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Diabetes Care Quality Improvement: Resource Guide

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

  Benchmarks
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.

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