglobin A1c less than 8.0% (optimal control) 67.6
Adults age 40 and over with diagnosed diabetes with blood pressure less than 130/80 mm Hg 50.6
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 5.60
Adults age 40 and over with diabetes whose condition was diagnosed 77.1
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 9.60
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 18.3
People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months 8.20
Adults with limited English proficiency who had a usual source of care 61.9
People with a usual source of care who sometimes or never asked person to help make decisions when there was a choice between treatments 15.2
Kidney failure due to diabetes among persons with diabetes 2378.1
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months 67.2
Adults with hypertension with blood pressure less than 140/90 mm/Hg 47.8
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms 71.3
People with a usual source of care who usually asks about prescription medications and treatments from other doctors 81.0
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking 65.3
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine 37.1
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine 49.1
Children with obesity 2-19 years of age who had been told by a doctor or health professional that they were overweight 48.5
Adolescent males ages 16-17 who received 3 or more doses of human papillomavirus (HPV) vaccine 29.7
Children ages 6 months to 17 years who received influenza vaccination 53.1
Adults with obesity age 20 and over who had been told by a doctor or health professional that they were overweight 68.4
Adults with obesity who ever received advice from a health professional to exercise more 63.4
Children ages 3-5 who ever had their vision checked by a health provider 68.7
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 47.8
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods 51.2
Children who had their height and weight measured by a health provider within the past 2 years 93.8
Children ages 2-17 who had a dental visit in the calendar year 54.5
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy 64.0
Children ages 5-17 with untreated dental caries 17.4
Children ages 2-17 who had a preventive dental service in the calendar year 46.4
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high 91.8
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 39.7
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 45.5
Adults age 65 and over who received an influenza vaccination in the last 12 months 73.5
Children ages 0-17 with wellness checkup in the past 12 months 84.0
Adults who received a blood cholesterol measurement in the last 5 years 85.5
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 64.5
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months 46.0
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 35.2
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 38.3
Adults ages 18 and over who received influenza vaccination 44.6
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination 23.0
Adults age 65 and over who ever received pneumococcal vaccination 63.6
Doctor's office, emergency department, and outpatient department visits where antibiotics were prescribed for a diagnosis of common cold per 10,000 population 72.1
Adults who had a preventive dental service in the calendar year 40.9
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler) 23.0
Adults with a dental visit in the calendar year 33.1