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

Recommendations

Info

HEdIs Measure definition 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 The percentage of adults 18–85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled (
C H R o N I C D I S E A S E M A N A G E M E N T 56 High cholesterol puts people at increased risk for heart disease when fatty deposits adhere to artery walls and make it more difficult for blood to flow. Reduced blood flow limits the amount of oxygen reaching the heart, which could lead to heart failure, and low blood circulation to the brain could lead to a stroke. 1,2 An estimated 82 million American adults have some form of cardiovascular disease. 3 Each year more than 600,000 die, making heart disease the leading cause of death in the United States. 4 The Cholesterol Management for Patients with Cardiovascular Conditions measure assesses whether adults who have cardiovascular conditions are screened for high cholesterol. • High cholesterol has no symptoms, making screening vital to diagnosing and treating this harbinger of heart disease before serious damage occurs. 5 • Reducing lDl-C (“bad” cholesterol) levels has been shown to lower the occurrence of adverse cardiovascular events. 6 the Case for Improvement • Researchers from the American Heart Association predict that by 2030, more than 40 percent of the U.S. population will have some form of cardiovascular disease. The estimated direct medical costs to treat these individuals will triple during this time frame, from $273 billion to $818 billion annually. 7 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 CHolESTERol MANAGEMENT foR PATIENTS WITH CARDIoVASCUlAR CoNDITIoNS • lowering the level of lDl cholesterol in patients with coronary heart disease reduces the risk that patients will suffer another cardiac event or stroke. 8 lifestyle changes, like physical activity, a low-fat diet and drug therapy, such as statins, have been found to be effective ways to lower lDl cholesterol. 8,9 • If the American population decreased its total cholesterol levels by 10 percent, new cases of cardiovascular disease would drop an estimated 30 percent. 3 HEdIs Measure definition The percentage of adults 18–75 years of age who were discharged alive for acute myocardial infarction (AMI), coronary artery bypass graft (CAbG) or percutaneous coronary interventions (PCI) from January 1–November 1 of the year prior to the measurement year, or who had a diagnosis of ischemic vascular disease (IVD) during
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 and 38: 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 55: 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 107 and 108:
M E A S U R E S T A R G E T E D A T
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?