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Maine

Chronic Care Quality Measures and Metrics Compared to All States

State Performance Ratings

Rating Number of Measures for State in Summary Measure Number of Measures for All States in Summary Measure
Better than Average = The State rate on an NHQR measure is better than the all-State/regional average and is statistically different from the all-State/regional average. 8 634
Average = The State rate on an NHQR measure is not statistically different from the all-State/regional average. 23 999
Worse than Average = The State rate on an NHQR measure is worse than the all-State/regional average and is statistically different from the all-State/regional average. 9 727
N/A = An estimate or standard error was not available for a State measure or the relative standard error is greater than or equal to 30 percent. 10 190
Total number of measures for the State (excluding measures that are N/A) 40 2360

Measures for which Maine's rate is Better than the all-State Average

Quality Dimension Short Measure Name State Performance1 Most Recent Data Year State Rate All-State Average2 Regional Average Baseline Year Average Annual Change3 Direction of Change Data Source4 Full NHQR Measure Title NHQR Table Number5
Diabetes Diabetes hemoglobin A1c tests Better than Average 2006 91.1 85.4 88.4 2001 0.6% Unchanged BRFSS Percentage of adults age 40 and over with diagnosed diabetes who received a hemoglobin A1c measurement in the calendar year 2_1_2.3
Diabetes Diabetes eye exams Better than Average 2006 76.8 70.0 75.1 2001 1.2% Improved BRFSS Percentage of adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year 2_1_4.3
Diabetes Diabetes foot exams Better than Average 2006 82.2 73.3 80.0 2001 2.0% Improved BRFSS Percentage of adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year 2_1_5.3
End stage renal disease Renal failure and kidney transplant Better than Average 2002 36 17.4 25.2 1994 0.1% Unchanged USRDS Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 3_1_2.3
End stage renal disease Dialysis and good urea reduction - Medicare Better than Average 2006 97.3 95.0 96.0 2000 0.8% Unchanged U.Michigan Percentage of adult hemodialysis patients with adequate dialysis (urea reduction ratio 65% or greater), Medicare 3_1_3.3
Nursing home, home health, and hospice care Nursing home long-stay residents - with moderate to severe pain Better than Average 2007 3.2 3.8 2.8 2002 -18.7% Improved MDS Percentage of long-stay nursing home residents who have moderate to severe pain 9_1_1.3
Nursing home, home health, and hospice care Nursing home long-stay residents - physically restrained Better than Average 2007 2.1 4.0 3.3 2002 -21.6% Improved MDS Percentage of long-stay nursing home residents who were physically restrained 9_1_2.3
Nursing home, home health, and hospice care Nursing home long-stay residents - high-risk with pressure sores Better than Average 2007 8.1 11.6 10.4 2002 -5.1% Improved MDS Percentage of high-risk long-stay nursing home residents who have pressure sores 9_1_8.3


1 State Performance is for the most recent data year compared to All States

2 These all-State averages are calculated consistently across all measures and differ slightly from those in the National Healthcare Quality Report. For more information, select the Methods page.

3 The sign on entries under the column "Average Annual Change" indicates whether the measure has risen or fallen since the baseline year. Because "+" or "-" can represent an improvement or a worsening depending on how the measure is constructed, the column "Direction of Change" helps the user know what the change means.

4 Additional information about data sources/acronyms.

5 Select for other States' rates.

Measures for which Maine's rate is similar to the all-State Average

Quality Dimension Short Measure Name State Performance6 Most Recent Data Year State Rate All-State Average7 Regional Average Baseline Year Average Annual Change8 Direction of Change Data Source9 Full NHQR Measure Title NHQR Table Number10
Diabetes Diabetes flu shots Average 2006 46 42.8 51.9 2001 -2.0% Worsened BRFSS Percentage of noninstitutionalized high-risk adults ages 18-64 with diabetes who had a flu shot in the last 12 months 2_1_6.3
End stage renal disease Dialysis and on kidney transplant list Average 2004 12.8 13.8 16.4 1999 -6.2% Worsened USRDS Percentage of dialysis patients under age 70 who were registered on a waiting list for transplantation 3_1_1.3
End stage renal disease Dialysis and good hematocrit - Medicare Average 2006 92.3 92.2 92.7 2000 2.3% Improved U.Michigan Percentage of adult hemodialysis patients with hematocrit 33 or greater, Medicare 3_1_4.3
End stage renal disease Dialysis and survival - Medicare Average 2006 .84 0.9 0.9 2000 -0.2% Unchanged U.Michigan Ratio of observed deaths to expected deaths among Medicare hemodialysis patients 3_1_5.1
Nursing home, home health, and hospice care Nursing home short-stay residents - with pressure sores Average 2007 13.8 14.9 15.3 2002 -3.0% Improved MDS Percentage of short-stay nursing home residents with pressure sores 9_1_15.3
Nursing home, home health, and hospice care Nursing home long-stay residents - given flu vaccine Average 2007 87.7 89.0 88.1 2006 -1.3% Worsened MDS Percentage of long-stay nursing home residents given influenza vaccination during the flu season 9_1_16.3
Nursing home, home health, and hospice care Nursing home short-stay residents - given flu vaccine Average 2007 75.5 78.1 76.2 2006 -1.9% Worsened MDS Percentage of short-stay nursing home residents given influenza vaccination during the flu season 9_1_17.3
Nursing home, home health, and hospice care Nursing home long-stay residents - given pneumococcal vaccine Average 2007 86.5 86.8 84.9 2006 5.5% Improved MDS Percentage of long-stay nursing home residents who were assessed and given pneumococcal vaccination 9_1_18.3
Nursing home, home health, and hospice care Nursing home short-stay residents - given pneumococcal vaccine Average 2007 77.6 76.3 76.2 2006 9.6% Improved MDS Percentage of short-stay nursing home residents who were assessed and given pneumococcal vaccination 9_1_19.3
Nursing home, home health, and hospice care Nursing home long-stay residents - with urinary tract infections Average 2007 9.9 9.1 9.4 2002 2.9% Worsened MDS Percentage of long-stay nursing home residents with a urinary tract infection 9_1_4.3
Nursing home, home health, and hospice care Home health care - improved oral drug management Average 2007 39.5 39.9 39.7 2005 5.6% Improved OASIS Percentage of home health care patients who get better at taking their medicines correctly (by mouth) 9_2_1.3
Nursing home, home health, and hospice care Home health care - home after Home health care Average 2007 68.9 65.6 63.9 2005 -0.7% Unchanged OASIS Percentage of home health care patients who stay at home after an episode of home health care ends 9_2_10.3
Nursing home, home health, and hospice care Home health care - improved bathing Average 2007 59.9 62.4 60.2 2005 3.2% Improved OASIS Percentage of home health care patients who get better at bathing 9_2_2.3
Nursing home, home health, and hospice care Home health care - improved transferring Average 2007 54.7 51.7 51.6 2005 -1.3% Worsened OASIS Percentage of home health care patients who get better at getting in and out of bed 9_2_3.3
Nursing home, home health, and hospice care Home health care - improved mobility Average 2007 40.9 40.3 39.4 2005 3.9% Improved OASIS Percentage of home health care patients who get better at walking or moving around 9_2_4.3
Nursing home, home health, and hospice care Home health care - improved pain management when mobile Average 2007 60.2 62.4 62.8 2005 0.6% Unchanged OASIS Percentage of home health care patients who have less pain when moving around 9_2_5.3
Nursing home, home health, and hospice care Home health care - improved breathing Average 2007 59 59.1 59.7 2005 0.4% Unchanged OASIS Percentage of home health care patients who are short of breath less often 9_2_6.3
Nursing home, home health, and hospice care Home health care - improved bladder control Average 2007 46.8 47.5 47.2 2005 0.4% Unchanged OASIS Percentage of home health care patients whose bladder control improves 9_2_7.3
Nursing home, home health, and hospice care Home health care - hospitalization Average 2007 27.7 30.1 32.3 2005 1.3% Worsened OASIS Percentage of home health care patients who had to be admitted to the hospital 9_2_8.3
Nursing home, home health, and hospice care Home health care - plus urgent care Average 2007 23.7 22.2 26.1 2005 2.4% Worsened OASIS Percentage of home health care patients who need urgent, unplanned medical care 9_2_9.3
Nursing home, home health, and hospice care Hospice care - appropriate pain medication dosage Average 2007 94.5 94.5 94.0 2006 0.2% Unchanged FEHCS Percentage of hospice patients who received the right amount of medicine for pain 9_3_1.2
Nursing home, home health, and hospice care Hospice care - patients' wishes followed Average 2007 95.9 94.6 94.0 2006 1.8% Improved FEHCS Percentage of hospice patients who received care consistent with their stated end-of-life wishes 9_3_2.2
Nursing home, home health, and hospice care Hospice care - timely referral to hospice Average 2007 88.6 88.8 88.5 No Data No Data No Data FEHCS Percentage of hospice patient caregivers who perceived patient was referred to hospice at the right time 9_3_3.2


6 State Performance is for the most recent data year compared to All States

7 These all-State averages are calculated consistently across all measures and differ slightly from those in the National Healthcare Quality Report. For more information, select the Methods page.

8 The sign on entries under the column "Average Annual Change" indicates whether the measure has risen or fallen since the baseline year. Because "+" or "-" can represent an improvement or a worsening depending on how the measure is constructed, the column "Direction of Change" helps the user know what the change means.

9 Additional information about data sources/acronyms.

10 Select for other States' rates.

Measures for which Maine's rate is Worse than the all-State Average

Quality Dimension Short Measure Name State Performance11 Most Recent Data Year State Rate All-State Average12 Regional Average Baseline Year Average Annual Change13 Direction of Change Data Source14 Full NHQR Measure Title NHQR Table Number15
Nursing home, home health, and hospice care Nursing home long-stay residents - with declining mobility Worse than Average 2007 16.7 11.9 14.1 2002 -0.6% Unchanged MDS Percentage of long-stay nursing home residents whose ability to move about in and around their room got worse 9_1_10.3
Nursing home, home health, and hospice care Nursing home long-stay residents - with increased need for help Worse than Average 2007 16.9 14.7 15.6 2002 -1.7% Improved MDS Percentage of long-stay nursing home residents whose need for help with daily activities has increased 9_1_11.3
Nursing home, home health, and hospice care Nursing home long-stay residents - with too much weight loss Worse than Average 2007 9.6 8.3 7.7 2004 0.7% Unchanged MDS Percentage of long-stay nursing home residents who lose too much weight 9_1_12.3
Nursing home, home health, and hospice care Nursing home short-stay residents - with moderate to severe pain Worse than Average 2007 23.2 19.7 20.4 2002 -3.1% Improved MDS Percentage of short-stay nursing home residents who had moderate to severe pain 9_1_13.3
Nursing home, home health, and hospice care Nursing home short-stay residents - with delirium Worse than Average 2007 2.5 1.6 1.9 2002 -7.5% Improved MDS Percentage of short-stay nursing home residents with delirium 9_1_14.3
Nursing home, home health, and hospice care Nursing home long-stay residents - bed/chair bound Worse than Average 2007 4.2 2.5 2.0 2002 0.0% Unchanged MDS Percentage of long-stay nursing home residents who spent most of their time in bed or in a chair 9_1_3.3
Nursing home, home health, and hospice care Nursing home long-stay residents - more depressed or anxious Worse than Average 2007 29 12.8 14.7 2002 0.9% Unchanged MDS Percentage of long-stay nursing home residents who are more depressed or anxious 9_1_5.3
Nursing home, home health, and hospice care Nursing home long-stay residents - low-risk with less control bowels or bladder Worse than Average 2007 67.5 49.8 56.1 2002 1.6% Worsened MDS Percentage of low-risk long-stay nursing home residents who lose control of their bowels or bladder 9_1_6.3
Nursing home, home health, and hospice care Nursing home long-stay residents - low-risk with urinary catheter left in Worse than Average 2007 6.6 5.2 4.8 2002 0.3% Unchanged MDS Percentage of low-risk long-stay nursing home residents with a catheter inserted and left in their bladder 9_1_7.3


11 State Performance is for the most recent data year compared to All States

12 These all-State averages are calculated consistently across all measures and differ slightly from those in the National Healthcare Quality Report. For more information, select the Methods page.

13 The sign on entries under the column "Average Annual Change" indicates whether the measure has risen or fallen since the baseline year. Because "+" or "-" can represent an improvement or a worsening depending on how the measure is constructed, the column "Direction of Change" helps the user know what the change means.

14 Additional information about data sources/acronyms.

15 Select for other States' rates.