Rhode Island Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures 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 the 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 Estimate Benchmark Distance to Benchmark
Adolescent ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine 74.4 62.2 Achieved: 20% better
Adolescent males ages 13-15 who received 3 or more doses of human papillomavirus (HPV) vaccine 50.7 43.3 Achieved: 17% better
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine 54.4 46.4 Achieved: 17% better
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine 97.6 95.4 Achieved: 2% better
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 98.0 95.9 Achieved: 2% better
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher 98.3 96.5 Achieved: 2% better
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine 97.9 96.2 Achieved: 2% better
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 8.14 8.27 Achieved: 2% better
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 96.4 95.2 Achieved: 1% better
Breast cancer deaths per 100,000 female population per year 17.6 17.8 Achieved: 1% better
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 75.2 75.8 Achieved: 1% better
Children ages 19-35 months who received 3 or more doses of polio vaccine 97.2 97.3 0%
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 90.5 90.6 0%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 96.2 96.4 0%
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them 91.7 92.1 0%
Children ages 19-35 months who received 1 or more doses of varicella vaccine 95.1 95.7 1%
Stroke patients who received venous thromboembolism (VTE) prophylaxis 97.9 98.7 1%
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care 94.2 95.0 1%
Adults who reported being told what care and services they would get when they first started getting home health care 90.2 91.4 1%
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) 82.8 83.9 1%
Adults who reported that home health providers talk about pain in the last 2 months of care 90.1 91.4 1%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care 91.2 92.5 1%
Family caregivers who received right amount of emotional and spiritual supports from hospice care team 89.6 90.9 1%
Stroke patients prescribed statin medication at hospital discharge 96.9 98.6 2%
Adults who reported a home health provider talking with them about all the prescription and over-the-counter medicinesthey were taking when they first started getting home health care 86.8 88.5 2%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 94.5 96.4 2%
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them 81.5 83.3 2%
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 85.0 86.9 2%
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team 77.1 79.0 2%
Family caregivers who would definitely recommend this hospice to their friends and family 85.9 88.4 3%
Family members who definitely received trainings about taking care their family member from hospice care team 76.1 78.4 3%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined 93.0 95.9 3%
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 93.5 96.7 3%
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 7.48 7.24 3%
Hospice patients and family caregivers who always got help as soon as they need from hospice care team 79.6 82.3 3%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care 84.9 88.0 4%
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access 69.9 72.8 4%
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 80.1 83.4 4%
Adults who reported having any problems with the care they received from their home health providers in the last 2 months of care 93.2 89.5 4%
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 64.9 67.8 4%
Hospital patients who received influenza vaccination 92.7 97.0 4%
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 76.2 80.2 5%
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 81.2 86.1 6%
Ratio of observed deaths to expected deaths among Medicare hemodialysis patients 0.91 0.85 7%
Dialysis patients who were registered on a waiting list for transplantation 26.0 28.2 8%
Acute stroke patients for whom IV thrombolytic therapy was initiated at hospital within 3 hours of time last known well 85.3 92.9 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 3.45 3.16 9%
Measures That Are Close to Benchmark
Measure 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 10.5 9.53 10%
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) 86.7 96.8 10%
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 31.6 36.2 13%
Colorectal cancer deaths per 100,000 population per year 13.1 11.5 14%
Persons age 13 and over living with diagnosed HIV whose most recent viral load in the last 12 months was under 200 copies/mL 63.7 74.3 14%
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care 26.0 30.6 15%
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care 28.7 34.2 16%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers 20.0 23.8 16%
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over 60.7 51.7 17%
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 24.4 29.5 17%
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy 43.0 54.1 20%
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 53.5 67.6 21%
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 3.23 2.65 22%
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 11.1 8.76 27%
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 3.08 2.42 27%
People age 12 and over treated for substance abuse who completed treatment course 43.3 63.1 31%
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 9.47 7.16 32%
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 7.54 5.63 34%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital 10.4 7.75 34%
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 39.0 28.8 35%
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 18.1 28.8 37%
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 5.29 3.83 38%
Adult hospital patients who did not receive good communication about discharge information 10.7 7.70 39%
Suicide deaths among persons age 12 and over per 100,000 population 13.6 9.38 45%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over 11.2 6.94 61%
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 5.40 3.22 68%
Lung cancer deaths per 100,000 population per year 46.7 27.5 70%
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 7.72 4.38 76%
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 13.2 6.39 107%
Percent of hemodialysis patients whose hemoglobin level is less than 10 g/dL 25.8 11.4 126%
New HIV cases per 100,000 population age 13 and over 9.80 4.30 128%
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 9.93 4.35 128%
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population 367.0 99.4 269%
Emergency department visits involving opioid-related diagnoses per 100,000 population 360.5 59.2 509%
Measures With No Available Benchmark Information
Measure Estimate Benchmark Distance to Benchmark
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis 93.4
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year 63.8
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months 46.7
Adults age 65 and over who received an influenza vaccination in the last 12 months 70.2
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination 39.9
Adults who received a blood cholesterol measurement in the last 5 years 82.6
Adults age 65 and over who ever received pneumococcal vaccination 71.3
Adolescents females ages 13-15 who received 3 or more doses human papillomavirus vaccine 58.3
People who needed to see a doctor but could not because of cost in the past 12 months 12.3