| Access to Care |
| Adults |
Adults
who had ambulatory/preventive care visits in the past three years:
- Ages 20 to 44
- Ages 45 to 64
- Ages 65 and older
|
95.90%
96.36%
98.23%
|
95.90%
96.92%
98.60%
|
| Children |
Children
who had an ambulatory/preventive care visit in 2006:
- Ages 12 months to 24
months
- Ages 25 months to 6
years
Children who had an ambulatory/preventive
care visit in the past two years:
- Ages 7 to 11 years
- Ages 12 to 19 years.
|
99.79%
96.58%
97.39%
95.90%
|
99.07%
94.97%
95.72%
93.71%
|
| Prevention and Screening |
| Childhood
Immunizations |
Children
receiving appropriate immunizations (except Pneumoccoccal) by age two:
- One MMR by age two
- One DTap followed by
at least 3 DTap/DTs between ages of 42 days and two
- Three IPVs between
ages of 42 days and two years
- Three HIBs between
ages of 42 days and two years
- Three Hep Bs by age
two
- One VZV by age two
- Four Pneumoccocal conjugate
by age two
|
82.97% |
87.65% |
| Appropriate
Testing for Children with Pharyngitis |
Children
ages 2 to 18 who were tested for strep, diagnosed with pharyngitis and
received a prescription for antibiotics |
81.29% |
85.96% |
| Appropriate
Treatment for Children with URI |
Children
ages 3 months to 18 years who were diagnosed with an URI and were not
given an antibiotic until at least 3 days after diagnosis |
91.12% |
91.14% |
| Adolescent
Immunizations |
Adolescents
who received all the appropriate immunizations by age 13.
- Two MMRs by age 13
- Three HepBs by age
13
- One VZV by age 13
|
88.0% |
81.32% |
| Advising
Smokers to Quit |
Represents
the percentage of smokers ages 18 and older who saw a doctor and were
advised to quit smoking. |
75.78% |
80.20% |
| Breast
Cancer Screening |
Women
ages 42 to 69 who had a mammogram during the past two years. |
78.22% |
76.66% |
| Cervical
Cancer Screening |
Women
ages 24 to 64 who had a PAP test during the past three years. |
82.82% |
87.10% |
| Colorectal
Cancer Screening |
Adults
ages 51 to 80 who had an appropriate screening for colorectal cancer. |
62.5% |
65.1% |
| Maternity Care |
| Prenatal
Care |
Women
who received prenatal care in the first trimester, or within 42 days
of enrollment. |
94.39% |
97.53% |
| Postpartum
Care |
Women
who had a postpartum visit three to eight weeks after delivery. |
92.44% |
89.08% |
| Treatment of Acute and Chronic Illness |
| Cardiovascular Conditions |
| Beta-Blocker Treatment After a
Heart Attack |
Adults ages 35 and
older who were prescribed a beta-blocker after hospitalization for a
heart attack. |
100% |
100% |
| Cholesterol
Management for Patients with Cardiovascular
Conditions
|
Adults ages 18 to
75 who were hospitalized for a cardiovascular event or had a diagnosis
of ischemic vascular disease, whose most recent cholesterol screening
in 2006 was <100. |
66.18% |
66.18% |
| Controlling
High Blood Pressure |
Adults ages 18 to
85 who had a diagnosis of hypertension and whose blood pressure was
adequately controlled (<140/90) during 2006. |
67.40% |
68.13% |
| Diabetes and Asthma |
| Eye Exams for Diabetics |
Diabetics ages 18
to 75 who had a retinal eye exam in 2005 or 2006 |
80.05% |
71.17% |
| Cholesterol
Screening for Diabetics |
Diabetics ages 18
to 75 whose most recent 2006 cholesterol screening with < 100. |
49.15% |
51.34% |
| Hemoglobin
A1c Testing for Diabetics |
Diabetics ages 18
to 75 whose most recent 2006 hemoglobin A1c test was in good control
(<7) |
Not in
QC 2007 |
55.23% |
| Hemoglobin
A1c Poor Control |
Diabetics ages 18
to 75 whose most recent 2006 hemoglobin A1c was out of control (>9.0)
or were not screened in 2006. (lower % better) |
10.22% |
18.98% |
| Nephropathy
Monitoring for Diabetics |
Diabetics ages 18
to 75 who had medical attention for nephropathy during 2006. |
86.86% |
87.26% |
| Use
of Appropriate Medications for People with Asthma |
Members ages 5 to
56 who were diagnosed with persistent asthma and were prescribed appropriate
medication in 2006. |
92.66% |
94.84% |
| Mental Health |
| Antidepressant Medication Management |
Assessing
medication management for depression during different phases of treatment
for members ages 18 and older who were diagnosed with depression. |
|
|
Members who had three
follow up visits with their physician during the 12 week period following
diagnosis of depression. |
90.81% |
31.01% |
|
|
Members who remained
on antidepressant medication during the entire 12 week period following
diagnosis of depression. |
63.97% |
69.52% |
|
|
Members who remained
on antidepressant medication for at least six months following diagnosis
of depression. |
49.87% |
53.02% |
| Follow-Up
After Hospitalization for Mental Illness |
Members
ages 6 and older who had an ambulatory follow-up visit after hospitalization
for treatment of mental health disorder. |
| |
- within 7 days of discharge
|
73.17% |
72.50% |
|
- within 30 days of discharge
|
89.02% |
87.61% |
