Continuous Improvement and the Expansion of Quality ... - NCQA

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T H E S TAT E o f H E A l T H C A R E Q U A l I T y 2 0 1 1 • H E D I S M E A S U R E S o f C A R E PHySICAl ACTIVITy IN olDER ADUlTS Physical activity in older adults is an important part of managing chronic diseases like diabetes, obesity and high blood pressure. Physical activity helps older adults maintain their ability to live independently and reduces the risk of falling and fracturing bones. 1,2 The Physical Activity in Older Adults measure assesses whether older adults have either discussed or received advice from their physician about exercise. • lack of physical activity is one of the major causes of obesity. About 14 percent of all deaths in the U.S. can be attributed to insufficient physical activity and inadequate nutrition. 3 • Physical inactivity increases with age. Data from the Centers for Disease Control and Prevention reveal that 28 percent–34 percent of adults 65–74 are inactive and engage in little or no physical activity, and 35 percent–44 percent of adults 75 or older are not as active as they should be. 4 • Regular exercise and increased aerobic fitness are associated with a decrease in all-cause mortality and morbidity in older adults. 1 Research proves that older adults have more to gain from physical activity than younger adults. 1,2 the Case for Improvement • The medical costs for inactive adults are substantially higher than for active adults, and the cost of inactivity increases with age. If inactive older adults increased their physical activity to 90 minutes per week, $2,200 per person could be saved in health care costs every year. 3,5 • The number of older Americans is expected to double in the next two decades. Approximately 95 percent of health care spending for older adults is attributed to chronic conditions. lack of physical activity among older adults is an independent risk factor for a range of chronic diseases. 3,5 80 percent of older adults have at least one chronic condition; 50 percent have at least two. • Regular physical activity for older adults has beneficial health effects on a variety of health outcomes, including decreased risk of early death, heart disease and diabetes; weight loss; fall prevention; reduced depression; and improved cognitive function. 6,7 111 HEdIs Measure definition This survey-based measure assesses the percentage of Medicare adults age 65 and older who had a doctor’s visit in the past 12 months and who: M E A S U R E S T A R G E T E D A T o l D E R A D U l T S
M E A S U R E S T A R G E T E D A T o l D E R A D U l T S • Spoke with a with a doctor or other health provider about their level of exercise or physical activity • Received advice to start, increase or maintain their level of exercise or physical activity. results Strong evidence suggests that physical activity reduces the risk of developing chronic diseases and should be a high priority for preventing and treating disease and disability in older adults. 7 112 N AT I o N A l C o M M I T T E E f o R Q U A l I T y A S S U R A N C E yEAR advICE CoMMERCIAl MEDICARE MEDICAID HMo PPo HMo PPo HMo 2010 NA NA 47.9 47.6 NA 2009 NA NA 46.9 47.8 NA 2008 NA NA 47.0 47.1 NA 2007 NA NA 46.1 46.7 NA 2006 NA NA 45.2 48.8 NA 2005 NA NA 43.7 46.3 NA yEAR dIsCussIon CoMMERCIAl MEDICARE MEDICAID HMo PPo HMo PPo HMo 2010 NA NA 52.3 53.9 NA 2009 NA NA 51.3 54.4 NA 2008 NA NA 51.5 54.0 NA 2007 NA NA 51.1 53.0 NA 2006 NA NA 50.3 53.6 NA 2005 NA NA 50.6 53.7 NA
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24 HEDIS MEASURES of CARE about HEd
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C H R o N I C D I S E A S E M A N A
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162 N AT I o N A l C o M M I T T E
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172 MEASURE N AT I o N A l C o M M
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180 APPENDIx 16A: VARIATIoN IN PlAN
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182 APPENDIx 16b: VARIATIoN IN PlAN
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184 REfERENCES N AT I o N A l C o M
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ACkNoWlEDGMENTS Health Plans The 20
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Continuous Improvement and the Expansion of Quality ... - NCQA

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