North CarolinaState Snapshot

In this comparison, the NHQDR measures for North Carolina 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
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 2017 81.9 Better than Average 2012 81.6 Better than Average
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 2017 81.4 Better than Average 2012 80.7 Better than Average
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 2017 87.5 Better than Average 2012 86.3 Better than 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 2017 82.4 Better than Average 2012 82.0 Better than Average
Adults who reported that home health providers talk about pain in the last 2 months of care 2017 91.3 Better than Average 2012 88.7 Better than Average
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care 2017 91.7 Better than Average 2012 91.5 Better 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 2017 86.3 Better than Average 2012 85.4 Better than Average
Adults who reported being told what care and services they would get when they first started getting home health care 2017 91.9 Better than Average 2012 91.6 Better than Average
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital 2017 9.5 Better than Average 2009 10.4 Better than Average
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them 2017 92.2 Better than Average Missing
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 2017 5.3 Better than Average 2014 5.3 Average
Family caregivers who received right amount of emotional and spiritual supports from hospice care team 2017 90.8 Better than Average Missing
Adult hospital patients who did not receive good communication about discharge information 2017 10.2 Better than Average 2009 14.2 Better than Average
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team 2017 77.4 Better than Average Missing
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) 2017 84.3 Better than Average Missing
Hospice patients and family caregivers who always got help as soon as they need from hospice care team 2017 82.0 Better than Average Missing
Family members who definitely received trainings about taking care their family member from hospice care team 2017 75.1 Better than Average Missing
Family caregivers who would definitely recommend this hospice to their friends and family 2017 89.6 Better than Average Missing
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them 2017 83.2 Better than Average Missing
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care 2017 93.0 Better than Average 2012 93.0 Better than Average
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care 2017 94.7 Better than Average 2012 94.2 Better than Average
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 2017 66.5 Better than Average 2012 64.3 Better than Average
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher 2017 96.5 Better than Average Missing
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 2017 5.8 Better than Average 2010 9.7 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 2.4 Better than Average 2010 3.6 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, Medicare managed care 2017 2.6 Better than Average 2010 4.1 Better 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 2017 2.9 Better than Average 2010 4.6 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 managed care 2017 8.5 Better than Average 2010 13.3 Average
Home health care patients whose management of oral medications improved 2016 62.0 Better than Average 2013 46.8 Worse than Average
Home health care patients who had an emergency department visit and then hospitalized 2016 18.8 Better than Average 2013 17.0 Better than Average
Home health care patients who had to be admitted to the hospital 2016 23.1 Better than Average 2013 22.9 Better 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 41.9 Better than Average 2012 39.2 Better than Average
Long-stay nursing home residents have depressive symptoms 2016 2.2 Better than Average 2013 4.6 Better than Average
Home health care patients whose shortness of breath decreased 2016 74.3 Better than Average 2013 65.4 Better than Average
Long-stay nursing home residents with physical restraints 2016 0.3 Better than Average 2013 1.1 Better than Average
Home health care patients whose bathing improved 2016 72.8 Better than Average 2013 64.3 Worse than Average
Home health care patients whose ability to get in and out of bed improved 2016 70.0 Better than Average 2013 56.8 Better than Average
Home health care patients whose ability to walk or move around improved 2016 72.0 Better than Average 2013 61.0 Better than Average
Home health care patients whose pain when moving around decreased 2016 73.9 Better than Average 2013 64.4 Worse than Average
Home health care patients who stayed at home after an episode of home health care 2016 73.1 Better than Average 2013 73.5 Better than Average
Home health patients who had improvement in upper body dressing 2016 74.8 Better than Average 2013 68.8 Better than Average
Hospital patients who received influenza vaccination 2016 95.3 Better than Average 2012 90.5 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 2015 96.1 Better than Average 2013 89.1 Average
Stroke patients who received venous thromboembolism (VTE) prophylaxis 2015 98.2 Better than Average 2013 96.1 Better than Average
Stroke patients prescribed statin medication at hospital discharge 2015 98.0 Better than Average 2013 94.9 Better than Average
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year 2015 80.6 Better than Average 2013 73.0 Better than Average
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year 2015 60.1 Better than Average 2013 62.6 Better than Average
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year 2015 83.8 Better than Average 2013 79.5 Better than Average
Persons age 13 and over living with diagnosed HIV whose most recent viral load in the last 12 months was under 200 copies/mL 2015 61.5 Better than Average Missing
Adults who received a blood cholesterol measurement in the last 5 years 2015 80.1 Better than Average 2013 77.7 Better than Average
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over 2015 9.7 Better than Average 2004 12.2 Average
Adults age 65 and over who ever received pneumococcal vaccination 2015 75.0 Better than Average 2013 72.6 Better than Average
Hospital patients who received pneumococcal immunization 2015 95.0 Better than Average 2012 92.0 Better than Average
Adults age 65 and over who received an influenza vaccination in the last flu season 2015 71.1 Better than Average 2013 71.5 Better than Average
Home health patients who had influenza vaccination during flu season 2014 79.9 Better than Average 2013 77.1 Better than Average
Home health patients who had pneumococcal polysaccharide vaccination 2014 76.7 Better than Average 2013 73.7 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 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 2017 31.4 Average 2012 32.3 Worse than Average
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 2017 24.8 Average 2012 25.7 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 2017 28.8 Average 2012 29.9 Worse than Average
Ratio of observed deaths to expected deaths among Medicare hemodialysis patients 2017 1.0 Average 2000 1.0 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 2017 9.1 Average 2010 10.1 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 managed care 2017 9.8 Average 2010 11.9 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 fee-for-service 2017 8.1 Average 2011 6.1 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 8.8 Average 2010 7.2 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 6.7 Average Missing
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 2017 7.5 Average 2010 8.7 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 2017 8.0 Average 2010 5.9 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 fee-for-service 2017 3.6 Average 2010 3.8 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 2017 3.9 Average 2010 5.4 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 4.6 Average 2010 5.5 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 6.1 Average 2010 6.6 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 11.1 Average 2010 11.1 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 managed care 2017 4.1 Average 2010 5.9 Better 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 2017 27.4 Average 2010 49.4 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 33.8 Average 2010 46.4 Average
Home health care patients whose surgical wound was improved 2016 90.0 Average 2013 89.2 Worse than Average
Long-stay nursing home patients experiencing one or more falls with major injury 2016 0.7 Average 2013 0.6 Average
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder 2016 3.5 Average 2013 4.0 Average
Breast cancer deaths per 100,000 female population per year 2016 20.1 Average 2000 24.3 Better than Average
Home health patients who had timely initiation of care 2016 93.3 Average 2013 90.1 Worse than Average
Colorectal cancer deaths per 100,000 population per year 2016 13.5 Average 2000 20.4 Average
Suicide deaths among persons age 12 and over per 100,000 population 2016 15.7 Average 2008 14.8 Average
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access 2016 64.3 Average 2012 61.0 Worse than Average
HIV infection deaths per 100,000 population 2016 1.9 Average 2000 5.7 Average
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 2016 94.5 Average 2000 93.2 Average
Children ages 19-35 months who received 1 or more doses of varicella vaccine 2016 93.6 Average 2000 76.4 Better than Average
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 2016 93.3 Average 2000 94.8 Better than Average
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 2016 86.0 Average 2000 91.0 Better than Average
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine 2016 77.7 Average 2008 23.0 Worse than Average
Children ages 19-35 months who received 3 or more doses of polio vaccine 2016 91.0 Average 2000 94.4 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 2016 87.0 Average 2008 34.0 Worse 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 92.1 Average 2008 19.2 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) 2015 94.4 Average 2005 90.5 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 2015 92.4 Average 2005 90.0 Better than Average
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined 2015 92.0 Average 2005 63.1 Better than Average
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 2015 69.0 Average 2013 69.0 Average
Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment 2015 92.4 Average 2008 91.5 Better than Average
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season 2015 42.0 Average 2013 46.2 Better than Average
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over 2015 65.1 Average 2004 79.8 Better than Average
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination 2015 37.9 Average 2013 34.1 Average
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 2013 12.3 Average 2000 12.3 Worse than 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 getting the help or advice they needed the same day they contacted their home health providers 2017 17.0 Worse than Average 2012 20.0 Worse than Average
Adults who reported that home health providers always listen carefully to them in the last 2 months of care 2017 83.7 Worse than Average 2012 86.5 Better than Average
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care 2017 22.6 Worse than Average 2012 26.3 Worse than Average
Drug overdose deaths involving other synthetic opioids (other than methadone) per 100,000 resident population 2017 13.2 Worse than Average 1999 0.3 Average
Drug overdose deaths involving any opioid per 100,000 resident population 2017 19.8 Worse than Average 1999 2.0 Better than Average
Drug overdose deaths involving natural and semisynthetic opioids per 100,000 resident population 2017 5.6 Worse than Average 1999 0.6 Better than Average
High-risk, long-stay nursing home patients with pressure ulcer 2016 7.3 Worse than Average 2013 6.8 Worse than Average
Short-stay nursing home patients with pressure ulcers that are new or worsened 2016 0.5 Worse than Average 2013 0.7 Average
Long-stay nursing home residents with a urinary tract infection 2016 4.3 Worse than Average 2013 6.0 Worse than Average
Home health care patients who had an emergency department visit without a hospitalization 2016 4.4 Worse than Average 2013 4.2 Worse than Average
Lung cancer deaths per 100,000 population per year 2016 45.2 Worse than Average 2000 62.4 Worse than Average
Dialysis patients who were registered on a waiting list for transplantation 2016 13.5 Worse than Average 2000 8.7 Worse than Average
People age 12 and over treated for substance abuse who completed treatment course 2016 41.1 Worse than Average 2008 8.7 Worse than Average
Short-stay home health patients who had diabetic foot care and patient education 2016 95.4 Worse than Average 2013 94.5 Worse than Average
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder 2016 48.7 Worse than Average 2013 47.0 Worse than Average
Short-stay nursing home residents with moderate to severe pain 2016 14.8 Worse than Average 2013 20.3 Worse than Average
Long-stay nursing home residents with too much weight loss 2016 8.0 Worse than Average 2013 8.0 Worse than Average
Long-stay nursing home residents with moderate to severe pain 2016 9.1 Worse than Average 2013 11.7 Worse than Average
Long-stay nursing home residents whose need for help with daily activities increased 2016 17.8 Worse than Average 2013 19.3 Worse than Average
Long-stay nursing home residents whose ability to move independently worsened 2016 24.7 Worse than Average 2013 22.7 Worse than Average
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine 2016 74.2 Worse than Average 2008 36.0 Worse than Average
Short-stay nursing home patients who had flu vaccination appropriately given 2016 84.5 Worse than Average 2013 85.4 Worse than Average
Long-stay nursing home residents who were assessed for pneumococcal vaccination 2016 92.8 Worse than Average 2013 94.4 Worse than Average
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine 2016 88.2 Worse than Average 2013 86.7 Worse than Average
Short-stay nursing home residents who were assessed for pneumococcal vaccination 2016 88.5 Worse than Average 2013 89.4 Worse than Average
New HIV cases per 100,000 population age 13 and over 2015 15.8 Worse than Average 2008 23.3 Worse than 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 54.3 Worse than Average Missing
Persons age 13 and over living with HIV who know their serostatus 2015 84.8 Worse than Average 2010 80.2 Worse than 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 93.5 Worse than Average 2004 92.6 Average