North CarolinaWhite Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to White 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 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 White 7.4 9.5 Achieved: 22% better
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 White 1.6 1.9 Achieved: 17% better
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 White 2.1 2.4 Achieved: 12% better
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 White 4.4 4.9 Achieved: 11% better
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 White 26.0 27.7 Achieved: 6% better
Adults age 65 and over who received an influenza vaccination in the last flu season White 73.2 70.3 Achieved: 4% better
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year White 82.3 79.5 Achieved: 4% better
Home health care patients whose ability to walk or move around improved White 73.4 71.5 Achieved: 3% better
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 White 81.6 80.1 Achieved: 2% better
Home health care patients whose ability to get in and out of bed improved White 71.5 70.3 Achieved: 2% better
Home health care patients whose pain when moving around decreased White 74.4 73.8 Achieved: 1% better
Adults who reported being told what care and services they would get when they first started getting home health care White 92.1 91.3 Achieved: 1% better
Adults who reported that home health providers talk about pain in the last 2 months of care White 91.8 91.2 Achieved: 1% better
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care White 95.5 95.0 Achieved: 1% better
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care White 94.3 94.0 -0.3%
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 White 87.0 86.8 -0.3%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care White 92.5 92.5 0.0%
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 White 67.4 67.6 0.3%
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 White 8.3 8.3 0.5%
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 White 82.6 83.3 0.8%
Adults who received a blood cholesterol measurement in the last 5 years White 81.4 82.3 1.0%
Adults age 65 and over who ever received pneumococcal vaccination White 77.8 78.7 1.2%
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 White 87.1 88.2 1.3%
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year White 82.9 84.0 1.3%
Home health care patients whose bathing improved White 74.2 75.4 1.5%
Home health patients who had improvement in upper body dressing White 76.0 77.4 1.8%
Home health care patients whose shortness of breath decreased White 74.5 77.0 3.3%
Short-stay home health patients who had diabetic foot care and patient education White 95.1 98.6 3.5%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care White 84.5 87.9 3.9%
Home health patients who had influenza vaccination during flu season White 81.3 84.8 4.1%
Home health care patients who stayed at home after an episode of home health care White 74.3 77.5 4.1%
Long-stay nursing home residents who were assessed for pneumococcal vaccination White 93.9 98.0 4.2%
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 White 7.6 7.2 4.7%
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine White 89.6 94.1 4.8%
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season White 45.4 47.8 5.0%
Short-stay nursing home residents who were assessed for pneumococcal vaccination White 90.4 95.3 5.1%
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 White 7.6 7.2 5.4%
Home health care patients whose management of oral medications improved White 62.0 66.0 6.0%
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 White 79.9 85.5 6.6%
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year White 61.5 65.8 6.6%
Short-stay nursing home patients who had flu vaccination appropriately given White 86.6 92.9 6.8%
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 White 3.4 3.2 7.0%
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 White 1.8 1.7 7.2%
Home health patients who had pneumococcal polysaccharide vaccination White 78.4 86.1 9.0%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year White 67.3 75.2 10.5%
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 White 31.9 35.9 11.2%
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 White 9.9 8.8 12.9%
Home health care patients whose surgical wound was improved White 90.8 80.3 13.0%
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care White 28.9 33.9 14.7%
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 White 7.3 6.4 15.0%
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 White 25.0 29.5 15.4%
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination White 37.6 44.8 16.1%
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 White 2.8 2.4 16.5%
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 White 6.6 5.6 16.7%
Home health care patients who had to be admitted to the hospital White 21.9 17.7 23.4%
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 White 36.3 28.8 26.0%
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care White 22.2 30.4 27.0%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers White 17.2 23.8 27.9%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital White 10.0 7.8 28.9%
Adult hospital patients who did not receive good communication about discharge information White 10.0 7.7 29.5%
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 White 3.6 2.8 31.3%
Home health care patients who had an emergency department visit and then hospitalized White 17.9 13.5 32.2%
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder White 3.4 2.5 33.5%
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 White 5.9 4.3 36.1%
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 White 5.2 3.8 36.3%
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 fee-for-service White 3.6 2.7 37.0%
Short-stay nursing home residents with moderate to severe pain White 14.9 10.8 37.7%
Long-stay nursing home residents with a urinary tract infection White 4.8 3.3 46.7%
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 White 6.5 4.4 48.2%
Home health care patients who had an emergency department visit without a hospitalization White 4.3 2.9 49.5%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Long-stay nursing home residents with too much weight loss White 8.1 5.4 51.1%
Long-stay nursing home residents with physical restraints White 0.3 0.2 52.2%
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 White 5.0 3.2 54.3%
Long-stay nursing home residents whose need for help with daily activities increased White 17.4 10.6 63.8%
Long-stay nursing home residents whose ability to move independently worsened White 23.8 13.7 73.2%
Short-stay nursing home patients with pressure ulcers that are new or worsened White 0.5 0.3 75.0%
High-risk, long-stay nursing home patients with pressure ulcer White 6.2 3.4 80.9%
Long-stay nursing home residents with moderate to severe pain White 9.8 4.7 108.3%
Long-stay nursing home patients experiencing one or more falls with major injury White 0.9 0.4 109.8%
Long-stay nursing home residents have depressive symptoms White 2.5 1.1 120.0%
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder White 45.4 16.7 171.9%
Measures With No Available Benchmark Information or Supplemental Measures
Measure Population Estimate Benchmark Distance to Benchmark
Short-stay home health patients who had drug education on all medications White 98.0
People who needed to see a doctor but could not because of cost in the past 12 months White 13.4
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 White 2.3
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 White 3.8
Adult hospital patients who always had good communication with nurses in the hospital White 82.0
Adult hospital patients who always had good communication with doctors in the hospital White 82.9
Adult hospital patients who strongly agree that they understood the purpose for taking each of their medications after discharge White 54.5
Adult hospital patients who strongly agree that they understood how to manage their health after discharge White 55.9