North CarolinaState Snapshot for Effective Treatment

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
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher 2017 96.5 Better than Average Missing
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
Stroke patients prescribed statin medication at hospital discharge 2015 98.0 Better than Average 2013 94.9 Better than Average
Stroke patients who received venous thromboembolism (VTE) prophylaxis 2015 98.2 Better than Average 2013 96.1 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
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 received at least two hemoglobin A1c measurements in the calendar year 2015 80.6 Better than Average 2013 73.0 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
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
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 2017 1.0 Average 2000 1.0 Average
Breast cancer deaths per 100,000 female population per year 2016 20.1 Average 2000 24.3 Better than Average
Colorectal cancer deaths per 100,000 population per year 2016 13.5 Average 2000 20.4 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
Suicide deaths among persons age 12 and over per 100,000 population 2016 15.7 Average 2008 14.8 Average
HIV infection deaths per 100,000 population 2016 1.9 Average 2000 5.7 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
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
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 natural and semisynthetic opioids per 100,000 resident population 2017 5.6 Worse than Average 1999 0.6 Better than Average
Drug overdose deaths involving any opioid per 100,000 resident population 2017 19.8 Worse than Average 1999 2.0 Better 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
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