NevadaState Snapshot

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

Measures Better Than Average in The Recent Year
Measure Recent Year Recent Rate Recent Performance Baseline Year Baseline Rate Baseline Performance
Patients with end stage renal disease due to diabetes 2015 40.8 Better than Average 2009 44.2 Average
Adults who reported having any problems with the care they received from their home health provider in the last 2 months of care 2015 90.9 Better than Average 2012 90.9 Better than Average
Adults who reported a home health provider asking to see all the prescription and over-the-counter medicines you were taking, when they first started getting home health care 2015 80.3 Better than Average 2012 78.6 Average
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults 2014 0.49 Better than Average 2011 0.40 Better than Average
Birth trauma - injury to neonate per 1,000 selected live births 2014 1.38 Better than Average 2011 1.89 Average
Avoidable admissions for angina per 100,000 population age 18 and over 2014 8.02 Better than Average 2011 10.6 Better than Average
Hospital patients who received influenza vaccination 2014 97.0 Better than Average 2012 89.2 Better than Average
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults, HCUP data 2014 10.8 Better than Average 2011 11.3 Better than Average
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 2014 95.2 Better than Average 2013 87.9 Average
Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes, HCUP data 2014 13.0 Better than Average 2011 13.0 Better than Average
Hospital admissions for immunization-preventable influenza per 100,000 population age 65 and over 2014 48.0 Better than Average 2011 17.7 Better than Average
Hospital admissions for long-term complications of diabetes per 100,000 population, adults 2014 102.3 Better than Average 2011 100.7 Better than Average
Hospital admissions for congestive heart failure per 100,000 population 2014 266.0 Better than Average 2011 280.8 Better than Average
Avoidable admissions for chronic obstructive pulmonary disease or asthma per 100,000 population age 40 and over 2014 338.6 Better than Average 2011 461.0 Better than Average
Stroke patients prescribed statin medication at hospital discharge 2013 95.7 Better than Average
Home health care patients who had an emergency department visit and then hospitalized 2013 15.8 Better than Average 2011 16.8 Better than Average
Long-stay nursing home patients who had fall with major injury 2013 2.60 Better than Average 2012 2.90 Average
Long-stay nursing home residents whose depression or anxiety increased 2013 4.50 Better than Average 2011 4.00 Better than Average
Home health patients who had drug education on all medications - short stay 2013 93.2 Better than Average 2012 93.9 Better than Average
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) 2013 96.6 Better than Average 2004 90.6 Average
Home health care patients whose management of oral medications improved 2013 56.3 Better than Average 2010 51.3 Better than Average
Home health patients who had improvement in confusion frequency 2013 48.2 Better than Average 2012 47.0 Better than Average
Home health care patients who received urgent, unplanned medical care 2013 18.8 Better than Average 2010 19.0 Better than Average
Home health care patients whose urinary incontinence decreased 2013 48.8 Better than Average 2010 57.2 Better than Average
Measures That Are 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 2015 1.02 Average 2000 1.21 Worse than Average
Adults who reported a home health provider talking with them about all the prescription and over-the-counter medicines you were taking, when they first started getting home health care 2015 83.5 Average 2012 82.6 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 2015 4.95 Average 2010 3.14 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 fee-for-service 2015 6.21 Average 2010 4.27 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 2015 5.90 Average 2010 4.57 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 2015 4.68 Average 2010 6.19 Worse than 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 2015 5.10 Average 2010 6.64 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 2015 7.52 Average 2010 9.53 Worse than 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 2015 37.0 Average 2010 50.1 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 2015 41.6 Average 2010 52.6 Average
Adults who reported that home health providers talked with them about the purpose for taking your new or changed prescription medicines, in the last 2 months of care 2015 31.0 Average 2012 30.8 Worse than Average
Adults who reported that home health providers talked with them about when to take medicines, in the last 2 months of care 2015 28.7 Average 2012 28.9 Worse than Average
Adults who reported getting the help or advice they needed when they contacted their home health provider , in the last 2 months of care 2015 25.8 Average 2012 25.9 Worse than Average
Adults who reported that home health providers talked with them about the side effects of medicines, in the last 2 months of care 2015 25.5 Average 2012 25.7 Average
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 2015 78.2 Average 2012 78.0 Average
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine 2014 30.3 Average
Adolescent males ages 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine 2014 19.1 Average
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 2014 90.4 Average 2000 88.0 Average
Children ages 19-35 months who received 3 or more doses of polio vaccine 2014 90.4 Average 2000 87.3 Average
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 2014 89.5 Average 2000 84.6 Worse than Average
Postoperative sepsis per 1,000 elective-surgery admissions of length 4 or more days, adults 2014 19.2 Average 2011 17.3 Average
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults 2014 1.60 Average 2011 2.17 Average
HIV infection deaths per 100,000 population 2014 2.20 Average 2000 4.40 Average
Hospital patients who received pneumococcal immunization 2014 99.4 Average 2012 90.2 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 2014 90.8 Average 2008 47.7 Better than 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 2014 85.6 Average 2008 44.9 Average
Hospital admissions for asthma per 100,000 population, age 18 to 39 2014 47.8 Average 2011 56.4 Average
Avoidable admissions for hypertension per 100,000 population age 18 and over 2014 51.2 Average 2011 65.9 Average
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine 2014 24.4 Average 2012 17.3 Average
Hospital admissions for asthma per 100,000 population, ages 2-17 2014 101.8 Average 2011 98.2 Average
Obstetric trauma per 1,000 instrument-assisted deliveries 2014 111.2 Average 2011 137.5 Average
Avoidable admissions for bacterial pneumonia per 100,000 population age 18 and over 2014 248.0 Average 2011 284.9 Better than Average
Acute stroke patients for whom IV thrombolytic therapy was initiated at hospital within 3 hours (less than or equal to 180 minutes) of time last known well 2014 80.5 Average 2013 80.1 Better than Average
Deaths per 1,000 adult hospital admissions with congestive heart failure 2014 16.9 Average 2011 20.5 Average
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 2014 81.0 Average 2000 79.1 Average
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance 2014 19.9 Average 2011 26.1 Worse than Average
Breast cancer deaths per 100,000 female population per year 2014 22.0 Average 2000 27.1 Average
Deaths per 1,000 adult hospital admissions with pneumonia 2014 20.0 Average 2011 27.9 Average
Children ages 19-35 months who received 1 or more doses of varicella vaccine 2014 89.7 Average 2000 61.4 Worse than Average
Low-risk, short-stay nursing home patients who had pressure ulcer 2013 1.51 Average 2011 1.30 Better than Average
Long-stay nursing home residents with physical restraints 2013 1.40 Average 2011 2.20 Average
Short-stay nursing home patients who had antipsychotic medication 2013 2.20 Average 2012 2.90 Worse than Average
Home health patients who had diabetic foot care and patient education - short stay 2013 94.2 Average 2012 94.3 Better than Average
Home health care patients whose surgical wound was improved 2013 88.4 Average 2011 91.7 Better than Average
Long-stay nursing home residents with too much weight loss 2013 8.60 Average 2011 8.40 Average
Long-stay nursing home residents with a urinary tract infection 2013 6.50 Average 2011 8.60 Average
High-risk, long-stay nursing home patients who had pressure ulcer 2013 7.56 Average 2012 9.20 Worse than Average
Home health care patients whose ability to get in and out of bed improved 2013 57.8 Average 2010 56.1 Better than Average
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined 2013 92.1 Average 2004 51.7 Average
Long-stay nursing home residents whose need for help with daily activities increased 2013 18.9 Average 2011 21.8 Worse than Average
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis 2013 88.6 Average 2004 77.0 Average
Home health care patients who had to be admitted to the hospital 2013 24.2 Average 2010 25.4 Better than Average
Home health patients who had improvement in upper body dressing 2013 71.0 Average 2012 70.4 Average
Home health care patients who stayed at home after an episode of home health care 2013 71.3 Average 2010 70.3 Better than Average
Home health patients who had improvement in toileting 2013 68.6 Average 2012 69.8 Better than Average
Home health care patients whose bathing improved 2013 68.5 Average 2010 67.0 Better than Average
Home health care patients whose shortness of breath decreased 2013 65.8 Average 2010 66.1 Better than Average
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 2011 12.8 Average 2000 22.0 Average
Measures Worse Than Average in The Recent Year
Measure Recent Year Recent Rate Recent Performance Baseline Year Baseline Rate Baseline Performance
Adults who reported that home health providers always treated them as gently as possible, in the last 2 months of care 2015 88.4 Worse than Average 2012 88.0 Worse than Average
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 2015 19.5 Worse than Average 2010 12.1 Average
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 2015 16.4 Worse than Average 2010 12.2 Average
Adults who reported being told what care and services they would get when they first started getting home health care 2015 86.4 Worse than Average 2012 86.4 Worse than Average
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor´s office or clinic visit in the last 12 months, Medicare fee-for-service 2015 16.9 Worse than Average 2010 13.8 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 managed care 2015 16.8 Worse than Average 2010 13.9 Worse than Average
Adults who reported that home health providers talk about pain in the last 2 months of care 2015 86.9 Worse than Average 2012 85.8 Worse than Average
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital 2015 12.1 Worse than Average 2009 15.6 Worse than Average
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 2015 21.0 Worse than Average 2010 15.9 Worse than Average
Adult hospital patients who did not receive good communication about discharge information 2015 12.9 Worse than Average 2009 18.1 Worse than Average
Adults who reported that home health providers always listen carefully to them, in the last 2 months of care 2015 81.4 Worse than Average 2012 81.4 Worse than Average
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 2015 80.7 Worse than Average 2012 81.0 Worse than 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 2015 8.73 Worse than Average 2010 6.30 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 2015 6.64 Worse than Average 2010 7.17 Worse than Average
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 2015 13.4 Worse than Average 2010 7.70 Average
Adults who reported that home health providers always treated them with courtesy and respect, in the last 2 months of care 2015 92.3 Worse than Average 2012 91.9 Worse than Average
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 2015 8.82 Worse than Average 2014 8.51 Worse than 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 2015 12.9 Worse than Average 2010 9.68 Average
Adults who reported that home health providers always seem informed and up-to-date about all the care or treatment you got at home, in the last 2 months of care 2015 57.5 Worse than Average 2012 56.7 Worse than Average
Adults who reported getting the help or advice they needed the same day they contacted their home health provider 2015 16.7 Worse than Average 2012 18.2 Worse than Average
Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor´s office or clinic visit in the last 12 months, Medicare managed care 2015 18.5 Worse than Average 2010 19.2 Worse than Average
Adults who reported a home health provider talking with them about how to set up your home so you can move around safely when they first started getting home health care 2015 70.8 Worse than Average 2012 70.2 Worse than Average
Hospice patient caregivers who perceived patient was referred to hospice at the right time 2014 90.2 Worse than Average 2007 89.2 Better than Average
Family caregivers who did not want more information about what to expect while the patient was dying 2014 85.3 Worse than Average 2007 82.8 Worse than Average
Hospice patients who received the right amount of help for feelings of anxiety or sadness 2014 88.8 Worse than Average 2009 91.1 Better than Average
Hospice patients who received care consistent with their stated end-of-life wishes 2014 94.5 Worse than Average 2006 90.9 Worse than Average
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) 2014 56.8 Worse than Average 2011 61.9 Worse than Average
Lung cancer deaths per 100,000 population per year 2014 45.4 Worse than Average 2000 65.7 Worse than Average
Persons aged 16 to 17 years who received 1 or more doses of meningococcal conjugate vaccine 2014 68.1 Worse than Average 2008 33.6 Average
Persons aged 13 to 15 years who received 1 or more doses of meningococcal conjugate vaccine 2014 65.5 Worse than Average 2008 27.5 Worse than Average
End stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy, age 18 and over 2014 25.0 Worse than Average 2005 26.4 Average
Adolescent ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine 2014 23.0 Worse than Average 2012 25.7 Average
Dialysis patients who were registered on a waiting list for transplantation 2014 9.30 Worse than Average 2000 17.9 Average
Hospital admissions for short-term complications of diabetes per 100,000 population, adults 2014 98.9 Worse than Average 2011 82.7 Worse than Average
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions 2014 143.7 Worse than Average 2011 169.6 Worse than Average
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), age 40 and over 2014 19.8 Worse than Average 2011 19.5 Worse than Average
Suicide deaths per 100,000 population 2014 23.6 Worse than Average 2000 20.2 Worse than Average
Colorectal cancer deaths per 100,000 population per year 2014 16.7 Worse than Average 2000 24.4 Worse than Average
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, age 40 and over 2014 25.2 Worse than Average 2011 34.1 Worse than Average
Hospital admissions for short-term complications of diabetes per 100,000 population, ages 6-17 2014 38.2 Worse than Average 2011 38.3 Worse than Average
Stroke patients who received venous thromboembolism (VTE) prophylaxis 2013 91.5 Worse than Average
Long-stay nursing home residents who were assessed for pneumococcal vaccination 2013 88.9 Worse than Average 2011 90.1 Worse than Average
Long-stay nursing home residents with moderate to severe pain 2013 12.8 Worse than Average 2011 14.3 Worse than Average
Long-stay nursing home patients who had flu vaccination appropriately given 2013 87.2 Worse than Average 2012 81.6 Worse than Average
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder 2013 7.10 Worse than Average 2011 8.50 Worse than Average
Home health patients who had timely initiation of care 2013 90.9 Worse than Average 2012 90.4 Worse than Average
Home health care patients whose ability to walk or move around improved 2013 58.2 Worse than Average 2010 54.8 Average
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder 2013 48.3 Worse than Average 2011 46.3 Worse than Average
Hospital patients with heart failure discharged home with written instructions or educational material 2013 91.8 Worse than Average 2005 41.4 Worse than Average
Short-stay nursing home residents who were assessed for pneumococcal vaccination 2013 81.0 Worse than Average 2011 79.8 Worse than Average
Short-stay nursing home patients who had flu vaccination appropriately given 2013 82.1 Worse than Average 2012 78.0 Worse than Average
Long-stay nursing home patients who had antipsychotic medication 2013 19.0 Worse than Average 2012 23.2 Worse than Average
Short-stay nursing home residents with moderate to severe pain 2013 21.6 Worse than Average 2011 25.7 Worse than Average
Home health care patients whose pain when moving around decreased 2013 65.3 Worse than Average 2010 66.6 Average
Home health patients who had pneumococcal polysaccharide vaccination 2013 68.8 Worse than Average 2012 66.4 Worse than Average
Home health patients who had influenza vaccination during flu season 2013 67.1 Worse than Average 2012 64.8 Worse than Average
Measures With No Performance Data
Measure
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year
People age 12 and over treated for substance abuse who completed treatment course
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment
Infant mortality per 1,000 live births, birth weight less than 1,500 grams
Infant mortality per 1,000 live births, birth weights 1,500-2,499 grams
Infant mortality per 1,000 live births, birth weight 2,500 grams or more
Women ages 50-74 who received a mammogram in the last 2 years
Women ages 21-65 who received a Pap smear in the last 3 years
Adults who received a blood cholesterol measurement in the last 5 years
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months
Adults age 65 and over who received an influenza vaccination in the last 12 months
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination
Adults age 65 and over who ever received pneumococcal vaccination
Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival
People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months
People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair