NebraskaHigh Income Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to High Income 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
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season High 55.4 47.8 Achieved: 16% better
Emergency department visits involving opioid-related diagnoses per 100,000 population High 55.7 65.2 Achieved: 15% better
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year High 67.2 65.8 Achieved: 2% better
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year High 83.9 84.0 0.2%
Adults age 65 and over who received an influenza vaccination in the last flu season High 70.1 70.3 0.3%
Adults who received a blood cholesterol measurement in the last 5 years High 81.2 82.3 1.3%
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year High 77.9 79.5 2.0%
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population High 105.0 102.9 2.1%
Adults age 65 and over who ever received pneumococcal vaccination High 75.8 78.7 3.7%
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination High 42.8 44.8 4.5%
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year High 68.4 75.2 9.0%
Measures With No Available Benchmark Information or Supplemental Measures
Measure Population Estimate Benchmark Distance to Benchmark
Composite measure: Adults ages 50-75 who received any type of colorectal cancer screening High 72.9
People who needed to see a doctor but could not because of cost in the past 12 months High 3.8