MLTC Consumer Guide Domains

A Consumer's Guide to Managed Long Term Care

The NYS Department of Health has published a consumer's guide to Managed Long Term Care in New York City

The Consumer Guide rates plans on seven domains of care and three measures of consumer satisfaction. Plans are scored for each domain based on their standard score, and ranked on overall performance in each domain.

The measures used in this guide represent some, but not all of the measures collected from health plans through the NYS Semi-Annual Assessment of Members (SAAM) Tool and the Department of Health administered 2011 Member Satisfaction Survey. For additional information about the individual measures used in each category, as well as, the other quality of care measures available, please see the New York State Department of Health's website.

The following describes the measures in each domain of care:

Flu Prevention

  • Flu Immunization Status

Patient Safety

  • Falls
  • Oral Medication Management
  • Hospital Emergency Care

Advanced Directives

  • Did the plan talk to you about appointing someone to make health decisions for you?

Activities of Daily Living

  • Ambulation
  • Bathing
  • Transferring
  • Dressing Upper Body

Management of Incontinence

  • Presence of Incontinence/Catheter
  • Frequency of Incontinence

Quality of Life

  • Frequency of Pain
  • Shortness of Breath
  • Depressive Feelings

No Known Emergency Care

  • No Known Emergency Care

Rating of Health Plan

Rating of Regular Visiting Nurse

Rating of Care Manager

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