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Utah

Overall Health 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. 32 1473
Average = The State rate on an NHQR measure is not statistically different from the all-State/regional average. 53 2324
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. 27 1663
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. 8 660
Total number of measures for the State (excluding measures that are N/A) 112 5460

Measures for which Utah'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
Birth related trauma Obstetric trauma per 1,000 vaginal deliveries without instrument assistance Better than Average 2005 29.7 38.9 37.8 2000 -5.9% Improved HCUP Obstetric trauma with 3rd or 4th degree lacerations per 1,000 vaginal deliveries without instrument assistance 10_4_2.3
Cancer Colonoscopy, sigmoidoscopy, or proctoscopy Better than Average 2006 63.5 60.1 56.3 2001 6.0% Improved BRFSS Percentage of adults age 50 and over who ever received a colonoscopy, sigmoidoscopy, or proctoscopy 1_3_2.1
Cancer Colorectal cancer deaths Better than Average 2005 13.3 17.3 15.9 1999 -3.1% Improved NVSS Colorectal cancer deaths per 100,000 population per year 1_3_6.3
Cancer All cancer deaths Better than Average 2005 139.4 183.0 164.5 1999 -1.8% Improved NVSS All cancer deaths per 100,000 population per year 1_4_1.3
Cancer Lung cancer deaths Better than Average 2005 24.2 51.7 40.6 1999 -1.4% Improved NVSS Lung cancer deaths per 100,000 population per year 1_4_3.3
Complications of hospital care Selected infections due to medical care per 1,000 discharges Better than Average 2005 1.99 2.3 2.8 2000 -1.5% Improved HCUP Selected infections due to medical care per 1,000 medical and surgical discharges (excluding immunocompromised and cancer patients, stays under 2 days, and admissions specifically for such infections), age 18 and over or obstetric admissions 10_2_6.4
Complications of hospital care Deaths per 1,000 admissions in low mortality DRGs Better than Average 2005 .27 0.5 0.4 2000 -3.9% Improved HCUP Deaths per 1,000 admissions in low mortality Diagnosis Related Groups (DRGs), age 18 and over or obstetric admissions 10_2_9.3
Diabetes Avoidable hospitalizations - diabetes, uncomplicated Better than Average 2005 3.9 15.0 7.0 2000 -13.4% Improved HCUP Admissions for uncontrolled diabetes without complications (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 and over 2_3_1.3
Diabetes Avoidable hospitalizations - diabetes, short-term complications Better than Average 2005 39.6 53.0 50.1 2000 1.9% Worsened HCUP Admissions for diabetes with short-term complications (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 and over 2_3_2.6
Diabetes Avoidable hospitalizations - diabetes, long-term complications Better than Average 2005 66 114.0 88.6 2000 -0.8% Unchanged HCUP Admissions for diabetes with long-term complications (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 and over 2_3_3.3
End stage renal disease Renal failure and kidney transplant Better than Average 2002 41.3 17.4 20.2 1994 -1.7% Worsened USRDS Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure 3_1_2.3
Heart and vascular diseases Avoidable hospitalizations - heart failure Better than Average 2005 229.9 420.5 287.4 2000 0.3% Unchanged HCUP Adult hospital admissions for congestive heart failure (excluding patients with cardiac procedures, obstetric conditions, and transfers from other institutions) per 100,000 population 4_3_4.3
Maternal and child health Low-weight births Better than Average 2005 6.8 8.3 7.7 1998 0.2% Unchanged NVSS Percentage of live-born infants with low birth weight (less than 2,500 grams) 6_1_2.5
Maternal and child health Very low-weight births Better than Average 2005 1 1.5 1.2 1998 0.0% Unchanged NVSS Percentage of live-born infants with very low birth weight (less than 1,500 grams) 6_1_2.6
Maternal and child health Infant deaths - very low birth weight Better than Average 2005 194.1 241.6 242.1 2003 -8.4% Improved NVSS Infant mortality per 1,000 live births, birth weight less than 1,500 grams 6_1_3.9
Nursing home, home health, and hospice care Nursing home short-stay residents - with pressure sores Better than Average 2007 11.9 14.9 13.3 2002 -5.7% 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 - with urinary tract infections Better than Average 2007 7.6 9.1 8.9 2002 1.1% 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 Better than Average 2007 45.9 39.9 39.5 2005 5.2% 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 Better than Average 2007 71.9 65.6 68.4 2005 1.3% Improved 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 Better than Average 2007 71.1 62.4 64.9 2005 2.4% 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 Better than Average 2007 62.3 51.7 54.8 2005 3.1% Improved 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 Better than Average 2007 48.2 40.3 40.5 2005 7.9% 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 breathing Better than Average 2007 65.6 59.1 61.5 2005 1.8% Improved 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 - hospitalization Better than Average 2007 21.2 30.1 25.9 2005 -3.4% Improved 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 Better than Average 2007 19.2 22.2 22.1 2005 -2.0% Improved OASIS Percentage of home health care patients who need urgent, unplanned medical care 9_2_9.3
Respiratory diseases Pneumonia - recommended hospital care received Better than Average 2006 83.3 81.1 79.3 2005 7.9% 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 83.9 79.9 79.5 2005 4.6% 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 - flu vaccination screening in hospital Better than Average 2006 76.1 69.5 65.0 2005 9.8% 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 deaths in hospital Better than Average 2005 36.7 49.7 35.8 2000 -9.9% Improved HCUP Deaths per 1,000 adult hospital admissions with pneumonia as principal diagnosis (excluding obstetric and neonatal admissions and transfers to another hospital) 8_2_7.3
Respiratory diseases Asthma admissions for children Better than Average 2005 81.6 126.2 112.0 2000 7.4% Worsened HCUP Pediatric asthma admissions (excluding patients with cystic fibrosis or anomalies of the respiratory system and transfers from other institutions) per 100,000 population, ages 2-17 8_3_2.7
Respiratory diseases Asthma admissions for adults Better than Average 2005 59.3 117.8 89.3 2000 2.6% Worsened HCUP Asthma admissions (excluding patients with cystic fibrosis or anomalies of the respiratory system, obstetric admissions, and transfers from other institutions) per 100,000 population, age 18 and over 8_3_2.8
Respiratory diseases Asthma admissions for seniors Better than Average 2005 127.8 231.4 178.5 2000 4.4% Worsened HCUP Asthma admissions (excluding patients with cystic fibrosis or anomalies of the respiratory system, obstetric admissions and transfers from other institutions) per 100,000 population, age 65 and over 8_3_2.9


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 Utah'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
Birth related trauma Birth trauma injury to neonate per 1,000 live births Average 2005 1.54 1.9 1.7 2000 -27.7% Improved HCUP Birth trauma - injury to neonate per 1,000 live births (excluding preterm and osteogenesis imperfecta births) 10_4_1.3
Birth related trauma Obstetric trauma per 1,000 instrument-assisted deliveries Average 2005 164.5 166.8 173.9 2000 -4.2% Improved HCUP Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries 10_4_3.3
Birth related trauma Obstetric trauma per 1,000 cesarean deliveries Average 2005 3.1 3.6 3.8 2000 -8.9% Improved HCUP Obstetric trauma with 3rd or 4th degree lacerations per 1,000 cesarean deliveries 10_4_4.3
Cancer Breast cancer deaths Average 2005 24.1 24.0 22.1 1999 1.8% Worsened NVSS Breast cancer deaths per 100,000 female population per year 1_1_5.3
Cancer Prostate cancer deaths Average 2005 23.9 24.4 24.6 1999 -5.0% Improved NVSS Prostate cancer deaths per 100,000 male population per year 1_4_2.3
Diabetes Diabetes hemoglobin A1c tests Average 2006 83.7 85.4 82.0 2001 -2.1% Worsened 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 foot exams Average 2006 68.6 73.3 68.7 2001 -2.7% Worsened 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
Diabetes Diabetes flu shots Average 2006 47.7 42.8 40.0 2001 3.6% Improved 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 18.5 13.8 13.9 1999 -4.9% 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 92.1 92.2 93.3 2000 3.2% 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 .97 0.9 0.9 2000 0.3% Unchanged U.Michigan Ratio of observed deaths to expected deaths among Medicare hemodialysis patients 3_1_5.1
Getting appointments for care Always got routine appointments - adults on Medicare fee for service Average 2007 62.2 61.4 58.2 No Data No Data No Data NCBD Percentage of adults who had an appointment for routine health care in the last 12 months who always got appointments for routine care as soon as wanted, Medicare fee for service 11_1_1.8
Getting appointments for care Always got appointment for illness/injury/condition - adults on Medicare managed care Average 2007 68.3 70.4 66.2 No Data No Data No Data NCBD Percentage of adults who needed care right away for an illness, injury, or condition in the last 12 months who always got care as soon as wanted, Medicare managed care 11_1_3.7
Getting appointments for care Always got appointment for illness/injury/condition - adults on Medicare fee for service Average 2007 73.4 71.4 70.4 No Data No Data No Data NCBD Percentage of adults who needed care right away for an illness, injury, or condition in the last 12 months who always got care as soon as wanted, Medicare fee for service 11_1_3.8
Heart and vascular diseases Heart attack - aspirin at admission Average 2006 96.5 96.6 97.5 2005 0.4% 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 97.3 96.9 97.3 2005 1.5% Improved 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 87.4 86.9 87.9 2005 5.4% 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 97.3 97.1 96.8 2005 10.9% 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 - recommended hospital care received Average 2006 90.2 91.0 89.2 2005 2.5% 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 Average 2006 92.3 92.9 91.0 2005 3.6% Improved QIO Percentage of hospital patients with heart failure who received an evaluation of left ventricular ejection fraction 4_3_2.2
Heart and vascular diseases Heart failure - ACEI/ARB at discharge Average 2006 84.4 85.4 84.8 2005 -0.5% Unchanged 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
Heart and vascular diseases Congestive heart failure deaths in hospital Average 2005 33.7 36.6 29.8 2000 -8.0% Improved HCUP Deaths per 1,000 adult hospital admissions with congestive heart failure as principal diagnosis (excluding obstetric and neonatal adult hospital admissions and transfers to another hospital) 4_3_5.3
Heart and vascular diseases Abdominal aortic aneurysm repair deaths in hospital Average 2005 72.5 67.2 58.2 2000 -2.0% Improved HCUP Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair (excluding obstetric and neonatal admissions and transfers to another hospital) 4_4_1.3
Heart and vascular diseases Coronary artery bypass graft deaths in hospital Average 2005 36.2 29.2 27.4 2000 1.3% Worsened HCUP Deaths per 1,000 hospital admissions age 40 and over with coronary artery bypass graft (excluding obstetric and neonatal admissions and transfers to another hospital) 4_4_2.3
Maternal and child health Children fully vaccinated Average 2006 80.4 81.0 75.5 2000 2.8% Improved NIS Percentage of children ages 19-35 months who received all recommended vaccines (4:3:1:3:3) 6_2_1.3
Nursing home, home health, and hospice care Nursing home long-stay residents - with declining mobility Average 2007 13.5 11.9 12.8 2002 6.6% Worsened 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 Average 2007 15.2 14.7 16.1 2002 -0.5% Unchanged 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 Average 2007 7.6 8.3 8.6 2004 1.4% Worsened 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 - given flu vaccine Average 2007 78.3 78.1 74.5 2006 -0.3% Unchanged 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 short-stay residents - given pneumococcal vaccine Average 2007 78.4 76.3 72.9 2006 13.5% 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 - more depressed or anxious Average 2007 15.2 12.8 14.1 2002 -1.3% Improved 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 Average 2007 47.5 49.8 48.3 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 Average 2007 6.1 5.2 6.5 2002 -1.9% Improved MDS Percentage of low-risk long-stay nursing home residents with a catheter inserted and left in their bladder 9_1_7.3
Nursing home, home health, and hospice care Nursing home long-stay residents - high-risk with pressure sores Average 2007 10.7 11.6 9.8 2002 -0.6% Unchanged MDS Percentage of high-risk long-stay nursing home residents who have pressure sores 9_1_8.3
Nursing home, home health, and hospice care Home health care - improved pain management when mobile Average 2007 62.7 62.4 59.3 2005 1.2% Improved 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 bladder control Average 2007 51.2 47.5 48.9 2005 2.1% Improved OASIS Percentage of home health care patients whose bladder control improves 9_2_7.3
Nursing home, home health, and hospice care Hospice care - appropriate pain medication dosage Average 2007 94.7 94.5 93.9 2006 1.5% Improved 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 93.7 94.6 94.0 2006 -1.3% Worsened 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 89.4 88.8 88.8 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
Overall measures Best rating for care - adults on Medicare managed care Average 2007 61.3 63.0 60.7 No Data No Data No Data NCBD Percentage of adults who had a doctor's office or clinic visit in the last 12 months who gave a best rating for health care they received, Medicare managed care 12_1_11.7
Overall measures Best rating for care - adults on Medicare fee for service Average 2007 59.7 61.4 57.8 No Data No Data No Data NCBD Percentage of adults who had a doctor's office or clinic visit in the last 12 months who gave a best rating for health care they received, Medicare fee for service 12_1_11.8
Patient experience of care Always had good communication with providers - adults on Medicare managed care Average 2007 73.1 75.3 72.9 No Data No Data No Data NCBD Percentage of adults who had a doctor's office or clinic visit in the last 12 months whose health providers always listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, Medicare managed care 12_1_1.7
Patient experience of care Always had good communication with providers - adults on Medicare fee for service Average 2007 68.7 74.2 72.5 No Data No Data No Data NCBD Percentage of adults who had a doctor's office or clinic visit in the last 12 months whose health providers always listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, Medicare fee for service 12_1_1.8
Respiratory diseases Flu vaccine in past 12 months - high-risk, age 18-64 Average 2006 33.4 33.4 33.5 2001 4.0% Improved BRFSS Percentage of adults ages 18-64 at high risk (e.g., COPD) who received an influenza vaccination in the last 12 months 8_1_1.3
Respiratory diseases Flu vaccine in past 12 months - age 65 and over Average 2006 72.3 69.4 70.1 2001 1.0% Unchanged BRFSS Percentage of adults age 65 and over who received an influenza vaccination in the last 12 months 8_1_2.3
Respiratory diseases Pneumonia vaccine ever - high-risk, age 18-64 Average 2006 25.3 25.4 25.7 2001 1.9% Improved BRFSS Percentage of high-risk people ages 18-64 who ever received a pneumococcal vaccination 8_1_4.3
Respiratory diseases Pneumonia vaccine ever - age 65 plus Average 2006 66 67.2 68.7 2001 -0.7% Unchanged BRFSS Percentage of adults age 65 and over who ever received a pneumococcal vaccination 8_1_5.3
Respiratory diseases Pneumonia - blood cultures before antibiotics in hospital Average 2006 90.3 90.4 89.5 2005 9.9% Improved QIO Percentage of hospital patients with pneumonia who had blood cultures collected before antibiotics were administered 8_2_2.2
Respiratory diseases Pneumonia - recommended initial antibiotics in hospital Average 2006 86.6 85.7 86.4 2005 3.7% Improved QIO Percentage of hospital patients with pneumonia who received the initial antibiotic consistent with current recommendations 8_2_4.2
Respiratory diseases Pneumonia - pneumococcal vaccination screening in hospital Average 2006 76.6 75.3 72.7 2005 19.5% Improved QIO Percentage of hospital patients age 65 and over with pneumonia who received pneumococcal screening or vaccination, 8_2_6.2
Surgical Care Postoperative sepsis per 1,000 elective-surgery discharges Average 2005 12.5 14.0 14.8 2000 5.9% Worsened HCUP Postoperative sepsis per 1,000 elective-surgery discharges with an operating room procedure (excluding patients admitted for infection; patients with cancer or immunocompromised states; obstetric conditions; stays under 4 days; and admissions specifically for sepsis), age 18 and over 10_1_10.3
Surgical Care Reclosure of postoperative abdominal wound separation per 1,000 discharges Average 2005 2.6 2.6 2.9 2000 2.1% Worsened HCUP Reclosure of postoperative abdominal wound separation per 1,000 abdominopelvic-surgery discharges (excluding immunocompromised patients, stays under 2 days, and obstetric conditions), age 18 and over 10_1_15.4
Waiting Time Heart attack - PCI in 90 minutes Average 2007 52.9 61.1 57.8 2004 No Data No Data HC Percentage of hospital patients with heart attack who were given percutaneous coronary intervention (PCI) within 90 minutes of arrival 11_2_4.3


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 Utah'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
Cancer Mammograms Worse than Average 2006 68 76.3 70.0 2000 -1.1% Worsened BRFSS Percentage of women age 40 and over who received a mammogram in the last 2 years 1_1_1.1
Cancer Pap tests Worse than Average 2006 70.1 80.9 76.9 2000 -1.9% Worsened BRFSS Percentage of women age 18 and over who received a Pap smear within the last 3 years 1_2_1.1
Cancer Fecal occult blood tests Worse than Average 2006 14.2 27.9 24.8 2001 -7.5% Worsened BRFSS Percentage of adults age 50 and over who received a fecal occult blood test in the last 2 years 1_3_3.1
Complications of hospital care Iatrogenic pneumothorax per 1,000 discharges Worse than Average 2005 .84 0.7 0.8 2000 1.5% Worsened HCUP Iatrogenic pneumothorax per 1,000 discharges (excluding obstetrical admissions and patients with chest trauma, thoracic surgery, lung or pleural biopsy, or cardiac surgery), age 18 and over 10_2_4.4
Diabetes Diabetes eye exams Worse than Average 2006 60.4 70.0 66.1 2001 -1.5% Worsened 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 Hospital admissions for short-term complications of diabetes Worse than Average 2005 35 27.2 28.6 2000 2.9% Worsened HCUP Admissions for diabetes with short-term complications (excluding transfers from other institutions) per 100,000 population, ages 6-17 2_3_2.5
End stage renal disease Dialysis and good urea reduction - Medicare Worse than Average 2006 90.4 95.0 95.2 2000 0.9% Unchanged U.Michigan Percentage of adult hemodialysis patients with adequate dialysis (urea reduction ratio 65% or greater), Medicare 3_1_3.3
Getting appointments for care Always got routine appointments - adults on Medicare managed care Worse than Average 2007 56.6 62.8 58.3 No Data No Data No Data NCBD Percentage of adults who had an appointment for routine health care in the last 12 months who always got appointments for routine care as soon as wanted, Medicare managed care 11_1_1.7
Heart and vascular diseases Blood cholesterol testing Worse than Average 2005 67.1 72.6 68.5 2001 -1.1% Worsened BRFSS Percentage of adults who received a blood cholesterol measurement in the last 5 years 4_1_3.1
Heart and vascular diseases Heart attack - recommended hospital care Worse than Average 2006 94.9 95.6 95.9 2005 2.4% 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 Worse than Average 2006 91.5 93.9 93.5 2005 2.3% 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 Worse than Average 2006 93.9 96.6 96.3 2005 2.5% Improved QIO Percentage of hospital patients with heart attack who were prescribed beta blocker at discharge 4_2_5.2
Heart and vascular diseases Heart attack deaths in hospital Worse than Average 2005 96 78.5 76.9 2000 1.1% Worsened HCUP Deaths per 1,000 adult hospital admissions with acute myocardial infarction (AMI) as principal diagnosis (excluding transfers to another hospital) 4_2_8.3
Heart and vascular diseases Angioplasty deaths in hospital Worse than Average 2005 15.3 12.4 13.0 2000 0.5% Unchanged HCUP Deaths per 1,000 hospital admissions age 40 and over with percutaneous transluminal coronary angioplasties (excluding obstetric and neonatal admissions and transfers to another hospital) 4_4_3.3
Maternal and child health Prenatal care Worse than Average 2005 80.2 83.6 78.1 2003 -0.1% Unchanged NVSS Percentage of women who completed a pregnancy in the last 12 months who received prenatal care in the first trimester 6_1_1.3
Mental health Suicide deaths Worse than Average 2005 15.1 10.4 17.0 1999 1.3% Worsened NVSS Suicide deaths per 100,000 population 7_1_1.3
Nursing home, home health, and hospice care Nursing home long-stay residents - with moderate to severe pain Worse than Average 2007 8.2 3.8 5.4 2002 -22.5% 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 short-stay residents - with moderate to severe pain Worse than Average 2007 34 19.7 25.6 2002 -6.8% 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 3.1 1.6 1.9 2002 -15.3% 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 - given flu vaccine Worse than Average 2007 85.6 89.0 86.3 2006 -1.7% 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 long-stay residents - given pneumococcal vaccine Worse than Average 2007 79.6 86.8 83.7 2006 9.5% 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 long-stay residents - physically restrained Worse than Average 2007 8.5 4.0 4.4 2002 -5.0% 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 - bed/chair bound Worse than Average 2007 3.9 2.5 2.3 2002 4.7% Worsened MDS Percentage of long-stay nursing home residents who spent most of their time in bed or in a chair 9_1_3.3
Respiratory diseases Avoidable hospitalizations - influenza Worse than Average 2005 107.1 62.9 67.6 2000 26.9% Worsened HCUP Immunization-preventable influenza admissions (excluding transfers from other institutions) per 100,000 population, age 65 and over 8_1_3.3
Surgical Care Inpatient surgery - appropriate antibiotic timing Worse than Average 2006 76.4 81.1 77.9 2005 11.5% 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 Worse than Average 2006 81.7 84.8 82.5 2005 10.0% 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 Worse than Average 2006 71 77.4 74.1 2005 13.8% Improved QIO Percentage of adult surgery patients who had prophylactic antibiotics discontinued within 24 hours after surgery end time 10_1_7.2


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.