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

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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 Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life: The percentage of children 3–6 years of age who received one or more well-child visits with a primary care practitioner during the measurement year. results Primary care doctors are an important resource for parents. Well-child visits facilitate communication about health between care givers and physicians. Screening for physical, emotional, social and developmental progress is vital to ensuring the health of children during their most vulnerable years and well into adulthood. yEAR agEs 3–6 yEars: onE or MorE WEll-CHIld vIsIts 87 CoMMERCIAl MEDICARE MEDICAID HMo PPo HMo PPo HMo 2010 71.6 67.8 NA NA 71.9 2009 70.3 66.0 NA NA 71.6 2008 69.8 63.6 NA NA 69.7 2007 67.8 60.7 NA NA 65.3 2006 66.7 61.6 NA NA 66.8 2005 65.6 54.5 NA NA 63.6 2004 64.4 NA NA NA 62.4 2003 62.7 NA NA NA 60.7 2002 60.4 NA NA NA 58.2 2001 57.5 NA NA NA 56.0 2000 54.2 NA NA NA NA 1999 51.3 NA NA NA NA 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 88 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 ADolESCENT WEll-CARE VISITS Adolescence is a time marked by transition. As children become adults, they face new physical, emotional and social challenges that may affect their health. 1 because of changing patterns of illness and death among youth over the last two decades, increased screening and health counseling have become especially important. 2,3 The Adolescent Well-Care Visits measure assesses the number of adolescents who received preventive care. • Risk taking behaviors, such as substance use, drunk driving, risky sexual activity and smoking, often begin in adolescence. These behaviors put youth at increased risk for sexually transmitted diseases, unintended pregnancy, injury or death. 2,3 In 2009, almost 20 percent of high school students smoked tobacco. More than 6 percent used cocaine and 24 percent reported binge drinking (i.e., had five or more alcoholic drinks within a couple of hours). 4 • Many chronic diseases seen in adults begin in childhood, when eating habits and physical activity levels are often established. 3 With obesity among adolescents in the U.S. on the rise, this is especially troubling. obesity can lead to type 2 diabetes, heart disease and certain cancers. 5 • Adolescent well-care visits are an effective way for doctors to present health promotion advice that is timely and relevant to adolescents’ development and well-being. The average preventive visit lasts about 20 minutes; during this time, doctors can provide counseling or initiate health interventions. 6 the Case for Improvement • Adolescents are the least likely to have access to health care, and use less primary care, than any age group. 3 The proportion of children who receive well-care visits declines with age. only 70 percent of 10–14-year-olds and 67 percent of 15–17-year-olds received preventive health care in 2008. 2 for those who did have a well-child visit, only 10 percent received all recommended preventive services. 7 • In 2007, nearly 13,299 deaths from unintentional injury (such as from a car accident) were reported among adolescents between the ages of 15 and 19. 8 The total lifetime medical costs for adolescents who survive is estimated to be $25 billion. 9
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138 N AT I o N A l C o M M I T T E
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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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