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MISSION Act Quality Measure Community Comparison for Fayetteville, AR 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 66.20 % 45.20 %
(2) 		BETTER
Comprehensive Diabetes Care - Blood Pressure Control Higher is better 65.30 % 41.00 %
(2) 		BETTER
Death rate for Congestive Heart Failure Lower is better 10.50 11.20
(1) 		SAME
Death rate for COPD Lower is better 7.90 8.10
(1) 		SAME
Death rate for Heart Attack Lower is better N/A 12.30 Not Available
Death rate for Pneumonia Lower is better 11.80 15.30
(1) 		SAME
Flu Shots for Adults Ages 19-65 Higher is better 17.20 % 56.50 %
(2) 		N/A*
Poor Blood Glucose Control Among Diabetics Lower is better 15.00 % 46.90 %
(2) 		BETTER
Screening for Breast Cancer Higher is better 88.30 % 67.60 %
(2) 		BETTER
Screening for Cervical Cancer Higher is better 58.30 % 69.70 %
(2) 		WORSE
Smoking and Tobacco Cessation - Advise Smokers to Quit Higher is better 99.40 % 72.70 %
(2) 		BETTER
Safe Care
Catheter-associated urinary tract infection Lower is better 0.000 2.018 BETTER
(9)
Central line-associated bloodstream infection Lower is better 0.000 2.128 BETTER
(9)
Veteran-Centered Care
Care Coordination Higher is better 59.00 % 61.00 %
(12) 		SAME
Care Transition Higher is better 60.00 % 51.00 %
(1) 		BETTER
Overall Rating of Hospital Higher is better 80.00 % 71.00 %
(1) 		SAME
Overall Rating of Provider Higher is better 72.00 % 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