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 PPo avEragEs—2010 MEASURE ACCREDITED NoNACCREDITED DIffERENCE follow-Up After Hospitalization for Mental Illness— Within 30 Days Post-Discharge 63.1 60.7 2.4 Alcohol and other Drug Dependence Treatment—Engagement 4.4 4.9 -0.4 Alcohol and other Drug Dependence Treatment—Initiation 50.3 59.4 -9.1 Measures Targeted Toward older Adults fall Risk Management—Discussion 30.1 31.3 -1.3 fall Risk Management—Management 55.8 55.2 0.6 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* 9.5 12.5 -2.9 24.0 28.5 -4.5 14.0 17.1 -3.1 Potentially Harmful Drug-Disease Interactions in the Elderly—overall Rate* 19.1 22.7 -3.6 Use of High-Risk Medications in the Elderly—At least one Medication* 19.7 22.5 -2.8 Use of High-Risk Medications in the Elderly—At least Two Medications* 4.3 5.3 -1.0 Management of Urinary Incontinence—Discussion 57.1 58.1 -1.0 Management of Urinary Incontinence—Treatment 37.1 36.1 1.0 Physical Activity in older Adults—Advice 48.5 47.3 1.1 Physical Activity in older Adults—Discussion 55.6 53.4 2.2 osteoporosis Testing in older Women 75.0 73.0 2.0 osteoporosis Management in Women Who Had a fracture 19.5 18.1 1.4 Glaucoma Screening in older Adults 65.2 65.1 0.2 *Lower rates signify better performance. 151
152 APPENDIx 7A: PUblICly REPoRTING VS. NoNPUblICly REPoRTING PlANS: 2010 CoMMERCIAl HMoS HEdIs EffECtIvEnEss of CarE MEasurEs PublICly rEPortIng vs. nonPublICly rEPortIng Plans: CoMMErCIal HMo avEragEs—2010 MEASURE PUblIC NoNPUblIC 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 Imaging Studies for low back Pain 74.4 72.7 1.7 Avoidance of Antibiotic Treatment in Adults With Acute bronchitis 22.4 24.1 -1.7 Ambulatory Care—ED Visits per 1,000 Member Months 186.9 192.3 -5.4 Wellness and Prevention Adult bMI Assessment 40.8 38.5 2.3 Medical Assistance With Smoking and Tobacco Use Cessation— Advising Smokers and Tobacco Users to Quit 76.8 75.2 1.6 Medical Assistance With Smoking and Tobacco Use Cessation— Discussing Cessation Strategies Medical Assistance With Smoking and Tobacco Use Cessation— Discussing Cessation Medications 45.2 43.0 2.3 52.5 51.0 1.5 flu Shots for Adults 52.3 54.4 -2.1 Prenatal and Postpartum Care—Timeliness of Prenatal Care 91.8 83.3 8.5 Prenatal and Postpartum Care—Postpartum Visit between 21 and 56 Days After Delivery 81.6 72.7 9.0 breast Cancer Screening 71.1 68.6 2.5 Cervical Cancer Screening 77.3 73.6 3.8 Colorectal Cancer Screening 63.1 58.7 4.4 Chlamydia Screening in Women—16–20 years 41.3 36.6 4.7 Chlamydia Screening in Women—21–24 years 46.2 41.4 4.8 Chlamydia Screening in Women—Total Rate 43.6 39.1 4.5 Chronic disease Management Persistence of beta-blocker Treatment After a Heart Attack 75.6 75.0 0.6 Comprehensive Diabetes Care—blood Pressure Control (
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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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24 HEDIS MEASURES of CARE about HEd
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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 185 and 186: 184 REfERENCES N AT I o N A l C o M
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Continuous Improvement and the Expansion of Quality ... - NCQA

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