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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<br />

APPENDIx 14A: VARIATIoN IN PlAN PERfoRMANCE: THE 90TH<br />

PERCENTIlE VS. THE 10TH PERCENTIlE: CoMMERCIAl HMoS<br />

MEASURE<br />

safety <strong>and</strong> Potential Waste<br />

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

CoMMErCIal HMo statIstICs—2010<br />

90TH<br />

PERCENTIlE<br />

10TH<br />

PERCENTIlE DIffERENCE<br />

Imaging Studies for low back Pain 82.0 66.4 15.6<br />

Avoidance <strong>of</strong> Antibiotic Treatment in Adults With Acute bronchitis 31.6 15.0 16.6<br />

Ambulatory Care—ED Visits per 1,000 Member Months 231.8 139.9 91.8<br />

Wellness <strong>and</strong> Prevention<br />

Adult bMI Assessment 76.9 1.2 75.7<br />

Medical Assistance With Smoking <strong>and</strong> Tobacco Use Cessation—<br />

Advising Smokers <strong>and</strong> Tobacco Users to Quit<br />

85.2 67.2 18.0<br />

Medical Assistance With Smoking <strong>and</strong> Tobacco Use Cessation—<br />

Discussing Cessation Strategies<br />

Medical Assistance With Smoking <strong>and</strong> Tobacco Use Cessation—<br />

Discussing Cessation Medications<br />

59.0 33.6 25.4<br />

63.2 42.6 20.5<br />

flu Shots for Adults 62.4 43.9 18.6<br />

Prenatal <strong>and</strong> Postpartum Care—Timeliness <strong>of</strong> Prenatal Care 97.8 81.3 16.5<br />

Prenatal <strong>and</strong> Postpartum Care—Postpartum Visit between 21 <strong>and</strong> 56 Days After Delivery 90.7 66.7 24.0<br />

breast Cancer Screening 79.5 63.3 16.2<br />

Cervical Cancer Screening 83.2 71.0 12.2<br />

Colorectal Cancer Screening 74.2 48.9 25.3<br />

Chlamydia Screening in Women—16–20 years 53.9 29.3 24.5<br />

Chlamydia Screening in Women—21–24 years 61.4 32.6 28.9<br />

Chlamydia Screening in Women—Total Rate 56.7 30.6 26.1<br />

Chronic disease Management<br />

Persistence <strong>of</strong> beta-blocker Treatment After a Heart Attack 87.5 64.1 23.4<br />

Comprehensive Diabetes Care—blood Pressure Control (

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