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 PPo statIstICs—2010 90TH PERCENTIlE 10TH PERCENTIlE DIffERENCE Alcohol and other Drug Dependence Treatment—Engagement 8.7 1.3 7.4 Alcohol and other Drug Dependence Treatment—Initiation 80.7 35.5 45.2 Measures targeted toward older adults fall Risk Management—Discussion 39.9 25.2 14.6 fall Risk Management—Management 65.9 46.6 19.3 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* 4.3 20.0 -15.7 17.7 38.3 -20.5 10.5 22.2 -11.7 Potentially Harmful Drug-Disease Interactions in the Elderly—overall Rate* 15.0 29.8 -14.8 Use of High-Risk Medications in the Elderly—At least one Medication* 14.9 30.4 -15.5 Use of High-Risk Medications in the Elderly—At least Two Medications* 1.9 8.4 -6.5 Management of Urinary Incontinence—Discussion 65.6 51.5 14.1 Management of Urinary Incontinence—Treatment 42.1 31.1 10.9 Physical Activity in older Adults—Advice 52.7 41.6 11.1 Physical Activity in older Adults—Discussion 59.6 47.1 12.5 osteoporosis Testing in older Women 82.8 62.0 20.8 osteoporosis Management in Women Who Had a fracture 25.7 10.3 15.5 Glaucoma Screening in older Adults 76.1 53.8 22.3 *Lower rates signify better performance. 183
184 REfERENCES 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 avoIdanCE of antIbIotIC trEatMEnt In adults WItH aCutE bronCHItIs 1. Grijalva C.G., J.P. Nuorti, M. Griffin. 2009. Antibiotic prescription rates for acute respiratory tract infections in US ambulatory settings. JAMA. 302: 758–66. 2. Gonzales, R., et al. 2001. Principles of Appropriate Antibiotic Use for Treatment of Uncomplicated Acute bronchitis: background. Ann Intern Med. 134:521–9. 3. Irwin, R.S., et al. 2006. Diagnosis and Management of Cough: ACCP Evidence-based Clinical Practice Guidelines. Chest. 1S–292S. 4. Evertsen, J., D.J. baumgardner, A. Regnery, I. banerjee. 2010. Diagnosis and management of pneumonia and bronchitis in outpatient primary care practices. Prim Care Respir J. 19(3):237–41. 5. Centers for Disease Control and Prevention. 2010. Appropriate Antibiotic Use – Saves lives, saves money, makes sense. http://www.cdc.gov/getsmart/healthcare/resources/factsheets/pdf/antibiotic-use.pdf (May 27, 2011) 6. Tan, T., et al. 2008. Antibiotic prescribing for self limiting respiratory tract infections in primary care: summary of NICE guidance. BMJ. 337:a437. 7. Steinman, M.A., A. Sauaia, J.H. Maselli, P.M. Houck, R. Gonzales. 2004. office evaluation and treatment of elderly patients with acute bronchitis. J Am Geriatr Soc. 52(6):875–9. 8. braman, S.S. 2006. Diagnosis and management of cough: ACCP Evidence-based Clinical Practice Guidelines. Chest. 129:1S–23S. usE of IMagIng studIEs for loWEr baCk PaIn 1. American Association of Neurological Surgeons. June 2006. Low Back Pain. http://www.aans.org/Patient%20Information/ Conditions%20and%20Treatments/low%20back%20Pain.aspx (May 2011) 2. National Institute of Arthritis and Musculoskeletal and Skin Disease. July 2010. Back Pain. http://www.niams.nih.gov/Health_Info/ back_Pain/default.asp (May 2011) 3. Manek, N.J., A.J. MacGregor. 2005. Epidemiology of back Disorders: Prevalence, Risk factors, and Prognosis. Current Opinion in Rheumatology, 17(2): 134–40. 4. koes, b.W., M.W. van Tulder, S. Thomas. 2006. Diagnosis and Treatment of low back Pain. BMJ 332(7555):1430–434. 5. Jarvik, J.G., W. Hollingworth, b. Martin, S.S. Emerson, D.T. Gray, T.S. overman, et al. 2003. Rapid Magnetic Resonance Imaging vs Radiographs for Patients with low back Pain: a Randomized Controlled Trial. JAMA 289(21):2810–18. 6. ARHQ, U.S. Department of Health and Human Services, 2008. Medical Expenditure Panel Survey (MEPS). http://www.meps.ahrq.gov/mepsweb/data_stats/quick_tables_results.jsp?component=1&subcomponent=0&tableSeries=2&year=- 1&SearchMethod=1&Action=Search. (May 2011). 7. Chou, R., A. Qaseem, D.k. owens, P. Shekelle. 2011. Diagnostic Imaging for low back Pain: Advice for High-Value Health Care from the American College of Physicians. Annals of Internal Medicine 154: 181–9. 8. Ivanova, J. I., H. G. birnbaum, M. Schiller, E. kantor, b.M. Johnstone, R.W. Swindle. May 19, 2011. Real-world Practice Patterns, Health-care Utilization, and Cost in Patients with low back Pain: The long Road to Guideline-concordant Care. Spine Journal. adult bMI assEssMEnt 1. American Medical Association. 2011. Promoting Healthy Lifestyles: Obesity. http://www.ama-assn.org/ama/pub/physician-resources/ public-health/promoting-healthy-lifestyles/obesity.page (June 13, 2011) 2. Centers for Disease Control and Prevention. 2010. Overweight and Obesity: Defining Overweight and Obesity. http://www.cdc.gov/ obesity/defining.html (July 13, 2011) 3. National Heart lung and blood Institute. 2011. Assessing Your Weight and Health Risk. http://www.nhlbi.nih.gov/health/public/heart/ obesity/lose_wt/risk.htm (June 13, 2011) 4. Weight-control Information Network. 2010. Statistics Related to Overweight and Obesity. NIDDk and NIH. http://win.niddk.nih.gov/ statistics/index.htm (June 13, 2011) 5. Centers for Disease Control and Prevention. 2011. Overweight and Obesity: Causes and Consequences. http://www.cdc.gov/obesity/ causes/index.html (June 13, 2011) 6. RTI International. 2011. About RTI. http://www.rti.org/page.cfm/About_RTI (June 22, 2011) 7. finkelstein, E.A., J.G. Trogdon, J.W. Cohen and W. Dietz. Annual Medical Spending Attributable to obesity: Payer and Service-Specific Estimates. 2009. Health Affairs. 28(5); w822–w831. 8. Weight-control Information Network. 2008. Understanding Adult Obesity. NIDDk and NIH. http://win.niddk.nih.gov/publications/ understanding.htm#consequences (June 13, 2011).
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128 N AT I o N A l C o M M I T T E
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130 APPENDIx 1: HEDIS EffECTIVENESS
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