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Texas

Respiratory Diseases 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.	1	194
Average = The State rate on an NHQR measure is not statistically different from the all-State/regional average.	8	272
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.	6	253
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.	0	46
Total number of measures for the State (excluding measures that are N/A)	15	719

Measures for which Texas's rate is Better than the all-State Average

Quality Dimension	Short Measure Name	State Performance ¹	Most Recent Data Year	State Rate	All-State Average ²	Regional Average	Baseline Year	Average Annual Change ³	Direction of Change	Data Source ⁴	Full NHQR Measure Title	NHQR Table Number ⁵
Respiratory Diseases	Adult admissions - asthma	Better than Average	2008	106.2	113.9	108.6	2000	1.5%	Worsened	HCUP	Admissions for asthma per 100,000 population, age 18 and over	8_3_2.3_3

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 Texas's rate is similar to the all-State Average

Quality Dimension	Short Measure Name	State Performance ⁶	Most Recent Data Year	State Rate	All-State Average ⁷	Regional Average	Baseline Year	Average Annual Change ⁸	Direction of Change	Data Source ⁹	Full NHQR Measure Title	NHQR Table Number ¹⁰
Respiratory Diseases	Flu vaccine for high-risk persons	Average	2009	39.9	40.1	39.7	2003	5.2%	Improved	BRFSS	Percent of high-risk persons ages 18-64 who received an influenza vaccination in the past 12 months	8_1_1.3
Respiratory Diseases	Flu vaccine - age 65 and over	Average	2009	67.9	70.3	70.2	2001	1.1%	Improved	BRFSS	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 to 64	Average	2009	28.9	28.3	32.2	2003	4.0%	Improved	BRFSS	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	2009	66.9	68.6	69.8	2001	1.5%	Improved	BRFSS	Adults age 65 and over who ever received pneumococcal vaccination	8_1_5.3
Respiratory Diseases	Pneumonia - blood cultures before antibiotics in hospital	Average	2009	94.9	95.0	94.8	2005	3.6%	Improved	QIO	Hospital patients with pneumonia who had blood cultures collected before antibiotics were administered	8_2_2.2
Respiratory Diseases	Pneumonia - flu vaccination screening in hospital	Average	2009	90.9	90.6	90.0	2005	14.4%	Improved	QIO	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	Average	2009	92.3	92.4	91.6	2005	12.0%	Improved	QIO	Hospital patients age 65 and over with pneumonia who received a pneumococcal screening or vaccination	8_2_6.2
Respiratory Diseases	Pneumonia deaths in hospital	Average	2008	34.6	35.2	38.9	2000	-8.7%	Improved	HCUP	Deaths per 1,000 hospital admissions with pneumonia, age 18 and over	8_2_7.3

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 Texas's rate is Worse than the all-State Average

Quality Dimension	Short Measure Name	State Performance ¹¹	Most Recent Data Year	State Rate	All-State Average ¹²	Regional Average	Baseline Year	Average Annual Change ¹³	Direction of Change	Data Source ¹⁴	Full NHQR Measure Title	NHQR Table Number ¹⁵
Respiratory Diseases	Admissions for seniors - influenza	Worse than Average	2008	89.3	61.8	103.8	2000	3.4%	Worsened	HCUP	Admissions for immunization-preventable influenza per 100,000 population, age 65 and over	8_1_3.3
Respiratory Diseases	Pneumonia - recommended hospital care received	Worse than Average	2009	92.8	93.1	92.5	2007	3.3%	Improved	QIO	Hospital patients with pneumonia who received recommended care practices	8_2_1.2
Respiratory Diseases	Pneumonia - antibiotics within 6 hours in hospital	Worse than Average	2009	94.5	95.0	94.7	2007	1.0%	Improved	QIO	Hospital patients with pneumonia who received the initial antibiotic dose within 6 hours of hospital arrival	8_2_3.2
Respiratory Diseases	Pneumonia - recommended initial antibiotics in hospital	Worse than Average	2009	90	91.3	89.8	2005	3.9%	Improved	QIO	Hospital patients with pneumonia who received the initial antibiotic consistent with current recommendations	8_2_4.2
Respiratory Diseases	Pediatric admissions - asthma	Worse than Average	2008	125.4	111.1	125.7	2000	-4.1%	Improved	HCUP	Admissions for asthma per 100,000 population, age 2-17	8_3_2.1_3
Respiratory Diseases	Admissions for seniors - asthma	Worse than Average	2008	247.8	228.6	233.4	2000	5.5%	Worsened	HCUP	Admissions for asthma per 100,000 population, age 65 and over	8_3_2.2_3

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.

Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 Telephone: (301) 427-1364