NationalHispanic Quality Measures Trend Over Time

Trending information is available for NHQDR quality measures with at least four years of data. The time span can vary across measures. Trends are only reported as improving or worsening if the average annual percent change is at least one percent and statistically significant.

Measures That Are Improving
MeasureAverage Annual Percent Change
Home health patients who had influenza vaccination during flu season-31.5
Long-stay nursing home residents with physical restraints-26.7
Long-stay nursing home residents with a urinary tract infection-21.1
Short-stay nursing home residents with moderate to severe pain-16.2
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-16.1
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine-15.3
Long-stay nursing home residents with moderate to severe pain-14.1
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-13.6
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined-13.4
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine-12.3
Home health care patients whose shortness of breath decreased-11.7
Short-stay nursing home patients with pressure ulcers that are new or worsened-10.8
Adults who filled four or more outpatient opioid prescriptions in the calendar year-10.8
Adults who filled an outpatient opioid prescription in the calendar year-8.7
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis-8.7
HIV infection deaths per 100,000 population-8.6
Long-stay nursing home residents have depressive symptoms-8.2
Home health care patients whose ability to get in and out of bed improved-8.0
Home health care patients whose management of oral medications improved-7.7
Home health care patients whose ability to walk or move around improved-7.2
People in fair or poor health with a specific source of ongoing care-6.6
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder-6.0
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine-5.8
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine-5.8
Adults who received a blood cholesterol measurement in the last 5 years-5.8
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine-5.8
Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults-5.5
Children who had their height and weight measured by a health provider within the past 2 years-5.5
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment-5.2
Adults with limited English proficiency who had a usual source of care-5.1
Short-stay nursing home residents who were assessed for pneumococcal vaccination-4.7
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always gave them easy-to-understand instructions about what to do for a specific illness or health conditions-4.7
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine-4.6
Children ages 19-35 months who received 1 or more doses of varicella vaccine-4.5
Home health care patients whose bathing improved-4.5
Children ages 0-17 with wellness checkup in the past 12 months-4.4
Short-stay nursing home patients who had flu vaccination appropriately given-4.3
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-4.1
Adults who tried to make an appointment for seeing a specialist in the last 12 months who sometimes or never found it easy to get the appointment-4.1
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-4.0
Long-stay nursing home residents whose need for help with daily activities increased-3.9
People with a specific source of ongoing care-3.8
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-3.7
Home health patients who had improvement in upper body dressing-3.5
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-3.4
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)-3.2
People under age 65 with health insurance-3.2
People who were unable to get or delayed in getting needed medical care in the last 12 months-3.2
Adult current smokers who had a doctor's office or clinic visit in the last 12 months who received advice to quit smoking from their providers-3.2
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over-3.1
Children ages 2-17 for whom a health provider gave advice within the past 2 years about eating healthy-3.1
People under age 65 who were uninsured all year-3.0
Adults who rated their healthcare received in the last 12 months as poor (0-6) on a scale of 0-10 (where 0 is the worst and 10 is the best)-3.0
High-risk, long-stay nursing home patients with pressure ulcer-2.9
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-2.8
New HIV cases per 100,000 population age 13 and over-2.8
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-2.6
Adults with obesity who ever received advice from a health professional to exercise more-2.6
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over-2.5
Adjusted incident rates of end stage renal disease (ESRD) due to diabetes per million population-2.5
Children ages 3-5 who ever had their vision checked by a health provider-2.5
Lung cancer deaths per 100,000 population per year-2.4
Adults age 65 and over who received an influenza vaccination in the last flu season-2.4
Persons age 13 and over living with HIV who know their serostatus-2.4
People who were unable to get or delayed in getting needed dental care in the last 12 months-2.4
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-2.4
People under age 65 with any period of uninsurance during the year-2.3
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-2.1
Adults age 65 and over who ever received pneumococcal vaccination-2.1
Children ages 6 months to 17 years who received influenza vaccination in the last flu season-2.1
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season-2.0
Adults ages 18 and over who received influenza vaccination in the last flu season-2.0
Children ages 19-35 months who received 3 or more doses of polio vaccine-2.0
Children ages 2-17 who had a dental visit in the calendar year-2.0
Children ages 2-17 who received a preventive dental service in the calendar year-1.8
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year-1.8
Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods-1.8
Infants born in the calendar year who received breastfeeding exclusively through 3 months-1.8
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access-1.8
People with a usual source of care who is somewhat to very difficulty to contact during regular business hours over the telephone-1.7
People who were unable to get or delayed in getting needed prescription medicines in the last 12 months-1.6
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-1.6
People unable to get or delayed in getting needed medical care due to financial or insurance reasons-1.6
Colorectal cancer deaths per 100,000 population per year-1.6
Infant mortality per 1,000 live births, birth weight 2,500 grams or more-1.6
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-1.5
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-1.4
People with a usual primary care provider-1.4
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-1.3
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-1.2
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-1.2
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy-1.1
Breast cancer deaths per 100,000 female population per year-1.1
Measures That Are Unchanged
MeasureAverage Annual Percent Change
Hospital patients who received a hypoglycemic agent who had an adverse drug events with hypoglycemic agents-14.9
Adults with limited English proficiency and usual source of care (USC) and the USC had language assistance-6.9
Home health care patients whose surgical wound was improved-3.8
Home health care patients whose pain when moving around decreased-3.7
Family caregivers who received right amount of emotional and spiritual supports from hospice care team-3.0
Home health patients who had improvement in toileting-2.8
Adolescent males ages 16-17 who received 3 or more doses of human papillomavirus (HPV) vaccine-2.6
Long-stay nursing home residents whose ability to move independently worsened-2.0
Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high-1.6
Long-stay nursing home residents who were assessed for pneumococcal vaccination-1.2
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always asked them to describe how they will follow the instructions-1.1
People with a usual source of care whose providers sometimes or never asked them to help make decisions when there was a choice between treatments-1.0
People unable to get or delayed in getting needed prescription medicines due to financial or insurance reasons-0.9
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them-0.9
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them-0.9
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination-0.8
Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms-0.7
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine-0.7
Family members who definitely received trainings about taking care their family member from hospice care team-0.7
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year-0.6
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-0.6
Women ages 50-74 who received a mammogram in the last 2 years-0.5
Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months-0.5
Family caregivers who would definitely recommend this hospice to their friends and family-0.5
People unable to get or delayed in getting needed dental care due to financial or insurance reasons-0.4
Adults who received a preventive dental service in the calendar year-0.3
Adults with a dental visit in the calendar year-0.3
Dialysis patients who were registered on a waiting list for transplantation-0.2
Adults who had a doctor's office or clinic visit in the last 12 months whose health providers always offered help in filling out forms-0.2
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team0.0
People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months0.1
Adults age 65 and over with any private health insurance0.1
People with a usual source of care who usually asks about prescription medications and treatments from other doctors0.1
People age 12 and over treated for substance abuse who completed treatment course0.2
People under age 65 with any private health insurance0.2
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)0.2
Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months0.2
People with a usual source of care, excluding hospital emergency rooms, who has office hours at night or on weekends0.2
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine0.3
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine0.3
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure0.4
People with current asthma who are now taking preventive medicine daily or almost daily (either oral or inhaler)0.7
Hospice patients and family caregivers who always got help as soon as they need from hospice care team0.7
Live-born infants with low birth weight (less than 2,500 g)0.7
Women ages 21-65 who received a Pap smear in the last 3 years0.8
People under age 65 whose family's health insurance premium and out-of-pocket medical expenditures were more than 10% of total family income0.8
Long-stay nursing home patients experiencing one or more falls with major injury0.8
People without a usual source of care who indicated a financial or insurance reason for not having a source of care0.9
Long-stay nursing home residents with too much weight loss1.0
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year1.1
Home health care patients who stayed at home after an episode of home health care1.1
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 treatment1.4
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 months2.8
Measures That Are Worsening
MeasureAverage Annual Percent Change
Home health care patients who had to be admitted to the hospital1.1
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year1.5
Suicide deaths among persons age 12 and over per 100,000 population2.2
Drug overdose deaths involving natural and semisynthetic opioids per 100,000 resident population2.8
Children who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist3.4
Drug overdose deaths involving any opioid per 100,000 resident population4.1
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder4.5
Home health care patients who had an emergency department visit without a hospitalization4.9
Home health care patients who had an emergency department visit and then hospitalized5.4
Emergency department visits for asthma per 10,000 population, ages 2-198.5
Drug overdose deaths involving other synthetic opioids (other than methadone) per 100,000 resident population17.8
Measures With No Available Trend Information or Supplemental Measures
MeasureAverage Annual Percent Change
Sepsis diagnoses per 1,000 elective-surgery admissions of length 4 or more days, adults
Adult surgery patients with catheter-associated urinary tract infection
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
Adult surgery patients with postoperative venous thromboembolic events
Postoperative acute kidney injury requiring dialysis per 1,000 elective surgical hospital discharges, adults
Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults
Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults
Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults
Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults
Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, children
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, adults ages 18-89 or obstetric admissions
Deaths per 1,000 hospital admissions with expected low-mortality
Adverse drug event with IV heparin in adult hospital patients who received an anticoagulant
Birth trauma - injury to neonate per 1,000 selected live births
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance
Obstetric trauma per 1,000 instrument-assisted deliveries
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults
Hospital admissions for short-term complications of diabetes per 100,000 population, adults
Hospital admissions for short-term complications of diabetes per 100,000 population, children ages 6-17
Hospital admissions for long-term complications of diabetes per 100,000 population, adults
Hospital admissions for lower extremity amputations per 1,000 population, adults age 18 and over with diabetes
Hospital admissions for asthma per 100,000 population, adults ages 18-39
Hospital admissions for asthma per 100,000 population, children ages 2-17
Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, children
Hospital admissions for hypertension per 100,000 population, adults age 18 and over
Hospital admissions for chronic obstructive pulmonary disease or asthma per 100,000 population, adults age 40 and over
Hospital admissions for community-acquired pneumonia per 100,000 population, adults age 18 and over
Hospital admissions for urinary tract infection (UTI) per 100,000 population, adults age 18 and over
Hospital admissions for urinary tract infection (UTI) per 100,000 population, children ages 3 months to 17 years
Hospital admissions for pediatric gastroenteritis per 100,000 population, children ages 3 months to 17 years
Adults with hypertension with blood pressure less than 140/90 mm/Hg
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI)
Hospital admissions for heart failure per 100,000 population
Deaths per 1,000 adult hospital admissions with heart failure
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, adults age 40 and over
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), adults age 40 and over
Adults age 40 and over with diabetes whose condition was diagnosed
Adults age 40 and over with diagnosed diabetes with blood pressure less than 130/80 mm Hg
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
Persons age 13 and over living with diagnosed HIV whose most recent viral load in the last 12 months was under 200 copies/mL
People age 12 and over with opioid (either prescription opioid or heroin) use disorder in the past year
Deaths per 1,000 adult hospital admissions with pneumonia
Persons with current asthma who received written asthma management plans from their healthcare provider
Children with obesity 2-19 years of age who had been told by a doctor or health professional that they were overweight
Adults with obesity age 20 and over who had been told by a doctor or health professional that they were overweight
Children ages 2-19 with obesity
Hospital admissions for immunization-preventable influenza per 100,000 population, adults age 65 and over
Home health patients who had pneumococcal polysaccharide vaccination