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 • A P P E N D I C E S APPENDIx 4A: ACCREDITED VS. NoNACCREDITED PlANS: 2010 CoMMERCIAl HMo AVERAGES HEdIs EffECtIvEnEss of CarE MEasurEs aCCrEdItEd vs. nonaCCrEdItEd Plans: CoMMErCIal HMo avEragEs—2010 MEASURE ACCREDITED NoNACCREDITED DIffERENCE safety and Potential Waste Imaging Studies for low back Pain 74.5 73.2 1.2 Avoidance of Antibiotic Treatment in Adults With Acute bronchitis 22.3 23.3 -0.9 Ambulatory Care—ED Visits per 1,000 Member Months 188.6 183.2 5.4 Wellness and Prevention Adult bMI Assessment 41.4 38.1 3.2 Medical Assistance With Smoking and Tobacco Use Cessation— Advising Smokers and Tobacco Users to Quit 76.8 76.1 0.7 Medical Assistance With Smoking and Tobacco Use Cessation— Discussing Cessation Strategies Medical Assistance With Smoking and Tobacco Use Cessation— Discussing Cessation Medications 45.1 44.6 0.5 52.4 52.2 0.3 flu Shots for Adults 52.1 54.1 -2.0 Prenatal and Postpartum Care—Timeliness of Prenatal Care 92.1 86.6 5.5 Prenatal and Postpartum Care—Postpartum Visit between 21 and 56 Days After Delivery 81.5 77.6 3.9 breast Cancer Screening 71.2 69.5 1.7 Cervical Cancer Screening 77.7 74.5 3.2 Colorectal Cancer Screening 63.7 58.8 4.9 Chlamydia Screening in Women—16–20 years 42.1 36.4 5.6 Chlamydia Screening in Women—21–24 years 46.9 41.4 5.5 Chlamydia Screening in Women—Total Rate 44.4 39.0 5.4 Chronic disease Management Persistence of beta-blocker Treatment After a Heart Attack 75.5 75.5 0.0 Comprehensive Diabetes Care—blood Pressure Control (
140 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 HEdIs EffECtIvEnEss of CarE MEasurEs aCCrEdItEd vs. nonaCCrEdItEd Plans: CoMMErCIal HMo avEragEs—2010 MEASURE ACCREDITED NoNACCREDITED DIffERENCE Cholesterol Management for Patients With Cardiovascular Conditions— lDl Cholesterol Screening Cholesterol Management for Patients With Cardiovascular Conditions— lDl Control (
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Continuous Improvement and the Expa
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2 This Report and the data containe
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4 N AT I o N A l C o M M I T T E E
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top 10 and bottom 10 states “loca
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16 this measure has shown steady ga
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24 HEDIS MEASURES of CARE about HEd
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S A f E T y A N D P o T E N T I A l
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W E l l N E S S A N D P R E V E N T
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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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M E A S U R E S T A R G E T E D A T
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Page 89 and 90: M E A S U R E S T A R G E T E D A T
Page 121 and 122: C o N S U M E R A N D P A T I E N T
Page 129 and 130: 128 N AT I o N A l C o M M I T T E
Page 131 and 132: 130 APPENDIx 1: HEDIS EffECTIVENESS
Page 135 and 136: 134 APPENDIx 2: HEDIS EffECTIVENESS
Page 139: 138 N AT I o N A l C o M M I T T E
Page 143 and 144: 142 APPENDIx 4b: ACCREDITED VS. NoN
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Page 153 and 154: 152 APPENDIx 7A: PUblICly REPoRTING
Page 159 and 160: 158 APPENDIx 8: PUblICly REPoRTING
Page 173 and 174: 172 MEASURE N AT I o N A l C o M M
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Page 185 and 186: 184 REfERENCES N AT I o N A l C o M
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190 N AT I o N A l C o M M I T T E
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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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