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

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yEAR 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 ldl CHolEstErol sCrEEnIng CoMMERCIAl MEDICARE MEDICAID HMo PPo HMo PPo HMo 2010 85.6 79.9 87.8 86.3 74.7 2009 85.0 78.6 87.3 85.5 74.2 2008 84.8 74.7 86.3 82.3 74.1 2007 83.9 72.7 85.7 80.0 70.8 2006 83.3 67.4 84.8 79.4 71.1 2005 92.3 87.0 93.3 87.1 80.6 2004 91.0 NA 93.5 NA 79.6 2003 88.4 NA 91.1 NA 75.9 2002 85.1 NA 87.9 NA 70.8 2001 81.4 NA 85.7 NA 66.5 2000 76.5 NA NA NA NA 1999 69.0 NA NA NA NA yEAR ldl CHolEstErol Control (
C H R o N I C D I S E A S E M A N A G E M E N T 54 • Approximately 76.4 million (33.5 percent) of people in the United States have high 2, 5 blood pressure. • High blood pressure puts people at risk for heart attacks and strokes. 3 over a lifetime, people with hypertension have twice the risk of stroke, compared with those without hypertension. 4 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 CoNTRollING HIGH blooD PRESSURE High blood pressure, or hypertension, occurs when the force of blood against artery walls increases, leading to greater risk of heart disease. High blood pressure may result when the arteries narrow or when the amount of blood the heart pumps increases. 1 The Controlling High Blood Pressure measure assesses whether adults with high blood pressure manage their condition by taking steps to lower their blood pressure and keep their scores within the normal range. • Although the risk of developing hypertension increases with age, 9 nearly one in five young adults between the ages of 24 and 32 has high blood pressure. of these, only half are aware that they have the condition. 6 • A study conducted by The National High blood Pressure Education Program in 2002 indicated that reducing blood pressure by 5 mm Hg decreased death from stroke by 14 percent, death from coronary heart disease by 9 percent and death from all causes by 7 percent. 9 the Case for Improvement • In 2007, over 46 million ambulatory care visits were attributed to hypertension. 7 Hypertension was listed as a primary or secondary diagnosis in over 8.7 million hospital admissions. 1 The associated direct and indirect medical costs were estimated to be $43.5 billion. 1 • Approximately 69 percent of people who suffer a first heart attack, 77 percent of people who have a stroke and 79 percent of people with congestive heart failure have high blood pressure. 1 • only half of people with hypertension 10, 11 control their high blood pressure. • life expectancy for people with hypertension is 5.1 years shorter for men and 4.9 years shorter for women, compared with individuals who have normal blood pressure. 8
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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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