NationalNursing Home Quality Measures Compared to Achievable Benchmarks

The NHQR quality measures specific to Nursing Home 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:

 
Far away from benchmark - the value for a measure has not achieved 50% of the benchmark.
 
Close to benchmark - the value for a measure is between 50% and 90% of a benchmark (i.e., worse than the benchmark but has achieved at least half of the benchmark but not as much as 90% of a benchmark).
 
Achieved benchmark or better - the the value for a measure is no worse than 90% of the benchmark value, the measure has achieved the benchmark. This category also includes the case in which the measure’s value is equal to or better than the benchmark.
Measures That Achieved Benchmark or Better
Measure Estimate Benchmark Distance to Benchmark
Short-stay nursing home residents with moderate to severe pain 18.8 18.6 1%
Long-stay nursing home patients who had flu vaccination appropriately given 90.8 94.6 4%
Long-stay nursing home residents who were assessed for pneumococcal vaccination 93.6 97.6 4%
Short-stay nursing home patients who had flu vaccination appropriately given 86.0 90.1 5%
Long-stay nursing home residents with a urinary tract infection 6.40 6.10 5%
Short-stay nursing home residents who were assessed for pneumococcal vaccination 86.1 90.8 5%
Measures That Are Close to Benchmark
Measure Estimate Benchmark Distance to Benchmark
Long-stay nursing home residents whose need for help with daily activities increased 17.4 14.6 19%
Long-stay nursing home residents with too much weight loss 9.20 7.38 25%
Low-risk, short-stay nursing home patients who had pressure ulcer 1.30 1.04 25%
Low-risk, long-stay nursing home residents with a catheter inserted and left in the bladder 4.50 3.24 39%
Long-stay nursing home residents with moderate to severe pain 10.00 7.10 41%
Low-risk, long-stay nursing home residents with loss of control of bowels or bladder 43.9 31.2 41%
Measures That Are Far From Benchmark
Measure Estimate Benchmark Distance to Benchmark
High-risk, long-stay nursing home patients who had pressure ulcer 7.70 4.92 56%
Long-stay nursing home patients who had fall with major Injury 3.40 2.16 57%
Long-stay nursing home residents whose depression or anxiety increased 7.30 3.66 99%
Long-stay nursing home residents with physical restraints 1.40 0.68 106%
Measures With No Available Benchmark Information
Measure Estimate Benchmark Distance to Benchmark
Long-stay nursing home residents whose ability to move about in and around their room decreased 15.5
Long-stay nursing home residents with most of their time spent in bed or in a chair 3.90