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

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esults 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 flu shots for adults ages 50–64 could save thousands of lives and result in dramatic cost savings for the health care system. yEAR vaCCInatIon ratE 39 CoMMERCIAl MEDICARE MEDICAID HMo PPo HMo PPo HMo 2010 52.5 51.6 NA NA NA 2009 51.3 50.5 64.5 65.1 NA 2008 49.8 49.2 65.8 66.7 NA 2007 48.6 48.1 68.6 68.9 NA 2006 45.6 44.5 67.8 68.2 NA 2005 36.2 37.1 70.3 69.9 NA 2004 38.9 NA 74.8 NA NA 2003 47.9 NA 74.4 NA NA 2002 44.0 NA 72.5 NA NA 2001 30.3 NA 71.2 NA NA 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 40 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 bREAST CANCER SCREENING breast cancer is one of the most common types of cancers, and accounts for a quarter of all new cancer diagnoses among women in the U.S. 1 The Breast Cancer Screening measure assesses whether women between 40 and 69 years of age received a mammogram screening for breast cancer. • breast cancer is the second cause of cancer deaths in women (after lung cancer). 2 • breast cancer deaths have decreased over the years, thanks to early detection using mammography. Screening every two years decreases the risk of mortality by more than 16 percent in women between 50 and 69, compared with no screening. 3 • About 70 percent–80 percent of breast cancers occur in women who have no family history of breast cancer. These cancers occur because of genetic abnormalities that happen as a result of the aging process, 4 and there is a clear connection between age and developing breast cancer. 5,6 • Mammogram screening has demonstrated reductions in breast cancer mortality and there is a clear connection between developing breast cancer and age. 5,6 the Case for Improvement • breast cancer treatment costs in the U.S. total nearly $7 billion a year, including $2 billion spent on late-stage treatment. 5 lowincome women are less likely to have had a mammogram within the past two years, increasing their risk of late-stage diagnosis and decreasing their chance of survival. 7 • Early detection of breast cancer by mammography may lead to greater range of treatment options that include less-aggressive surgery and less-invasive therapy. 7 • The five-year survival rate for women who are diagnosed early is 98 percent, compared with the late-diagnosed breast cancer survival rate of only 23 percent. 2 HEdIs Measure definition The percentage of women 40–69 years of age who had at least one mammogram to screen for breast cancer in the past two years.
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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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134 APPENDIx 2: HEDIS EffECTIVENESS
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172 MEASURE N AT I o N A l C o M M
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184 REfERENCES N AT I o N A l C o M
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ACkNoWlEDGMENTS Health Plans The 20
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Continuous Improvement and the Expansion of Quality ... - NCQA

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