NationalAcute Care Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to Acute Care 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 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) 94.0 96.4 2.5%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined 92.5 95.4 3.0%
Hospital patients who received influenza vaccination 93.2 96.6 3.5%
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis 92.1 96.2 4.2%
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment 89.3 95.4 6.4%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) 50.1 40.0 25.1%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital 10.5 7.8 35.3%
Home health care patients who had to be admitted to the hospital 14.3 10.5 36.2%
People age 12 and over treated for substance abuse who completed treatment course 40.9 65.2 37.3%
Home health care patients who had an emergency department visit and then hospitalized 12.2 8.9 37.7%
Adult hospital patients who did not receive good communication about discharge information 10.7 7.7 38.6%
Home health care patients who had an emergency department visit without a hospitalization 3.9 2.8 39.3%
Sepsis diagnoses per 1,000 elective-surgery admissions of length 4 or more days, adults 3.8 2.7 40.5%
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults 3.4 2.3 45.1%
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults 0.7 0.5 45.7%
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults 4.5 3.1 46.3%
Deaths per 1,000 adult hospital admissions with heart failure 27.0 18.3 47.5%
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults 1.1 0.7 49.3%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
Hospital admissions for immunization-preventable influenza per 100,000 population, adults age 65 and over 279.8 185.2 51.1%
Hospital admissions for community-acquired pneumonia per 100,000 population, adults age 18 and over 171.0 102.4 67.0%
Adult hospital patients who strongly disagree or disagree that staff took their preferences and those of their family and caregiver into account when deciding what the patients discharge health care would be 5.8 3.2 81.1%
Hospital admissions for urinary tract infection (UTI) per 100,000 population, children ages 3 months to 17 years 21.1 10.4 103.3%
Hospital admissions for lower extremity amputations per 1,000 population, adults age 18 and over with diabetes 31.1 15.2 104.7%
Hospital admissions for asthma per 100,000 population, adults ages 18-39 32.6 15.8 106.9%
Hospital admissions for urinary tract infection (UTI) per 100,000 population, adults age 18 and over 151.6 70.6 114.7%
Hospital admissions for short-term complications of diabetes per 100,000 population, children ages 6-17 25.1 11.7 115.1%
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults 46.3 20.1 130.7%
Hospital admissions for pediatric gastroenteritis per 100,000 population, children ages 3 months to 17 years 36.3 15.2 138.7%
Hospital admissions for asthma per 100,000 population, children ages 2-17 81.8 29.4 178.2%
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population 299.7 102.9 191.4%
Emergency department visits involving opioid-related diagnoses per 100,000 population 249.1 65.2 281.8%
Measures With No Available Benchmark Information
Measure Estimate Benchmark Distance to Benchmark
Adult surgery patients with catheter-associated urinary tract infection 2.2
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 0.1
Adult surgery patients with postoperative pneumonia events 1.1
Adult surgery patients with postoperative venous thromboembolic events 0.4
Postoperative acute kidney injury requiring dialysis per 1,000 elective surgical hospital discharges, adults 2.2
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults 0.9
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults 0.1
Inpatient adverse events in adults receiving hip joint replacement due to degenerative conditions 2.1
Inpatient adverse events in adults receiving hip joint replacement due to fracture 9.7
Inpatient adverse events in adults receiving knee replacement 2.5
Mechanical adverse events in adult patients receiving central venous catheter placement 2.4
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults 0.2
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, adults ages 18-89 or obstetric admissions 148.6
Deaths per 1,000 hospital admissions with expected low-mortality 0.2
Hospital patients with an anticoagulant-related adverse drug event to warfarin 3.7
Adverse drug event with IV heparin in adult hospital patients who received an anticoagulant 6.1
Hospital patients with an anticoagulant-related adverse drug event to low-molecular-weight heparin (LMWH) and factor Xa 1.7
Hospital patients who received a hypoglycemic agent who had an adverse drug events with hypoglycemic agents 6.9
Birth trauma - injury to neonate per 1,000 selected live births 4.8
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance 17.7
Obstetric trauma per 1,000 instrument-assisted deliveries 114.5
Emergency department visits with a principal diagnosis related to mental health only per 100,000 population 1108.8
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population 568.7
Emergency department visits with a principal diagnosis related to dental conditions 307.1
Emergency department encounters for asthma, adults 392.4
Emergency department encounters for asthma, children ages 2-17 618.7
Emergency department visits for asthma per 10,000 population, ages 2-19 102.7
Hospital admissions for short-term complications of diabetes per 100,000 population, adults 62.8
Hospital admissions for long-term complications of diabetes per 100,000 population, adults 111.9
Hospitalizations and emergency department encounters for heart failure 508.6
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children 544.3
Hospital admissions for hypertension per 100,000 population, adults age 18 and over 63.9
Hospital admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, adults age 40 and over 532.5
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children 0.3
Hospital admissions for heart failure per 100,000 population 443.0
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair 38.8
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, adults age 40 and over 26.1
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), adults age 40 and over 28.7
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 15.9
People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months 8.9
Doctor's office or emergency department visits where antibiotics were prescribed for a diagnosis of common cold per 10,000 population 42.9
Deaths per 1,000 adult hospital admissions with pneumonia 25.7
Live-born infants with low birth weight (less than 2,500 g) 8.3
Infant mortality per 1,000 live births, birth weight 2,500 grams or more 2.0