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NationalOlder Adults Quality Measures Compared to Achievable Benchmarks
The NHQR quality measures specific to Older Adults are compared to achievable benchmarks, which are derived from the top-performing States. Better performance of a State can mean higher or lower values of a measure, depending on the desired outcome. For example, low values are desirable for measures such as infant mortality, whereas high values are desirable for measures such as preventative screening. The categories of achievement have been standardized across the measure definitions so that:
| Measure | Population | Estimate | Benchmark | Distance to Benchmark |
|---|---|---|---|---|
| People with a specific source of ongoing care | 65 and over | 96.3 | ||
| Adults who had a doctor's office or clinic visit in the last 12 months and needed care, tests, or treatment who sometimes or never found it easy to get the care, tests, or treatment | 65 and over | 4.10 | ||
| Adult surgery patients with postoperative catheter-associated urinary tract infection | 65-74 | 3.22 | ||
| Adult surgery patients with postoperative catheter-associated urinary tract infection | 75-84 | 3.87 | ||
| Adult surgery patients with postoperative catheter-associated urinary tract infection | 85 and over | 4.32 | ||
| Emergency department visits for congestive heart failure (CHF) per 100,000 population (including inpatient admissions), age 18 and over | 65 and over | 1580.3 | ||
| Potentially avoidable hospitalizations and emergency department encounters for congestive heart failure | 65-69 | 666.9 | ||
| Potentially avoidable hospitalizations and emergency department encounters for congestive heart failure | 70-74 | 1016.8 | ||
| Potentially avoidable hospitalizations and emergency department encounters for congestive heart failure | 75-79 | 1541.4 | ||
| Potentially avoidable hospitalizations and emergency department encounters for congestive heart failure | 80-84 | 2357.3 | ||
| Potentially avoidable hospitalizations and emergency department encounters for congestive heart failure | 85 and over | 3947.5 | ||
| Admissions with central venous catheter-related bloodstream infection per 1,000 medical and surgical discharges of length 2 or more days, age 18 and over or obstetric admissions | 65 and over | 0.64 | ||
| Admissions with central venous catheter-related bloodstream infection per 1,000 medical and surgical discharges of length 2 or more days, age 18 and over or obstetric admissions | 65-69 | 1.01 | ||
| Admissions with central venous catheter-related bloodstream infection per 1,000 medical and surgical discharges of length 2 or more days, age 18 and over or obstetric admissions | 70-74 | 0.80 | ||
| Admissions with central venous catheter-related bloodstream infection per 1,000 medical and surgical discharges of length 2 or more days, age 18 and over or obstetric admissions | 75-79 | 0.80 | ||
| Admissions with central venous catheter-related bloodstream infection per 1,000 medical and surgical discharges of length 2 or more days, age 18 and over or obstetric admissions | 80-84 | 0.50 | ||
| Admissions with central venous catheter-related bloodstream infection per 1,000 medical and surgical discharges of length 2 or more days, age 18 and over or obstetric admissions | 85 and over | 0.23 | ||
| Adult surgery patients with postoperative pneumonia events | 65-74 | 2.12 | ||
| Adult surgery patients with postoperative pneumonia events | 75-84 | 1.93 | ||
| Adult surgery patients with postoperative pneumonia events | 85 and over | 2.58 | ||
| Adult surgery patients with postoperative venous thromboembolic events | 65-74 | 0.50 | ||
| Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults | 65-69 | 12.0 | ||
| Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults | 70-74 | 13.0 | ||
| Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults | 75-79 | 9.60 | ||
| Adults age 65 and over who received in the calendar year at least 1 of 33 potentially inappropriate prescription medications for older adults | 80 and over | 10.3 | ||
| Admissions with perforated appendix per 1,000 admissions with appendicitis, age 18 and over | 65 and over | 536.1 | ||
| Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults | 65-69 | 523.1 | ||
| Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults | 70-74 | 526.0 | ||
| Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults | 75-79 | 533.8 | ||
| Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults | 80-84 | 561.0 | ||
| Hospital admissions for perforated appendix per 1,000 admissions with appendicitis, adults | 85 and over | 570.1 | ||
| Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical admissions, age 18 and over | 65 and over | 2.41 | ||
| Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults | 65-69 | 2.16 | ||
| Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults | 70-74 | 2.54 | ||
| Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults | 75-79 | 2.67 | ||
| Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults | 80-84 | 2.57 | ||
| Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical hospital discharges, adults | 85 and over | 2.13 | ||
| Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical admissions, age 18 and over | 65 and over | 9.59 | ||
| Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults | 65-69 | 8.33 | ||
| Postoperative physiologic and metabolic derangements per 1,000 elective-surgery admissions, age 18 and over | 65 and over | 1.86 | ||
| Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults | 65-69 | 1.62 | ||
| Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults | 70-74 | 1.76 | ||
| Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults | 75-79 | 2.16 | ||
| Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults | 80-84 | 2.31 | ||
| Postoperative physiologic and metabolic derangements per 1,000 elective surgical hospital discharges, adults | 85 and over | 1.65 | ||
| Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, age 18 and over | 65 and over | 0.62 | ||
| Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults | 65-69 | 0.08 | ||
| Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults | 70-74 | 0.19 | ||
| Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults | 75-79 | 0.88 | ||
| Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults | 80-84 | 0.79 | ||
| Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling, adults | 85 and over | 2.16 | ||
| Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults | 70-74 | 9.23 | ||
| Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults | 75-79 | 10.1 | ||
| Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults | 80-84 | 11.7 | ||
| Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) per 1,000 surgical hospital discharges, adults | 85 and over | 9.86 | ||
| Postoperative respiratory failure per 1,000 elective-surgery admissions, age 18 and over | 65 and over | 8.98 | ||
| Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults | 65-69 | 8.03 | ||
| Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults | 70-74 | 8.18 | ||
| Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults | 75-79 | 9.78 | ||
| Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults | 80-84 | 10.5 | ||
| Postoperative respiratory failure per 1,000 elective surgical hospital discharges, adults | 85 and over | 12.2 | ||
| Adult patients receiving hip joint replacement due to degenerative conditions with adverse events | 65-74 | 5.03 | ||
| Adult patients receiving hip joint replacement due to degenerative conditions with adverse events | 75-84 | 5.61 | ||
| Adult patients receiving hip joint replacement due to fracture with adverse events | 75-84 | 11.5 | ||
| Adult patients receiving knee replacement with adverse events | 65-74 | 2.97 | ||
| Deaths per 1,000 hospital admissions with abdominal aortic aneurysm repair, age 18 and over | 65 and over | 30.2 | ||
| Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair | 65-69 | 24.7 | ||
| Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair | 70-74 | 26.0 | ||
| Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair | 75-79 | 24.2 | ||
| Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair | 80-84 | 33.4 | ||
| Deaths per 1,000 adult hospital admissions with abdominal aortic aneurysm (AAA) repair | 85 and over | 55.0 | ||
| Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them | 65 and over | 4.90 | ||
| Admissions for urinary tract infection (UTI) per 100,000 population, age 18 and over | 65 and over | 672.0 | ||
| Admissions for urinary tract infection (UTI) per 100,000 population, age 18 and over | 65-69 | 217.1 | ||
| Admissions for urinary tract infection (UTI) per 100,000 population, age 18 and over | 70-74 | 377.3 | ||
| Admissions for urinary tract infection (UTI) per 100,000 population, age 18 and over | 75-79 | 651.2 | ||
| Admissions for urinary tract infection (UTI) per 100,000 population, age 18 and over | 80-84 | 1066.2 | ||
| Admissions for urinary tract infection (UTI) per 100,000 population, age 18 and over | 85 and over | 1903.5 | ||
| Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things in a way they could understand | 65 and over | 5.40 | ||
| Mechanical adverse events in adult patients receiving central venous catheter placement | 65-74 | 2.47 | ||
| Mechanical adverse events in adult patients receiving central venous catheter placement | 75-84 | 2.68 | ||
| Mechanical adverse events in adult patients receiving central venous catheter placement | 85 and over | 5.26 | ||
| Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, age 18 and over | 65 and over | 2.60 | ||
| Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults | 65-69 | 3.49 | ||
| Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults | 70-74 | 3.18 | ||
| Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults | 75-79 | 2.96 | ||
| Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults | 80-84 | 2.33 | ||
| Accidental puncture or laceration during procedure per 1,000 medical and surgical admissions, adults | 85 and over | 1.28 | ||
| Emergency department visits with a principal diagnosis related to mental health only per 100,000 population | 65-84 | 616.0 | ||
| Emergency department visits with a principal diagnosis related to mental health only per 100,000 population | 85 and over | 657.6 | ||
| Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population | 65-84 | 205.3 | ||
| Emergency department visits with a principal diagnosis related to substance abuse only, per 100,000 population | 85 and over | 98.2 | ||
| Emergency department visits with a principal diagnosis related to co-occurring of mental health, alcohol and substance abuse, per 100,000 population | 65-84 | 7.40 | ||
| Emergency department visits with a principal diagnosis related to co-occurring of mental health, alcohol and substance abuse, per 100,000 population | 85 and over | 2.10 | ||
| Adults with hypertension with blood pressure less than 140/90 mm/Hg | 60 and over | 50.5 | ||
| Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say | 65 and over | 3.90 | ||
| Emergency department visits with a principal diagnosis related to dental conditions | 65-84 | 54.2 | ||
| Emergency department visits with a principal diagnosis related to dental conditions | 85 and over | 44.8 | ||
| Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions | 65 and over | 133.7 | ||
| Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions | 65-69 | 120.3 | ||
| Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions | 70-74 | 124.8 | ||
| Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions | 75-79 | 138.3 | ||
| Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions | 80-84 | 139.3 | ||
| Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization, ages 18-89 or obstetric admissions | 85 and over | 158.9 | ||
| Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them | 65 and over | 5.80 | ||
| Deaths per 1,000 hospital admissions with expected low-mortality, age 18 and over or obstetric admissions | 65 and over | 1.66 | ||
| Deaths per 1,000 hospital admissions with expected low-mortality | 65-69 | 0.84 | ||
| Deaths per 1,000 hospital admissions with expected low-mortality | 70-74 | 0.87 | ||
| Deaths per 1,000 hospital admissions with expected low-mortality | 75-79 | 1.76 | ||
| Deaths per 1,000 hospital admissions with expected low-mortality | 80-84 | 2.03 | ||
| Deaths per 1,000 hospital admissions with expected low-mortality | 85 and over | 3.21 | ||
| Hospital patients with an anticoagulant-related adverse drug event to warfarin | 65-74 | 4.17 | ||
| Hospital patients with an anticoagulant-related adverse drug event to warfarin | 75-84 | 5.35 | ||
| Hospital patients with an anticoagulant-related adverse drug event to warfarin | 85 and over | 6.53 | ||
| Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months | 65 and over | 7.50 | ||
| Admissions for dehydration per 100,000 population, age 18 and over | 65 and over | 359.1 | ||
| Admissions for dehydration per 100,000 population, age 18 and over | 65-69 | 183.0 | ||
| Admissions for dehydration per 100,000 population, age 18 and over | 70-74 | 260.6 | ||
| Admissions for dehydration per 100,000 population, age 18 and over | 75-79 | 363.7 | ||
| Admissions for dehydration per 100,000 population, age 18 and over | 80-84 | 519.7 | ||
| Admissions for dehydration per 100,000 population, age 18 and over | 85 and over | 821.0 | ||
| Adverse drug event with IV heparin in adult hospital patients who received an anticoagulant | 65-74 | 10.6 | ||
| Adverse drug event with IV heparin in adult hospital patients who received an anticoagulant | 75-84 | 13.0 | ||
| Adverse drug event with IV heparin in adult hospital patients who received an anticoagulant | 85 and over | 10.3 | ||
| Hospital patients with an anticoagulant-related adverse drug event to low-molecular-weight heparin (LMWH) and factor Xa | 65-74 | 4.01 | ||
| Hospital patients with an anticoagulant-related adverse drug event to low-molecular-weight heparin (LMWH) and factor Xa | 75-84 | 3.15 | ||
| Hospital patients with an anticoagulant-related adverse drug event to low-molecular-weight heparin (LMWH) and factor Xa | 85 and over | 3.82 | ||
| Hospital patients who received a hypoglycemic agent who had an adverse drug events with hypoglycemic agents | 65-74 | 8.84 | ||
| Hospital patients who received a hypoglycemic agent who had an adverse drug events with hypoglycemic agents | 75-84 | 8.95 | ||
| Hospital patients who received a hypoglycemic agent who had an adverse drug events with hypoglycemic agents | 85 and over | 9.58 | ||
| Potentially avoidable hospitalizations for chronic conditions, excluding COPD, per 100,000 population, age 18 and over | 65 and over | 1911.9 | ||
| Potentially avoidable hospitalizations for chronic conditions, excluding COPD, per 100,000 population, age 18 and over | 65-69 | 1009.9 | ||
| Potentially avoidable hospitalizations for chronic conditions, excluding COPD, per 100,000 population, age 18 and over | 70-74 | 1401.1 | ||
| Potentially avoidable hospitalizations for chronic conditions, excluding COPD, per 100,000 population, age 18 and over | 75-79 | 1926.0 | ||
| Potentially avoidable hospitalizations for chronic conditions, excluding COPD, per 100,000 population, age 18 and over | 80-84 | 2791.3 | ||
| Potentially avoidable hospitalizations for chronic conditions, excluding COPD, per 100,000 population, age 18 and over | 85 and over | 4312.2 | ||
| Adults with limited English proficiency and usual source of care (USC) who had assistance | 65 and over | 84.3 | ||
| Adults with limited English proficiency who had usual source of care (USC) | 65 and over | 86.0 | ||
| Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival | 65-74 | 52.4 | ||
| Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival | 75-84 | 54.2 | ||
| Hospital patients with heart attack given fibrinolytic medication within 30 minutes of arrival | 85 and over | 39.5 | ||
| Adults age 65 and over who received in the calendar year at least 1 of 11 prescription medications that should be avoided in older adults | 65-69 | 1.30 | ||
| Adults who had any appointments for routine health care in the last 12 months who sometimes or never got an appointment for routine care as soon as needed | 65 and over | 7.30 | ||
| People in fair or poor health with a specific source of ongoing care | 65 and over | 97.0 | ||
| Adults who needed to see a specialist in the last 12 months who sometimes or never found it easy to see a specialist | 65 and over | 8.40 | ||
| Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as needed | 65 and over | 5.90 | ||
| Adults age 40 and over with diabetes whose condition was diagnosed | 60 and over | 84.1 | ||
| Adults age 40 and over with diagnosed diabetes with hemoglobin A1c less than 8.0% (optimal control) | 60 and over | 74.7 | ||
| Adults age 40 and over with diagnosed diabetes with total cholesterol less than 200 mg/dL | 60 and over | 76.9 | ||
| Adults age 40 and over with diagnosed diabetes with blood pressure less than 140/80 mm Hg | 60 and over | 58.1 | ||
| Adults with obesity who do not now spend half an hour or more in moderate or vigorous physical activity at least five times a week | 65 and over | 67.6 | ||
| Percent of persons living with HIV who know their serostatus | 65 and over | 94.9 | ||
| Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods | 65 and over | 66.4 | ||
| Long-stay nursing home residents whose ability to move about in and around their room decreased | 65-74 | 14.6 | ||
| Long-stay nursing home residents whose ability to move about in and around their room decreased | 75-84 | 16.6 | ||
| Long-stay nursing home residents whose ability to move about in and around their room decreased | 85 and over | 16.6 | ||
| Long-stay nursing home residents with most of their time spent in bed or in a chair | 65-74 | 4.90 | ||
| Long-stay nursing home residents with most of their time spent in bed or in a chair | 75-84 | 3.90 | ||
| Long-stay nursing home residents with most of their time spent in bed or in a chair | 85 and over | 3.00 | ||
| Adults with chronic joint symptoms who have ever seen a doctor or other health professional for joint symptoms | 65 and over | 83.6 | ||
| Adults who received a blood pressure measurement in the last 2 years and can state whether their blood pressure was normal or high | 65 and over | 95.1 | ||
| Patients with tuberculosis who completed a curative course of treatment within 1 year of initiation of treatment | 65 and over | 89.8 | ||
| Persons with current asthma who received written asthma management plans from their healthcare provider | 65 and over | 34.9 | ||
| Persons with current asthma who received education about appropriate response to an asthma episode | 65 and over | 56.4 | ||
| Persons with current asthma who were advised to change things to reduce exposure to irritants | 65 and over | 35.4 | ||
| Percent of adults with obesity age 20 and over who had been told by a doctor or health professional that they were overweight a: United States 2001-2004 | 65 and over | 74.0 | ||
| Adult current smokers with a checkup in the last 12 months who received advice to quit smoking | 65 and over | 78.0 | ||
| Doctor's office, emergency department, and outpatient department visits where antibiotics were prescribed for a diagnosis of common cold per 10,000 population | 65 and over | 90.0 | ||
| Adults with obesity who ever received advice from a health professional to exercise more | 65 and over | 70.6 |