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: MEdICarE HMo avEragEs—2010 MEASURE ACCREDITED NoNACCREDITED DIffERENCE follow-Up After Hospitalization for Mental Illness— Within 30 Days Post-Discharge 63.8 49.4 14.4 Alcohol and other Drug Dependence Treatment—Engagement 4.2 3.4 0.8 Alcohol and other Drug Dependence Treatment—Initiation 48.8 41.9 6.9 Measures targeted toward older adults fall Risk Management—Discussion 28.8 35.2 -6.3 fall Risk Management—Management 58.0 61.3 -3.4 Potentially Harmful Drug-Disease Interactions in the Elderly— Chronic Renal failure and NSAIDS or Cox-2 Selective NSAIDS* Potentially Harmful Drug-Disease Interactions in the Elderly— Dementia and Tricyclic Antidepressants or Anticholinergic Agents* Potentially Harmful Drug-Disease Interactions in the Elderly— falls and Tricyclic Antidepressants, Antipsychotics and Sleep Agents* 9.0 14.0 -4.9 24.2 31.6 -7.4 15.5 18.3 -2.8 Potentially Harmful Drug-Disease Interactions in the Elderly—overall Rate* 19.9 25.3 -5.4 Use of High-Risk Medications in the Elderly—At least one Medication* 18.6 24.1 -5.5 Use of High-Risk Medications in the Elderly—At least Two Medications* 3.7 5.9 -2.2 Management of Urinary Incontinence—Discussion 57.3 58.8 -1.5 Management of Urinary Incontinence—Treatment 35.8 36.1 -0.2 Physical Activity in older Adults—Advice 47.3 48.3 -1.0 Physical Activity in older Adults—Discussion 53.3 51.8 1.6 osteoporosis Testing in older Women 73.0 65.9 7.1 osteoporosis Management in Women Who Had a fracture 23.5 18.5 5.0 Glaucoma Screening in older Adults 67.0 61.9 5.1 * Lower rates signify better performance. 149
150 APPENDIx 6b: ACCREDITED VS. NoNACCREDITED PlANS: 2010 MEDICARE PPo AVERAGES HEdIs EffECtIvEnEss of CarE MEasurEs aCCrEdItEd vs. nonaCCrEdItEd Plans: MEdICarE PPo 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 382.8 377.9 4.9 Wellness and Prevention Adult bMI Assessment 42.1 34.9 7.1 breast Cancer Screening 66.7 65.5 1.2 Colorectal Cancer Screening Chronic disease Management 45.3 39.8 5.5 Persistence of beta-blocker Treatment After a Heart Attack 82.0 82.7 -0.7 Comprehensive Diabetes Care—blood Pressure 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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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
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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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Page 185 and 186: 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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