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 HEdIs EffECtIvEnEss of CarE MEasurEs aCCrEdItEd vs. nonaCCrEdItEd Plans: MEdICaId HMo avEragEs—2010 MEASURE ACCREDITED NoNACCREDITED DIffERENCE Childhood Immunization Status—Influenza 45.0 42.2 2.7 Childhood Immunization Status—Combination 10 (DTaP, IPV, MMR, Hib, Hepatitis A, Hepatitis b, VzV, PCV, Rotavirus and Influenza) 16.6 13.9 2.7 Immunizations for Adolescents—Meningococcal 57.4 55.1 2.3 Immunizations for Adolescents—Tdap/Td 68.7 66.9 1.8 Immunizations for Adolescents—Combination 1 (Meningococcal, Tdap/Td) 53.4 50.9 2.5 follow-Up Care for Children Prescribed ADHD Medication—Initiation 38.0 38.2 -0.1 follow-Up Care for Children Prescribed ADHD Medication—Continuation 43.1 45.0 -1.9 lead Screening in Children 69.0 63.4 5.6 Weight Assessment and Counseling for Nutrition and Physical Activity in Children and Adolescents—bMI Percentile (overall) Weight Assessment and Counseling for Nutrition and Physical Activity in Children and Adolescents—Counseling for Nutrition (overall) Weight Assessment and Counseling for Nutrition and Physical Activity in Children and Adolescents—Counseling for Physical Activity (overall) 37.4 37.1 0.3 47.4 43.9 3.4 37.5 35.9 1.6 frequency of Prenatal Care Visits—80% of Expected Visits 63.5 58.5 5.0 Well-Child Visits: Ages 0–15 Months—No Well-Child Visits 1.8 2.5 -0.7 Well-Child Visits: Ages 0–15 Months—one Well-Child Visit 1.9 2.4 -0.5 Well-Child Visits: Ages 0–15 Months—Two Well-Child Visits 3.0 3.7 -0.7 Well-Child Visits: Ages 0–15 Months—Three Well-Child Visits 5.3 6.1 -0.8 Well-Child Visits: Ages 0–15 Months—four Well-Child Visits 9.1 10.9 -1.8 Well-Child Visits: Ages 0–15 Months—five Well-Child Visits 14.8 17.2 -2.5 Well-Child Visits: Ages 0–15 Months—Six or More Well-Child Visits 63.9 57.1 6.8 Well-Child Visits: Ages 3–6 years—one or More Well-Child Visits 73.7 70.6 3.1 Adolescent Well-Care Visits—At least one Comprehensive Well-Care Visit 50.8 46.1 4.8 Children and Adolescents’ Access to Primary Care Practitioners— Children 12–24 Months Children and Adolescents’ Access to Primary Care Practitioners— Children 25 Months–6 years Children and Adolescents’ Access to Primary Care Practitioners— Children 7–11 years Children and Adolescents’ Access to Primary Care Practitioners— Adolescents 12–19 years *Lower rates signify better performance. 147 96.5 95.7 0.9 89.0 87.6 1.4 90.5 89.9 0.6 88.3 88.0 0.2
148 APPENDIx 6A: ACCREDITED VS. NoNACCREDITED PlANS: 2010 MEDICARE HMo AVERAGES HEdIs EffECtIvEnEss of CarE MEasurEs aCCrEdItEd vs. nonaCCrEdItEd Plans: MEdICarE HMo avEragEs—2010 MEASURE ACCREDITED NoNACCREDITED DIffERENCE safety and Potential Waste 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 Ambulatory Care—ED Visits per 1,000 Member Months 362.5 501 -138.5 Wellness and Prevention Adult bMI Assessment 56.0 47.1 9.0 breast Cancer Screening 72.1 66.3 5.7 Colorectal Cancer Screening Chronic disease Management 64.9 53.3 11.6 Persistence of beta-blocker Treatment After a Heart Attack 83.9 82.2 1.7 Comprehensive Diabetes Care—blood Pressure Control (
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24 HEDIS MEASURES of CARE about HEd
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Page 131 and 132: 130 APPENDIx 1: HEDIS EffECTIVENESS
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Page 173 and 174: 172 MEASURE N AT I o N A l C o M 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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