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

Recommendations

Info

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 • H E D I S M E A S U R E S o f C A R E • obese men are more likely to develop cancer of the colon, rectum or prostate; obese women are more likely to develop cancer of the gallbladder, uterus, cervix or ovaries. 8 HEdIs Measure definition The percentage of adults 18–74 years of age who had an outpatient visit and who had their bMI documented during the measurement year or the year prior to the measurement year. results Weight loss and physical activity are recommended for people who are overweight or obese. losing 5 percent–10 percent of body weight will help lower an obese person’s risk of developing diseases associated with obesity. 4 yEAR assEssMEnt ratE 37 CoMMERCIAl MEDICARE MEDICAID HMo PPo HMo PPo HMo 2010 40.7 11.6 50.4 36.6 42.2 2009 41.3 15.7 38.8 24.1 34.6 W E l l N E S S A N D P R E V E N T I o N
W E l l N E S S A N D P R E V E N T I o N 38 • flu especially affects the health of people 50–64 2 years of age. one third of all Americans 50–64 have one or more chronic medical conditions that puts them at increased risk for serious flu complications. 3 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 flU SHoTS foR ADUlTS Each year, 5 percent–20 percent of Americans contract influenza (flu). More than 200,000 people are hospitalized from flu-related complications, which include pneumonia, dehydration and deterioration of chronic health conditions, such as heart failure, diabetes and asthma. 1 The Flu Shots for Adults Ages 50–64 measure assesses whether adults received an influenza vaccination (flu shot). • flu shots are the most effective way to prevent severe illness or death resulting from influenza and its complications. 4 • Influenza vaccines may prevent 50 percent–60 percent of hospitalizations and 68 percent of deaths from flu-related complications for this age group. 5 the Case for Improvement • In 2008, only 67 percent of adults between 50 and 64 reported receiving an influenza vaccination. 6 over the course of an average flu season, more than 15,000 lives could be saved if 90 percent vaccination coverage was achieved annually. 7 • A single flu epidemic can result in more than $3 billion in direct hospitalization costs alone. 8 • flu shots have been shown to be highly cost-effective for adults 50–64. 9 The vaccination is estimated to cost just $16.70 per person vaccinated, including direct and indirect medical costs and costs associated with potential side-effects. 10 HEdIs Measure definition A rolling average represents the percentage of commercial members 50–64 years of age who received an influenza vaccination between September 1 of the measurement year and the date when the CAHPS 4.0H survey was completed.
Page 1 and 2: Continuous Improvement and the Expa
Page 3 and 4: 2 This Report and the data containe
Page 5 and 6: 4 N AT I o N A l C o M M I T T E E
Page 13 and 14: top 10 and bottom 10 states “loca
Page 17 and 18: 16 this measure has shown steady ga
Page 25 and 26: 24 HEDIS MEASURES of CARE about HEd
Page 27 and 28: S A f E T y A N D P o T E N T I A l
Page 37: W E l l N E S S A N D P R E V E N T
Page 41 and 42: W E l l N E S S A N D P R E V E N T
Page 49 and 50: C H R o N I C D I S E A S E M A N A
Page 73 and 74: M E A S U R E S T A R G E T E D A T
Page 89 and 90:
M E A S U R E S T A R G E T E D A T
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
C o N S U M E R A N D P A T I E N T
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
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
Page 133 and 134:
Page 135 and 136:
134 APPENDIx 2: HEDIS EffECTIVENESS
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
142 APPENDIx 4b: ACCREDITED VS. NoN
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
148 APPENDIx 6A: ACCREDITED VS. NoN
Page 151 and 152:
150 APPENDIx 6b: ACCREDITED VS. NoN
Page 153 and 154:
152 APPENDIx 7A: PUblICly REPoRTING
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
158 APPENDIx 8: PUblICly REPoRTING
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
172 MEASURE N AT I o N A l C o M M
Page 175 and 176:
174 APPENDIx 14b: VARIATIoN IN PlAN
Page 177 and 178:
Page 179 and 180:
Page 181 and 182:
180 APPENDIx 16A: VARIATIoN IN PlAN
Page 183 and 184:
182 APPENDIx 16b: VARIATIoN IN PlAN
Page 185 and 186:
184 REfERENCES N AT I o N A l C o M
Page 187 and 188:
Page 189 and 190:
Page 191 and 192:
Page 193 and 194:
Page 195 and 196:
Page 197 and 198:
Page 200 and 201:
ACkNoWlEDGMENTS Health Plans The 20
show all

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

Create successful ePaper yourself

Delete template?

Save as template?