WisconsinChronic Kidney Disease Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Chronic Kidney Disease 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
Adult hemodialysis patients with adequate dialysis - (Kt/V) 12 or higher 96.2 96.5 0%
Adult end stage renal disease (ESRD) patients who saw a nephrologist at least 12 months prior to initiation of renal replacement therapy 49.7 54.1 8%
Adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access 65.6 72.8 10%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Ratio of observed deaths to expected deaths among Medicare hemodialysis patients 0.97 0.85 14%
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 22.8 28.8 21%
Dialysis patients who were registered on a waiting list for transplantation 20.5 28.2 27%
Percent of hemodialysis patients whose hemoglobin level is less than 10 g/dL 16.8 11.4 47%