NationalAcute Care Quality Measures Compared to Achievable Benchmarks

The NHQR 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 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
Stroke patients who received venous thromboembolism (VTE) prophylaxis 97.5 98.7 1%
Stroke patients prescribed statin medication at hospital discharge 97.1 98.6 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 94.6 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) 94.1 96.8 3%
Hospital patients who received influenza vaccination 94.1 97.0 3%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined 91.2 95.9 5%
Acute stroke patients for whom IV thrombolytic therapy was initiated at hospital within 3 hours of time last known well 85.5 92.9 8%
Hospital patients who received pneumococcal immunization 87.7 97.2 10%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) 41.2 35.5 16%
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance 17.7 14.1 25%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital 9.80 7.75 26%
Obstetric trauma per 1,000 instrument-assisted deliveries 119.3 94.3 26%
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), adults age 40 and over 14.6 11.4 28%
People age 12 and over treated for substance abuse who completed treatment course 43.2 63.1 32%
Adult hospital patients who did not receive good communication about discharge information 10.5 7.70 36%
Deaths per 1,000 adult hospital admissions with pneumonia 17.5 12.8 37%
Deaths per 1,000 adult hospital admissions with congestive heart failure 15.9 11.5 38%
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, adults age 40 and over 19.0 13.6 40%
Sepsis diagnoses per 1,000 elective-surgery admissions of length 4 or more days, adults 15.3 10.4 47%
Birth trauma - injury to neonate per 1,000 selected live births 1.90 1.29 47%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
Hospital admissions for short-term complications of diabetes per 100,000 population, adults 85.8 56.8 51%
Hospital admissions for bacterial pneumonia per 100,000 population, adults age 18 and over 249.4 161.5 54%
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 5.40 3.22 68%
Hospital admissions for congestive heart failure per 100,000 population 340.7 202.0 69%
Hospital admissions for immunization-preventable influenza per 100,000 population, adults age 65 and over 259.8 142.8 82%
Hospital admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, adults age 40 and over 422.0 216.7 95%
Hospital admissions for asthma per 100,000 population, adults ages 18-39 39.9 20.4 96%
Hospital admissions for short-term complications of diabetes per 100,000 population, children ages 6-17 27.1 13.6 99%
Hospital admissions for long-term complications of diabetes per 100,000 population, adults 115.9 54.8 112%
Hospital admissions for lower extremity amputations per 1,000 population, adults age 18 and over with diabetes 19.3 9.03 114%
Hospital admissions for asthma per 100,000 population, children ages 2-17 87.2 38.1 129%
Hospital admissions for angina per 100,000 population, adults age 18 and over 11.8 4.90 141%
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population 251.3 99.4 153%
Hospital admissions for hypertension per 100,000 population, adults age 18 and over 51.9 20.4 154%
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults 0.84 0.26 223%
Emergency department visits involving opioid-related diagnoses per 100,000 population 209.0 59.2 253%
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults 12.7 3.28 287%
Measures With No Available Benchmark Information
Measure Estimate Benchmark Distance to Benchmark
Children ages 2-19 who visited emergency department for asthma 97.7
Children ages 2-9 who visited emergency department for asthma 144.0
Children ages 10-19 who visited emergency department for asthma 61.4
Hospitalizations and emergency department encounters for congestive heart failure 372.9
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults 393.8
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children 457.7
Hospital admissions for urinary tract infection (UTI) per 100,000 population, adults age 18 and over 164.2
Adult surgery patients with catheter-associated urinary tract infection 2.67
Hospital admissions for dehydration per 100,000 population, adults age 18 and over 100.0
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 0.67
Adult surgery patients with postoperative pneumonia events 1.24
Adult surgery patients with postoperative venous thromboembolic events 0.20
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults 5.43
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults 1.51
Hospital admissions for urinary tract infection (UTI) per 100,000 population, children ages 3 months to 17 years 25.6
Hospital admissions for pediatric gastroenteritis per 100,000 population, children ages 3 months to 17 years 50.8
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
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults 2.10
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults 7.83
Inpatient adverse events in adults receiving knee replacement 1.66
Mechanical adverse events in adult patients receiving central venous catheter placement 2.85
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults 0.16
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults 1.13
Inpatient adverse events in adults receiving hip joint replacement due to degenerative conditions 1.66
Inpatient adverse events in adults receiving hip joint replacement due to fracture 11.8
Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival 55.7
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults 2.27
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children 0.49
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair 29.3
Hospital patients with an anticoagulant-related adverse drug event to low-molecular-weight heparin (LMWH) and factor Xa 3.01
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, adults ages 18-89 or obstetric admissions 111.7
Deaths per 1,000 hospital admissions with expected low-mortality 0.31
Hospital patients with an anticoagulant-related adverse drug event to warfarin 5.73
Adverse drug event with IV heparin in adult hospital patients who received an anticoagulant 10.8
Hospital patients who received a hypoglycemic agent who had an adverse drug events with hypoglycemic agents 7.71
Emergency department visits with a principal diagnosis related to mental health only per 100,000 population 1345.6
Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population 712.5
Emergency department visits with a principal diagnosis related to dental conditions 312.9
Emergency department encounters for asthma, adults 535.1
Emergency department encounters for asthma, children ages 2-17 897.8
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
Infant mortality per 1,000 live births, birth weight 2,500 grams or more 2.00
Live-born infants with low birth weight (less than 2,500 g) 8.10
Infant mortality per 1,000 live births, birth weight less than 1,500 grams 217.1
Infant mortality per 1,000 live births, birth weights 1,500-2,499 grams 12.8