| 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 |
| Cancer |
Mammograms |
Better than Average |
2006 |
81.2 |
76.3 |
75.5 |
2000 |
1.9% |
Improved |
BRFSS |
Percentage of women age 40 and over who received a mammogram in the last 2 years |
1_1_1.3 |
| Cancer |
Breast cancer deaths |
Better than Average |
2006 |
20.8 |
23.3 |
22.5 |
1999 |
-2.6% |
Improved |
NVSS |
Breast cancer deaths per 100,000 female population per year |
1_1_5.3 |
| Cancer |
Cervical cancer diagnosed at advanced stage |
Better than Average |
2006 |
8.4 |
11.2 |
9.0 |
2004 |
-1.2% |
Improved |
NPCR |
Cervical cancer diagnosed at advanced stage (all invasive tumors) per 100,000 women age 20 and over |
1_2_2.2 |
| Cancer |
Colonoscopy, sigmoidoscopy, or proctoscopy |
Better than Average |
2006 |
69.1 |
60.1 |
57.6 |
2001 |
2.1% |
Improved |
BRFSS |
Percentage of adults age 50 and over who ever received a colonoscopy, sigmoidoscopy, or proctoscopy |
1_3_2.3 |
| Cancer |
Colorectal cancer diagnosed at advanced stage |
Better than Average |
2006 |
69.8 |
76.8 |
79.4 |
2004 |
-5.0% |
Improved |
NPCR |
Colorectal cancer diagnosed at advanced stage (regional and distant SEER summary stage) per 100,000 population age 50 and over |
1_3_4.2 |
| Cancer |
Colorectal cancer deaths |
Better than Average |
2006 |
15.3 |
17.1 |
17.3 |
1999 |
-2.8% |
Improved |
NVSS |
Colorectal cancer deaths per 100,000 population per year |
1_3_6.3 |
| Cancer |
All cancer deaths |
Better than Average |
2006 |
171.2 |
179.8 |
181.4 |
1999 |
-1.3% |
Improved |
NVSS |
All cancer deaths per 100,000 population per year |
1_4_1.3 |
| Cancer |
Lung cancer deaths |
Better than Average |
2006 |
45 |
50.6 |
51.5 |
1999 |
-0.7% |
Unchanged |
NVSS |
Lung cancer deaths per 100,000 population per year |
1_4_3.3 |
| Diabetes |
Diabetes hemoglobin A1c tests |
Better than Average |
2007 |
92.7 |
86.1 |
89.1 |
2001 |
-0.3% |
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 foot exams |
Better than Average |
2007 |
86.3 |
73.8 |
77.7 |
2001 |
0.3% |
Unchanged |
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_4.3 |
| Diabetes |
Avoidable hospitalizations - diabetes, uncomplicated |
Better than Average |
2006 |
9.5 |
14.3 |
13.4 |
2000 |
No Data |
No Data |
HCUP |
Adult admissions for uncontrolled diabetes without complications (excluding obstetric admissions and transfers from other institutions) per 100,000 population |
2_3_1.4 |
| Diabetes |
Avoidable adult hospitalizations - diabetes, short-term complications |
Better than Average |
2006 |
39.3 |
54.1 |
47.5 |
2000 |
No Data |
No Data |
HCUP |
Adult admissions for diabetes with short-term complications (excluding obstetric admissions and transfers from other institutions) per 100,000 population |
2_3_2.5 |
| Diabetes |
Avoidable hospitalizations - diabetes, long-term complications |
Better than Average |
2006 |
86.9 |
114.4 |
95.6 |
2000 |
No Data |
No Data |
HCUP |
Adult admissions for diabetes with long-term complications (excluding obstetric admissions and transfers from other institutions) per 100,000 population |
2_3_3.3 |
| End Stage Renal Disease |
Dialysis and on kidney transplant list |
Better than Average |
2005 |
24.6 |
14.5 |
18.1 |
1999 |
0.3% |
Unchanged |
USRDS |
Percentage of dialysis patients under age 70 who were registered on a waiting list for transplantation |
3_1_2.3 |
| End Stage Renal Disease |
Renal failure and kidney transplant |
Better than Average |
2003 |
37.1 |
16.7 |
25.4 |
1994 |
-1.3% |
Worsened |
USRDS |
Patients with treated chronic kidney failure who received a transplant within 3 years of date of renal failure |
3_1_3.3 |
| End Stage Renal Disease |
Dialysis and survival - Medicare |
Better than Average |
2007 |
.83 |
0.9 |
0.9 |
2000 |
-0.3% |
Unchanged |
UMKECC |
Ratio of observed deaths to expected deaths among Medicare hemodialysis patients |
3_1_4.1 |
| Functional Status Preservation and Rehabilitation |
Nursing home long-stay residents - bed/chair bound |
Better than Average |
2008 |
1.27 |
2.7 |
1.5 |
2002 |
2.4% |
Worsened |
NH Compare |
Percentage of long-stay nursing home residents who spend most of their time in bed or in a chair |
10_1_6.3 |
| HIV and AIDS |
HIV deaths |
Better than Average |
2006 |
1 |
2.7 |
1.2 |
1999 |
-5.6% |
Improved |
NVSS |
HIV infection deaths per 100,000 population |
5_2_4.3 |
| Heart Disease |
Heart attack - ACEI or ARB at discharge |
Better than Average |
2007 |
94.7 |
91.8 |
93.9 |
2005 |
3.5% |
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_1.2 |
| Heart Disease |
Heart failure - ACEI/ARB at discharge |
Better than Average |
2007 |
92.6 |
90.0 |
90.9 |
2005 |
5.4% |
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 |
| Heart Disease |
Avoidable hospitalizations - heart failure |
Better than Average |
2006 |
314 |
404.1 |
362.0 |
2000 |
No Data |
No Data |
HCUP |
Adult admissions for congestive heart failure (excluding patients with cardiac procedures, obstetric conditions, and transfers from other institutions) per 100,000 population |
4_3_4.1 |
| Heart Disease |
Abdominal aortic aneurysm repair deaths in hospital |
Better than Average |
2006 |
42.6 |
62.8 |
57.8 |
2000 |
No Data |
No Data |
HCUP |
Deaths per 1,000 adult admissions with abdominal aortic aneurysm (AAA) repair (excluding obstetric admissions and transfers to another hospital) |
4_4_1.3 |
| Patient Centeredness |
Best rating for care - adults on Medicare managed care |
Better than Average |
2008 |
61.6 |
56.8 |
61.8 |
2007 |
-8.1% |
Worsened |
CAHPS (MD, MR-FFS, M |
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 |
14_1_11.7 |
| Patient Safety |
Inpatient surgery - appropriate antibiotic timing |
Better than Average |
2007 |
88.4 |
87.4 |
88.0 |
2005 |
8.7% |
Improved |
QIO |
Percentage of adult surgery patients who received appropriate timing of antibiotics |
12_1_2.2 |
| Patient Safety |
Inpatient surgery - antibiotics stopped within 24 hours |
Better than Average |
2007 |
89.4 |
85.0 |
86.8 |
2005 |
13.7% |
Improved |
QIO |
Percentage of adult surgery patients who had prophylactic antibiotics discontinued within 24 hours after surgery end time |
12_1_4.2 |
| Patient Safety |
Postoperative sepsis per 1,000 elective-surgery discharges |
Better than Average |
2006 |
9 |
14.3 |
11.6 |
2000 |
No Data |
No Data |
HCUP |
Postoperative sepsis per 1,000 adult 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) |
12_1_5.3 |
| Patient Safety |
Selected infections due to medical care per 1,000 discharges |
Better than Average |
2006 |
1.38 |
2.2 |
1.7 |
2000 |
No Data |
No Data |
HCUP |
Selected infections due to medical care per 1,000 adult medical and surgical discharges (excluding immunocompromised and cancer patients, stays under 2 days, and admissions specifically for such infections) |
12_1_6.4 |
| Patient Safety |
Iatrogenic pneumothorax per 1,000 discharges |
Better than Average |
2006 |
.48 |
0.6 |
0.6 |
2000 |
No Data |
No Data |
HCUP |
Iatrogenic pneumothorax per 1,000 adult discharges (excluding obstetrical admissions and patients with chest trauma, thoracic surgery, lung or pleural biopsy, or cardiac surgery) |
12_3_5.4 |
| Patient Safety |
Deaths per 1,000 admissions in low-mortality DRGs |
Better than Average |
2006 |
.3 |
0.4 |
0.4 |
2000 |
No Data |
No Data |
HCUP |
Deaths per 1,000 adult admissions in low-mortality diagnosis-related groups (DRGs) |
12_3_9.3 |
| Respiratory Diseases |
Flu vaccine in past 12 months - high-risk, age 18-64 |
Better than Average |
2007 |
46.7 |
38.4 |
41.5 |
2003 |
7.7% |
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 |
Better than Average |
2007 |
79.4 |
72.7 |
74.9 |
2001 |
2.0% |
Improved |
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 - age 65 plus |
Better than Average |
2007 |
70.6 |
67.9 |
68.4 |
2001 |
1.9% |
Improved |
BRFSS |
Percentage of adults age 65 and over who ever received a pneumococcal vaccination |
8_1_5.3 |
| Respiratory Diseases |
Pneumonia - recommended hospital care received |
Better than Average |
2007 |
86.3 |
85.5 |
86.7 |
No Data |
No Data |
No Data |
QIO |
Percentage of hospital patients with pneumonia who received recommended hospital care |
8_2_1.2 |
| Respiratory Diseases |
Pneumonia - blood cultures before antibiotics in hospital |
Better than Average |
2007 |
92.3 |
91.2 |
93.1 |
2005 |
5.6% |
Improved |
QIO |
Percentage of hospital patients with pneumonia who had blood cultures collected before antibiotics were administered |
8_2_2.2 |
| Respiratory Diseases |
Pneumonia - antibiotics within 6 hours in hospital |
Better than Average |
2007 |
85.2 |
83.2 |
86.2 |
No Data |
No Data |
No Data |
QIO |
Percentage of hospital patients with pneumonia who received the initial antibiotic dose within 6 hours of hospital arrival |
8_2_3.2 |
| Respiratory Diseases |
Pneumonia - flu vaccination screening in hospital |
Better than Average |
2007 |
81.2 |
79.6 |
81.7 |
2005 |
11.7% |
Improved |
QIO |
Percentage of hospital patients age 50 and over with pneumonia discharged during October-February who received influenza screening or vaccination |
8_2_5.2 |
| Respiratory Diseases |
Pneumonia deaths in hospital |
Better than Average |
2006 |
40.2 |
45.2 |
46.6 |
2000 |
No Data |
No Data |
HCUP |
Deaths per 1,000 adult admissions with pneumonia as principal diagnosis (excluding obstetric admissions and transfers to another hospital) |
8_2_7.3 |
| Respiratory Diseases |
Avoidable adult hospitalizations - asthma |
Better than Average |
2006 |
79.1 |
107.7 |
87.0 |
2000 |
No Data |
No Data |
HCUP |
Adult asthma admissions ages 18 and over (excluding patients with cystic fibrosis or anomalies of the respiratory system, obstetric admissions, and transfers from other institutions) per 100,000 population |
8_3_2.7 |
| Respiratory Diseases |
Avoidable pediatric hospitalizations - asthma |
Better than Average |
2006 |
103.1 |
121.2 |
107.2 |
2000 |
No Data |
No Data |
HCUP |
Pediatric asthma admissions ages 2-17 (excluding patients with cystic fibrosis or anomalies of the respiratory system and transfers from other institutions) per 100,000 population |
8_3_2.8 |
| Respiratory Diseases |
Avoidable hospitalizations for seniors - asthma |
Better than Average |
2006 |
155.8 |
210.3 |
155.5 |
2000 |
No Data |
No Data |
HCUP |
Adult asthma admissions age 65 and over (excluding patients with cystic fibrosis or anomalies of the respiratory system, obstetric admissions and transfers from other institutions) per 100,000 population |
8_3_2.9 |
| Supportive and Palliative Care |
Nursing home long-stay residents - given flu vaccine |
Better than Average |
2008 |
92.4 |
89.9 |
91.3 |
2006 |
1.0% |
Improved |
NH Compare |
Percentage of long-stay nursing home residents given influenza vaccination during the flu season |
11_1_11.3 |
| Supportive and Palliative Care |
Nursing home short-stay residents - given flu vaccine |
Better than Average |
2008 |
85.3 |
81.4 |
84.8 |
2006 |
3.3% |
Improved |
NH Compare |
Percentage of short-stay nursing home residents given influenza vaccination during the flu season |
11_1_12.3 |
| Supportive and Palliative Care |
Nursing home long-stay residents - given pneumococcal vaccine |
Better than Average |
2008 |
92.1 |
89.6 |
91.7 |
2006 |
2.6% |
Improved |
NH Compare |
Percentage of long-stay nursing home residents who were assessed and given pneumococcal vaccination |
11_1_13.3 |
| Supportive and Palliative Care |
Nursing home short-stay residents - given pneumococcal vaccine |
Better than Average |
2008 |
85.1 |
81.4 |
84.2 |
2006 |
4.2% |
Improved |
NH Compare |
Percentage of short-stay nursing home residents who were assessed and given pneumococcal vaccination |
11_1_14.3 |
| Supportive and Palliative Care |
Nursing home long-stay residents - physically restrained |
Better than Average |
2008 |
1.9 |
2.8 |
1.5 |
2002 |
-14.3% |
Improved |
NH Compare |
Percentage of long-stay nursing home residents who were physically restrained |
11_1_17.3 |
| Supportive and Palliative Care |
Nursing home long-stay residents - high-risk with pressure sores |
Better than Average |
2008 |
6.6 |
11.1 |
8.1 |
2002 |
-5.6% |
Improved |
NH Compare |
Percentage of high-risk long-stay nursing home residents who have pressure sores |
11_1_18.3 |
| Supportive and Palliative Care |
Nursing home long-stay residents - with urinary tract infections |
Better than Average |
2008 |
7.1 |
9.1 |
8.6 |
2002 |
-0.9% |
Unchanged |
NH Compare |
Percentage of long-stay nursing home residents with a urinary tract infection |
11_1_2.3 |
| Supportive and Palliative Care |
Nursing home short-stay residents - with pressure sores |
Better than Average |
2008 |
9 |
13.2 |
10.7 |
2002 |
-6.6% |
Improved |
NH Compare |
Percentage of short-stay nursing home residents with pressure sores |
11_1_20.3 |
| Supportive and Palliative Care |
Hospice care - patients' wishes followed |
Better than Average |
2008 |
96.1 |
94.4 |
95.0 |
2006 |
0.0% |
Unchanged |
FEHCS |
Percentage of hospice patients who received care consistent with their stated end-of-life wishes |
11_1_25.2 |
| Supportive and Palliative Care |
Nursing home long-stay residents - with too much weight loss |
Better than Average |
2008 |
7.22 |
7.8 |
7.1 |
2004 |
-3.1% |
Improved |
NH Compare |
Percentage of long-stay nursing home residents who lose too much weight |
11_1_6.3 |
| Timeliness |
Got appointment for illness/injury/condition - adults on Medicare managed care |
Better than Average |
2008 |
73.5 |
68.8 |
72.7 |
2007 |
-1.5% |
Worsened |
CAHPS (MD, MR-FFS, M |
Percentage of adults who needed care right away for an illness, injury, or condition in the last 12 months who got care as soon as wanted, Medicare managed care |
13_1_3.7 |
| Timeliness |
Got appointment for illness/injury/condition - adults on Medicare fee for service |
Better than Average |
2008 |
77.5 |
69.5 |
73.1 |
2007 |
4.6% |
Improved |
CAHPS (MD, MR-FFS, M |
Percentage of adults who needed care right away for an illness, injury, or condition in the last 12 months who got care as soon as wanted, Medicare fee for service |
13_1_3.8 |
| Timeliness |
Heart attack - PCI in 90 minutes |
Better than Average |
2007 |
91.5 |
73.1 |
83.4 |
2005 |
13.3% |
Improved |
QIO |
Percentage of hospital patients with heart attack who received percutaneous coronary intervention (PCI) within 90 minutes of arrival |
13_2_3.2 |
| 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 |
| Cancer |
Breast cancer diagnosed at advanced stage |
Average |
2006 |
93.9 |
91.1 |
94.3 |
2004 |
0.6% |
Unchanged |
NPCR |
Breast cancer diagnosed at advanced stage (regional and distant SEER summary stage) per 100,000 women age 40 and over |
1_1_2.2 |
| Cancer |
Pap tests |
Average |
2006 |
87.3 |
87.6 |
86.1 |
2000 |
0.8% |
Unchanged |
BRFSS |
Percentage of women age 18 and over who received a Pap smear within the last 3 years |
1_2_1.3 |
| Cancer |
Prostate cancer deaths |
Average |
2006 |
23.2 |
23.2 |
23.6 |
1999 |
-4.1% |
Improved |
NVSS |
Prostate cancer deaths per 100,000 male population per year |
1_4_2.3 |
| Diabetes |
Diabetes eye exams |
Average |
2007 |
75.3 |
69.8 |
73.3 |
2001 |
0.4% |
Unchanged |
BRFSS |
Percentage of adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year |
2_1_3.3 |
| Diabetes |
Diabetes flu shots |
Average |
2007 |
55 |
47.7 |
49.1 |
2001 |
1.8% |
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_5.3 |
| End Stage Renal Disease |
Dialysis and good urea reduction - Medicare |
Average |
2007 |
95.3 |
95.8 |
94.6 |
2000 |
0.9% |
Unchanged |
UMKECC |
Percentage of adult hemodialysis patients with adequate dialysis (urea reduction ratio 65% or greater), Medicare |
3_1_1.3 |
| Functional Status Preservation and Rehabilitation |
Nursing home long-stay residents - with declining mobility |
Average |
2008 |
11.5 |
11.6 |
10.7 |
2002 |
-0.6% |
Unchanged |
NH Compare |
Percentage of long-stay nursing home residents whose ability to move about in and around their room got worse |
10_1_3.3 |
| Functional Status Preservation and Rehabilitation |
Home health care - improved transferring |
Average |
2008 |
49.5 |
51.3 |
51.1 |
2005 |
2.5% |
Improved |
HH Compare |
Percentage of home health care patients who get better at getting in and out of bed |
10_1_4.3 |
| Functional Status Preservation and Rehabilitation |
Nursing home long-stay residents - with increased need for help |
Average |
2008 |
15.3 |
14.9 |
14.3 |
2002 |
-0.1% |
Unchanged |
NH Compare |
Percentage of long-stay nursing home residents whose need for help with daily activities has increased |
10_1_5.3 |
| Heart Disease |
Blood cholesterol testing |
Average |
2007 |
75.9 |
74.4 |
72.4 |
2001 |
0.1% |
Unchanged |
BRFSS |
Percentage of adults age 18 and over who had their blood cholesterol checked within the preceding 5 years |
4_1_3.3 |
| Heart Disease |
Heart attack deaths in hospital |
Average |
2006 |
68.4 |
73.1 |
78.2 |
2000 |
No Data |
No Data |
HCUP |
Deaths per 1,000 adult admissions with acute myocardial infarction (AMI) as principal diagnosis (excluding transfers to another hospital) |
4_2_2.3 |
| Heart Disease |
Congestive heart failure deaths in hospital |
Average |
2006 |
33.4 |
32.3 |
36.4 |
2000 |
No Data |
No Data |
HCUP |
Deaths per 1,000 adult hospital admissions with congestive heart failure as principal diagnosis (excluding obstetric admissions and transfers to another hospital) |
4_3_5.3 |
| Heart Disease |
Coronary artery bypass graft deaths in hospital |
Average |
2006 |
24.5 |
25.9 |
27.6 |
2000 |
No Data |
No Data |
HCUP |
Deaths per 1,000 adult admissions ages 40 and over with coronary artery bypass graft (excluding obstetric admissions and transfers to another hospital) |
4_4_2.3 |
| Heart Disease |
Angioplasty deaths in hospital |
Average |
2006 |
10.7 |
11.6 |
11.8 |
2000 |
No Data |
No Data |
HCUP |
Deaths per 1,000 adult admissions ages 40 and over with percutaneous transluminal coronary angioplasties (excluding obstetric admissions and transfers to another hospital) |
4_4_3.3 |
| Maternal and Child Health |
Birth trauma injury to neonate per 1,000 live births |
Average |
2006 |
2.07 |
1.8 |
1.8 |
2004 |
19.1% |
Worsened |
HCUP |
Birth trauma - injury to neonate per 1,000 live births (excluding preterm and osteogenesis imperfecta births) |
6_2_1.3 |
| Maternal and Child Health |
Children fully vaccinated |
Average |
2007 |
84.7 |
81.7 |
83.2 |
2000 |
0.4% |
Unchanged |
NIS |
Percentage of children ages 19-35 months who received all recommended vaccines (4:3:1:3:3) |
6_3_1.3 |
| Mental Health and Substance Abuse |
Suicide deaths |
Average |
2006 |
10.6 |
10.3 |
12.2 |
1999 |
2.4% |
Worsened |
NVSS |
Suicide deaths per 100,000 population |
7_1_7.3 |
| Patient Centeredness |
Had good communication with providers - adults on Medicare managed care |
Average |
2008 |
75.4 |
74.8 |
75.9 |
2007 |
0.5% |
Unchanged |
CAHPS (MD, MR-FFS, M |
Percentage of adults who had a doctor's office or clinic visit in the last 12 months whose health providers listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, Medicare managed care |
14_1_1.7 |
| Patient Centeredness |
Had good communication with providers - adults on Medicare fee for service |
Average |
2008 |
76.1 |
74.4 |
73.6 |
2007 |
-1.7% |
Worsened |
CAHPS (MD, MR-FFS, M |
Percentage of adults who had a doctor's office or clinic visit in the last 12 months whose health providers listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, Medicare fee for service |
14_1_1.8 |
| Patient Centeredness |
Best rating for care - adults on Medicare fee for service |
Average |
2008 |
60.2 |
56.5 |
57.8 |
2007 |
-9.3% |
Worsened |
CAHPS (MD, MR-FFS, M |
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 |
14_1_11.8 |
| Patient Centeredness |
Heart failure - complete instructions at discharge |
Average |
2007 |
77.7 |
76.8 |
77.8 |
2005 |
17.0% |
Improved |
QIO |
Percentage of hospital patients with heart failure who were given complete written discharge instructions |
14_4_3.2 |
| Patient Safety |
Reclosure of postoperative abdominal wound separation per 1,000 discharges |
Average |
2006 |
2.48 |
2.5 |
2.4 |
2000 |
No Data |
No Data |
HCUP |
Reclosure of postoperative abdominal wound separation per 1,000 adult abdominopelvic-surgery discharges (excluding immunocompromised patients, stays under 2 days, and obstetric conditions) |
12_2_9.4 |
| Respiratory Diseases |
Pneumonia vaccine ever - high-risk, age 18-64 |
Average |
2007 |
23.4 |
26.3 |
25.8 |
2003 |
8.6% |
Improved |
BRFSS |
Percentage of high-risk people ages 18-64 who ever received a pneumococcal vaccination |
8_1_4.3 |
| Respiratory Diseases |
Pneumonia - recommended initial antibiotics in hospital |
Average |
2007 |
89.2 |
89.1 |
88.8 |
2005 |
5.0% |
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 |
2007 |
84.1 |
83.6 |
85.3 |
2005 |
11.6% |
Improved |
QIO |
Percentage of hospital patients age 65 and over with pneumonia who received pneumococcal screening or vaccination |
8_2_6.2 |
| Supportive and Palliative Care |
Nursing home long-stay residents - with moderate to severe pain |
Average |
2008 |
3.46 |
3.4 |
4.0 |
2002 |
-18.3% |
Improved |
NH Compare |
Percentage of long-stay nursing home residents who have moderate to severe pain |
11_1_1.3 |
| Supportive and Palliative Care |
Nursing home long-stay residents - low-risk with pressure sores |
Average |
2008 |
1.66 |
1.8 |
2.0 |
2002 |
-6.0% |
Improved |
NH Compare |
Percentage of low-risk long-stay nursing home residents who have pressure sores |
11_1_19.3 |
| Supportive and Palliative Care |
Nursing home short-stay residents - with delirium |
Average |
2008 |
1.51 |
1.4 |
2.0 |
2002 |
-15.3% |
Improved |
NH Compare |
Percentage of short-stay nursing home residents with delirium |
11_1_21.3 |
| Supportive and Palliative Care |
Hospice care - appropriate medication for pain management |
Average |
2008 |
93.8 |
94.6 |
95.0 |
2006 |
-0.5% |
Unchanged |
FEHCS |
Percentage of hospice patients who received the right amount of medicine for pain management |
11_1_24.2 |
| Timeliness |
Got routine appointments - adults on Medicare managed care |
Average |
2008 |
62.1 |
60.8 |
62.7 |
2007 |
-4.2% |
Worsened |
CAHPS (MD, MR-FFS, M |
Percentage of adults who had an appointment for routine health care in the last 12 months who got appointments for routine care as soon as wanted, Medicare managed care |
13_1_1.7 |
| Timeliness |
Got routine appointments - adults on Medicare fee for service |
Average |
2008 |
58.5 |
60.9 |
58.4 |
2007 |
-5.8% |
Worsened |
CAHPS (MD, MR-FFS, M |
Percentage of adults who had an appointment for routine health care in the last 12 months who got appointments for routine care as soon as wanted, Medicare fee for service |
13_1_1.8 |
| 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 |
Fecal occult blood tests |
Worse than Average |
2006 |
25.4 |
27.9 |
26.2 |
2001 |
-7.2% |
Worsened |
BRFSS |
Percentage of adults age 50 and over who received a fecal occult blood test in the last 2 years |
1_3_3.3 |
| Diabetes |
Avoidable pediatric hospitalizations - diabetes, short-term complications |
Worse than Average |
2006 |
35.2 |
28.4 |
36.7 |
2000 |
No Data |
No Data |
HCUP |
Pediatric admissions ages 6-17 for diabetes with short-term complications (excluding transfers from other institutions) per 100,000 population |
2_3_2.6 |
| Functional Status Preservation and Rehabilitation |
Home health care - improved mobility |
Worse than Average |
2008 |
37.9 |
42.6 |
40.5 |
2005 |
4.6% |
Improved |
HH Compare |
Percentage of home health care patients who get better at walking or moving around |
10_1_2.3 |
| Functional Status Preservation and Rehabilitation |
Home health care - improved bathing |
Worse than Average |
2008 |
55.9 |
62.1 |
59.4 |
2005 |
0.6% |
Unchanged |
HH Compare |
Percentage of home health care patients who get better at bathing |
10_1_7.3 |
| Functional Status Preservation and Rehabilitation |
Home health care - improved oral drug management |
Worse than Average |
2008 |
33.6 |
39.9 |
36.1 |
2005 |
3.3% |
Improved |
HH Compare |
Percentage of home health care patients who get better at taking their medicines correctly (by mouth) |
10_1_8.3 |
| Heart Disease |
Heart failure - recommended hospital care received |
Worse than Average |
2007 |
92.6 |
93.6 |
91.9 |
2005 |
3.0% |
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 Disease |
Heart failure - evaluation of ejection fraction test in hospital |
Worse than Average |
2007 |
92.6 |
94.9 |
92.2 |
2005 |
2.2% |
Improved |
QIO |
Percentage of hospital patients with heart failure who received an evaluation of left ventricular ejection fraction |
4_3_2.2 |
| Maternal and Child Health |
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance |
Worse than Average |
2006 |
43.7 |
35.9 |
43.8 |
2000 |
No Data |
No Data |
HCUP |
Obstetric trauma with 3rd or 4th degree lacerations per 1,000 vaginal deliveries without instrument assistance |
6_2_2.3 |
| Maternal and Child Health |
Obstetric trauma per 1,000 instrument-assisted deliveries |
Worse than Average |
2006 |
195.9 |
158.1 |
189.3 |
2000 |
No Data |
No Data |
HCUP |
Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries |
6_2_3.3 |
| Maternal and Child Health |
Obstetric trauma per 1,000 cesarean deliveries |
Worse than Average |
2006 |
5.9 |
3.6 |
3.7 |
2000 |
No Data |
No Data |
HCUP |
Obstetric trauma with 3rd or 4th degree lacerations per 1,000 cesarean deliveries |
6_2_4.3 |
| Patient Safety |
Inpatient surgery - antibiotics within 1 hour |
Worse than Average |
2007 |
87.4 |
89.5 |
89.4 |
2005 |
4.5% |
Improved |
QIO |
Percentage of adult surgery patients who received prophylactic antibiotics within 1 hour prior to surgical incision |
12_1_3.2 |
| Respiratory Diseases |
Avoidable hospitalizations - influenza |
Worse than Average |
2006 |
62.6 |
39.6 |
93.5 |
2000 |
No Data |
No Data |
HCUP |
Immunization-preventable influenza admissions ages 65 and over (excluding transfers from other institutions) per 100,000 population |
8_1_3.3 |
| Supportive and Palliative Care |
Home health care - home after home health care |
Worse than Average |
2008 |
63.9 |
66.3 |
66.7 |
2005 |
1.0% |
Improved |
HH Compare |
Percentage of home health care patients who stay at home after an episode of home health care ends |
11_1_10.3 |
| Supportive and Palliative Care |
Nursing home short-stay residents - with moderate to severe pain |
Worse than Average |
2008 |
22.2 |
19.3 |
21.7 |
2002 |
-6.2% |
Improved |
NH Compare |
Percentage of short-stay nursing home residents who had moderate to severe pain |
11_1_15.3 |
| Supportive and Palliative Care |
Home health care - improved pain management when mobile |
Worse than Average |
2008 |
54.4 |
62.3 |
59.8 |
2005 |
0.5% |
Unchanged |
HH Compare |
Percentage of home health care patients who have less pain when moving around |
11_1_16.3 |
| Supportive and Palliative Care |
Home health care - hospitalization |
Worse than Average |
2008 |
31.3 |
29.4 |
28.3 |
2005 |
-1.4% |
Improved |
HH Compare |
Percentage of home health care patients who had to be admitted to the hospital |
11_1_22.3 |
| Supportive and Palliative Care |
Hospice care - timely referral to hospice |
Worse than Average |
2008 |
86.8 |
88.8 |
88.8 |
2007 |
-1.4% |
Worsened |
FEHCS |
Percentage of hospice patient caregivers who perceived patient was referred to hospice at the right time |
11_1_23.2 |
| Supportive and Palliative Care |
Nursing home long-stay residents - more depressed or anxious |
Worse than Average |
2008 |
22.9 |
13.2 |
16.5 |
2002 |
2.6% |
Worsened |
NH Compare |
Percentage of long-stay nursing home residents who are more depressed or anxious |
11_1_3.3 |
| Supportive and Palliative Care |
Nursing home long-stay residents - low-risk with less control of bowels or bladder |
Worse than Average |
2008 |
52.4 |
50.6 |
44.3 |
2002 |
1.7% |
Worsened |
NH Compare |
Percentage of low-risk long-stay nursing home residents who lose control of their bowels or bladder |
11_1_4.3 |
| Supportive and Palliative Care |
Nursing home long-stay residents - low-risk with urinary catheter left in |
Worse than Average |
2008 |
6.04 |
5.0 |
5.9 |
2002 |
1.9% |
Worsened |
NH Compare |
Percentage of low-risk long-stay nursing home residents with a catheter inserted and left in their bladder |
11_1_5.3 |
| Supportive and Palliative Care |
Home health care - improved breathing |
Worse than Average |
2008 |
54.3 |
58.5 |
57.4 |
2005 |
0.5% |
Unchanged |
HH Compare |
Percentage of home health care patients who are short of breath less often |
11_1_7.3 |
| Supportive and Palliative Care |
Home health care - improved bladder control |
Worse than Average |
2008 |
36.3 |
45.7 |
41.3 |
2005 |
-1.3% |
Worsened |
HH Compare |
Percentage of home health care patients whose bladder control improves |
11_1_8.3 |
| Supportive and Palliative Care |
Home health care - plus urgent care |
Worse than Average |
2008 |
26.8 |
22.4 |
23.5 |
2005 |
-1.2% |
Improved |
HH Compare |
Percentage of home health care patients who need urgent, unplanned medical care |
11_1_9.3 |