Nebraska Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures 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 - a State's value for a measure has not achieved 50% of the benchmark.
 
Close to benchmark - a State's 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 - a State's 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
Drug overdose deaths involving any opioid per 100,000 resident population 3.1 4.0 Achieved: 23% better
Adults who had a doctor´s office or clinic visit in the last 12 months who sometimes or never got advice to quit smoking from provider, Medicare managed care 22.1 27.7 Achieved: 20% better
Drug overdose deaths involving natural and semisynthetic opioids per 100,000 resident population 1.7 1.9 Achieved: 10% better
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist, Medicare fee-for-service 6.7 7.2 Achieved: 8% better
Home health care patients whose pain when moving around decreased 76.1 73.8 Achieved: 3% better
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, Medicare managed care 4.8 4.9 Achieved: 2% better
People age 12 and over treated for substance abuse who completed treatment course 66.0 65.2 Achieved: 1% better
Home health patients who had improvement in upper body dressing 78.1 77.4 Achieved: 1% better
Home health patients who had timely initiation of care 95.3 95.3 0.0%
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine 94.0 94.1 0.1%
Short-stay nursing home patients who had flu vaccination appropriately given 92.7 92.9 0.2%
Adults who had an appointment for routine health care in the last 12 months who sometimes or never got an appointments for routine care as soon as wanted, Medicare fee-for-service 9.6 9.5 0.6%
Short-stay home health patients who had diabetic foot care and patient education 97.9 98.6 0.7%
Family caregivers who received right amount of emotional and spiritual supports from hospice care team 90.3 90.9 0.7%
Home health patients who had influenza vaccination during flu season 84.2 84.8 0.7%
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher 95.6 96.5 0.9%
Home health care patients whose ability to walk or move around improved 70.8 71.5 1.0%
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 89.4 90.6 1.3%
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care 92.6 94.0 1.5%
Adults who reported that home health providers talk about pain in the last 2 months of care 89.8 91.2 1.6%
Stroke patients who received venous thromboembolism (VTE) prophylaxis 97.0 98.7 1.8%
Home health care patients whose ability to get in and out of bed improved 69.0 70.3 1.8%
Long-stay nursing home residents who were assessed for pneumococcal vaccination 96.0 98.0 2.0%
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis 94.9 97.0 2.2%
Adults who reported being told what care and services they would get when they first started getting home health care 89.3 91.3 2.2%
Adults who reported a home health provider talking with them about how to set up their home so they can move around safely when they first started getting home health care 78.3 80.1 2.2%
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them 89.9 92.1 2.3%
Ratio of observed deaths to expected deaths among Medicare hemodialysis patients 0.9 0.9 2.4%
Short-stay nursing home residents who were assessed for pneumococcal vaccination 93.0 95.3 2.4%
Stroke patients prescribed statin medication at hospital discharge 96.2 98.6 2.4%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 94.0 96.4 2.4%
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care 92.4 95.0 2.7%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 93.7 96.4 2.8%
Home health patients who had pneumococcal polysaccharide vaccination 83.3 86.1 3.3%
Hospital patients who received influenza vaccination 93.8 97.0 3.3%
Children ages 19-35 months who received 3 or more doses of polio vaccine 94.0 97.3 3.4%
Home health care patients whose bathing improved 72.8 75.4 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) 93.3 96.8 3.6%
Adults who reported that home health providers always seem informed and up-to-date about all the cares or treatments they got at home in the last 2 months of care 65.0 67.6 3.8%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care 88.5 92.5 4.3%
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 92.4 96.7 4.4%
Home health care patients whose shortness of breath decreased 73.6 77.0 4.5%
Home health care patients whose surgical wound was improved 84.1 80.3 4.7%
Children ages 19-35 months who received 1 or more doses of varicella vaccine 91.2 95.7 4.7%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined 90.7 95.3 4.8%
Rating of health care 0-6 on a scale from 0 (worst grade) to 10 (best grade) by adults who had a doctor´s office or clinic visit in the last 12 months, Medicare fee-for-service 9.2 8.8 5.0%
Family caregivers who would definitely recommend this hospice to their friends and family 83.8 88.4 5.2%
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, Medicare fee-for-service 4.0 3.8 5.5%
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season 45.1 47.8 5.6%
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) 79.2 83.9 5.6%
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them 78.5 83.3 5.7%
Adults age 65 and over who ever received pneumococcal vaccination 74.2 78.7 5.7%
Long-stay nursing home residents with too much weight loss 5.7 5.4 5.8%
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year 62.0 65.8 5.8%
Adults who reported that home health providers always kept them informed about when they would arrive at their home in the last 2 months of care 78.4 83.3 5.9%
Home health care patients who stayed at home after an episode of home health care 72.9 77.5 5.9%
Home health care patients whose management of oral medications improved 61.9 66.0 6.2%
Adults who reported that home health providers always explained things in a way that was easy to understand in the last 2 months of care 81.3 86.8 6.3%
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 89.1 95.2 6.4%
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year 78.6 84.0 6.5%
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 26.9 28.8 6.6%
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder 17.8 16.7 6.6%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care 81.9 87.9 6.9%
Adults age 65 and over who received an influenza vaccination in the last flu season 65.4 70.3 7.0%
Persons age 13 and over living with HIV who know their serostatus 85.1 91.9 7.4%
Hospice patients and family caregivers who always got help as soon as they need from hospice care team 76.1 82.3 7.6%
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team 73.0 79.0 7.6%
Family members who definitely received trainings about taking care their family member from hospice care team 72.2 78.4 7.9%
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 3.5 3.2 8.0%
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, Medicare fee-for-service 2.9 2.7 8.7%
High-risk, long-stay nursing home patients with pressure ulcer 3.7 3.4 8.8%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital 8.5 7.8 9.5%
Adults who reported a home health provider talking with them about all the prescription and over-the-counter medicines they were taking when they first started getting home health care 79.7 88.2 9.7%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Adults who received a blood cholesterol measurement in the last 5 years 73.9 82.3 10.2%
Acute stroke patients for whom IV thrombolytic therapy was initiated at hospital within 3 hours of time last known well 83.2 92.9 10.5%
Adult hospital patients who did not receive good communication about discharge information 8.6 7.7 11.4%
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year 70.4 79.5 11.4%
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 wanted, Medicare fee-for-service 6.3 5.6 11.7%
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, Medicare fee-for-service 3.5 3.2 12.0%
Adults who reported that home health providers talked with them about the purpose for taking their new or changed prescription medicines in the last 2 months of care 31.6 35.9 12.1%
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 65.8 75.2 12.5%
Long-stay nursing home residents with physical restraints 0.3 0.2 13.0%
Breast cancer deaths per 100,000 female population per year 20.1 17.8 13.0%
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 83.3 95.9 13.2%
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, Medicare managed care 2.7 2.4 13.8%
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care 29.0 33.9 14.4%
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine 81.1 95.4 15.0%
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination 38.0 44.8 15.2%
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access 61.3 72.8 15.8%
Adults who reported a home health provider asking to see all the prescription and over-the-counter medicines they were taking, when they first started getting home health care 71.1 85.5 16.9%
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine 78.9 96.2 17.9%
Hospital patients who received pneumococcal immunization 78.4 97.2 19.3%
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care 24.5 30.4 19.5%
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 87.0 72.8 19.5%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers 19.0 23.8 20.3%
Adults home health patients age 18 and over who reported that home health providers talked with them about the side effects of medicines in the last 2 months of care 23.4 29.5 20.8%
Dialysis patients who were registered on a waiting list for transplantation 22.3 28.2 20.9%
Persons age 13 and over living with diagnosed HIV whose most recent viral load in the last 12 months was under 200 copies/mL 60.2 76.1 20.9%
Adults who had an appointment for routine health care in the last 12 months who sometimes or never got an appointments for routine care as soon as wanted, Medicare managed care 10.0 8.3 21.4%
Colorectal cancer deaths per 100,000 population per year 14.2 11.5 23.1%
New HIV cases per 100,000 population age 13 and over 5.2 4.2 23.8%
Long-stay nursing home residents whose ability to move independently worsened 17.1 13.7 24.5%
Home health care patients who had to be admitted to the hospital 22.1 17.7 24.6%
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 49.3 66.2 25.6%
Home health care patients who had an emergency department visit and then hospitalized 17.1 13.5 26.3%
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, Medicare managed care 3.6 2.8 29.8%
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, Medicare managed care 2.5 1.9 30.2%
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy 37.4 54.1 30.8%
Emergency department visits involving opioid-related diagnoses per 100,000 population 85.8 65.2 31.5%
Long-stay nursing home residents whose need for help with daily activities increased 14.0 10.6 31.8%
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, Medicare fee-for-service 3.2 2.4 33.9%
Long-stay nursing home residents with a urinary tract infection 4.4 3.3 34.5%
Adults who had a doctor´s office or clinic visit in the last 12 months who sometimes or never got advice to quit smoking from provider, Medicare fee-for-service 38.8 28.8 34.7%
Lung cancer deaths per 100,000 population per year 37.5 27.5 36.6%
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, Medicare managed care 2.3 1.7 38.6%
Short-stay nursing home patients with pressure ulcers that are new or worsened 0.4 0.3 39.3%
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder 3.7 2.5 43.7%
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over 11.0 7.6 45.5%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population 160.2 102.9 55.7%
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over 74.0 47.2 56.9%
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, Medicare fee-for-service 7.0 4.4 60.0%
Suicide deaths among persons age 12 and over per 100,000 population 15.8 9.4 68.4%
Short-stay nursing home residents with moderate to severe pain 18.5 10.8 71.0%
Drug overdose deaths involving other synthetic opioids (other than methadone) per 100,000 resident population 1.3 0.7 78.1%
Home health care patients who had an emergency department visit without a hospitalization 5.1 2.9 78.7%
Long-stay nursing home patients experiencing one or more falls with major injury 0.9 0.4 131.7%
Long-stay nursing home residents with moderate to severe pain 12.1 4.7 156.6%
Long-stay nursing home residents have depressive symptoms 4.4 1.1 283.5%
Measures With No Available Benchmark Information or Supplemental Measures
Measure Estimate Benchmark Distance to Benchmark
Patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it 1.8
Short-stay home health patients who had drug education on all medications 97.6
Median time in minutes patients who came to the emergency department with broken bones had to wait before getting pain medication 40.0
Median time in minutes spent in the emergency department (ED) from ED arrival to ED departure for admitted patients 211.0
Median time in minutes patients with psychiatric or mental health conditions spent at emergency department (ED) from ED arrival to ED departure 142.0
Median time in minutes spent in the emergency department (ED) from admission decision to ED departure for admitted patients 76.0
Median time in minutes patients spent at emergency department (ED) from ED arrival to ED departure 114.0
Median time in minutes patients spent in the emergency department before they were seen by a healthcare professional 19.0
Tamoxifen or third generation aromatase inhibitor was recommended or administered within 1 year of diagnosis for women with AJCC T1cN0M0 or stage IB to stage III hormone receptor-positive breast cancer 90.3
Median time in minutes outpatients with chest pain or possible heart attack who got drugs to break up blood clots after arrival 30.0
Median time in minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital and did not have contraindication to fibrinolytic 60.0
Median time in minutes outpatients with chest pain or possible heart attack from emergency department arrival to get ECG 7.0
Outpatients with chest pain or possible heart attack who received fibrinolytic therapy within 30 minutes of arrival 50.7
Adjuvant chemotherapy was recommended or administered within 4 months of diagnosis for patients under the age of 80 with AJCC Stage III lymph node positive colon cancer 85.4
Combination chemotherapy was recommended or administered within 4 months of diagnosis for women under 70 with AJCC T1cN0MO or Stage IB-III hormone receptor negative breast cancer 91.7
Composite measure: Cancer deaths per 100,000 population per year for all cancers 153.6
Patients who came to the emergency department (ED) with stroke symptoms and received head CT or MRI who received the interpretation of the results within 45 minutes of ED arrival 78.0
Percent of hemodialysis patients whose hemoglobin level is less than 10 g/dL 12.7
New AIDS cases per 100,000 population age 13 and over 3.0
Patients with end stage renal disease due to diabetes 47.3
Composite measure: Adults ages 50-75 who received any type of colorectal cancer screening 65.2
Children ages 19-35 months who received 4 or more doses of pneumococcal conjugate vaccine 88.1
Children ages 19-35 months who received full series Haemophilus influenzae type B 87.2
Composite measure: Children ages 19-35 months who received all recommended vaccines 80.6
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine 38.0
Adolescents ages 13-15 years (excluding adolescents who have had varicella) vaccinated with at least 2 doses of varicella 90.1
HRSA supported health centers clinic visits where services were provided by a physician 28.1
Patients treated at HRSA supported health center who had at least one visit for vision service 0.2
Children aged 2 years treated at a HRSA supported health center who received age appropriate vaccines. 60.3
Patients treated at HRSA supported health center who had at least one visit for mental health service 11.2
Patients treated at HRSA supported health center who had at least one visit for substance abuse service 0.4
Patients treated at HRSA supported health center who had at least one visit for dental service 28.9
Patients treated at HRSA supported health center whose had at least one visit for medical service 79.8
Patients 18 to 75 diagnosed with type I or type II diabetes with Hba1c 9% or lower 70.3
Adults ages 18 to 85 treated at a HRSA supported health centers with diagnosed hypertension whose last blood pressure was less than 140/90 63.0
Adults treated at a HRSA supported health centers who received weight screening and follow-up 74.5
Patients ages 5-40 treated at a HRSA supported health centers with diagnosed asthma who have an acceptable pharmacological treatment plan 93.8
Tobacco users aged 18 and above who were screened for tobacco use and received cessation advice or medication 93.6
People who needed to see a doctor but could not because of cost in the past 12 months 11.5
Adults treated at a HRSA supported health centers with appropriate screening for colorectal cancer 31.9
Children ages 3-17 treated at a HRSA supported health centers who received weight screening and follow-up 84.0
Composite measure: Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, Medicare man 2.8
Composite measure: Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, Medicare fee 3.4
Adult hospital patients who strongly agree that they understood the purpose for taking each of their medications after discharge 54.7
Hospitals with computerized system that supports medication lists 84.0
Hospitals with computerized system that supports drug decision 85.3
Adult hospital patients who always had good communication with nurses in the hospital 82.2
Adult hospital patients who strongly agree that they understood how to manage their health after discharge 57.2
Adult hospital patients who always had good communication with doctors in the hospital 82.7
Adults who received outpatient mental health treatment or counseling in the last 12 months 6.6
Ryan-White HIV patients with at least one HIV care visit and at least one ambulatory visit date and prescribed HIV ART during the year 97.7
Hospitals with computerized system that allows for decision support 62.5
Hospitals with computerized system that allows for computerized provider order entry including nursing orders 80.0
Adults who received prescription medications for mental health treatment in the last 12 months 13.8
Patients who received appropriate care for severe sepsis and septic shock 44.2
Hospitals with computerized system that allows for computerized provider order entry 66.0
Ryan-White HIV patients with at least one HIV care visit and at least 2 ambulatory visit dates at least 90 days apart during the year 82.9
Hospitals with computerized system that allows for results viewing 64.0
Hospitals with computerized system that allows for results viewing including diagnostic test results 76.0
Hospitals with computerized system that allows for computerized provider order entry including consultant requests 68.0
Hospitals with computerized system that allows for computerized provider order entry including medications 78.0
Adults who received mental health treatment or counseling in the last 12 months 16.3
Hospitals with fully implemented electronic medical record system 37.2
Ryan-White HIV patients with at least one HIV care visit and most recent viral load <200 during the year 90.6
Hospitals with computerized system that allows for computerized provider order entry including radiology tests 74.0
Hospitals with computerized system that allows for decision support including drug-drug interaction alerts 87.7
Hospitals with computerized system that allows for results viewing including laboratory reports 94.0
Hospitals with computerized system that allows for decision support including drug dosing support 76.0
Hospitals with computerized system that allows for decision support including clinical guidelines 71.4
Hospitals with computerized system that allows for electronic clinical documentation including medication lists 90.0
Hospitals with computerized system that allows for decision support including clinical reminders 68.0
Hospitals with computerized system that supports pharmaceutical bar coding 65.1
Hospitals with computerized system that allows for electronic clinical documentation including physician notes 74.0
Hospitals with computerized system that allows for results viewing including radiology reports 88.0
Hospitals with computerized system that allows for results viewing including radiology images 78.0
Hospitals with computerized system that allows for decision support including drug allergy alerts 90.0
Hospitals with computerized system that allows for electronic clinical documentation including discharge summaries 86.0
Hospitals with computerized system that allows for decision support including drug-lab interaction alerts 78.0
Hospitals with computerized system that allows for electronic clinical documentation 70.0
Hospitals with computerized system that allows for electronic clinical documentation including problem lists 90.0
Hospitals with computerized system that allows for results viewing including consultant reports 72.0
Hospitals with computerized system that allows for electronic clinical documentation including advanced directives 90.0
Hospitals with computerized system that allows for electronic clinical documentation including nursing notes 88.0
Hospitals with computerized system that allows for results viewing including diagnostic test images 72.0
Hospitals with computerized system that allows for computerized provider order entry including laboratory test 74.0