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California

Focus on Payer

How Does the Quality of Care for Medicaid Compare to the US?


Compared to the U.S., the performance for California in quality of care for Medicaid hospitalizations is in the average range.
The position of the solid arrow represents the State's performance meter score for the most recent data year.

What performance measures make up this meter? (select this link or the Meter)

How are measures represented by a performance meter? (select this link or Methods)

What contextual factors might influence this State's performance? (select this link or Contextual Factors)


The meter above represents California's balance of below average, average, and above average measures compared to the U.S. for Medicaid hospitalizations. The performance meter score is based on up to 15 measures of quality of care and is reported only if at least five measures are available. A State receives a stronger performance meter score as the number of measures for which the State is doing better than the U.S. increases. A State receives a weaker performance meter score as the number of measures for which the State is worse than the U.S increases.

Compared to the U.S., the performance for California is in the average range.

State Hospital Care Measures for Medicaid Compared to the U.S.
These AHRQ Inpatient Quality Indicators and Patient Safety Indicators refer to inpatient deaths and potentially avoidable complications.
Hospital Care Measures CA
Rate
(Medicaid)		 US Rate
(Medicaid)		 CA
Compared to US
(Medicaid)		 Relative Rate:
CA
Medicaid to Private		 Relative Rate:
US
Medicaid to Private		 Comparative Rate:
CA to US
Medicaid to Private

 Hospital Mortality
 
Deaths per 1,000 admissions with abdominal aortic aneurysm (AAA) repair DSU 49.08 DNC DNC indicates that Medicaid discharges receive the same quality of care and have similar outcomes as privately-insured discharges. DNC
Deaths per 1,000 admissions with coronary artery bypass surgery (CABG), age 40 and over 27.30 27.83 indicates that the State is performing similar to the U.S. indicates that Medicaid discharges receive the same quality of care and have similar outcomes as privately-insured discharges. indicates that Medicaid discharges receive poorer quality of care or have worse outcomes than privately-insured discharges. indicates that the State is performing similar to the U.S.
Deaths per 1,000 discharges for acute myocardial infarction (AMI) 81.83 76.72 indicates that the State is performing similar to the U.S. indicates that Medicaid discharges receive the same quality of care and have similar outcomes as privately-insured discharges. indicates that Medicaid discharges receive the same quality of care and have similar outcomes as privately-insured discharges. indicates that the State is performing similar to the U.S.
Deaths per 1,000 adult admissions with congestive heart failure (CHF) 31.77 30.90 indicates that the State is performing similar to the U.S. indicates that Medicaid discharges receive the same quality of care and have similar outcomes as privately-insured discharges. indicates that Medicaid discharges receive better quality of care or have better outcomes than privately-insured discharges. indicates that the State is performing worse than the U.S.
Deaths per 1,000 adult admissions with pneumonia 48.56 47.86 indicates that the State is performing similar to the U.S. indicates that Medicaid discharges receive the same quality of care and have similar outcomes as privately-insured discharges. indicates that Medicaid discharges receive the same quality of care and have similar outcomes as privately-insured discharges. indicates that the State is performing similar to the U.S.
Deaths per 1,000 adults with percutaneous transluminal coronary angioplasty (PTCA), age 40 and over 13.64 15.05 indicates that the State is performing similar to the U.S. indicates that Medicaid discharges receive the same quality of care and have similar outcomes as privately-insured discharges. indicates that Medicaid discharges receive poorer quality of care or have worse outcomes than privately-insured discharges. indicates that the State is performing better than the U.S.

 Hospital Safety
 
Deaths per 1,000 admissions in low-mortality DRGs 0.76 0.46 indicates that the State is performing similar to the U.S. indicates that Medicaid discharges receive poorer quality of care or have worse outcomes than privately-insured discharges. indicates that Medicaid discharges receive the same quality of care and have similar outcomes as privately-insured discharges. indicates that the State is performing worse than the U.S.
Iatrogenic pneumothorax per 1,000 discharges 0.67 0.72 indicates that the State is performing similar to the U.S. indicates that Medicaid discharges receive the same quality of care and have similar outcomes as privately-insured discharges. indicates that Medicaid discharges receive poorer quality of care or have worse outcomes than privately-insured discharges. indicates that the State is performing better than the U.S.
Selected infections due to medical care per 1,000 discharges 2.95 2.74 indicates that the State is performing similar to the U.S. indicates that Medicaid discharges receive poorer quality of care or have worse outcomes than privately-insured discharges. indicates that Medicaid discharges receive poorer quality of care or have worse outcomes than privately-insured discharges. indicates that the State is performing similar to the U.S.
Postoperative septicemia per 1,000 elective surgical discharges of 4 or more days 25.94 21.62 indicates that the State is performing worse than the U.S. indicates that Medicaid discharges receive poorer quality of care or have worse outcomes than privately-insured discharges. indicates that Medicaid discharges receive poorer quality of care or have worse outcomes than privately-insured discharges. indicates that the State is performing worse than the U.S.
Postoperative abdominal wound dehiscence per 1,000 discharges 4.65 4.55 indicates that the State is performing similar to the U.S. indicates that Medicaid discharges receive poorer quality of care or have worse outcomes than privately-insured discharges. indicates that Medicaid discharges receive poorer quality of care or have worse outcomes than privately-insured discharges. indicates that the State is performing worse than the U.S.

 Hospital Birth/ Obstetrics
 
Birth trauma injury to neonate per 1,000 selected live births 1.46 1.69 indicates that the State is performing similar to the U.S. indicates that Medicaid discharges receive the same quality of care and have similar outcomes as privately-insured discharges. indicates that Medicaid discharges receive poorer quality of care or have worse outcomes than privately-insured discharges. indicates that the State is performing better than the U.S.
Obstetric trauma per 1,000 instrument-assisted deliveries 104.38 127.24 indicates that the State is performing better than the U.S. indicates that Medicaid discharges receive better quality of care or have better outcomes than privately-insured discharges. indicates that Medicaid discharges receive better quality of care or have better outcomes than privately-insured discharges. indicates that the State is performing similar to the U.S.
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance 26.69 29.14 indicates that the State is performing similar to the U.S. indicates that Medicaid discharges receive better quality of care or have better outcomes than privately-insured discharges. indicates that Medicaid discharges receive better quality of care or have better outcomes than privately-insured discharges. indicates that the State is performing similar to the U.S.
Obstetric trauma per 1,000 Cesarean deliveries 2.89 3.55 indicates that the State is performing better than the U.S. indicates that Medicaid discharges receive better quality of care or have better outcomes than privately-insured discharges. indicates that Medicaid discharges receive better quality of care or have better outcomes than privately-insured discharges. indicates that the State is performing similar to the U.S.


Relative Rates:
indicates that Medicaid discharges receive poorer quality of care or have worse outcomes than privately-insured discharges.indicates that Medicaid discharges receive poorer quality of care or have worse outcomes than privately-insured discharges.
indicates that Medicaid discharges receive better quality of care or have better outcomes than privately-insured discharges.indicates that Medicaid discharges receive better quality of care or have better outcomes than privately-insured discharges.
indicates that Medicaid discharges receive the same quality of care and have similar outcomes as privately-insured discharges.indicates that Medicaid discharges receive the same quality of care and have similar outcomes as privately-insured discharges.

The symbols are based on statistical significance and a differential of at least 10 percent.

State Compared to U.S.:
indicates that the State is performing better than the U.S.indicates that the State is performing better than the U.S.
indicates that the State is performing worse than the U.S.indicates that the State is performing worse than the U.S.
indicates that the State is performing similar to the U.S.indicates that the State is performing similar to the U.S.

The symbols are based on a differential of at least 10 percent.
DSU:  Data do not meet the criteria for statistical reliability, data quality, or confidentiality.
DNC:  Data were not collected.