Nevada 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
Short-stay nursing home patients with pressure ulcers that are new or worsened 0.3 0.3 Achieved: 4% better
Long-stay nursing home residents with too much weight loss 5.3 5.4 Achieved: 1% better
Stroke patients prescribed statin medication at hospital discharge 98.5 98.6 0.1%
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher 96.3 96.5 0.2%
Stroke patients who received venous thromboembolism (VTE) prophylaxis 98.4 98.7 0.3%
Short-stay home health patients who had diabetic foot care and patient education 97.6 98.6 1.0%
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) 95.8 96.8 1.0%
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 73.6 72.8 1.1%
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment 94.3 95.4 1.2%
Hospital patients who received influenza vaccination 94.4 97.0 2.7%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined 92.3 95.3 3.1%
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care 91.1 94.0 3.1%
Home health patients who had timely initiation of care 92.2 95.3 3.3%
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care 91.7 95.0 3.5%
Family caregivers who would definitely recommend this hospice to their friends and family 84.9 88.4 4.0%
Family caregivers who received right amount of emotional and spiritual supports from hospice care team 87.3 90.9 4.0%
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them 88.3 92.1 4.1%
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 92.5 96.7 4.3%
Acute stroke patients for whom IV thrombolytic therapy was initiated at hospital within 3 hours of time last known well 88.8 92.9 4.4%
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine 89.9 94.1 4.5%
Adults who reported that home health providers talk about pain in the last 2 months of care 87.0 91.2 4.7%
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) 80.0 83.9 4.7%
Adults who reported being told what care and services they would get when they first started getting home health care 87.0 91.3 4.7%
Home health care patients whose pain when moving around decreased 70.0 73.8 5.1%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care 87.6 92.5 5.3%
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 81.6 86.8 6.0%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 90.5 96.4 6.1%
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them 78.1 83.3 6.2%
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 82.6 88.2 6.4%
Long-stay nursing home residents with a urinary tract infection 3.5 3.3 6.7%
Family members who definitely received trainings about taking care their family member from hospice care team 73.1 78.4 6.7%
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 77.4 83.3 7.1%
Children ages 19-35 months who received 3 or more doses of polio vaccine 90.4 97.3 7.1%
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team 73.4 79.0 7.1%
Hospice patients and family caregivers who always got help as soon as they need from hospice care team 76.4 82.3 7.2%
Home health care patients whose bathing improved 69.9 75.4 7.2%
Children ages 19-35 months who received 1 or more doses of varicella vaccine 88.5 95.7 7.6%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care 81.0 87.9 7.9%
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 78.6 85.5 8.1%
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis 89.1 97.0 8.2%
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 87.3 95.2 8.3%
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 68.9 75.2 8.3%
Home health care patients who stayed at home after an episode of home health care 71.0 77.5 8.4%
Adults age 65 and over who ever received pneumococcal vaccination 72.0 78.7 8.5%
Home health care patients who had an emergency department visit without a hospitalization 3.1 2.9 9.1%
Home health care patients whose management of oral medications improved 60.0 66.0 9.1%
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 82.0 90.6 9.5%
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 86.7 95.9 9.6%
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 72.4 80.1 9.6%
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over 51.7 47.2 9.6%
Home health patients who had improvement in upper body dressing 69.7 77.4 9.9%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Home health care patients whose surgical wound was improved 88.4 80.3 10.0%
Long-stay nursing home residents who were assessed for pneumococcal vaccination 87.9 98.0 10.3%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 86.2 96.4 10.5%
Persons age 13 and over living with HIV who know their serostatus 82.1 91.9 10.7%
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access 64.8 72.8 10.9%
Adults who received a blood cholesterol measurement in the last 5 years 73.1 82.3 11.1%
Short-stay nursing home residents who were assessed for pneumococcal vaccination 84.5 95.3 11.3%
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care 26.4 30.4 13.2%
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 31.1 35.9 13.4%
Home health care patients whose ability to get in and out of bed improved 60.8 70.3 13.5%
Home health care patients whose shortness of breath decreased 66.6 77.0 13.6%
Home health care patients whose ability to walk or move around improved 61.5 71.5 14.0%
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 25.2 29.5 14.7%
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care 28.9 33.9 14.7%
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine 80.9 95.4 15.2%
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 57.3 67.6 15.2%
Home health patients who had influenza vaccination during flu season 71.8 84.8 15.3%
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year 69.3 84.0 17.5%
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination 36.9 44.8 17.7%
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year 65.2 79.5 18.0%
Home health patients who had pneumococcal polysaccharide vaccination 70.4 86.1 18.3%
Short-stay nursing home patients who had flu vaccination appropriately given 73.6 92.9 20.8%
Adults age 65 and over who received an influenza vaccination in the last flu season 55.4 70.3 21.2%
Breast cancer deaths per 100,000 female population per year 21.6 17.8 21.5%
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine 75.4 96.2 21.6%
Ratio of observed deaths to expected deaths among Medicare hemodialysis patients 1.0 0.9 22.4%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers 17.0 23.8 28.7%
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year 45.9 65.8 30.3%
Home health care patients who had an emergency department visit and then hospitalized 17.8 13.5 31.5%
Long-stay nursing home patients experiencing one or more falls with major injury 0.5 0.4 31.7%
People age 12 and over treated for substance abuse who completed treatment course 42.8 65.2 34.4%
Long-stay nursing home residents whose need for help with daily activities increased 14.3 10.6 34.7%
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 39.6 28.8 37.5%
Lung cancer deaths per 100,000 population per year 38.0 27.5 38.4%
Home health care patients who had to be admitted to the hospital 24.8 17.7 39.8%
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season 28.1 47.8 41.2%
Hospital patients who received pneumococcal immunization 55.3 97.2 43.1%
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 39.7 27.7 43.3%
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy 30.3 54.1 44.0%
Colorectal cancer deaths per 100,000 population per year 16.9 11.5 46.4%
Short-stay nursing home residents with moderate to severe pain 15.9 10.8 47.0%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital 11.5 7.8 48.2%
Long-stay nursing home residents whose ability to move independently worsened 20.6 13.7 49.9%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over 12.0 7.6 58.7%
Adult hospital patients who did not receive good communication about discharge information 12.4 7.7 60.6%
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 11.0 28.8 61.7%
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 15.7 9.5 64.8%
Dialysis patients who were registered on a waiting list for transplantation 8.9 28.2 68.4%
Long-stay nursing home residents with physical restraints 0.4 0.2 78.3%
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 4.4 2.4 82.2%
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 16.7 8.8 90.3%
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 13.9 7.2 91.7%
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 15.9 8.3 92.9%
Long-stay nursing home residents have depressive symptoms 2.3 1.1 99.1%
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 5.3 2.7 100.8%
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 7.0 3.2 120.9%
High-risk, long-stay nursing home patients with pressure ulcer 7.7 3.4 126.8%
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 5.6 2.4 132.2%
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 16.9 7.2 135.6%
Long-stay nursing home residents with moderate to severe pain 11.3 4.7 140.0%
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 4.1 1.7 144.6%
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population 254.5 102.9 147.4%
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 9.5 3.8 148.6%
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 14.2 5.6 152.2%
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder 6.4 2.5 153.5%
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 8.4 3.2 159.3%
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 5.1 1.9 165.1%
Suicide deaths among persons age 12 and over per 100,000 population 25.8 9.4 175.1%
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder 46.6 16.7 179.0%
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 7.7 2.8 179.6%
HIV infection deaths per 100,000 population 2.2 0.8 193.3%
Drug overdose deaths involving other synthetic opioids (other than methadone) per 100,000 resident population 2.2 0.7 201.4%
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 13.3 4.4 204.3%
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist, Medicare managed care 19.5 6.4 205.0%
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 15.2 4.9 210.6%
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 managed care 14.1 4.3 224.1%
Drug overdose deaths involving any opioid per 100,000 resident population 13.3 4.0 229.2%
Drug overdose deaths involving natural and semisynthetic opioids per 100,000 resident population 7.6 1.9 304.3%
Emergency department visits involving opioid-related diagnoses per 100,000 population 298.7 65.2 357.8%
New HIV cases per 100,000 population age 13 and over 20.0 4.2 376.2%
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 2.0
Short-stay home health patients who had drug education on all medications 97.3
Median time in minutes patients who came to the emergency department with broken bones had to wait before getting pain medication 42.0
Median time in minutes patients with psychiatric or mental health conditions spent at emergency department (ED) from ED arrival to ED departure 257.0
Median time in minutes spent in the emergency department (ED) from ED arrival to ED departure for admitted patients 347.0
Median time in minutes spent in the emergency department (ED) from admission decision to ED departure for admitted patients 162.0
Median time in minutes patients spent at emergency department (ED) from ED arrival to ED departure 151.0
Median time in minutes patients spent in the emergency department before they were seen by a healthcare professional 15.0
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 87.8
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 45.0
Median time in minutes outpatients with chest pain or possible heart attack from emergency department arrival to get ECG 9.0
Outpatients with chest pain or possible heart attack who received fibrinolytic therapy within 30 minutes of arrival 53.3
Composite measure: Cancer deaths per 100,000 population per year for all cancers 157.3
Percent of hemodialysis patients whose hemoglobin level is less than 10 g/dL 18.8
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 71.2
New AIDS cases per 100,000 population age 13 and over 8.6
Patients with end stage renal disease due to diabetes 43.6
Composite measure: Adults ages 50-75 who received any type of colorectal cancer screening 62.9
Children ages 19-35 months who received full series Haemophilus influenzae type B 80.3
Children ages 19-35 months who received 4 or more doses of pneumococcal conjugate vaccine 82.3
Composite measure: Children ages 19-35 months who received all recommended vaccines 71.9
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine 33.4
Adolescents ages 13-15 years (excluding adolescents who have had varicella) vaccinated with at least 2 doses of varicella 87.3
HRSA supported health centers clinic visits where services were provided by a physician 31.2
Children aged 2 years treated at a HRSA supported health center who received age appropriate vaccines. 43.3
Patients treated at HRSA supported health center who had at least one visit for substance abuse service 0.1
Patients treated at HRSA supported health center who had at least one visit for mental health service 4.8
Patients treated at HRSA supported health center who had at least one visit for dental service 13.5
Patients treated at HRSA supported health center whose had at least one visit for medical service 88.2
Adults ages 18 to 85 treated at a HRSA supported health centers with diagnosed hypertension whose last blood pressure was less than 140/90 64.6
Patients 18 to 75 diagnosed with type I or type II diabetes with Hba1c 9% or lower 56.8
People who needed to see a doctor but could not because of cost in the past 12 months 15.1
Patients ages 5-40 treated at a HRSA supported health centers with diagnosed asthma who have an acceptable pharmacological treatment plan 80.3
Tobacco users aged 18 and above who were screened for tobacco use and received cessation advice or medication 91.1
Adults treated at a HRSA supported health centers who received weight screening and follow-up 77.5
Children ages 3-17 treated at a HRSA supported health centers who received weight screening and follow-up 78.1
Adults treated at a HRSA supported health centers with appropriate screening for colorectal cancer 29.6
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 5.6
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 6.6
Adult hospital patients who strongly agree that they understood the purpose for taking each of their medications after discharge 44.8
Hospitals with computerized system that supports medication lists 56.2
Adult hospital patients who strongly agree that they understood how to manage their health after discharge 49.1
Adult hospital patients who always had good communication with nurses in the hospital 76.6
Hospitals with computerized system that supports drug decision 64.2
Adult hospital patients who always had good communication with doctors in the hospital 74.9
Adults who received outpatient mental health treatment or counseling in the last 12 months 4.4
Hospitals with computerized system that allows for computerized provider order entry including nursing orders 68.7
Adults who received prescription medications for mental health treatment in the last 12 months 8.9
Patients who received appropriate care for severe sepsis and septic shock 36.2
Hospitals with computerized system that allows for computerized provider order entry 56.2
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 56.3
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 69.1
Hospitals with computerized system that allows for decision support 50.0
Hospitals with computerized system that allows for electronic clinical documentation including advanced directives 62.5
Hospitals with computerized system that allows for computerized provider order entry including radiology tests 75.0
Hospitals with computerized system that allows for results viewing including diagnostic test results 68.7
Ryan-White HIV patients with at least one HIV care visit and most recent viral load <200 during the year 84.3
Hospitals with computerized system that allows for computerized provider order entry including medications 75.0
Hospitals with computerized system that allows for computerized provider order entry including consultant requests 56.2
Adults who received mental health treatment or counseling in the last 12 months 9.8
Hospitals with computerized system that allows for results viewing including laboratory reports 87.5
Hospitals with computerized system that allows for decision support including drug dosing support 68.7
Hospitals with computerized system that allows for decision support including drug-lab interaction alerts 56.2
Hospitals with computerized system that allows for decision support including clinical guidelines 62.5
Hospitals with computerized system that allows for results viewing including radiology reports 68.7
Hospitals with computerized system that allows for decision support including clinical reminders 75.0
Hospitals with computerized system that supports pharmaceutical bar coding 66.6
Hospitals with computerized system that allows for electronic clinical documentation including medication lists 70.5
Hospitals with computerized system that allows for electronic clinical documentation including discharge summaries 70.5
Hospitals with computerized system that allows for results viewing including radiology images 62.5
Hospitals with computerized system that allows for decision support including drug allergy alerts 75.0
Hospitals with computerized system that allows for electronic clinical documentation including physician notes 70.5
Hospitals with computerized system that allows for electronic clinical documentation 62.5
Hospitals with computerized system that allows for decision support including drug-drug interaction alerts 68.7
Hospitals with computerized system that allows for electronic clinical documentation including nursing notes 76.4
Hospitals with computerized system that allows for results viewing including consultant reports 62.5
Hospitals with computerized system that allows for results viewing including diagnostic test images 68.7
Hospitals with computerized system that allows for electronic clinical documentation including problem lists 58.8
Hospitals with computerized system that allows for computerized provider order entry including laboratory test 75.0