MISSION Act Quality Measure Community Comparison for Dallas, TX Health Care System
Last Updated: 02/14/2024
Next Update: 05/14/2024
Data is updated Quarterly
Next Update: 05/14/2024
Data is updated Quarterly
Measure | Measure Direction | VA Hospital Results | Community Benchmark | VA vs. Community | ||
---|---|---|---|---|---|---|
Effective Care | ||||||
Adequate Control of High Blood Pressure | Higher is better | 73.20 % (2) | 41.70 % (2) | BETTER | ||
Cardiovascular Disease Patients Receiving Statin Therapy | Higher is better | 88.30 % (2) | 79.40 % (2) | BETTER | ||
Colorectal Cancer Screening | Higher is better | 78.50 % (2) | 55.30 % (2) | BETTER | ||
Comprehensive Diabetes Care - Blood Pressure Control | Higher is better | 74.20 % (2) | 40.60 % (2) | BETTER | ||
Death rate for Congestive Heart Failure | Lower is better | 5.70 (1) | 11.80 (1) | BETTER | ||
Death rate for COPD | Lower is better | 5.90 (1) | 9.20 (1) | BETTER | ||
Death rate for Heart Attack | Lower is better | 10.80 (1) | 12.60 (1) | SAME | ||
Death rate for Pneumonia | Lower is better | 13.30 (1) | 18.20 (1) | BETTER | ||
Diabetes Patients Receiving Statin Therapy | Higher is better | 80.40 % (2) | 64.40 % (2) | BETTER | ||
Flu Shots for Adults Ages 19-65 | Higher is better | 26.60 % (2) | 54.30 % (2) | WORSE | ||
Follow-Up After Hospitalization For Mental Illness 30 days (Total) | Higher is better | 94.50 % (2) | 61.70 % (2) | BETTER | ||
Follow-Up After Hospitalization For Mental Illness 7 days (Total) | Higher is better | 78.00 % (2) | 37.10 % (2) | BETTER | ||
Non-recommended PSA-based Screening in Older Men (Prostate Screening) | Lower is better | 27.20 % (2) | 33.70 % (2) | BETTER | ||
Poor Blood Glucose Control Among Diabetics | Lower is better | 13.00 % (2) | 46.40 % (2) | BETTER | ||
Screening for Breast Cancer | Higher is better | 87.70 % (2) | 66.00 % (2) | BETTER | ||
Screening for Cervical Cancer | Higher is better | 88.10 % (2) | 70.60 % (2) | BETTER | ||
Smoking and Tobacco Cessation - Advise Smokers to Quit | Higher is better | 100.00 % (2) | 79.80 % (2) | BETTER | ||
Safe Care | ||||||
Catheter-associated urinary tract infection | Lower is better | 0.170 | 2.016 | BETTER | ||
Central line-associated bloodstream infection | Lower is better | 0.650 | 2.175 | BETTER | ||
Death among surgical inpatients | Lower is better | 145.72 (1) | 143.04 (1) | SAME | ||
Veteran-Centered Care | ||||||
Care Coordination | Higher is better | 48.00 % (12) | 60.00 % (12) | WORSE | ||
Care Transition | Higher is better | 52.00 % (1) | 53.00 % (1) | SAME | ||
Overall Rating of Hospital | Higher is better | 66.00 % (1) | 73.00 % (1) | SAME | ||
Overall Rating of Provider | Higher is better | 58.00 % (12) | 73.00 % (12) | WORSE |
* Incomplete score; influenza season is ongoing. | |
1 - | CMS Care Compare benchmark |
2 - | NCQA HEDIS benchmark. |
3 - | AHRQ CAHPS Database benchmark |
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 |
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 |