Table D.1. Benchmarks available in or derivable from the NHQR by the measure set for diabetes care quality, including four sample States
Diabetes Care Quality Improvement: A Resource Guide for State Action
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|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)
|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.