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

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MEASURE 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 MEdICaId HMo statIstICs—2010 Childhood Immunization Status—Combination 10 (DTaP, IPV, MMR, Hib, Hepatitis A, Hepatitis b, VzV, PCV, Rotavirus and Influenza) 90TH PERCENTIlE 10TH PERCENTIlE DIffERENCE 23.6 6.3 17.3 Immunizations for Adolescents—Meningococcal 79.7 38.0 41.7 Immunizations for Adolescents—Tdap/Td 87.8 45.3 42.5 Immunizations for Adolescents—Combination 1 (Meningococcal, Tdap/Td) 75.5 33.8 41.7 follow-Up Care for Children Prescribed ADHD Medication—Initiation 50.7 24.9 25.8 follow-Up Care for Children Prescribed ADHD Medication—Continuation 62.5 23.0 39.5 lead Screening in Children 87.6 34.6 53.0 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) 69.8 0.7 69.1 72.0 0.7 71.3 60.6 0.0 60.5 frequency of Prenatal Care Visits—80% of Expected Visits 81.8 34.7 47.1 Well-Child Visits: Ages 0–15 Months—No Well-Child Visits 4.4 0.5 3.9 Well-Child Visits: Ages 0–15 Months—one Well-Child Visit 4.1 0.7 3.4 Well-Child Visits: Ages 0–15 Months—Two Well-Child Visits 6.1 1.1 5.0 Well-Child Visits: Ages 0–15 Months—Three Well-Child Visits 9.3 2.7 6.6 Well-Child Visits: Ages 0–15 Months—four Well-Child Visits 15.6 5.3 10.3 Well-Child Visits: Ages 0–15 Months—five Well-Child Visits 21.9 8.3 13.6 Well-Child Visits: Ages 0–15 Months—Six or More Well-Child Visits 77.1 41.9 35.2 Well-Child Visits: Ages 3–6 years—one or More Well-Child Visits 82.9 60.9 22.0 Adolescent Well-Care Visits—At least one Comprehensive Well-Care Visit 64.1 35.0 29.1 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 98.6 92.6 6.0 92.7 82.0 10.7 Children and Adolescents’ Access to Primary Care Practitioners—Children 7–11 years 94.7 85.2 9.5 Children and Adolescents’ Access to Primary Care Practitioners— Adolescents 12–19 years *Lower rates signify better performance. 179 93.4 81.1 12.4
180 APPENDIx 16A: VARIATIoN IN PlAN PERfoRMANCE: THE 90TH PERCENTIlE VS. THE 10TH PERCENTIlE: MEDICARE HMoS MEASURE 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 HEdIs EffECtIvEnEss of CarE MEasurEs MEdICarE HMo statIstICs—2010 90TH PERCENTIlE 10TH PERCENTIlE DIffERENCE Ambulatory Care—ED Visits per 1,000 Member Months 782.1 248.3 533.8 Wellness and Prevention Adult bMI Assessment 80.2 16.8 63.4 breast Cancer Screening 80.9 55.5 25.4 Colorectal Cancer Screening Chronic disease Management 75.6 40.0 35.5 Persistence of beta-blocker Treatment After a Heart Attack 91.6 72.4 19.2 Comprehensive Diabetes Care—blood Pressure Control (
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C o N S U M E R A N D P A T I E N T
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Page 129 and 130: 128 N AT I o N A l C o M M I T T E
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Page 173 and 174: 172 MEASURE N AT I o N A l C o M M
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Continuous Improvement and the Expansion of Quality ... - NCQA

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