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 MEdICarE HMo statIstICs—2010 90TH PERCENTIlE 10TH PERCENTIlE DIffERENCE Alcohol and other Drug Dependence Treatment—Engagement 7.9 0.4 7.5 Alcohol and other Drug Dependence Treatment—Initiation 63.3 25.0 38.3 Measures targeted toward older adults fall Risk Management—Discussion 44.4 25.8 18.7 fall Risk Management—Management 69.8 51.6 18.2 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* 5.0 23.0 -18.0 18.8 41.3 -22.5 11.9 23.4 -11.5 Potentially Harmful Drug-Disease Interactions in the Elderly—overall Rate* 15.8 32.4 -16.6 Use of High-Risk Medications in the Elderly—At least one Medication* 13.2 33.1 -19.8 Use of High-Risk Medications in the Elderly—At least Two Medications* 1.6 9.8 -8.1 Management of Urinary Incontinence—Discussion 64.3 50.9 13.4 Management of Urinary Incontinence—Treatment 41.1 30.7 10.3 Physical Activity in older Adults—Advice 54.5 41.7 12.8 Physical Activity in older Adults—Discussion 60.3 44.7 15.6 osteoporosis Testing in older Women 80.6 54.4 26.2 osteoporosis Management in Women Who Had a fracture 29.8 12.0 17.9 Glaucoma Screening in older Adults 77.9 48.0 29.9 *Lower rates signify better performance. 181
182 APPENDIx 16b: VARIATIoN IN PlAN PERfoRMANCE: THE 90TH PERCENTIlE VS. THE 10TH PERCENTIlE: MEDICARE PPoS 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 PPo statIstICs—2010 90TH PERCENTIlE 10TH PERCENTIlE DIffERENCE Ambulatory Care—ED Visits per 1,000 Member Months 506.7 266.8 239.9 Wellness and Prevention Adult bMI Assessment 64.0 2.8 61.2 breast Cancer Screening 77.5 54.1 23.4 Colorectal Cancer Screening Chronic disease Management 53.4 31.1 22.3 Persistence of beta-blocker Treatment After a Heart Attack 89.9 72.1 17.8 Comprehensive Diabetes Care—blood Pressure Control (
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24 HEDIS MEASURES of CARE about HEd
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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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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 153 and 154: 152 APPENDIx 7A: PUblICly REPoRTING
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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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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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