MISSION Act Quality Measure Community Comparison for San Juan, PR 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 | 79.60% | 50.90%
(2) |
BETTER | ||
| Annual Eye Exam for Diabetics | Higher is better | 90.00% | 44.00%
(2) |
BETTER | ||
| Blood Pressure Control for Diabetics | Higher is better | 81.30% | 61.90%
(2) |
BETTER | ||
| Death rate for Congestive Heart Failure | Lower is better | 12.3 | 11.5
(1) |
SAME
(1) |
||
| Death rate for COPD | Lower is better | 4 | 8.3
(1,6) |
BETTER | ||
| Death rate for Heart Attack | Lower is better | 11 | 12.9
(1) |
SAME
(1) |
||
| Death rate for Pneumonia | Lower is better | 15.3 | 15.6
(1) |
SAME
(1) |
||
| Flu Shots for Adults Ages 18-64 | Higher is better | 67.10% | 44.30%
(2) |
BETTER | ||
| Poor Blood Glucose Control Among Diabetics | Lower is better | 15.50% | 28.70%
(2) |
BETTER | ||
| Proper Therapy After Heart Attack - Beta Blockers | Higher is better | 70.30% | 82.40%
(2) |
WORSE | ||
| Screening for Breast Cancer | Higher is better | 95.00% | 68.90%
(2) |
BETTER | ||
| Screening for Cervical Cancer | Higher is better | 86.50% | 72.00%
(2) |
BETTER | ||
| Smoking and Tobacco Cessation - Advise Smokers to Quit | Higher is better | 93.40% | 74.50%
(7) |
BETTER | ||
| Safe Care | ||||||
| Catheter-associated urinary tract infection | Lower is better | 1.35 | 2.131
(1,6) |
BETTER | ||
| Central line-associated bloodstream infection | Lower is better | 1.01 | 2.052
(1,6) |
BETTER | ||
| Veteran-Centered Care | ||||||
| Care Transition | Higher is better | 67.00% | 63.00% | SAME | ||
| HCAHPS Summary Star | Higher is better | 3 | 2 | BETTER | ||
| Overall Rating of Hospital | Higher is better | 76.00% | 74.00% | SAME | ||
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.
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.