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 results RA is a debilitating disease affecting over one million Americans. Although there is no cure for RA, treatment with DMARDs can slow the disease’s progression, reduce pain and lower medical and disability costs. yEAR trEatMEnt ratE 59 CoMMERCIAl MEDICARE MEDICAID HMo PPo HMo PPo HMo 2010 87.7 87.0 72.8 77.8 70.1 2009 86.4 86.6 72.3 76.4 70.5 2008 85.7 81.5 70.4 75.1 69.4 2007 85.3 78.9 68.7 73.5 68.1 2006 84.8 82.3 68.2 69.7 67.6 C H R o N I C D I S E A S E M A N A G E M E N T
C H R o N I C D I S E A S E M A N A G E M E N T 60 • In 2009, approximately 24.6 million Americans (17.5 million adults and 7.1 million children) reported having asthma. 2 • Treatment that aligns with clinical guidelines reduces the severity of symptoms and the occurrence of asthma-related events (e.g., hospitalizations, emergency department visits). 3 • According to the Asthma Regional Council, two-thirds of adults and children who display asthma symptoms are considered “not well controlled” or “very poorly controlled” as defined by clinical practice guidelines. 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 USE of APPRoPRIATE MEDICATIoNS foR PEoPlE WITH ASTHMA Asthma, a long-term lung disease that affects the ability to breathe in both adults and children, has become one of the most prevalent chronic diseases over the past 20 years. 1 The Use of Appropriate Medications for People With Asthma measure assesses whether adults and children diagnosed with persistent asthma receive appropriate therapeutic medications. the Case for Improvement • The financial burden of asthma is nearly $56 billion annually. 5 • Asthma is a leading cause of lost productivity and absenteeism. In 2008 there were 10.5 million missed work days for adults and 14.2 million missed school days for children 5–17 years of age. 2 • Adults and children with persistent asthma are at increased risk of complications. 1 Among the four million individuals who reported missing at least one work or school day due to asthma attacks, at least one in seven (13.6 percent) required additional outpatient treatment. 6 MEasurE dEfInItIon The percentage of adults 5–50 years of age during the measurement year who were identified as having persistent asthma and who were appropriately prescribed medication during the measurement year. results Adults and children with asthma can manage their symptoms through use of long-term control medications and environmental changes to reduce exposure to irritants. 6
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 7 and 8:
6 N AT I o N A l C o M M I T T E E
Page 9 and 10: 8 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 59: 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 111 and 112:
M E A S U R E S T A R G E T E D A T
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?