Diabetes Care Quality Improvement: A Resource Guide for State Action. Table D.1

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Table D.1. Benchmarks available in or derivable from the NHQR by the measure set for diabetes care quality, including four sample States

Measure	Theoretic Limit	Best-in class State average^a	National consensus-based goal (HP2010, Target/Baseline)	National average	Regional average^b				State average for four example States (Fill in for your State)
	Benchmarks
Measure	Theoretic Limit	Best-in class State average^a	National consensus-based goal (HP2010, Target/Baseline)	National average	Northeast	Midwest	South	West	GA	MA	MI	WA
Percent of adults with diabetes who had a hemoglobin A1c measurement at least once in the past year (BRFSS)	100	95.6	n/a	79.4	85.5	85.2	80.2	83.2	85.9	85.4	74.5	88.5
Percent of adults with diabetes who had a hemoglobin A1c measurement at least twice in the past year (BRFSS)	100	83.0	TBD/59 (BRFSS 2000)	61.1	69.2	68.1	62.2	61.5	70.5	69.0	55.8	65.8
Percent of patients with diabetes who had a lipid profile in past two years (MEPS)	100	n/a	n/a	94.3	n/a	n/a	n/a	n/a	n/a	n/a	n/a	n/a
Percent of adults with diabetes who had a retinal eye examination in past year (BRFSS)	100	79.6	75/47 (NHIS 2000)	66.7	71.1	72.5	65.2	63.4	70.4	69.0	62.3	69.7
Percent of adults with diabetes who had a foot examination in past year (BRFSS)	100	81.3	75/55 (BRFSS 1998)	64.6	68.6	68.9	63.9	67.9	63.3	61.5	65.2	69.0
Percent of adults with diabetes who had an influenza immunization in past year (BRFSS)	100	59.0	n/a	37.4	42.6	46.1	39.2	40.7	30.4	44.8	26.6	49.6
Hospital admissions for uncontrolled diabetes per 100,000 population (HCUP)	0	n/a	54/72 (HCUP 1996)	28.5	30.1	28.0	35.7	15.6	n/a	n/a	n/a	n/a
Hospital admissions for short-term complications of diabetes per 100,000 population (HCUP)	0	n/a	n/a	51.2	48.1	45.4	61.4	43.3	n/a	n/a	n/a	n/a
Hospital admissions for long term complications of diabetes per 100,000 population (HCUP)	0	n/a	n/a	120.8	135.8	109.7	133.6	96.2	n/a	n/a	n/a	n/a
Hospital admissions for lower extremity amputations in patients with diabetes per 1,000 population (NHDS)	0	n/a	1.8/4.1 (NHDS 1997)	4.8	n/a	n/a	n/a	n/a	n/a	n/a	n/a	n/a

n/a = State estimates not available.
^a Best in class estimate is the top 10 percent of State rates taken together as a simple average.
^b Regional averages from BRFSS are simple averages because population estimates were not available to derive weighted averages; regional estimates from HCUP are reported in the NHQR and are based on weighted averages.

Source: National Healthcare Quality Report, 2003.

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