Table D.1. Benchmarks available in or derivable from the NHQR by the measure set for diabetes care quality, including four sample States
Diabetes Care Quality Improvement: A Resource Guide for State Action
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Benchmarks | ||||||||||||
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Measure | Theoretic Limit | Best-in class State averagea | National consensus-based goal (HP2010, Target/Baseline) | National average | Regional averageb | State average for four example States (Fill in for your State) | ||||||
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.