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Tennessee

Chronic Care Quality Measures and Metrics Compared to All States

State Performance Ratings

Rating Number of Measures for State in Summary Measure Number of Measures for All States in Summary Measure
Better than Average = The State rate on an NHQR measure is better than the all-State/regional average and is statistically different from the all-State/regional average. 8 592
Average = The State rate on an NHQR measure is not statistically different from the all-State/regional average. 10 878
Worse than Average = The State rate on an NHQR measure is worse than the all-State/regional average and is statistically different from the all-State/regional average. 28 699
N/A = An estimate or standard error was not available for a State measure or the relative standard error is greater than or equal to 30 percent. 0 177
Total number of measures for the State (excluding measures that are N/A) 46 2169

Measures for which Tennessee's rate is Better than the all-State Average

Quality Dimension Short Measure Name State Performance1 Most Recent Data Year State Rate All-State Average2 Regional Average Baseline Year Average Annual Change3 Direction of Change Data Source4 Full NHQR Measure Title NHQR Table Number5
Diabetes Diabetes hemoglobin A1c tests Better than Average 2005 90 85.6 85.8 2001 4.8% Improved BRFSS Percent of adults age 40 and over with diabetes who had a hemoglobin A1c measurement at least once in the past year 1.20b
Nursing home and home health care Nursing home long-stay residents - with increased need for help Better than Average 2006 14 15.6 15.1 2002 -2.0% Improved MDS Percent of long-stay nursing home residents whose need for help with daily activities has increased 1.114b
Nursing home and home health care Nursing home long-stay residents - with declining mobility Better than Average 2006 11.2 12.4 11.4 2002 -1.7% Improved MDS Percent of long-stay nursing home residents whose ability to move about got worse 1.118b
Nursing home and home health care Nursing home long-stay residents - more depressed or anxious Better than Average 2006 10.9 12.4 12.2 2002 -2.6% Improved MDS Percent of long-stay nursing home residents who are more depressed or anxious 1.120b
Nursing home and home health care Home health care - improved oral drug management Better than Average 2006 42.5 38.6 41.7 2005 8.7% Improved OASIS Percent of home health care patients who get better at taking their medicines correctly (by mouth) 1.133b
Nursing home and home health care Home health care - improved bathing Better than Average 2006 63.3 61.2 61.5 2005 3.4% Improved OASIS Percent of home health care patients who get better at bathing 1.134b
Nursing home and home health care Home health care - improved transferring Better than Average 2006 54.1 51.7 53.4 2005 2.3% Improved OASIS Percent of home health care patients who get better at getting in and out of bed 1.135b
Nursing home and home health care Home health care - improved mobility Better than Average 2006 43.3 38.6 41.9 2005 6.9% Improved OASIS Percent of home health care patients who get better at walking or moving around 1.136b


1 State Performance is for the most recent data year compared to All States

2 These all-State averages are calculated consistently across all measures and differ slightly from those in the National Healthcare Quality Report. For more information, select the Methods page.

3 The sign on entries under the column "Average Annual Change" indicates whether the measure has risen or fallen since the baseline year. Because "+" or "-" can represent an improvement or a worsening depending on how the measure is constructed, the column "Direction of Change" helps the user know what the change means.

4 Additional information about data sources/acronyms.

5 Select for other States' rates.

Measures for which Tennessee's rate is similar to the all-State Average

Quality Dimension Short Measure Name State Performance6 Most Recent Data Year State Rate All-State Average7 Regional Average Baseline Year Average Annual Change8 Direction of Change Data Source9 Full NHQR Measure Title NHQR Table Number10
Cancer Breast cancer deaths Average 2004 25.8 24.4 25.2 1999 -0.2% Unchanged NVSS Breast cancer deaths per 100,000 female population per year 1.11b
Diabetes Diabetes eye exams Average 2005 69.2 69.8 68.6 2001 -0.5% Unchanged BRFSS Percent of adults age 40 and over with diabetes who had a retinal eye examination in the past year 1.22b
End stage renal disease Dialysis and on kidney transplant list Average 2003 15.3 13.6 13.4 1999 5.6% Improved USRDS Percent of dialysis patients registered on the waiting list for transplantation 1.33b
End stage renal disease Renal failure and kidney transplant Average 2001 19.8 17.4 13.7 1994 -1.4% Worsened USRDS Persons receiving a kidney transplant within 3 years of date of renal failure 1.34b
Nursing home and home health care Nursing home long-stay residents - high-risk with pressure sores Average 2006 12.6 12.0 12.4 2002 -1.2% Improved MDS Percent of high-risk long-stay nursing home residents who have pressure sores 1.121b
Nursing home and home health care Nursing home long-stay residents - low-risk with pressure sores Average 2006 2 2.2 1.9 2002 -5.4% Improved MDS Percent of low-risk long-stay nursing home residents who have pressure sores 1.122b
Nursing home and home health care Nursing home long-stay residents - low-risk with incontinence Average 2006 48.3 49.1 46.8 2002 0.7% Unchanged MDS Percent of low-risk long-stay nursing home residents who lose control of their bowels or bladder 1.123b
Nursing home and home health care Home health care - improved pain management when mobile Average 2006 63.3 61.4 63.3 2005 4.3% Improved OASIS Percent of home health care patients who have less pain when moving around 1.137b
Nursing home and home health care Home health care - improved breathing Average 2006 57.8 58.2 57.9 2005 4.7% Improved OASIS Percent of home health care patients who have less shortness of breath 1.138b
Nursing home and home health care Home health care - incontinence Average 2006 47.1 47.2 47.1 2005 4.7% Improved OASIS Percent of home health care patients who have less urinary incontinence 1.139b


6 State Performance is for the most recent data year compared to All States

7 These all-State averages are calculated consistently across all measures and differ slightly from those in the National Healthcare Quality Report. For more information, select the Methods page.

8 The sign on entries under the column "Average Annual Change" indicates whether the measure has risen or fallen since the baseline year. Because "+" or "-" can represent an improvement or a worsening depending on how the measure is constructed, the column "Direction of Change" helps the user know what the change means.

9 Additional information about data sources/acronyms.

10 Select for other States' rates.

Measures for which Tennessee's rate is Worse than the all-State Average

Quality Dimension Short Measure Name State Performance11 Most Recent Data Year State Rate All-State Average12 Regional Average Baseline Year Average Annual Change13 Direction of Change Data Source14 Full NHQR Measure Title NHQR Table Number15
Cancer Prostate cancer deaths Worse than Average 2004 27.8 25.2 29.4 1999 -4.4% Improved NVSS Cancer deaths per 100,000 male population per year for prostate cancer 1.10b
Cancer Lung cancer deaths Worse than Average 2004 68.1 52.3 68.4 1999 0.3% Unchanged NVSS Lung cancer deaths per 100,000 population per year 1.12b
Cancer Colorectal cancer deaths Worse than Average 2004 19.7 17.8 19.9 1999 0.1% Unchanged NVSS Colorectal cancer deaths per 100,000 population per year 1.13b
Cancer All cancer deaths Worse than Average 2004 208 184.4 208.5 1999 -0.5% Unchanged NVSS Cancer deaths per 100,000 population per year 1.9b
Diabetes Diabetes foot exams Worse than Average 2005 65.1 72.8 68.0 2001 -0.7% Unchanged BRFSS Percent of adults age 40 and over with diabetes who had a foot examination in the past year 1.23b
Diabetes Diabetes flu shots Worse than Average 2005 25.8 36.3 28.5 2001 -13.9% Worsened BRFSS Percent of noninstitutionalized high-risk adults ages 18-64 with diabetes who had an influenza immunization in the past year 1.24b
Diabetes Avoidable hospitalizations - diabetes, uncomplicated Worse than Average 2004 30.6 14.5 30.2 2003 0.3% Unchanged HCUP Admissions for uncontrolled diabetes without complication (excluding obstetric and neonatal admissions and transfers from other institutions) per 100,000 population, age 18 and over 1.29b
Diabetes Avoidable hospitalizations - diabetes, short-term complications Worse than Average 2004 77.6 50.8 73.1 2003 4.0% Worsened HCUP Admissions for diabetes with short-term complications (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 and over 1.30c
Diabetes Avoidable hospitalizations - diabetes, long-term complications Worse than Average 2004 139 113.3 134.0 2003 6.1% Worsened HCUP Admissions for diabetes with long-term complications (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 and over 1.31b
End stage renal disease Dialysis and good urea reduction - Medicare Worse than Average 2005 89.9 92.8 91.3 2000 0.8% Unchanged U.Michigan Percent of Medicare hemodialysis patients with urea reduction ratio 65 percent or higher 1.35b
End stage renal disease Dialysis and good hematocrit - Medicare Worse than Average 2005 90.6 92.3 91.3 2000 5.3% Improved U.Michigan Percent of Medicare hemodialysis patients with hematocrit 33 or greater 1.36b
End stage renal disease Dialysis and survival - Medicare Worse than Average 2005 1.03 1.0 1.0 2000 1.0% Worsened U.Michigan Survival rate for Medicare dialysis patients 1.37
HIV and AIDS HIV deaths Worse than Average 2004 4.8 2.8 3.3 1999 1.3% Worsened NVSS HIV-infection deaths per 100,000 population 1.66b
Heart disease Heart failure - recommended hospital care received Worse than Average 2005 85.8 88.5 84.9 No Data No Data No Data QIO Percent of heart failure patients who received recommended hospital care, all payers 1.51b
Heart disease Heart failure - ACEI/ARB at discharge Worse than Average 2005 80.1 83.0 80.6 No Data No Data No Data QIO Percent of heart failure patients with left ventricular systolic dysfunction prescribed an ACE inhibitor or angiotensin receptor blocker at discharge, all payers 1.53b
Heart disease Avoidable hospitalizations - heart failure Worse than Average 2004 603 427.1 621.0 2003 -0.7% Unchanged HCUP Admissions for congestive heart failure (excluding patients with cardiac procedures, obstetric and neonatal conditions, and transfers from other institutions) per 100,000 population, age 18 and over 1.55b
Nursing home and home health care Nursing home long-stay residents - with moderate to severe pain Worse than Average 2006 5.1 4.1 4.4 2002 -19.9% Improved MDS Percent of long-stay nursing home residents who have moderate to severe pain 1.115b
Nursing home and home health care Nursing home long-stay residents - physically restrained Worse than Average 2006 8.1 4.5 6.3 2002 -12.8% Improved MDS Percent of long-stay nursing home residents who were physically restrained 1.116b
Nursing home and home health care Nursing home long-stay residents - bed/chair bound Worse than Average 2006 8 2.7 8.0 2002 -0.3% Unchanged MDS Percent of long-stay nursing home residents who spent most of their time in bed or in a chair 1.117b
Nursing home and home health care Nursing home long-stay residents - with urinary tract infections Worse than Average 2006 10.5 8.8 10.1 2002 2.5% Worsened MDS Percent of long-stay nursing home residents with a urinary tract infection 1.119b
Nursing home and home health care Nursing home long-stay residents - with urinary catheter left in Worse than Average 2006 5.9 5.4 5.2 2002 -1.2% Improved MDS Percent of long-stay nursing home residents who have/had a catheter inserted and left in their bladder 1.124b
Nursing home and home health care Nursing home long-stay residents - with too much weight loss Worse than Average 2006 10.5 8.4 9.5 2004 1.0% Unchanged MDS Percent of long-stay nursing home residents who lose too much weight 1.128b
Nursing home and home health care Home health care - hospitalization Worse than Average 2006 34.1 29.7 33.7 2005 1.5% Worsened OASIS Percent of home health care patients who had to be admitted to the hospital 1.140b
Nursing home and home health care Home health care - plus urgent care Worse than Average 2006 25.3 22.3 23.7 2005 2.0% Worsened OASIS Percent of home health care patients who needed urgent, unplanned medical care 1.141b
Nursing home and home health care Home health care - home after Home health care Worse than Average 2006 63.3 66.2 62.9 2005 -0.5% Unchanged OASIS Percent of home health care patients who stay home after home health care ends 1.142b
Respiratory diseases Asthma admissions for children Worse than Average 2004 155 132.1 173.3 2003 7.6% Worsened HCUP Pediatric asthma admissions (excluding patients with cystic fibrosis or anomalies of the respiratory system and transfers from other institutions) per 100,000 population, ages 2-17 1.110b
Respiratory diseases Asthma admissions for adults Worse than Average 2004 127 107.1 136.3 2003 -5.2% Improved HCUP Asthma admissions (excluding patients with cystic fibrosis or anomalies of the respiratory system, obstetric admissions, and transfers from other institutions) per 100,000 population, age 18 and over 1.111b
Respiratory diseases Asthma admissions for seniors Worse than Average 2004 237 202.7 246.4 2003 3.5% Worsened HCUP Asthma admissions (excluding patients with cystic fibrosis or anomalies of the respiratory system, obstetric admissions and transfers from other institutions) per 100,000 population, age 65 and over 1.112b


11 State Performance is for the most recent data year compared to All States

12 These all-State averages are calculated consistently across all measures and differ slightly from those in the National Healthcare Quality Report. For more information, select the Methods page.

13 The sign on entries under the column "Average Annual Change" indicates whether the measure has risen or fallen since the baseline year. Because "+" or "-" can represent an improvement or a worsening depending on how the measure is constructed, the column "Direction of Change" helps the user know what the change means.

14 Additional information about data sources/acronyms.

15 Select for other States' rates.