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Texas

Nursing Home 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. 6 345
Average = The State rate on an NHQR measure is not statistically different from the all-State/regional average. 4 192
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. 9 429
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 3
Total number of measures for the State (excluding measures that are N/A) 19 966

Measures for which Texas'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
Supportive and Palliative Care Nursing home short-stay residents - with moderate to severe pain Better than Average 2009 14.7 19.6 14.9 2006 -5.8% Improved MDS Short-stay nursing home residents who had moderate to severe pain 11_1_15.4
Supportive and Palliative Care Nursing home long-stay residents - physically restrained Better than Average 2009 2.43 2.6 2.9 2006 -21.5% Improved MDS Long-stay nursing home residents who were physically restrained 11_1_17.4
Supportive and Palliative Care Nursing home short-stay residents - with pressure sores Better than Average 2009 16 17.2 16.4 2006 -3.5% Improved MDS Short-stay nursing home residents with pressure sores 11_1_20.4
Supportive and Palliative Care Nursing home long-stay residents - more depressed or anxious Better than Average 2009 13.6 14.0 13.1 2006 13.5% Worsened MDS Long-stay nursing home residents who are more depressed or anxious 11_1_3.4
Supportive and Palliative Care Nursing home long-stay residents - low-risk with less control of bowels or bladder Better than Average 2009 47.1 50.9 45.0 2006 1.5% Worsened MDS Low-risk, long-stay nursing home residents who lose control of their bowels or bladder 11_1_4.4
Supportive and Palliative Care Nursing home long-stay residents - with too much weight loss Better than Average 2009 6.3 7.8 6.8 2006 -4.1% Improved MDS Long-stay nursing home residents who lost too much weight 11_1_6.4


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 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
Supportive and Palliative Care Nursing home long-stay residents - received flu vaccine Average 2009 91.3 91.1 93.4 2008 0.8% Unchanged MDS Long-stay nursing home residents given influenza vaccination during the flu season 11_1_11.3
Supportive and Palliative Care Nursing home long-stay residents - low-risk with pressure sores Average 2009 1.72 1.8 1.8 2006 -0.6% Unchanged MDS Low-risk long-stay nursing home residents who have pressure sores 11_1_19.4
Supportive and Palliative Care Nursing home long-stay residents - with urinary tract infections Average 2009 8.9 8.7 9.2 2006 4.4% Worsened MDS Long-stay nursing home residents with a urinary tract infection 11_1_2.4
Supportive and Palliative Care Nursing home long-stay residents - low-risk with urinary catheter left in Average 2009 5.96 6.0 6.2 2006 0.3% Unchanged MDS Low-risk, long-stay nursing home residents with a catheter inserted and left in their bladder 11_1_5.4


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 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
Functional Status Preservation and Rehabilitation Nursing home long-stay residents - with declining mobility Worse than Average 2009 16.1 15.3 13.9 2006 6.8% Worsened MDS Long-stay nursing home residents whose ability to move about in and around their room got worse 10_1_3.4
Functional Status Preservation and Rehabilitation Nursing home long-stay residents - with increased need for help Worse than Average 2009 20.3 15.1 17.9 2006 8.0% Worsened MDS Long-stay nursing home residents whose need for help with daily activities has increased 10_1_5.4
Functional Status Preservation and Rehabilitation Nursing home long-stay residents - bed/chair bound Worse than Average 2009 5.41 3.0 5.5 2006 -3.4% Improved MDS Long-stay nursing home residents who spend most of their time in bed or in a chair 10_1_6.4
Supportive and Palliative Care Nursing home long-stay residents - with moderate to severe pain Worse than Average 2009 6.69 5.8 6.7 2006 -2.9% Improved MDS Long-stay nursing home residents who have moderate to severe pain 11_1_1.4
Supportive and Palliative Care Nursing home short-stay residents - received flu vaccine Worse than Average 2009 83.2 85.8 85.9 2008 2.3% Improved MDS 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 - received pneumococcal vaccine Worse than Average 2009 86.4 88.6 87.3 2008 1.2% Improved MDS 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 - received pneumococcal vaccine Worse than Average 2009 77.8 83.2 81.4 2008 1.6% Improved MDS 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 - high-risk with pressure sores Worse than Average 2009 11.8 10.8 12.5 2006 0.3% Unchanged MDS High-risk, long-stay nursing home residents who have pressure sores 11_1_18.4
Supportive and Palliative Care Nursing home short-stay residents - with delirium Worse than Average 2009 2.73 1.9 2.9 2006 -6.2% Improved MDS Short-stay nursing home residents with delirium 11_1_21.4


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.