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MISSION Act Quality Measure Community Comparison for Madison, WI 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 67.10 % 57.10 %
(2) 		BETTER
Comprehensive Diabetes Care - Blood Pressure Control Higher is better 68.10 % 60.70 %
(2) 		BETTER
Death rate for Congestive Heart Failure Lower is better 10.10 11.20
(1) 		SAME
Death rate for COPD Lower is better 6.50 8.10
(1) 		SAME
Death rate for Heart Attack Lower is better 10.60 12.30
(1) 		SAME
Death rate for Pneumonia Lower is better 11.30 15.30
(1) 		BETTER
Flu Shots for Adults Ages 19-65 Higher is better 22.00 % 59.60 %
(2) 		N/A*
Poor Blood Glucose Control Among Diabetics Lower is better 17.80 % 35.90 %
(2) 		BETTER
Screening for Breast Cancer Higher is better 94.60 % 71.40 %
(2) 		BETTER
Screening for Cervical Cancer Higher is better 84.30 % 72.90 %
(2) 		BETTER
Smoking and Tobacco Cessation - Advise Smokers to Quit Higher is better 100.00 % 78.50 %
(2) 		BETTER
Safe Care
Catheter-associated urinary tract infection Lower is better 0.650 2.018 BETTER
Central line-associated bloodstream infection Lower is better 0.490 2.128 BETTER
Veteran-Centered Care
Care Coordination Higher is better 62.00 % 61.00 %
(12) 		SAME
Care Transition Higher is better 65.00 % 56.00 %
(1) 		BETTER
Overall Rating of Hospital Higher is better 84.00 % 77.00 %
(1) 		SAME
Overall Rating of Provider Higher is better 73.00 % 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