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

Recommendations

Info

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 tEstIng ratE CoMMERCIAl MEDICARE MEDICAID HMo PPo HMo PPo HMo 2010 77.6 76.6 NA NA 64.9 2009 77.4 75.5 NA NA 62.3 2008 75.6 74.1 NA NA 61.4 2007 74.7 73.5 NA NA 58.7 2006 72.7 69.4 NA NA 56.0 2005 69.7 64.5 NA NA 52.0 2004 72.6 NA NA NA 54.4 85 M E A S U R E S T A R G E T E D A T C H I l D R E N A N D A D o l E S C E N T S
M E A S U R E S T A R G E T E D A T C H I l D R E N A N D A D o l E S C E N T S 86 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 WEll-CHIlD VISITS IN THE fIRST 15 MoNTHS of lIfE AND IN THE THIRD, foURTH, fIfTH AND SIxTH yEARS of lIfE The beginning years of childhood are filled with rapid growth and development. Well-child visits offer doctors the opportunity to evaluate children’s physical, emotional and social developmental progress. 1,2 The Well-Child Visits measures assess the number of children that met with a primary care practitioner during their most important developmental milestones. • Primary care practitioners may detect health problems and developmental delays early and initiate interventions that eliminate problems or lessen their effect over the long term. 1,2 • Well-child visits facilitate communication between children, care providers and doctors. 3 Primary care practitioners can promote healthy behaviors and provide anticipatory guidance on a variety of topics, including injury prevention, physical activity and nutrition. 4 the Case for Improvement • The number of children younger than 6 who received well-child visits increased from 84 percent in 2000 to 87 percent in 2008, 1 but almost one million children under 6 received no preventive medical care of any kind in 2007. 5 • Children with incomplete well-child care during the first six months of life are 60 percent more likely to visit the emergency department than children with complete well-child care. 6 • Development delays occur in approximately 13 percent of American children and have high costs to society. 7,8 over the course of a lifetime, untreated developmental delays and disabilities are estimated to cost between $417,000 in direct medical costs and indirect lost productivity per child. 9 HEdIs Measure definition Well-Child Visits in the First 15 Months of Life: The percentage of children who turned 15 months old during the measurement year and had the following number of well-child visits with a primary care physician during the first 15 months of life: • No well-child visits • one well-child visit • Two well child visits • Three well-child visits • four well-child visits • five well-child visits • Six or more well-child visits.
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:
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
top 10 and bottom 10 states “loca
Page 15 and 16:
Page 17 and 18:
16 this measure has shown steady ga
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
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 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36: 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 73 and 74: M E A S U R E S T A R G E T E D A T
Page 85: M E A S U R E S T A R G E T E D A T
Page 121 and 122: C o N S U M E R A N D P A T I E N T
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: 132 N AT I o N A l C o M M I T T E
Page 135 and 136: 134 APPENDIx 2: HEDIS EffECTIVENESS
Page 137 and 138:
136 N AT I o N A l C o M M I T T E
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?