NebraskaBlack Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to Black 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 Population Estimate Benchmark Distance to Benchmark
Long-stay nursing home patients experiencing one or more falls with major injury Black 0.0 0.4 Achieved: 100% better
Long-stay nursing home residents whose ability to move independently worsened Black 9.3 13.7 Achieved: 32% better
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year Black 74.9 65.8 Achieved: 14% better
Long-stay nursing home residents whose need for help with daily activities increased Black 9.7 10.6 Achieved: 9% better
Home health care patients whose surgical wound was improved Black 76.2 80.3 Achieved: 5% better
Home health care patients whose pain when moving around decreased Black 77.4 73.8 Achieved: 5% better
Home health care patients whose management of oral medications improved Black 68.1 66.0 Achieved: 3% better
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care Black 34.8 33.9 Achieved: 3% better
Home health care patients whose ability to walk or move around improved Black 72.1 71.5 Achieved: 1% better
Adults who reported that home health providers talk about pain in the last 2 months of care Black 91.3 91.2 -0.1%
Short-stay home health patients who had diabetic foot care and patient education Black 97.8 98.6 0.8%
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 Black 84.8 85.5 0.8%
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 Black 78.3 80.1 2.2%
Adults who reported being told what care and services they would get when they first started getting home health care Black 89.1 91.3 2.4%
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 Black 65.7 67.6 2.8%
Home health patients who had improvement in upper body dressing Black 75.2 77.4 2.8%
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 Black 84.8 88.2 3.9%
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care Black 91.3 95.0 3.9%
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 Black 34.3 35.9 4.5%
Home health care patients whose bathing improved Black 71.9 75.4 4.6%
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 Black 79.1 83.3 5.0%
Long-stay nursing home residents who were assessed for pneumococcal vaccination Black 92.7 98.0 5.4%
Home health care patients whose ability to get in and out of bed improved Black 66.1 70.3 5.9%
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care Black 88.3 94.0 6.1%
Short-stay nursing home residents who were assessed for pneumococcal vaccination Black 89.1 95.3 6.5%
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 Black 80.9 86.8 6.8%
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine Black 87.5 94.1 7.0%
Short-stay nursing home patients who had flu vaccination appropriately given Black 86.1 92.9 7.3%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care Black 81.3 87.9 7.6%
Home health care patients whose shortness of breath decreased Black 71.0 77.0 7.8%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care Black 85.2 92.5 7.9%
Adults who received a blood cholesterol measurement in the last 5 years Black 75.1 82.3 8.7%
Adult hospital patients who did not receive good communication about discharge information Black 8.4 7.7 8.8%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital Black 8.5 7.8 9.5%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Home health patients who had influenza vaccination during flu season Black 75.8 84.8 10.6%
Adults age 65 and over who received an influenza vaccination in the last flu season Black 61.5 70.3 12.5%
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season Black 41.0 47.8 14.2%
Home health care patients who stayed at home after an episode of home health care Black 66.4 77.5 14.3%
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 Black 25.2 29.5 14.7%
Adults age 65 and over who ever received pneumococcal vaccination Black 65.7 78.7 16.5%
Home health patients who had pneumococcal polysaccharide vaccination Black 71.6 86.1 16.9%
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care Black 24.8 30.4 18.5%
Long-stay nursing home residents with a urinary tract infection Black 4.0 3.3 21.8%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers Black 16.5 23.8 30.8%
Long-stay nursing home residents with too much weight loss Black 7.2 5.4 33.8%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination Black 21.5 44.8 52.0%
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 Black 5.2 3.2 60.5%
Home health care patients who had to be admitted to the hospital Black 28.9 17.7 62.9%
Home health care patients who had an emergency department visit and then hospitalized Black 22.6 13.5 66.9%
Short-stay nursing home residents with moderate to severe pain Black 19.0 10.8 75.6%
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder Black 4.6 2.5 80.7%
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder Black 34.0 16.7 103.6%
Home health care patients who had an emergency department visit without a hospitalization Black 6.3 2.9 119.2%
Long-stay nursing home residents with moderate to severe pain Black 11.6 4.7 146.8%
Long-stay nursing home residents have depressive symptoms Black 3.9 1.1 240.9%
Measures With No Available Benchmark Information or Supplemental Measures
Measure Population Estimate Benchmark Distance to Benchmark
Short-stay home health patients who had drug education on all medications Black 97.7
Composite measure: Adults ages 50-75 who received any type of colorectal cancer screening Black 69.9
People who needed to see a doctor but could not because of cost in the past 12 months Black 20.2
Adult hospital patients who always had good communication with nurses in the hospital Black 84.7
Adult hospital patients who always had good communication with doctors in the hospital Black 85.9
Adult hospital patients who strongly agree that they understood how to manage their health after discharge Black 61.2
Adult hospital patients who strongly agree that they understood the purpose for taking each of their medications after discharge Black 58.7