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MISSION Act Quality Measure Community Comparison for Orlando, FL 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 81.50% 50.90%
(2)
BETTER
Annual Eye Exam for Diabetics Higher is better 84.60% 44.00%
(2)
BETTER
Blood Pressure Control for Diabetics Higher is better 77.90% 61.90%
(2)
BETTER
Death rate for Congestive Heart Failure Lower is better 7.7 11.5
(1)
BETTER
(1)
Death rate for COPD Lower is better 5.44 8.3
(1,6)
BETTER
Death rate for Heart Attack Lower is better 12.5 12.9
(1)
SAME
(1)
Death rate for Pneumonia Lower is better 11.9 15.6
(1)
BETTER
(1)
Flu Shots for Adults Ages 18-64 Higher is better 41.50% 44.30%
(2)
SAME
Poor Blood Glucose Control Among Diabetics Lower is better 15.10% 28.70%
(2)
BETTER
Proper Therapy After Heart Attack - Beta Blockers Higher is better 87.30% 82.40%
(2)
BETTER
Screening for Breast Cancer Higher is better 85.10% 68.90%
(2)
BETTER
Screening for Cervical Cancer Higher is better 85.40% 72.00%
(2)
BETTER
Smoking and Tobacco Cessation - Advise Smokers to Quit Higher is better 96.30% 74.50%
(7)
BETTER
Safe Care
Catheter-associated urinary tract infection Lower is better 1.22 2.131
(1,6)
BETTER
Central line-associated bloodstream infection Lower is better 1.73 2.052
(1,6)
BETTER
Veteran-Centered Care
Care Transition Higher is better 60.00% 51.00% BETTER
HCAHPS Summary Star Higher is better 4 2 BETTER
Overall Rating of Hospital Higher is better 84.00% 69.00%
(1)
BETTER
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.