Rhode Island Quality Measures Compared to Achievable Benchmarks

The NHQDR 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 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
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 7.8 9.5 Achieved: 18% better
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder 2.1 2.5 Achieved: 16% 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 fee-for-service 3.0 3.2 Achieved: 5% better
Ratio of observed deaths to expected deaths among Medicare hemodialysis patients 0.8 0.9 Achieved: 5% 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 7.9 8.3 Achieved: 4% better
Acute stroke patients for whom IV thrombolytic therapy was initiated at hospital within 3 hours of time last known well 96.5 92.9 Achieved: 4% better
Home health care patients whose ability to get in and out of bed improved 72.7 70.3 Achieved: 3% better
Home health care patients whose pain when moving around decreased 75.6 73.8 Achieved: 2% better
Home health care patients whose ability to walk or move around improved 73.2 71.5 Achieved: 2% better
Adolescents ages 16-17 who received 1 or more doses of meningococcal conjugate vaccine 98.4 96.2 Achieved: 2% better
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher 98.5 96.5 Achieved: 2% better
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 76.6 75.2 Achieved: 2% better
Dialysis patients who were registered on a waiting list for transplantation 28.4 28.2 Achieved: 1% better
Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year 80.1 79.5 Achieved: 1% better
Long-stay nursing home residents with too much weight loss 5.3 5.4 Achieved: 1% better
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 6.4 6.4 -0.2%
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 95.3 95.2 -0.1%
Home health patients who had timely initiation of care 95.3 95.3 0.0%
Short-stay home health patients who had diabetic foot care and patient education 98.4 98.6 0.2%
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 95.6 95.9 0.3%
Adolescents ages 13-15 who received 1 or more doses of meningococcal conjugate vaccine 95.1 95.4 0.3%
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access 72.5 72.8 0.4%
Children ages 19-35 months who received 1 or more doses of varicella vaccine 95.1 95.7 0.7%
Women under age 70 treated for breast cancer with breast-conserving surgery who received radiation therapy to the breast within 1 year of diagnosis 96.3 97.0 0.7%
Stroke patients who received venous thromboembolism (VTE) prophylaxis 97.9 98.7 0.9%
Adults who reported being told what care and services they would get when they first started getting home health care 90.5 91.3 0.9%
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care 94.1 95.0 0.9%
Children ages 19-35 months who received 1 or more doses of measles-mumps-rubella vaccine 95.4 96.4 1.0%
Adults who reported that home health providers talk about pain in the last 2 months of care 90.3 91.2 1.0%
Hospice patients whose hospice care team always treated them with dignity and respect, and really cared about them 91.1 92.1 1.0%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care 91.4 92.5 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 87.2 88.2 1.2%
Children ages 19-35 months who received 3 or more doses of polio vaccine 96.1 97.3 1.2%
Home health patients who had improvement in upper body dressing 76.4 77.4 1.3%
Family caregivers who received right amount of emotional and spiritual supports from hospice care team 89.7 90.9 1.4%
Long-stay nursing home residents who were assessed for pneumococcal vaccination 96.6 98.0 1.4%
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care 92.7 94.0 1.4%
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) 82.6 83.9 1.6%
Stroke patients prescribed statin medication at hospital discharge 96.9 98.6 1.7%
Children ages 19-35 months who received 4 or more doses of diphtheria-tetanus-pertussis vaccine 88.7 90.6 2.1%
Home health care patients whose bathing improved 73.7 75.4 2.2%
Adults age 65 and over who ever received pneumococcal vaccination 76.9 78.7 2.3%
Children ages 19-35 months who received 3 or more doses of hepatitis B vaccine 94.1 96.4 2.3%
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 84.7 86.8 2.4%
Hospice patients who always received enough helps for pain, sadness, breathing, or constipations from hospice care team 76.9 79.0 2.7%
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season 46.5 47.8 2.7%
Home health patients who had influenza vaccination during flu season 82.5 84.8 2.7%
Hospice patients whose hospice care team always communicated well with their family caregivers about taking care them 81.0 83.3 2.7%
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 65.6 67.6 3.0%
Family caregivers who would definitely recommend this hospice to their friends and family 85.7 88.4 3.1%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care 85.2 87.9 3.1%
Adults who received a blood cholesterol measurement in the last 5 years 79.6 82.3 3.2%
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 3.3%
Short-stay nursing home patients who had flu vaccination appropriately given 89.8 92.9 3.3%
Breast cancer deaths per 100,000 female population per year 18.4 17.8 3.5%
Short-stay nursing home residents who were assessed for pneumococcal vaccination 91.9 95.3 3.5%
Home health care patients whose management of oral medications improved 63.6 66.0 3.6%
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 80.2 83.3 3.7%
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination 42.9 44.8 4.3%
Hospice patients and family caregivers who always got help as soon as they need from hospice care team 78.8 82.3 4.3%
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 76.6 80.1 4.4%
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 81.4 85.5 4.8%
Persons age 13 and over living with diagnosed HIV whose most recent viral load in the last 12 months was under 200 copies/mL 71.9 76.1 5.5%
Family members who definitely received trainings about taking care their family member from hospice care team 74.0 78.4 5.6%
Patients with colon cancer who received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined 89.9 95.3 5.6%
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine 88.7 94.1 5.7%
Hospital patients who received influenza vaccination 91.3 97.0 5.9%
Home health care patients whose shortness of breath decreased 72.3 77.0 6.2%
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year 78.2 84.0 6.9%
Home health care patients who stayed at home after an episode of home health care 72.0 77.5 7.1%
Persons age 13 and over living with HIV who know their serostatus 85.2 91.9 7.3%
Home health patients who had pneumococcal polysaccharide vaccination 79.4 86.1 7.8%
Colorectal cancer deaths per 100,000 population per year 12.5 11.5 8.3%
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy 49.0 54.1 9.4%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Adults age 65 and over who received an influenza vaccination in the last flu season 63.1 70.3 10.3%
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) 86.6 96.8 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 31.4 35.9 12.6%
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 9.9 8.8 13.1%
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 56.9 66.2 14.1%
Colorectal cancer diagnosed at advanced stage (tumors diagnosed at regional or distant stage) per 100,000 population age 50 and over 54.0 47.2 14.5%
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 33.1 28.8 14.9%
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care 28.8 33.9 15.0%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers 20.1 23.8 15.7%
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year 55.3 65.8 16.0%
Home health care patients whose surgical wound was improved 93.3 80.3 16.1%
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care 25.5 30.4 16.2%
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 24.3 29.5 17.7%
Long-stay nursing home residents with a urinary tract infection 4.0 3.3 20.0%
High-risk, long-stay nursing home patients with pressure ulcer 4.1 3.4 21.5%
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital 9.5 7.8 22.4%
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 90.7 72.8 24.6%
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 3.0 2.4 24.8%
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 4.9 3.8 27.2%
Long-stay nursing home residents whose ability to move independently worsened 17.7 13.7 28.8%
Adult hospital patients who did not receive good communication about discharge information 10.1 7.7 30.8%
People age 12 and over treated for substance abuse who completed treatment course 44.9 65.2 31.2%
Home health care patients who had to be admitted to the hospital 23.7 17.7 33.6%
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over 10.1 7.6 33.6%
Home health care patients who had an emergency department visit and then hospitalized 18.1 13.5 33.7%
Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist, Medicare fee-for-service 9.7 7.2 34.4%
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 3.7 2.7 38.1%
Long-stay nursing home residents whose need for help with daily activities increased 14.7 10.6 38.4%
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 managed care 39.0 27.7 40.8%
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 8.0 5.6 41.7%
Suicide deaths among persons age 12 and over per 100,000 population 13.6 9.4 45.0%
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 7.2 4.9 46.3%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
Lung cancer deaths per 100,000 population per year 41.4 27.5 50.8%
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 managed care 3.6 2.4 51.0%
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 11.1 7.2 55.2%
Home health care patients who had an emergency department visit without a hospitalization 4.5 2.9 56.1%
Short-stay nursing home residents with moderate to severe pain 16.9 10.8 56.2%
Long-stay nursing home residents with moderate to severe pain 7.6 4.7 62.1%
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 10.8 28.8 62.4%
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 5.4 3.2 66.7%
New HIV cases per 100,000 population age 13 and over 7.0 4.2 66.7%
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 4.6 2.8 68.7%
Short-stay nursing home patients with pressure ulcers that are new or worsened 0.5 0.3 75.0%
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 7.7 4.3 75.9%
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 3.4 1.9 77.1%
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 8.1 4.4 84.0%
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 3.2 1.7 90.4%
Long-stay nursing home patients experiencing one or more falls with major injury 0.8 0.4 100.0%
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder 34.3 16.7 105.4%
Long-stay nursing home residents have depressive symptoms 3.5 1.1 200.9%
Drug overdose deaths involving natural and semisynthetic opioids per 100,000 resident population 6.5 1.9 245.7%
Hospital inpatient stays involving opioid-related diagnoses per 100,000 population 443.6 102.9 331.3%
Drug overdose deaths involving any opioid per 100,000 resident population 26.9 4.0 565.8%
Emergency department visits involving opioid-related diagnoses per 100,000 population 444.4 65.2 581.1%
Drug overdose deaths involving other synthetic opioids (other than methadone) per 100,000 resident population 20.1 0.7 2653.4%
Measures With No Available Benchmark Information or Supplemental Measures
Measure Estimate Benchmark Distance to Benchmark
Patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it 6.6
Median time in minutes patients who came to the emergency department with broken bones had to wait before getting pain medication 54.0
Short-stay home health patients who had drug education on all medications 97.6
Median time in minutes spent in the emergency department (ED) from ED arrival to ED departure for admitted patients 309.0
Median time in minutes patients with psychiatric or mental health conditions spent at emergency department (ED) from ED arrival to ED departure 369.0
Median time in minutes spent in the emergency department (ED) from admission decision to ED departure for admitted patients 130.0
Median time in minutes patients spent at emergency department (ED) from ED arrival to ED departure 155.0
Median time in minutes patients spent in the emergency department before they were seen by a healthcare professional 31.0
Tamoxifen or third generation aromatase inhibitor was recommended or administered within 1 year of diagnosis for women with AJCC T1cN0M0 or stage IB to stage III hormone receptor-positive breast cancer 91.8
Median time in minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital and did not have contraindication to fibrinolytic 66.0
Median time in minutes outpatients with chest pain or possible heart attack from emergency department arrival to get ECG 8.0
Composite measure: Cancer deaths per 100,000 population per year for all cancers 158.0
Patients who came to the emergency department (ED) with stroke symptoms and received head CT or MRI who received the interpretation of the results within 45 minutes of ED arrival 69.2
Percent of hemodialysis patients whose hemoglobin level is less than 10 g/dL 25.8
New AIDS cases per 100,000 population age 13 and over 3.6
Patients with end stage renal disease due to diabetes 42.1
Children ages 19-35 months who received full series Haemophilus influenzae type B 86.6
Composite measure: Children ages 19-35 months who received all recommended vaccines 75.5
Adolescent ages 16-17 years who received 3 or more doses of human papillomavirus (HPV) vaccine 70.9
Adolescent aged 13-15 years who received 3 or more doses of human papillomavirus (HPV) vaccine 62.9
Adolescents ages 13-15 years (excluding adolescents who have had varicella) vaccinated with at least 2 doses of varicella 94.4
Children ages 19-35 months who received 4 or more doses of pneumococcal conjugate vaccine 89.5
Adolescents ages 16-17 years (excluding adolescents who have had varicella) vaccinated with at least 2 doses of varicella 93.0
Patients treated at HRSA supported health center who had at least one visit for vision service 3.2
Children aged 2 years treated at a HRSA supported health center who received age appropriate vaccines. 58.0
Patients treated at HRSA supported health center who had at least one visit for substance abuse service 0.5
Patients treated at HRSA supported health center who had at least one visit for mental health service 8.3
HRSA supported health centers clinic visits where services were provided by a physician 34.0
Patients treated at HRSA supported health center who had at least one visit for dental service 34.0
Patients treated at HRSA supported health center whose had at least one visit for medical service 79.3
Children ages 3-17 treated at a HRSA supported health centers who received weight screening and follow-up 68.9
Patients 18 to 75 diagnosed with type I or type II diabetes with Hba1c 9% or lower 76.9
Tobacco users aged 18 and above who were screened for tobacco use and received cessation advice or medication 93.2
Patients ages 5-40 treated at a HRSA supported health centers with diagnosed asthma who have an acceptable pharmacological treatment plan 92.2
People who needed to see a doctor but could not because of cost in the past 12 months 10.3
Adults treated at a HRSA supported health centers who received weight screening and follow-up 80.3
Adults ages 18 to 85 treated at a HRSA supported health centers with diagnosed hypertension whose last blood pressure was less than 140/90 70.7
Adults treated at a HRSA supported health centers with appropriate screening for colorectal cancer 44.7
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 3.6
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 3.7
Adult hospital patients who strongly agree that they understood the purpose for taking each of their medications after discharge 54.5
Adult hospital patients who strongly agree that they understood how to manage their health after discharge 53.9
Adult hospital patients who always had good communication with nurses in the hospital 83.3
Adult hospital patients who always had good communication with doctors in the hospital 82.3
Ryan-White HIV patients with at least one HIV care visit and most recent viral load <200 during the year 91.8
Hospitals with computerized system that allows for computerized provider order entry including medications 90.0
Hospitals with computerized system that allows for computerized provider order entry including consultant requests 90.0
Hospitals with fully implemented electronic medical record system 60.0
Ryan-White HIV patients with at least one HIV care visit and at least one ambulatory visit date and prescribed HIV ART during the year 87.0
Adults who received outpatient mental health treatment or counseling in the last 12 months 11.4
Hospitals with computerized system that allows for computerized provider order entry including nursing orders 90.0
Hospitals with computerized system that allows for computerized provider order entry 90.0
Ryan-White HIV patients with at least one HIV care visit and at least 2 ambulatory visit dates at least 90 days apart during the year 81.9
Adults who received prescription medications for mental health treatment in the last 12 months 17.8
Patients who received appropriate care for severe sepsis and septic shock 35.5
Hospitals with computerized system that allows for computerized provider order entry including radiology tests 90.0
Hospitals with computerized system that allows for results viewing 100.0
Adults who received mental health treatment or counseling in the last 12 months 20.6
Hospitals with computerized system that allows for electronic clinical documentation including problem lists 100.0
Hospitals with computerized system that allows for results viewing including laboratory reports 100.0
Hospitals with computerized system that allows for electronic clinical documentation including discharge summaries 100.0
Hospitals with computerized system that allows for results viewing including radiology images 100.0
Hospitals with computerized system that allows for electronic clinical documentation including medication lists 100.0
Hospitals with computerized system that allows for results viewing including radiology reports 100.0
Hospitals with computerized system that allows for electronic clinical documentation including physician notes 100.0
Hospitals with computerized system that allows for results viewing including consultant reports 100.0
Hospitals with computerized system that allows for results viewing including diagnostic test results 100.0
Hospitals with computerized system that allows for electronic clinical documentation 100.0
Hospitals with computerized system that allows for electronic clinical documentation including nursing notes 100.0
Hospitals with computerized system that allows for electronic clinical documentation including advanced directives 100.0
Hospitals with computerized system that allows for results viewing including diagnostic test images 100.0
Hospitals with computerized system that allows for computerized provider order entry including laboratory test 90.0