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
Long-stay nursing home residents with physical restraints 0.2 0.3 Achieved: 22% better
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never showed respect for what they had to say, Medicare fee-for-service 2.0 2.4 Achieved: 19% better
Drug overdose deaths involving any opioid per 100,000 resident population 3.3 4.0 Achieved: 18% better
Adults who needed care right away for an illness, injury, or condition in the last 6 or 12 months who sometimes or never got care as soon as wanted, Medicare fee-for-service 4.6 5.6 Achieved: 18% better
People age 12 and over treated for substance abuse who completed treatment course 70.5 65.2 Achieved: 8% better
Home health patients who had influenza vaccination during flu season 97.7 94.1 Achieved: 4% better
Home health care patients whose pain when moving around decreased 77.6 75.1 Achieved: 3% better
Home health care patients whose ability to get in and out of bed improved 74.9 72.6 Achieved: 3% better
Home health patients who had improvement in upper body dressing 81.2 79.3 Achieved: 2% better
Home health care patients whose ability to walk or move around improved 75.8 74.2 Achieved: 2% better
Short-stay nursing home patients who had flu vaccination appropriately given 93.5 92.2 Achieved: 1% better
Adults age 65 and over who ever received pneumococcal vaccination 79.8 78.7 Achieved: 1% better
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 96.9 95.9 Achieved: 1% better
Adults who received a blood cholesterol measurement in the last 5 years 82.7 82.3 Achieved: 1% better
Drug overdose deaths involving natural and semisynthetic opioids per 100,000 resident population 1.9 1.9 Achieved: 1% better
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 80.3 80.1 -0.2%
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine 93.7 93.9 0.3%
Family caregivers who received right amount of emotional and spiritual supports from hospice care team 90.7 90.9 0.3%
Home health patients who had pneumococcal polysaccharide vaccination 90.7 91.0 0.4%
Home health patients who had improvement in toileting 78.6 78.9 0.4%
Adults who had an appointment for routine health care in the last 6 or 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%
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care 93.4 94.0 0.7%
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 28.6 28.8 0.7%
Home health care patients whose bathing improved 77.5 78.2 0.9%
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them 91.1 92.1 1.0%
Adults who reported being told what care and services they would get when they first started getting home health care 90.3 91.3 1.1%
Adult hemodialysis patients with adequate dialysis - (Kt/V) 1.2 or higher 95.3 96.5 1.2%
Adults who reported that home health providers talk about pain in the last 2 months of care 90.0 91.2 1.4%
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 8.9 8.8 1.6%
Home health care patients whose shortness of breath decreased 76.8 78.4 2.0%
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care 93.0 95.0 2.1%
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over 7.9 7.7 2.3%
Children ages 19-35 months who received 1 or more doses of varicella vaccine 93.4 95.7 2.4%
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis 93.8 96.2 2.5%
Children ages 19-35 months who received 3 or more doses of polio vaccine 94.8 97.3 2.5%
Home health care patients whose management of oral medications improved 64.5 66.2 2.6%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 93.7 96.4 2.8%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 93.7 96.4 2.8%
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season 46.2 47.8 3.3%
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 65.3 67.6 3.4%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care 89.3 92.5 3.4%
Home health care patients who stayed at home after an episode of home health care 82.5 85.5 3.6%
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) 92.9 96.4 3.6%
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them 79.8 83.3 4.2%
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 86.4 90.6 4.6%
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) 79.9 83.9 4.8%
Hospital patients who received influenza vaccination 91.9 96.6 4.9%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined 90.7 95.4 4.9%
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 78.8 83.3 5.4%
Family caregivers who would definitely recommend this hospice to their friends and family 83.6 88.4 5.5%
Long-stay nursing home residents who were assessed for pneumococcal vaccination 91.4 97.0 5.8%
Short-stay nursing home residents who were assessed for pneumococcal vaccination 86.0 91.4 5.9%
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team 74.3 79.0 5.9%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care 82.7 87.9 6.0%
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 89.2 95.2 6.3%
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 81.1 86.8 6.5%
Hospice patients and family caregivers who always got help as soon as they need from hospice care team 76.8 82.3 6.7%
Home health care patients whose surgical wound was improved 86.6 93.1 7.0%
Persons age 13 and over living with HIV who know their serostatus 85.1 91.9 7.4%
Adults age 65 and over who received an influenza vaccination in the last flu season 65.1 70.3 7.4%
Adults who needed to see a specialist in the last 6 or 12 months who sometimes or never found it easy to see a specialist, Medicare fee-for-service 7.8 7.2 7.7%
Women ages 21-65 who received a Pap smear in the last 3 years 77.6 84.2 7.8%
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination 41.3 44.8 7.9%
Family members who definitely received trainings about taking care their family member from hospice care team 71.7 78.4 8.5%
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never spent enough time with them, Medicare fee-for-service 4.2 3.8 8.6%
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine 87.7 96.2 8.8%
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 80.1 88.2 9.2%
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year 76.1 84.0 9.4%
Breast cancer deaths per 100,000 female population per year 19.5 17.8 9.7%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder 69.6 63.0 10.5%
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 managed care 8.0 7.2 11.7%
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 66.1 75.2 12.1%
Adult hospital patients who did not receive good communication about discharge information 8.7 7.7 12.7%
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine 82.9 95.4 13.1%
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access 63.1 72.8 13.3%
Women ages 50-74 who received a mammogram in the last 2 years 73.4 84.7 13.4%
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year 56.9 65.8 13.6%
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 30.8 35.9 14.3%
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year 68.0 79.5 14.4%
High-risk, long-stay nursing home patients with pressure ulcer 3.5 3.0 15.9%
New HIV cases per 100,000 population age 13 and over 4.9 4.2 16.7%
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care 28.2 33.9 16.8%
Persons age 13 and over living with diagnosed HIV whose most recent viral load in the last 12 months was under 200 copies/mL 63.1 76.1 17.1%
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 70.0 85.5 18.1%
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 87.3 73.8 18.3%
Long-stay nursing home residents whose ability to move independently worsened 24.5 20.7 18.4%
Long-stay nursing home residents with too much weight loss 5.6 4.7 18.5%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital 9.2 7.8 18.6%
Colorectal cancer deaths per 100,000 population per year 13.7 11.5 18.7%
Long-stay nursing home residents with a urinary tract infection 3.3 2.8 18.9%
Dialysis patients who were registered on a waiting list for transplantation 22.7 28.2 19.4%
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 3.9 3.2 20.2%
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 23.1 29.5 21.8%
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care 23.6 30.4 22.4%
Home health care patients who had an emergency department visit and then hospitalized 10.9 8.9 23.0%
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never listened carefully to them, Medicare fee-for-service 3.9 3.2 23.1%
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 50.5 66.2 23.8%
Emergency department visits involving opioid-related diagnoses per 100,000 population 80.8 65.2 23.8%
Home health care patients who had to be admitted to the hospital 13.1 10.5 24.8%
Hemodialysis patients whose hemoglobin level is less than 10 g/dL 20.2 16.1 25.2%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers 17.7 23.8 25.8%
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never explained things in a way they could understand, Medicare fee-for-service 3.3 2.7 26.4%
Ratio of observed deaths to expected deaths among hemodialysis patients 1.1 0.9 27.1%
Short-stay nursing home patients with pressure ulcers that are new or worsened 0.4 0.3 29.0%
Infants born in the calendar year who received breastfeeding exclusively through 3 months 44.9 63.6 29.4%
Lung cancer deaths per 100,000 population per year 35.8 27.5 30.4%
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%
Long-stay nursing home residents whose need for help with daily activities increased 22.6 17.1 32.3%
Adults who had a doctor's office or clinic visit in the last 6 or 12 months who sometimes or never got advice to quit smoking from provider, Medicare fee-for-service 40.3 28.8 39.8%
Short-stay nursing home residents with moderate to severe pain 15.5 10.5 47.6%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
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 6.7 4.4 52.5%
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population 168.5 102.9 63.8%
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over 79.9 48.6 64.4%
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder 3.4 2.1 64.6%
Home health care patients who had an emergency department visit without a hospitalization 4.8 2.8 69.6%
Long-stay nursing home patients experiencing one or more falls with major injury 0.7 0.4 69.8%
Suicide deaths among persons age 12 and over per 100,000 population 17.7 9.4 88.7%
Drug overdose deaths involving other synthetic opioids (other than methadone) per 100,000 resident population 1.4 0.7 90.4%
People age 12 and over with opioid (either prescription opioid or heroin) use disorder in the past year 0.6 0.3 100.0%
Long-stay nursing home residents with moderate to severe pain 11.7 4.3 170.0%
Long-stay nursing home residents have depressive symptoms 3.4 1.1 200.0%
Measures With No Available Benchmark Information
Measure Estimate Benchmark Distance to Benchmark
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine
Adults who had an appointment for routine health care in the last 6 months who sometimes or never got an appointments for routine care as soon as wanted, Medicaid
Adults who had an appointment for routine health care in the last 6 or 12 months who sometimes or never got an appointments for routine care as soon as wanted, Medicare managed care
Adults who needed care right away for an illness, injury, or condition in the last 6 months who sometimes or never got care as soon as wanted, Medicaid
Adults who needed care right away for an illness, injury, or condition in the last 6 or 12 months who sometimes or never got care as soon as wanted, Medicare managed care
Adults who needed to see a specialist in the last 6 or 12 months who sometimes or never found it easy to see a specialist, Medicare managed care
Adults who needed to see a specialist in the last 6 months who sometimes or never found it easy to see a specialist, Medicaid
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
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never listened carefully to them, Medicare managed care
Adults who had a doctor's office or clinic visit in the last 6 months whose health providers sometimes or never listened carefully to them, Medicaid
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never explained things in a way they could understand, Medicare managed care
Adults who had a doctor's office or clinic visit in the last 6 months whose health providers sometimes or never explained things in a way they could understand, Medicaid
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never showed respect for what they had to say, Medicare managed care
Adults who had a doctor's office or clinic visit in the last 6 months whose health providers sometimes or never showed respect for what they had to say, Medicaid
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never spent enough time with them, Medicare managed care
Adults who had a doctor's office or clinic visit in the last 6 months whose health providers sometimes or never spent enough time with them, Medicaid
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, Medicaid
Adults who had a doctor's office or clinic visit in the last 6 months who sometimes or never got advice to quit smoking from provider, Medicaid
Adults who had a doctor's office or clinic visit in the last 6 or 12 months who sometimes or never got advice to quit smoking from provider, Medicare managed care