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

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MEASURE<br />

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 />

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

MEdICarE PPo statIstICs—2010<br />

90TH<br />

PERCENTIlE<br />

10TH<br />

PERCENTIlE DIffERENCE<br />

Alcohol <strong>and</strong> o<strong>the</strong>r Drug Dependence Treatment—Engagement 8.7 1.3 7.4<br />

Alcohol <strong>and</strong> o<strong>the</strong>r Drug Dependence Treatment—Initiation 80.7 35.5 45.2<br />

Measures targeted toward older adults<br />

fall Risk Management—Discussion 39.9 25.2 14.6<br />

fall Risk Management—Management 65.9 46.6 19.3<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 />

4.3 20.0 -15.7<br />

17.7 38.3 -20.5<br />

10.5 22.2 -11.7<br />

Potentially Harmful Drug-Disease Interactions in <strong>the</strong> Elderly—overall Rate* 15.0 29.8 -14.8<br />

Use <strong>of</strong> High-Risk Medications in <strong>the</strong> Elderly—At least one Medication* 14.9 30.4 -15.5<br />

Use <strong>of</strong> High-Risk Medications in <strong>the</strong> Elderly—At least Two Medications* 1.9 8.4 -6.5<br />

Management <strong>of</strong> Urinary Incontinence—Discussion 65.6 51.5 14.1<br />

Management <strong>of</strong> Urinary Incontinence—Treatment 42.1 31.1 10.9<br />

Physical Activity in older Adults—Advice 52.7 41.6 11.1<br />

Physical Activity in older Adults—Discussion 59.6 47.1 12.5<br />

osteoporosis Testing in older Women 82.8 62.0 20.8<br />

osteoporosis Management in Women Who Had a fracture 25.7 10.3 15.5<br />

Glaucoma Screening in older Adults 76.1 53.8 22.3<br />

*Lower rates signify better performance.<br />

183

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