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NationalNursing Home Quality Measures Compared to Achievable Benchmarks
The NHQDR quality measures specific to Nursing Home 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:
| Measure | Estimate | Benchmark | Distance to Benchmark |
|---|---|---|---|
| Long-stay nursing home residents with a urinary tract infection | 3.4 | 3.3 | 2.7% |
| Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine | 91.2 | 94.1 | 3.1% |
| Long-stay nursing home residents who were assessed for pneumococcal vaccination | 94.6 | 98.0 | 3.4% |
| Short-stay nursing home residents who were assessed for pneumococcal vaccination | 90.8 | 95.3 | 4.7% |
| Short-stay nursing home patients who had flu vaccination appropriately given | 88.1 | 92.9 | 5.2% |
| Measure | Estimate | Benchmark | Distance to Benchmark |
|---|---|---|---|
| Long-stay nursing home residents with too much weight loss | 6.1 | 5.4 | 13.9% |
| Short-stay nursing home residents with moderate to severe pain | 13.3 | 10.8 | 22.9% |
| Long-stay nursing home residents whose ability to move independently worsened | 17.5 | 13.7 | 27.4% |
| Long-stay nursing home residents whose need for help with daily activities increased | 14.0 | 10.6 | 31.8% |
| Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder | 3.4 | 2.5 | 34.3% |
| Measure | Estimate | Benchmark | Distance to Benchmark |
|---|---|---|---|
| Long-stay nursing home patients experiencing one or more falls with major injury | 0.6 | 0.4 | 51.2% |
| Short-stay nursing home patients with pressure ulcers that are new or worsened | 0.4 | 0.3 | 53.6% |
| Long-stay nursing home residents with moderate to severe pain | 7.2 | 4.7 | 53.6% |
| High-risk, long-stay nursing home patients with pressure ulcer | 5.7 | 3.4 | 67.6% |
| Long-stay nursing home residents with physical restraints | 0.5 | 0.2 | 113.0% |
| Low-risk, long-stay nursing home residents with loss of control of bowels or bladder | 37.8 | 16.7 | 126.3% |
| Long-stay nursing home residents have depressive symptoms | 4.9 | 1.1 | 327.0% |