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 PublICly rEPortIng vs. nonPublICly rEPortIng Plans: CoMMErCIal PPo avEragEs—2010 MEASURE PUblIC NoNPUblIC DIffERENCE Childhood Immunization Status—Combination 3 (DTaP, IPV, MMR, Hib, Hepatitis b, VzV and PCV) 46.1 44.9 1.2 Childhood Immunization Status—Hepatitis A 28.6 30.2 -1.6 Childhood Immunization Status—Rotavirus 52.3 38.5 13.7 Childhood Immunization Status—Influenza 51.3 42.7 8.6 Childhood Immunization Status—Combination 10 (DTaP, IPV, MMR, Hib, Hepatitis A, Hepatitis b, VzV, PCV, Rotavirus and Influenza) 10.3 12.3 -1.9 Immunizations for Adolescents—Meningococcal 44.1 32.5 11.6 Immunizations for Adolescents—Tdap/Td 55.5 46.5 9.0 Immunizations for Adolescents—Combination 1 (Meningococcal, Tdap/Td) 39.7 29.6 10.1 follow-Up Care for Children Prescribed ADHD Medication—Initiation 38.0 41.2 -3.2 follow-Up Care for Children Prescribed ADHD Medication—Continuation 43.2 47.5 -4.3 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) 10.8 15.5 -4.7 11.8 10.5 1.3 10.5 12.4 -1.9 Well-Child Visits: Ages 0–15 Months—No Well-Child Visits 2.9 6.3 -3.5 Well-Child Visits: Ages 0–15 Months—one Well-Child Visit 1.5 1.8 -0.2 Well-Child Visits: Ages 0–15 Months—Two Well-Child Visits 1.7 2.8 -1.1 Well-Child Visits: Ages 0–15 Months—Three Well-Child Visits 2.6 6.1 -3.5 Well-Child Visits: Ages 0–15 Months—four Well-Child Visits 5.2 9.1 -3.9 Well-Child Visits: Ages 0–15 Months—five Well-Child Visits 13.0 14.0 -1.1 Well-Child Visits: Ages 0–15 Months—Six or More Well-Child Visits 73.1 59.9 13.2 Well-Child Visits: Ages 3–6 years—one or More Well-Child Visits 68.1 56.8 11.3 Adolescent Well-Care Visits—At least one Comprehensive Well-Care Visit 39.5 28.2 11.3 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 97.0 92.4 4.7 89.2 82.6 6.7 Children and Adolescents’ Access to Primary Care Practitioners—Children 7–11 years 89.6 82.5 7.1 Children and Adolescents’ Access to Primary Care Practitioners— Adolescents 12–19 years * Lower rates signify better performance. 157 86.9 83.2 3.7
158 APPENDIx 8: PUblICly REPoRTING VS. NoNPUblICly REPoRTING PlANS: 2010 MEDICAID HMoS HEdIs EffECtIvEnEss of CarE MEasurEs PublICly rEPortIng vs. nonPublICly rEPortIng Plans: MEdICaId 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 75.1 76.4 -1.3 Avoidance of Antibiotic Treatment in Adults With Acute bronchitis 23.1 24.4 -1.3 Ambulatory Care—ED Visits per 1,000 Member Months 62.2 61.4 0.8 Wellness and Prevention Adult bMI Assessment 45.5 34.1 11.4 Medical Assistance With Smoking and Tobacco Use Cessation— Advising Smokers and Tobacco Users to Quit 74.0 72.7 1.3 Medical Assistance With Smoking and Tobacco Use Cessation— Discussing Cessation Strategies Medical Assistance With Smoking and Tobacco Use Cessation— Discussing Cessation Medications 39.1 36.9 2.2 43.7 40.0 3.7 Prenatal and Postpartum Care—Timeliness of Prenatal Care 85.2 80.4 4.8 Prenatal and Postpartum Care—Postpartum Visit between 21 and 56 Days After Delivery 65.2 62.5 2.7 breast Cancer Screening 51.2 51.6 -0.4 Cervical Cancer Screening 67.6 66.3 1.3 Chlamydia Screening in Women—16–20 years 55.1 53.8 1.2 Chlamydia Screening in Women—21–24 years 62.3 62.2 0.1 Chlamydia Screening in Women—Total Rate 57.7 57.0 0.8 Chronic disease Management Persistence of beta-blocker Treatment After a Heart Attack 77.6 69.9 7.7 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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C H R o N I C D I S E A S E M A N A
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Page 107 and 108: 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 143 and 144: 142 APPENDIx 4b: ACCREDITED VS. NoN
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Page 153 and 154: 152 APPENDIx 7A: PUblICly REPoRTING
Page 157: 156 N AT I o N A l C o M M I T T E
Page 173 and 174: 172 MEASURE N AT I o N A l C o M M
Page 175 and 176: 174 APPENDIx 14b: VARIATIoN IN PlAN
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Page 183 and 184: 182 APPENDIx 16b: VARIATIoN IN PlAN
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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