MISSION Act Quality Measure Community Comparison for Roseburg, OR 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	59.80 %	52.20 % (2)	BETTER
Comprehensive Diabetes Care - Blood Pressure Control	Higher is better	59.80 %	55.90 % (2)	BETTER
Death rate for Congestive Heart Failure	Lower is better	10.00	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	12.10	15.30 (1)	SAME
Flu Shots for Adults Ages 19-65	Higher is better	18.20 %	59.30 % (2)	N/A*
Poor Blood Glucose Control Among Diabetics	Lower is better	12.90 %	39.80 % (2)	BETTER
Screening for Breast Cancer	Higher is better	85.60 %	68.00 % (2)	BETTER
Screening for Cervical Cancer	Higher is better	83.90 %	70.60 % (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	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	57.00 %	61.00 % (12)	SAME
Care Transition	Higher is better	Not Available	55.00 %	Not Available
Overall Rating of Hospital	Higher is better	Not Available	75.00 %	Not Available
Overall Rating of Provider	Higher is better	65.00 %	73.00 % (12)	WORSE

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