How Good is RI’s Healthcare—New Federal Assessment

Tuesday, July 10, 2012

 

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How did RI do on 18 measures that provide shapshots of healthcare? See where we're strong and where we need to improve.

A new federal assessment of healthcare measures has put Rhode Island in the Top 20 in the US, but at the bottom of the New England states.

The Agency for Healthcare Research and Quality (AHRQ), a division of the US Department of Health & Human Services, released its state-by-state ranking based on its 2011 National Healthcare Quality Report, which tracks performance on 18 "important" measures of healthcare quality, ranging from how many women get mammograms between the ages of 50 and 74 to vaccination rates among children ages 19-35 months, and from nursing home statistics to home health care measures.

Rhode Island: Top 20

AHRQ's overall healthcare performance meter for Rhode Island shows the Ocean State's arrow solidly in the "average" quadrant. Rhode Island's meter "score" ranked #16 in the US, but at the bottom of the New England states.

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Rhode Island's healthcare "dashboard" from AHRQ points to an average performance overall. Image: AHRQ.

The meter represents RI's balance of below average, average, and above average measures compared to all 50 states.  The measures encompass:

    •    Overall health care quality
    •    Types of care (preventive, acute, and chronic)
    •    Settings of care (hospitals, ambulatory care, nursing home, and home health)
    •    Five clinical conditions (cancer, diabetes, heart disease, maternal and child health, and respiratory diseases)
    •    Special focus areas on diabetes, asthma, Healthy People 2020, clinical preventive services, disparities, payer, and variation over time

The top-performing states overall this year were Minnesota (#1), Wisconsin (#2), Maine (#3), Massachusetts (#4) and Iowa (#5).

Regional Outlook: Low Average

While RI may look pretty good when compared to all 50 states, its data places it at the bottom of New England's 6-state performance, according to AHRQ. Maine put up the best meter score this year, beating out MA by one spot nationally. New Hampshire was close behind MA, at #6 nationally, and Vermont ranked #9. Outside of the top 10, Connecticut ranked #12 on its overall health meter score, and Rhode Island posted the lowest score in the region, ranking #16 nationally.

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Strongest Measures: Cholesterol + Some Vaccines

Where Rhode Island's healthcare posted the best data largely centered on vaccinations. RI did best on number of children receiving hepatitis B vaccine, adolescents receiving the human papillomavirus  and miningococcal conjugate vaccine, as well as seniors receiving the flu vaccine. RI's best performance overall was for percentage of adults 18 and over who've had their blood cholesterol checked in the last 5 years (#2 nationally).

Weakest Measures: Areas for improvement

Although some of the state's best outcomes related to specific vaccines, Rhode Island posted the lowest ranking in the country for children 19-35 months being fully vaccinated. The other weakest area for RI among the measures related to pneumonia care.

For more on how Rhode Island performed, go here.

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