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Continuous Improvement and the Expansion of Quality ... - NCQA

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164<br />

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<br />

HEdIs EffECtIvEnEss <strong>of</strong> CarE MEasurEs<br />

PublICly rEPortIng vs. nonPublICly rEPortIng Plans:<br />

MEdICarE PPo avEragEs—2010<br />

MEASURE PUblIC NoNPUblIC DIffERENCE<br />

Alcohol <strong>and</strong> o<strong>the</strong>r Drug Dependence Treatment—Engagement 4.6 6.2 -1.6<br />

Alcohol <strong>and</strong> o<strong>the</strong>r Drug Dependence Treatment—Initiation 57.8 53.3 4.5<br />

Measures targeted toward older adults<br />

fall Risk Management—Discussion 31.0 31.6 -0.6<br />

fall Risk Management—Management 55.5 54.2 1.3<br />

Potentially Harmful Drug-Disease Interactions in <strong>the</strong> Elderly—<br />

Chronic Renal failure <strong>and</strong> NSAIDS or Cox-2 Selective NSAIDS*<br />

Potentially Harmful Drug-Disease Interactions in <strong>the</strong> Elderly—<br />

Dementia <strong>and</strong> Tricyclic Antidepressants or Anticholinergic Agents*<br />

Potentially Harmful Drug-Disease Interactions in <strong>the</strong> Elderly—<br />

falls <strong>and</strong> Tricyclic Antidepressants, Antipsychotics <strong>and</strong> Sleep Agents*<br />

10.8 19.1 -8.3<br />

27.0 29.9 -2.9<br />

16.1 18.0 -1.9<br />

Potentially Harmful Drug-Disease Interactions in <strong>the</strong> Elderly—overall Rate* 21.4 25.6 -4.2<br />

Use <strong>of</strong> High-Risk Medications in <strong>the</strong> Elderly—At least one Medication* 21.8 22.1 -0.2<br />

Use <strong>of</strong> High-Risk Medications in <strong>the</strong> Elderly—At least Two Medications* 5.0 5.3 -0.3<br />

Management <strong>of</strong> Urinary Incontinence—Discussion 58.1 56.3 1.8<br />

Management <strong>of</strong> Urinary Incontinence—Treatment 36.6 34.3 2.3<br />

Physical Activity in older Adults—Advice 47.5 48.7 -1.3<br />

Physical Activity in older Adults—Discussion 54.1 52.0 2.1<br />

osteoporosis Testing in older Women 73.5 73.2 0.2<br />

osteoporosis Management in Women Who Had a fracture 18.7 16.7 2.0<br />

Glaucoma Screening in older Adults 65.0 66.2 -1.3<br />

*Lower rates signify better performance.

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