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MISSION Act Quality Measure Community Comparison for Northern Indiana Health Care System

Last Updated: 03/2020
Measure Measure Direction VA Hospital Results Community Benchmark VA vs. Community
Effective Care
Adequate Control of High Blood Pressure Higher is better 72.30% 55.00%
(2)
BETTER
Annual Eye Exam for Diabetics Higher is better 89.80% 50.90%
(2)
BETTER
Blood Pressure Control for Diabetics Higher is better 69.10% 55.90%
(2)
BETTER
Death rate for Congestive Heart Failure Lower is better N/A 11.5
(10)
Not Available
(10)
Death rate for COPD Lower is better 8.68 8.3
(1,6)
SAME
Death rate for Heart Attack Lower is better N/A 12.9
(10)
Not Available
(10)
Death rate for Pneumonia Lower is better N/A 15.6
(1)
Not Available
(10)
Flu Shots for Adults Ages 18-64 Higher is better 51.00% 50.40%
(2)
BETTER
Poor Blood Glucose Control Among Diabetics Lower is better 19.60% 38.00%
(2)
BETTER
Screening for Breast Cancer Higher is better 86.70% 69.70%
(2)
BETTER
Screening for Cervical Cancer Higher is better 85.70% 70.20%
(2)
BETTER
Smoking and Tobacco Cessation - Advise Smokers to Quit Higher is better 98.70% 74.50%
(7)
BETTER
Safe Care
Catheter-associated urinary tract infection Lower is better 1.32 2.131
(1,6)
BETTER
(9)
Central line-associated bloodstream infection Lower is better 2.02 2.052
(1,6)
BETTER
(9)
Veteran-Centered Care
Care Transition Higher is better 50.00% 55.00% SAME
HCAHPS Summary Star Higher is better 2 2
(1)
SAME
Overall Rating of Hospital Higher is better 59.00% 76.00% WORSE
Footnotes:
1 - CMS Hospital Compare benchmark
2 - NCQA HEDIS benchmark
4 - Benchmark Calculated from CMS data
6 - VA Only Data
7 - NCQA HEDIS benchmark (Commercial National)
8 - NCQA HEDIS benchmark (Medicare Regional)
9 - Less than 1000 Line Days to Report (HAI)
10 - The number of cases is too few to report.