MISSION Act Quality Measure Community Comparison for Black Hills, SD 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 | 69.70 % | 53.10 %
(2) |
BETTER | ||
| Comprehensive Diabetes Care - Blood Pressure Control | Higher is better | 71.70 % | 54.10 %
(2) |
BETTER | ||
| Death rate for Congestive Heart Failure | Lower is better | 11.20 | 11.20
(1) |
SAME | ||
| Death rate for COPD | Lower is better | 7.30 | 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 | 14.00 | 15.30
(1) |
SAME | ||
| Flu Shots for Adults Ages 19-65 | Higher is better | 19.80 % | 62.90 %
(2) |
N/A* | ||
| Poor Blood Glucose Control Among Diabetics | Lower is better | 14.40 % | 42.50 %
(2) |
BETTER | ||
| Screening for Breast Cancer | Higher is better | 82.30 % | 70.30 %
(2) |
BETTER | ||
| Screening for Cervical Cancer | Higher is better | 84.20 % | 69.90 %
(2) |
BETTER | ||
| Smoking and Tobacco Cessation - Advise Smokers to Quit | Higher is better | 94.40 % | 79.50 %
(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 | 70.00 % | 61.00 %
(12) |
BETTER | ||
| Care Transition | Higher is better | 62.00 % | 57.00 %
(1) |
SAME | ||
| Overall Rating of Hospital | Higher is better | 82.00 % | 80.00 %
(1) |
SAME | ||
| Overall Rating of Provider | Higher is better | 83.00 % | 73.00 %
(12) |
BETTER | ||
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