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
Percent of adults who reported having any problems with the care they received from their home health provider, in the last 2 months of care 2014 90.6 Better than Average 2012 90.9 Better than Average
Long-stay nursing home patients who had fall with major Injury 2013 2.60 Better than Average
Birth trauma - injury to neonate per 1,000 selected live births 2013 1.17 Better than Average 2011 1.89 Average
Home health care patients whose management of oral medications improved 2013 56.3 Better than Average
Hospital admissions for lower extremity amputations per 1,000 population age 18 and over with diabetes, HCUP data 2013 12.6 Better than Average 2011 13.0 Better than Average
Potentially avoidable hospitalizations for acute conditions per 100,000 population, age 6-17 2013 32.0 Better than Average 2011 27.2 Better than Average
Avoidable admissions for angina per 100,000 population age 18 and over 2013 8.99 Better than Average 2011 10.6 Better than Average
Home health care patients who had an emergency department visit without hospitalization 2013 3.10 Better than Average
Home health care patients who had an emergency department visit and then hospitalized 2013 15.8 Better than Average
Home health care patients who had to be admitted to the hospital 2013 24.2 Better than Average
Home health care patients who received urgent, unplanned medical care 2013 18.8 Better than Average
Home health patients who had timely initiation of care 2013 90.9 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 2013 80.1 Better than Average
Hospital admissions for congestive heart failure per 100,000 population 2013 274.3 Better than Average 2011 280.8 Better than Average
Long-stay nursing home residents whose depression or anxiety increased 2013 4.50 Better than Average
Home health care patients whose urinary incontinence decreased 2013 48.8 Better than Average
Home Health Patients Who Had Improvement in Confusion Frequency 2013 48.2 Better than Average
Home health care patients whose bathing improved 2013 68.5 Better than Average
Hospital patients who received influenza vaccination 2013 95.1 Better than Average 2012 89.2 Better than Average
Hospital admissions for immunization-preventable influenza per 100,000 population age 65 and over 2013 45.1 Better than Average 2011 17.7 Better than Average
Hospital patients who received pneumococcal immunization 2013 95.1 Better than Average 2012 90.2 Better than Average
Home Health Patients Who Had Pneumococcal Polysaccharide Vaccination 2013 68.8 Better than Average
Home Health Patients Who Had Influenza Vaccination During Flu Season 2013 67.1 Better than Average
Infant mortality per 1,000 live births,ª birth weight less than 1,500 grams 2005 191.5 Better than Average 2002 203.8 Average
Measures That Are Average in The Recent Year
Measure Recent Year Recent Rate Recent Performance Baseline Year Baseline Rate Baseline Performance
Percent of 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 2014 78.9 Average 2012 78.0 Worse than Average
Hospice patient caregivers who perceived patient was referred to hospice at the right time 2014 90.2 Average 2007 89.2 Average
Percent of 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 2014 78.3 Average 2012 78.6 Worse than Average
Percent of adults who reported that home health providers talked with them about when to take medicines, in the last 2 months of care 2014 28.5 Average 2012 28.9 Worse than Average
Percent of adults who reported that home health providers talked with them about the side effects of medicines, in the last 2 months of care 2014 25.6 Average 2012 25.7 Average
Percent of 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 2014 31.1 Average 2012 30.8 Worse than Average
Hospice patients who received care consistent with their stated end-of-life wishes 2014 94.5 Average 2006 90.9 Worse than Average
Hospice patients who received the right amount of help for feelings of anxiety or sadness 2014 88.8 Average 2009 91.1 Average
Family caregivers who did not want more information about what to expect while the patient was dying 2014 85.3 Average 2007 82.8 Worse than Average
Ratio of observed deaths to expected deaths among Medicare hemodialysis patients 2014 1.02 Average 2000 1.21 Worse 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 fee-for-service 2014 4.41 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 2014 6.38 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 2014 4.36 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 explained things in a way they could understand, Medicare managed care 2014 7.60 Average 2010 6.64 Average
Adults who had an appointment for routine health care in the last 12 months who sometimes or never got appointments for routine care as soon as wanted, Medicare fee-for-service 2014 12.9 Average 2010 12.2 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 2014 9.05 Average 2010 7.70 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 2014 9.96 Average 2010 9.68 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 2014 39.4 Average 2010 52.6 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 2014 36.1 Average 2010 50.1 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 2014 6.57 Average 2010 6.30 Average
Long-stay nursing home residents with a urinary tract infection 2013 6.50 Average
Short-stay nursing home patients who had antipsychotic medication 2013 2.20 Average
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults 2013 1.56 Average 2011 2.17 Average
High-risk, long-stay nursing home patients who had pressure ulcer 2013 7.56 Average
Long-stay nursing home residents with physical restraints 2013 1.40 Average
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance 2013 19.9 Average 2011 26.1 Worse than Average
Obstetric trauma per 1,000 instrument-assisted deliveries 2013 112.2 Average 2011 137.5 Average
Deaths per 1,000 hospital admissions with expected low-mortality 2013 0.30 Average 2012 0.28 Average
Hospital admissions for long-term complications of diabetes per 100,000 population, adults 2013 103.2 Average 2011 100.7 Better than Average
Hospital admissions for uncontrolled diabetes without complications per 100,000 population, adults, HCUP data 2013 12.0 Average 2011 11.3 Better than Average
Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) 2013 51.3 Average 2011 61.9 Worse than Average
Avoidable admissions for chronic obstructive pulmonary disease or asthma per 100,000 population age 40 and over 2013 424.3 Average 2011 461.0 Better than Average
Stroke patients with documentation that they or their caregivers were given 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 2013 87.9 Average
Breast cancer deaths per 100,000 female population per year 2013 22.5 Average 2000 27.1 Average
Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair 2013 34.1 Average 2011 27.6 Average
Deaths per 1,000 adult hospital admissions with congestive heart failure 2013 18.1 Average 2011 20.5 Average
Deaths per 1,000 adult hospital admissions with pneumonia 2013 24.5 Average 2011 27.9 Average
Home health patients who had diabetic foot care and patient education - short stay 2013 94.2 Average
Stroke patients prescribed statin medication at hospital discharge 2013 95.7 Average
Home health care patients who stayed at home after an episode of home health care 2013 71.3 Average
Home Health Patients Who Had Improvement in Upper Body Dressing 2013 71.0 Average
Home health care patients whose shortness of breath decreased 2013 65.8 Average
Long-stay nursing home residents with too much weight loss 2013 8.60 Average
Home Health Patients Who Had Improvement in Toileting 2013 68.6 Average
Home health care patients whose ability to get in and out of bed improved 2013 57.8 Average
Children ages 19-35 months who received 3 or more doses of polio vaccine 2013 92.0 Average 2000 87.3 Average
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 2013 81.1 Average 2000 79.1 Average
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 2013 90.4 Average 2000 88.0 Average
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine 2013 17.2 Average 2012 17.3 Average
Adolescents females 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 2013 89.5 Average 2008 44.9 Average
Children ages 19-35 months who received 1 or more doses of varicella vaccine 2013 88.6 Average 2000 61.4 Average
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 2013 88.8 Average 2000 84.6 Worse than Average
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine 2013 24.7 Average 2009 12.4 Worse than Average
Adolescents females 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 2013 86.3 Average 2008 47.7 Better than Average
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined 2012 85.3 Average 2004 51.7 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 2012 91.9 Average 2004 77.0 Worse 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) 2012 94.5 Average 2004 90.6 Average
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 2011 17.4 Average
People age 12 and over treated for substance abuse who completed treatment course 2011 39.9 Average 2008 36.2 Average
Percent of prevalent ESRD patients with diabetes listed as the primary cause 2011 37.1 Average
Percent of prevalent ESRD patients with primary cause of diabetes among persons with diabetes listed as a comorbidity 2011 77.1 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, commercial plans 2011 51.1 Average
Dialysis patients who were registered on a waiting list for transplantation 2010 6.60 Average
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 2010 71.6 Average 2001 61.3 Average
End stage renal disease (ESRD) due to diabetes per million population 2010 145.8 Average
Adults age 65 and over who ever received pneumococcal vaccination 2010 67.4 Average 2001 68.5 Better than Average
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination 2010 30.5 Average 2003 22.3 Average
Adults who received a blood cholesterol measurement in the last 5 years 2009 73.3 Average 2001 71.5 Average
Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival 2007 51.2 Average 2005 40.0 Average
Infant mortality per 1,000 live births,ª birth weights 1,500-2,499 grams 2005 13.0 Average 2002 16.3 Average
Infant mortality per 1,000 live births,ª birth weight 2,500 grams or more 2005 2.50 Average 2002 2.60 Average
Measures Worse Than Average in The Recent Year
Measure Recent Year Recent Rate Recent Performance Baseline Year Baseline Rate Baseline Performance
Percent of adults who reported getting the help or advice they needed the same day they contacted their home health provider 2014 17.2 Worse than Average 2012 18.2 Worse than Average
Percent of adults who reported that home health providers always treated them as gently as possible, in the last 2 months of care 2014 88.5 Worse than Average 2012 88.0 Worse than Average
Percent of 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 2014 80.6 Worse than Average 2012 81.0 Worse than Average
Percent of adults who reported that home health providers always listen carefully to them, in the last 2 months of care 2014 81.3 Worse than Average 2012 81.4 Worse than Average
Percent of adults who reported being told what care and services they would get when they first started getting home health care 2014 86.7 Worse than Average 2012 86.4 Worse than Average
Percent of adults who reported getting the help or advice they needed when they contacted their home health provider , in the last 2 months of care 2014 25.0 Worse than Average 2012 25.9 Worse than Average
Percent of adults who reported that home health providers always treated them with courtesy and respect, in the last 2 months of care 2014 92.5 Worse than Average 2012 91.9 Worse than Average
Percent of adults who reported that home health providers talk about pain in the last 2 months of care 2014 87.8 Worse than Average 2012 85.8 Worse than Average
Percent of 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 2014 82.6 Worse than Average 2012 82.6 Worse than Average
Adult hospital patients who sometimes or never had good communication with doctors in the hospital 2014 8.00 Worse than Average 2009 9.10 Worse than Average
Percent of 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 2014 70.3 Worse than Average 2012 70.2 Worse than Average
Adult hospital patients who sometimes or never had good communication with nurses in the hospital 2014 7.00 Worse than Average 2009 9.50 Worse than Average
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital 2014 12.7 Worse than Average 2009 15.6 Worse than Average
Adult hospital patients who strongly disagree or disagree that they understood how to manage their health after discharge 2014 6.70 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 2014 8.50 Worse than Average
Adult hospital patients who strongly disagree or disagree that they understood the purpose for taking each of their medications after discharge 2014 4.50 Worse than Average
Adult hospital patients who did not receive good communication about discharge information 2014 13.1 Worse than Average 2009 18.1 Worse than Average
Percent of 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 2014 59.4 Worse than Average 2012 56.7 Worse than Average
Adults who had an appointment for routine health care in the last 12 months who sometimes or never got appointments for routine care as soon as wanted, Medicare managed care 2014 18.0 Worse than Average 2010 15.9 Worse than 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 2014 8.03 Worse than Average 2010 7.17 Worse 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 2014 5.66 Worse than Average 2010 6.19 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 managed care 2014 18.0 Worse than Average 2010 13.9 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 2014 15.9 Worse than Average 2010 12.1 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 2014 15.9 Worse than Average 2010 19.3 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 managed care 2014 7.74 Worse than Average 2010 9.53 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 2014 16.7 Worse than Average 2010 13.8 Average
Postoperative sepsis per 1,000 elective-surgery admissions of length 4 or more days, adults 2013 17.9 Worse than Average 2011 17.4 Average
Long-stay nursing home patients who had antipsychotic medication 2013 19.0 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
Home health patients who had drug education on all medications - short stay 2013 93.2 Worse than Average
Hospital admissions with iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults 2013 0.53 Worse than Average 2011 0.40 Average
Home health care patients whose surgical wound was improved 2013 88.4 Worse than Average
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions 2013 147.0 Worse than Average 2011 169.6 Worse than Average
Low-risk, short-stay nursing home patients who had pressure ulcer 2013 1.51 Worse than Average
Hospital admissions for asthma per 100,000 population, ages 2-17 2013 106.9 Worse than Average 2011 98.2 Better than Average
Potentially avoidable hospitalizations for chronic conditions per 100,000 population, age 6-17 2013 120.1 Worse than Average 2011 108.9 Average
Hospital admissions for asthma per 100,000 population, age 18 to 39 2013 46.9 Worse than Average 2011 56.4 Worse than Average
Hospital admissions for short-term complications of diabetes per 100,000 population, adults 2013 97.0 Worse than Average 2011 82.7 Worse than Average
Hospital admissions for short-term complications of diabetes per 100,000 population, ages 6-17 2013 41.1 Worse than Average 2011 38.3 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
Avoidable admissions for bacterial pneumonia per 100,000 population age 18 and over 2013 269.8 Worse than Average 2011 284.9 Better than Average
Lung cancer deaths per 100,000 population per year 2013 45.4 Worse than Average 2000 65.7 Worse than Average
Colorectal cancer deaths per 100,000 population per year 2013 16.9 Worse than Average 2000 24.4 Worse than Average
Potentially avoidable hospitalizations for acute conditions per 100,000 population, age 18 and over 2013 530.6 Worse than Average 2011 557.5 Better than Average
Avoidable admissions for hypertension per 100,000 population age 18 and over 2013 57.5 Worse than Average 2011 65.9 Worse than Average
Deaths per 1,000 hospital admissions with coronary artery bypass surgery, age 40 and over 2013 24.9 Worse than Average 2011 34.1 Worse than Average
Deaths per 1,000 hospital admissions with percutaneous transluminal coronary angioplasty (PTCA), age 40 and over 2013 19.8 Worse than Average 2011 19.5 Worse than Average
Stroke patients who received venous thromboembolism (VTE) prophylaxis 2013 91.5 Worse than Average
HIV infection deaths per 100,000 population 2013 2.40 Worse than Average 2000 4.40 Average
Suicide deaths per 100,000 population 2013 22.5 Worse than Average 2000 20.2 Worse than Average
New HIV cases per 100,000 population age 13 and over 2013 19.9 Worse than Average 2010 17.2 Worse than Average
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder 2013 48.3 Worse than Average
Home health care patients whose ability to walk or move around improved 2013 58.2 Worse than Average
Long-stay nursing home residents whose need for help with daily activities increased 2013 18.9 Worse than Average
Short-stay nursing home residents with moderate to severe pain 2013 21.6 Worse than Average
Long-stay nursing home residents with moderate to severe pain 2013 12.8 Worse than Average
Home health care patients whose pain when moving around decreased 2013 65.3 Worse than Average
Long-stay nursing home residents who were assessed for pneumococcal vaccination 2013 88.9 Worse than Average
Short-stay nursing home residents who were assessed for pneumococcal vaccination 2013 81.0 Worse than Average
Short-stay nursing home patients who had flu vaccination appropriately given 2013 82.1 Worse than Average
Long-stay nursing home patients who had flu vaccination appropriately given 2013 87.2 Worse than Average
Persons aged 13 to 15 years who received 1 or more doses of meningococcal conjugate vaccine 2013 68.4 Worse than Average 2008 27.5 Worse than Average
Adolescent ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine 2013 17.0 Worse than Average 2012 25.7 Average
Women who completed a pregnancy in the last 12 months who received early and adequate prenatal care 2012 67.7 Worse than Average 2010 64.1 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 2011 22.5 Worse than Average 2010 21.1 Worse than Average
People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months 2011 5.30 Worse than Average
Adolescents females ages 16-17 who received 3 or more doses human papillomavirus vaccine 2011 27.0 Worse than Average 2009 29.3 Average
Persons aged 16 to 17 years who received 1 or more doses of meningococcal conjugate vaccine 2011 62.0 Worse than Average 2008 33.6 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, commercial plans 2011 8.90 Worse 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, commercial plans 2011 8.10 Worse than 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, commercial plans 2011 10.7 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, commercial plans 2011 33.0 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, commercial plans 2011 25.4 Worse than Average
Adults who had an appointment for routine health care in the last 12 months who sometimes or never got appointments for routine care as soon as wanted, commercial plans 2011 31.2 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, commercial plans 2011 24.4 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, commercial plans 2011 12.0 Worse than Average
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year 2010 60.2 Worse than Average 2001 68.5 Average
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year 2010 61.4 Worse than Average 2001 64.1 Average
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year 2010 41.9 Worse than Average 2009 55.5 Average
Long-stay nursing home residents whose ability to move about in and around their room decreased 2010 20.0 Worse than Average
Long-stay nursing home residents with most of their time spent in bed or in a chair 2010 9.32 Worse than Average
Adults age 65 and over who received an influenza vaccination in the last 12 months 2010 59.3 Worse than Average 2001 65.1 Average
Women ages 50-74 who received a mammogram in the last 2 years 2010 71.8 Worse than Average 2000 78.0 Average
Women ages 21-65 who received a Pap smear in the last 3 years 2010 79.7 Worse than Average 2000 82.2 Worse than Average
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months 2010 33.3 Worse than Average 2003 22.1 Worse than Average
People who needed to see a doctor but could not because of cost in the past 12 months 2010 16.7 Worse than Average
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 2008 6.00 Worse than Average