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Maine

Hospital 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. 13 503
Average = The State rate on an NHQR measure is not statistically different from the all-State/regional average. 6 498
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. 1 528
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. 16 307
Total number of measures for the State (excluding measures that are N/A) 20 1529

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
Heart and vascular diseases Heart attack - recommended hospital care Better than Average 2006 96.2 95.6 96.7 2005 1.5% Improved QIO Percentage of hospital patients with heart attack who received recommended hospital care 4_2_1.2
Heart and vascular diseases Heart attack - beta blocker at admission Better than Average 2006 96 93.9 96.3 2005 1.2% Improved QIO Percentage of hospital patients with heart attack who received beta blocker within 24 hours of admission 4_2_4.2
Heart and vascular diseases Heart attack - beta blocker at discharge Better than Average 2006 97.4 96.6 98.3 2005 0.5% Unchanged QIO Percentage of hospital patients with heart attack who were prescribed beta blocker at discharge 4_2_5.2
Heart and vascular diseases Heart failure - recommended hospital care received Better than Average 2006 93.2 91.0 93.2 2005 2.4% Improved QIO Percentage of hospital patients with heart failure who received recommended hospital care (evaluation of left ventricular ejection fraction and ACE inhibitor or ARB prescription at discharge, if indicated, for left ventricular systolic dysfunction) 4_3_1.2
Heart and vascular diseases Heart failure - evaluation of ejection fraction test in hospital Better than Average 2006 95.2 92.9 95.5 2005 1.9% Improved QIO Percentage of hospital patients with heart failure who received an evaluation of left ventricular ejection fraction 4_3_2.2
Respiratory diseases Pneumonia - recommended hospital care received Better than Average 2006 85 81.1 83.7 2005 8.7% Improved QIO Percentage of hospital patients with pneumonia who received recommended hospital care 8_2_1.2
Respiratory diseases Pneumonia - antibiotics within 4 hours in hospital Better than Average 2006 85.1 79.9 81.2 2005 2.9% Improved QIO Percentage of hospital patients with pneumonia who received the initial antibiotic dose within 4 hours of hospital arrival 8_2_3.2
Respiratory diseases Pneumonia - recommended initial antibiotics in hospital Better than Average 2006 89.2 85.7 89.0 2005 6.1% Improved QIO Percentage of hospital patients with pneumonia who received the initial antibiotic consistent with current recommendations 8_2_4.2
Respiratory diseases Pneumonia - flu vaccination screening in hospital Better than Average 2006 78.3 69.5 74.5 2005 12.0% Improved QIO Percentage of hospital patients age 50 and over with pneumonia discharged during October-February who were screened for influenza vaccine status and were vaccinated prior to discharge 8_2_5.2
Respiratory diseases Pneumonia - pneumococcal vaccination screening in hospital Better than Average 2006 81.5 75.3 79.5 2005 22.6% Improved QIO Percentage of hospital patients age 65 and over with pneumonia who received pneumococcal screening or vaccination, 8_2_6.2
Surgical Care Inpatient surgery - appropriate antibiotic timing Better than Average 2006 89.8 81.1 86.0 2005 9.8% Improved QIO Percentage of adult surgery patients who received appropriate timing of antibiotics 10_1_5.2
Surgical Care Inpatient surgery - antibiotics within 1 hour Better than Average 2006 90.3 84.8 88.8 2005 8.8% Improved QIO Percentage of adult surgery patients who received prophylactic antibiotics within 1 hour prior to surgical incision 10_1_6.2
Surgical Care Inpatient surgery - antibiotics stopped within 24 hours Better than Average 2006 89.3 77.4 82.6 2005 10.9% Improved QIO Percentage of adult surgery patients who had prophylactic antibiotics discontinued within 24 hours after surgery end time 10_1_7.2


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
Heart and vascular diseases Heart attack - aspirin at admission Average 2006 96.6 96.6 97.8 2005 0.6% Unchanged QIO Percentage of hospital patients with heart attack who received aspirin within 24 hours of admission 4_2_2.2
Heart and vascular diseases Heart attack - aspirin at discharge Average 2006 96.9 96.9 98.3 2005 0.5% Unchanged QIO Percentage of hospital patients with heart attack who were prescribed aspirin at discharge 4_2_3.2
Heart and vascular diseases Heart attack - ACEI or ARB at discharge Average 2006 85.4 86.9 86.9 2005 7.8% Improved QIO Percentage of hospital patients with heart attack and left ventricular systolic dysfunction who were prescribed ACE inhibitor or ARB at discharge 4_2_6.2
Heart and vascular diseases Heart attack - smoking cessation counseling in hospital Average 2006 97.5 97.1 96.2 2005 5.9% Improved QIO Percentage of smokers with heart attack who received smoking cessation counseling while hospitalized 4_2_7.2
Heart and vascular diseases Heart failure - ACEI/ARB at discharge Average 2006 86.1 85.4 86.1 2005 2.9% Improved QIO Percentage of hospital patients with heart failure and left ventricular systolic dysfunction who were prescribed ACE inhibitor or ARB at discharge 4_3_3.2
Waiting Time Heart attack - fibrinolytic medication within 30 minutes Average 2007 50.9 39.8 34.8 2004 No Data No Data HC Percentage of hospital patients with heart attack who were given fibrinolytic medication within 30 minutes of arrival 11_2_3.3


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
Respiratory diseases Pneumonia - blood cultures before antibiotics in hospital Worse than Average 2006 88.4 90.4 90.0 2005 6.4% Improved QIO Percentage of hospital patients with pneumonia who had blood cultures collected before antibiotics were administered 8_2_2.2


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.