MISSION Act Quality Measure Community Comparison for Western New York Health Care System
Last Updated: 06/2022
| Measure | Measure Direction | VA Hospital Results | Community Benchmark | VA vs. Community | ||
|---|---|---|---|---|---|---|
| Effective Care | ||||||
| Adequate Control of High Blood Pressure | Higher is better | 69.00 % | 53.40 %
(2) |
BETTER | ||
| Comprehensive Diabetes Care - Blood Pressure Control | Higher is better | 71.00 % | 55.20 %
(2) |
BETTER | ||
| Death rate for Congestive Heart Failure | Lower is better | 8.20 | 11.20
(1) |
BETTER | ||
| Death rate for COPD | Lower is better | 7.20 | 8.10
(1) |
SAME | ||
| Death rate for Heart Attack | Lower is better | 11.50 | 12.30
(1) |
SAME | ||
| Death rate for Pneumonia | Lower is better | 13.00 | 15.30
(1) |
SAME | ||
| Flu Shots for Adults Ages 19-65 | Higher is better | 21.70 % | 56.80 %
(2) |
N/A* | ||
| Poor Blood Glucose Control Among Diabetics | Lower is better | 10.80 % | 37.60 %
(2) |
BETTER | ||
| Screening for Breast Cancer | Higher is better | 87.90 % | 68.90 %
(2) |
BETTER | ||
| Screening for Cervical Cancer | Higher is better | 94.70 % | 74.70 %
(2) |
BETTER | ||
| Smoking and Tobacco Cessation - Advise Smokers to Quit | Higher is better | 100.00 % | 79.50 %
(2) |
BETTER | ||
| Safe Care | ||||||
| Catheter-associated urinary tract infection | Lower is better | 1.180 | 2.018 | BETTER | ||
| Central line-associated bloodstream infection | Lower is better | 1.650 | 2.128 | BETTER | ||
| Veteran-Centered Care | ||||||
| Care Coordination | Higher is better | 63.00 % | 61.00 %
(12) |
SAME | ||
| Care Transition | Higher is better | 53.00 % | 47.00 %
(1) |
SAME | ||
| Overall Rating of Hospital | Higher is better | 74.00 % | 66.00 %
(1) |
SAME | ||
| Overall Rating of Provider | Higher is better | 75.00 % | 73.00 %
(12) |
SAME | ||
Footnotes:
* Incomplete score; influenza season is ongoing.
1 - CMS Hospital Compare benchmark
2 - NCQA HEDIS benchmark.
9 - Greater than 1000 lines days are needed to report the HAI measure
10 - The number of cases is too few to report
12 - VA National Score
* Incomplete score; influenza season is ongoing.
1 - CMS Hospital Compare benchmark
2 - NCQA HEDIS benchmark.
9 - Greater than 1000 lines days are needed to report the HAI measure
10 - The number of cases is too few to report
12 - VA National Score