NebraskaState Snapshot for Ambulatory

In this comparison, the NHQDR measures for Nebraska for the most recent data year and the baseline year are compared to the average of all States.

Historically, the State Snapshots have included State-specific estimates for selected AHRQ Quality Indicators (QIs) based on Healthcare Cost and Utilization Project (HCUP) data. The 2018 QDR does not include State-specific QI estimates based on 2016 HCUP data because the International Classification of Diseases, Tenth Revision, Clinical Modification/Procedure Coding System version of the QI software used did not include risk adjustment. State-specific QIs will be reported in future QDRs when the estimates can be risk adjusted.

Measures Better Than Average in The Recent Year
Measure Recent Year Recent Rate Recent Performance Baseline Year Baseline Rate Baseline Performance
Ratio of observed deaths to expected deaths among Medicare hemodialysis patients 2017 0.9 Better than Average 2000 1.1 Average
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 2017 6.7 Better than Average 2010 4.3 Better than Average
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 2017 2.3 Better than Average 2010 4.2 Average
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 2017 2.9 Better than Average 2010 4.4 Average
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 2017 4.8 Better than Average 2011 5.7 Average
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 2017 2.7 Better than Average 2010 4.0 Average
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 2017 2.5 Better than Average 2010 4.2 Average
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 2017 9.2 Better than Average 2010 9.6 Average
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 2017 3.6 Better than Average 2010 5.6 Average
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 2017 4.0 Better than Average 2010 4.9 Average
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 2017 22.1 Better than Average 2010 50.9 Average
Dialysis patients who were registered on a waiting list for transplantation 2016 22.3 Better than Average 2000 16.4 Average
People age 12 and over treated for substance abuse who completed treatment course 2016 66.0 Better than Average 2008 48.4 Better than Average
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 2016 89.4 Better than Average 2000 82.5 Average
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year 2015 78.6 Better than Average 2013 71.7 Average
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year 2015 62.0 Better than Average 2013 56.8 Average
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season 2015 45.1 Better than Average 2013 41.4 Better than Average
Adults age 65 and over who received an influenza vaccination in the last flu season 2015 65.4 Better than Average 2013 66.2 Better than Average
Adults age 65 and over who ever received pneumococcal vaccination 2015 74.2 Better than Average 2013 71.8 Better than Average
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 2013 26.9 Better than Average 2000 24.5 Better than Average
Measures That Are Average in The Recent Year
Measure Recent Year Recent Rate Recent Performance Baseline Year Baseline Rate Baseline Performance
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 2017 7.0 Average 2011 3.8 Average
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 2017 3.2 Average Missing
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 2017 3.5 Average 2010 4.4 Average
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 2017 38.8 Average 2010 69.6 Worse than Average
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy 2016 37.4 Average 2012 36.4 Average
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 2016 94.0 Average 2000 88.0 Average
Children ages 19-35 months who received 3 or more doses of polio vaccine 2016 94.0 Average 2000 89.4 Average
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine 2016 78.9 Average 2008 25.4 Worse than Average
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 2016 93.7 Average 2000 91.5 Average
Children ages 19-35 months who received 1 or more doses of varicella vaccine 2016 91.2 Average 2000 63.5 Average
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine 2016 81.1 Average 2008 44.5 Average
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 2016 89.1 Average 2008 55.2 Better than Average
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 2016 83.3 Average 2008 21.3 Worse than Average
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 2015 65.8 Average 2013 63.2 Average
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year 2015 70.4 Average 2013 70.3 Average
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over 2015 11.0 Average 2004 9.7 Average
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 2015 87.0 Average 2004 95.1 Average
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination 2015 38.0 Average 2013 32.6 Average
Measures Worse Than Average in The Recent Year
Measure Recent Year Recent Rate Recent Performance Baseline Year Baseline Rate Baseline Performance
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher 2017 95.6 Worse than Average Missing
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access 2016 61.3 Worse than Average 2012 59.1 Average
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 2015 49.3 Worse than Average 2014 46.2 Worse than Average
Adults who received a blood cholesterol measurement in the last 5 years 2015 73.9 Worse than Average 2013 72.7 Worse than Average
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over 2015 74.0 Worse than Average 2004 102.9 Worse than Average