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 9A: PUblICly REPoRTING VS. NoNPUblICly REPoRTING PlANS: 2010 MEDICARE HMoS HEdIs EffECtIvEnEss of CarE MEasurEs PublICly rEPortIng vs. nonPublICly rEPortIng Plans: MEdICarE HMo avEragEs—2010 MEASURE PUblIC NoNPUblIC DIffERENCE safety and Potential Waste Ambulatory Care—ED Visits per 1,000 Member Months 412.5 611.4 -198.8 Wellness and Prevention Adult bMI Assessment 53.4 37.6 15.8 breast Cancer Screening 69.8 62.8 7.0 Colorectal Cancer Screening Chronic disease Management 59.6 49.0 10.6 Persistence of beta-blocker Treatment After a Heart Attack 83.2 82.4 0.8 Comprehensive Diabetes Care—blood Pressure Control (
162 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 PublICly rEPortIng vs. nonPublICly rEPortIng Plans: MEdICarE HMo avEragEs—2010 MEASURE PUblIC NoNPUblIC DIffERENCE Alcohol and other Drug Dependence Treatment—Engagement 3.8 3.5 0.3 Alcohol and other Drug Dependence Treatment—Initiation 45.4 41.1 4.3 Measures targeted toward older adults fall Risk Management—Discussion 31.3 38.9 -7.6 fall Risk Management—Management 59.1 64.3 -5.2 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* 10.6 18.4 -7.8 27.5 33.9 -6.4 16.6 19.5 -2.9 Potentially Harmful Drug-Disease Interactions in the Elderly—overall Rate* 22.2 27.7 -5.4 Use of High-Risk Medications in the Elderly—At least one Medication* 21.2 26.1 -4.9 Use of High-Risk Medications in the Elderly—At least Two Medications* 4.8 6.7 -2.0 Management of Urinary Incontinence—Discussion 57.8 60.3 -2.5 Management of Urinary Incontinence—Treatment 36.0 36.0 -0.1 Physical Activity in older Adults—Advice 47.8 48.6 -0.9 Physical Activity in older Adults—Discussion 52.8 50.6 2.2 osteoporosis Testing in older Women 69.8 63.2 6.6 osteoporosis Management in Women Who Had a fracture 21.6 15.9 5.7 Glaucoma Screening in older Adults 65.0 58.5 6.5 *Lower rates signify better performance.
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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 111 and 112: 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
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Page 143 and 144: 142 APPENDIx 4b: ACCREDITED VS. NoN
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Page 151 and 152: 150 APPENDIx 6b: ACCREDITED VS. NoN
Page 153 and 154: 152 APPENDIx 7A: PUblICly REPoRTING
Page 159 and 160: 158 APPENDIx 8: PUblICly REPoRTING
Page 161: 160 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 185 and 186: 184 REfERENCES N AT I o N A l C o M
Page 200 and 201: ACkNoWlEDGMENTS Health Plans The 20
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Continuous Improvement and the Expansion of Quality ... - NCQA

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