5. Public Reporting as a Quality Improvement Strategy

Author
Year
Sarfaty
2008 187
1. Study
Purpose
To determine if
the inclusion of a
colorectal cancer
screening
measure in
HEDIS lead to
changes in policy
and practice by
insurance plans
in Pennsylvania
2. Geographic
Location
3. Study
Design/
Type
PA Descriptive
Survey
4. Sample/
Population
Procedure 5. Outcomes
Medical
Directors of
insurance
companies
marketing
health plans in
PA. 13
companies met
the inclusion
criteria and all
13 (100%)
responded to
the survey.
Survey asking if
specific actions
and policies were
changed in
response to the
addition of the
HEDIS measure
M-28
6. Name
of Public
Report 7. Results 8. Summary
>5000 Employees - 26
(15-37)
p-value for difference in
employer size = 0.003
HEDIS Screening Policies
before and after HEDIS
addition of measure
a. Activity Before 2003 #
(%)
b. 2003 or After # (%)
c. Unknown # (%)
d. No Response # (%)
Adopted practice
guidelines
a. 6 (46)
b. 2 (15)
c. 2 (15)
d. 3 (23)
Revised guidelines
a. 2 (15)
b. 7 (54)
c. 0
d. 4 (31)
Measured CRC
screening rate
a. 1 (8)
b. 8 (62)
c. 1 (8)
d. 3 (23)
Implemented the HEDIS
measure
a. NA
b. 9 (69)
c. 0
d. 5 (39)
Coverage and Tracking
Changes in response to
HEDIS addition
Activity: Yes # (%); No #
Some Medical
Directors report
increases in
activities related
to screening
(adopting
guidelines,
reminder
systems) in
response to the
inclusion of a
related measure
in HEDIS, but not
all plans report
taking these
actions.
9. Funding of
Research
Legislative
Budget and
Finance
Committee of
the
Pennsylvania
General
Assembly