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WisconsinBlack Quality Measures Compared to Achievable Benchmarks

The NHQDR quality measures specific to Black 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 Population Estimate Benchmark Distance to Benchmark
Long-stay nursing home residents with a urinary tract infection Black 2.1 2.8 Achieved: 24% better
Adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last flu season Black 58.4 47.8 Achieved: 22% better
Long-stay nursing home residents whose need for help with daily activities increased Black 15.5 17.1 Achieved: 9% better
Adults who received a blood cholesterol measurement in the last 5 years Black 88.4 82.3 Achieved: 7% better
Women ages 21-65 who received a Pap smear in the last 3 years Black 89.8 84.2 Achieved: 7% better
Home health care patients whose pain when moving around decreased Black 78.6 75.1 Achieved: 5% better
Adults age 65 and over who ever received pneumococcal vaccination Black 82.3 78.7 Achieved: 5% better
Women ages 50-74 who received a mammogram in the last 2 years Black 87.3 84.7 Achieved: 3% better
Home health care patients whose ability to get in and out of bed improved Black 74.3 72.6 Achieved: 2% better
Home health patients who had influenza vaccination during flu season Black 96.2 94.1 Achieved: 2% better
Home health care patients whose management of oral medications improved Black 67.4 66.2 Achieved: 2% better
Home health care patients whose ability to walk or move around improved Black 75.1 74.2 Achieved: 1% better
Adult hospital patients who sometimes or never had good communication about medications they received in the hospital Black 7.7 7.8 Achieved: 1% better
Home health care patients whose shortness of breath decreased Black 78.5 78.4 -0.1%
Adults who reported that home health providers talk about pain in the last 2 months of care Black 91.3 91.2 -0.1%
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 Black 84.3 85.5 1.4%
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 Black 82.0 83.3 1.5%
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 Black 86.6 88.2 1.8%
Adults who reported that home health providers always listen carefully to them in the last 2 months of care Black 86.2 87.9 2.0%
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 Black 78.5 80.1 2.0%
Adults who reported that home health providers always treated them with courtesy and respect in the last 2 months of care Black 92.6 95.0 2.5%
Home health care patients whose bathing improved Black 76.2 78.2 2.5%
Home health patients who had improvement in upper body dressing Black 77.0 79.3 2.9%
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 Black 84.1 86.8 3.1%
Home health care patients who stayed at home after an episode of home health care Black 82.7 85.5 3.3%
Home health care patients whose surgical wound was improved Black 89.6 93.1 3.8%
Adults who did not have any problem with the care they received from their home health providers in the last 2 months of care Black 90.3 94.0 4.0%
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 Black 64.0 67.6 5.3%
Adults who reported being told what care and services they would get when they first started getting home health care Black 86.2 91.3 5.6%
Adults who reported that home health providers talked with them about when to take medicines in the last 2 months of care Black 31.8 33.9 6.1%
Adults who reported that home health providers always treated them as gently as possible in the last 2 months of care Black 86.6 92.5 6.3%
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 Black 27.5 29.5 6.9%
Adults who reported getting the help or advice they needed when they contacted their home health providers in the last 2 months of care Black 28.3 30.4 7.0%
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 Black 33.3 35.9 7.3%
Home health patients who had improvement in toileting Black 73.0 78.9 7.5%
Home health patients who had pneumococcal polysaccharide vaccination Black 83.5 91.0 8.3%
Measures That Are Close to Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Long-stay nursing home residents who were assessed for pneumococcal vaccination Black 86.3 97.0 11.1%
Long-stay nursing home patients who were assessed and appropriately given the seasonal influenza vaccine Black 82.8 93.9 11.9%
Short-stay nursing home patients who had flu vaccination appropriately given Black 79.0 92.2 14.3%
Short-stay nursing home residents who were assessed for pneumococcal vaccination Black 74.5 91.4 18.5%
Adults who reported getting the help or advice they needed the same day they contacted their home health providers Black 18.6 23.8 22.0%
Adults age 65 and over who received an influenza vaccination in the last flu season Black 53.8 70.3 23.5%
Adult hospital patients who did not receive good communication about discharge information Black 9.8 7.7 26.9%
Long-stay nursing home residents whose ability to move independently worsened Black 26.3 20.7 27.1%
Home health care patients who had to be admitted to the hospital Black 14.6 10.5 39.0%
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never listened carefully to them, Medicare managed care Black 3.4 2.4 41.0%
Home health care patients who had an emergency department visit and then hospitalized Black 12.9 8.9 45.6%
Measures That Are Far From Benchmark
Measure Population Estimate Benchmark Distance to Benchmark
Long-stay nursing home residents with too much weight loss Black 7.9 4.7 68.2%
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never spent enough time with them, Medicare managed care Black 4.8 2.8 74.9%
Short-stay nursing home residents with moderate to severe pain Black 18.8 10.5 79.0%
Short-stay nursing home patients with pressure ulcers that are new or worsened Black 0.6 0.3 80.6%
Long-stay nursing home residents with moderate to severe pain Black 7.9 4.3 82.2%
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never showed respect for what they had to say, Medicare managed care Black 3.2 1.7 94.0%
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder Black 4.2 2.1 101.4%
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 Black 7.0 3.2 118.0%
Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never explained things in a way they could understand, Medicare managed care Black 4.3 1.9 124.0%
Home health care patients who had an emergency department visit without a hospitalization Black 6.7 2.8 137.5%
High-risk, long-stay nursing home patients with pressure ulcer Black 8.7 3.0 188.4%
Long-stay nursing home residents have depressive symptoms Black 9.1 1.1 704.4%
Measures With No Available Benchmark Information
Measure Population Estimate Benchmark Distance to Benchmark
Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year Black
Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year Black
Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year Black
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination Black