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Texas

Focus on Payer

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


Compared to the U.S., the performance for Texas in quality of care for Medicare 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 Texas's balance of below average, average, and above average measures compared to the U.S. for Medicare hospitalizations. The performance meter score is based on up to 13 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 Texas is in the average range.

State Hospital Care Measures for Medicare 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 TX
Rate
(Medicare)		 US Rate
(Medicare)		 TX
Compared to US
(Medicare)		 Relative Rate:
TX
Medicare to Private		 Relative Rate:
US
Medicare to Private		 Comparative Rate:
TX to US
Medicare to Private

 Hospital Mortality
 
Deaths per 1,000 admissions with abdominal aortic aneurysm (AAA) repair 43.41 48.45 indicates that the State is performing similar to the U.S. indicates that Medicare discharges receive the same quality of care and have similar outcomes as privately-insured discharges. indicates that Medicare 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.
Deaths per 1,000 admissions with coronary artery bypass surgery (CABG), age 40 and over 27.34 25.82 indicates that the State is performing similar to the U.S. indicates that Medicare discharges receive the same quality of care and have similar outcomes as privately-insured discharges. indicates that Medicare 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 discharges for acute myocardial infarction (AMI) 57.40 57.31 indicates that the State is performing similar to the U.S. indicates that Medicare discharges receive the same quality of care and have similar outcomes as privately-insured discharges. indicates that Medicare 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) 27.17 27.40 indicates that the State is performing similar to the U.S. indicates that Medicare discharges receive better quality of care or have better outcomes than privately-insured discharges. indicates that Medicare 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.
Deaths per 1,000 adult admissions with pneumonia 33.12 34.29 indicates that the State is performing similar to the U.S. indicates that Medicare discharges receive better quality of care or have better outcomes than privately-insured discharges. indicates that Medicare 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.
Deaths per 1,000 adults with percutaneous transluminal coronary angioplasty (PTCA), age 40 and over 14.60 13.09 indicates that the State is performing worse than the U.S. indicates that Medicare discharges receive the same quality of care and have similar outcomes as privately-insured discharges. indicates that Medicare 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.

 Hospital Safety
 
Deaths per 1,000 admissions in low-mortality DRGs DNC 0.42 DNC DNC indicates that Medicare discharges receive the same quality of care and have similar outcomes as privately-insured discharges. DNC
Iatrogenic pneumothorax per 1,000 discharges DNC 1.32 DNC DNC indicates that Medicare discharges receive the same quality of care and have similar outcomes as privately-insured discharges. DNC
Postoperative septicemia per 1,000 elective surgical discharges of 4 or more days DNC 14.86 DNC DNC indicates that Medicare discharges receive the same quality of care and have similar outcomes as privately-insured discharges. DNC
Postoperative abdominal wound dehiscence per 1,000 discharges DNC 2.39 DNC DNC indicates that Medicare discharges receive poorer quality of care or have worse outcomes than privately-insured discharges. DNC

 Hospital Birth/ Obstetrics
 
Birth trauma injury to neonate per 1,000 selected live births DNC DSU DNC DNC DSU DNC
Obstetric trauma per 1,000 instrument-assisted deliveries DNC 126.83 DNC DNC indicates that Medicare discharges receive better quality of care or have better outcomes than privately-insured discharges. DNC
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance DNC 17.38 DNC DNC indicates that Medicare discharges receive better quality of care or have better outcomes than privately-insured discharges. DNC


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