MISSION Act Quality Measure Community Comparison for Spokane, WA 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	*	52.20 %	N/A
Comprehensive Diabetes Care - Blood Pressure Control	Higher is better	*	55.90 %	N/A
Death rate for Congestive Heart Failure	Lower is better	8.80	11.20 (1)	SAME
Death rate for COPD	Lower is better	7.20	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	12.30	15.30 (1)	SAME
Flu Shots for Adults Ages 19-65	Higher is better	*	59.30 %	N/A
Poor Blood Glucose Control Among Diabetics	Lower is better	*	39.80 % (2)	N/A
Proper Therapy After Heart Attack - Beta Blockers	Higher is better	*	87.10 %	N/A
Screening for Breast Cancer	Higher is better	*	68.00 % (2)	N/A
Screening for Cervical Cancer	Higher is better	*	70.60 % (2)	N/A
Smoking and Tobacco Cessation - Advise Smokers to Quit	Higher is better	*	79.50 % (2,10)	N/A
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	62.00 %	61.00 % (12)	SAME
Care Transition	Higher is better	59.00 %	53.00 % (1)	SAME
Overall Rating of Hospital	Higher is better	76.00 %	73.00 % (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