MISSION Act Quality Measure Community Comparison for Wichita, KS Health Care System
Last Updated: 08/08/2024
Next Update: 11/08/2024
Data are updated Quarterly
Next Update: 11/08/2024
Data are updated Quarterly
| Measure | Measure Direction | VA Hospital Results | Community Benchmark | VA vs. Community | ||
|---|---|---|---|---|---|---|
| Effective Care | ||||||
| Adequate Control of High Blood Pressure | Higher is better | 77.50 % (2) | 61.40 % (2) | BETTER | ||
| Cardiovascular Disease Patients Receiving Statin Therapy | Higher is better | 88.70 % (2) | 81.90 % (2) | BETTER | ||
| Colorectal Cancer Screening | Higher is better | 77.40 % (2) | 58.70 % (2) | BETTER | ||
| Comprehensive Diabetes Care - Blood Pressure Control | Higher is better | 78.80 % (2) | 61.90 % (2) | BETTER | ||
| Death rate for Chronic Obstructive Pulmonary Disease | Lower is better | 7.00 (13) | 9.40 (1) | SAME | ||
| Death rate for Congestive Heart Failure | Lower is better | 7.90 (13) | 11.90 (1) | BETTER | ||
| Death rate for Heart Attack | Lower is better | 12.50 (13) | 12.60 (1) | SAME | ||
| Death rate for Pneumonia | Lower is better | 10.50 (13) | 17.90 (1) | BETTER | ||
| Diabetes Patients Receiving Statin Therapy | Higher is better | 81.30 % (2) | 66.00 % (2) | BETTER | ||
| Flu Shots for Adults Ages 19-65 | Higher is better | * (2) | 18.70 % (2) | N/A | ||
| Follow-Up After Hospitalization For Mental Illness 30 days (Total) | Higher is better | 90.20 % (2) | 65.80 % (2) | BETTER | ||
| Follow-Up After Hospitalization For Mental Illness 7 days (Total) | Higher is better | 61.80 % (2) | 42.90 % (2) | BETTER | ||
| Non-recommended PSA-based Screening in Older Men (Prostate Screening) | Lower is better | 31.60 % (2) | 29.20 % (2) | SAME | ||
| Poor Blood Glucose Control Among Diabetics | Lower is better | 18.50 % (2) | 31.90 % (2) | BETTER | ||
| Screening for Breast Cancer | Higher is better | 85.90 % (2) | 73.00 % (2) | BETTER | ||
| Screening for Cervical Cancer | Higher is better | 80.80 % (2) | 72.80 % (2) | BETTER | ||
| Smoking and Tobacco Cessation - Advise Smokers to Quit | Higher is better | 100.00 % (2) | 72.80 % (2) | BETTER | ||
| Safe Care | ||||||
| A wound that splits open after surgery on the abdomen or pelvis | Lower is better | 0.76 (13) | 0.82 (1) | SAME | ||
| Accidental cuts and tears requiring a corrective procedure after abdominal or pelvic surgery | Lower is better | 0.93 (13) | 1.04 (1) | SAME | ||
| Bleeding or blood clots requiring a procedure after surgery | Lower is better | 2.22 (13) | 2.39 (1) | SAME | ||
| Blood clots in the lung or a large leg vein after surgery | Lower is better | 2.92 (13) | 3.41 (1) | SAME | ||
| Blood stream infection after surgery | Lower is better | 3.35 (13) | 4.09 (1) | SAME | ||
| Broken hip from a fall in the hospital | Lower is better | 0.07 (13) | 0.08 (1) | SAME | ||
| Catheter-associated urinary tract infection | Lower is better | 0.580 | 1.786 | BETTER | ||
| Central line-associated bloodstream infection | Lower is better | 0.000 (9) | 1.986 | BETTER | ||
| Collapsed lung that results from medical treatment | Lower is better | 0.21 (13) | 0.19 (1) | SAME | ||
| Death rate among surgical patients with serious treatable complications | Lower is better | 139.30 (13) | 143.04 (10) | Not Available | ||
| Kidney failure requiring dialysis after surgery | Lower is better | 0.84 (13) | 0.92 (1) | SAME | ||
| Pressure Ulcer Rate | Lower is better | 0.13 (13) | 0.62 (1) | SAME | ||
| Respiratory failure after surgery | Lower is better | 3.59 (13) | 6.47 (1) | SAME | ||
| Veteran-Centered Care | ||||||
| Care Coordination | Higher is better | 65.00 % (12) | 60.00 % (12) | SAME | ||
| Care Transition | Higher is better | 61.00 % (1) | 57.00 % (1) | SAME | ||
| Overall Rating of Hospital | Higher is better | 81.00 % (1) | 77.00 % (1) | SAME | ||
| Overall Rating of Provider | Higher is better | 78.00 % (12) | 73.00 % (12) | SAME | ||
Footnotes are used to identify sources of comparative data or special circumstances around a particular measure score, such as a unique calculation method. Often footnotes are used when there are not enough cases (number of patients or events) to report a measure at a statistically valid level. The list of footnotes below is used in VA reports to help identify these sources and circumstances. Footnotes are identified in reports by parenthesis around the corresponding footnote number. For example, measures that use an NCQA HEDIS benchmark will have a (2) next to the community benchmark score.
| * Incomplete score; influenza season is ongoing. | |
| 1 - | CMS Care Compare benchmark (CMS - Centers for Medicare & Medicaid Services) |
| 2 - | NCQA HEDIS benchmark (NCQA HEDIS - National Committee for Quality Assurance, Healthcare Effectiveness Data and Information Set) |
| 3 - | AHRQ CAHPS Database benchmark (AHRQ - Agency for Healthcare Research and Quality; CAHPS - Consumer Assessment of Healthcare Providers and Systems) |
| 4 - | Benchmark Calculated from CMS data |
| 5 - | CMS Nursing Home Compare benchmark |
| 6 - | VA Only Data. For FY21, benchmark data is pre-COVID-19; VA data is inclusive of the pandemic timeframe |
| 9 - | Greater than 1000 lines days are needed to report the HAI measure (HAI – Hospital Acquired Infection) |
| 10 - | The number of cases is too few to report |
| 11 - | Due to first year reporting with CMS, prior year facility rate is not available |
| 12 - | VA National Score |
| 13 - | No data for this reporting period |