Application for Partnership Plan Waiver Extension

Measure 2010 Average 2011 Average 2012 Average
Children and Adolescents´ Access to Primary Care Practitioners (Ages 12-19 Years) 92 92 93
Children and Adolescents´ Access to Primary Care Practitioners (Ages 12-24 months) 96 97 97
Children and Adolescents´ Access to Primary Care Practitioners (Ages 25 Mos-6 Years) 93 93 93
Children and Adolescents´ Access to Primary Care Practitioners (Ages 7-11 Years) 95 95 96
Adults´ Access to Preventive and Ambulatory Health Services (Ages 20-44) 82 83 84
Adults´ Access to Preventive and Ambulatory Health Services (Ages 45-64) 89 90 90
Adults´ Access to Preventive and Ambulatory Health Services (Ages 65 and over) 89 90 90
Use of Imaging Studies for Low Back Pain 79 79 78
Avoidance of Antibiotics Therapy in Adults with Acute Bronchitis 27 28 24
Advising Smokers to Quit . 78 .
Discussing Smoking Cessation Medications . 56 .
Discussing Smoking Cessation Strategies . 48 .
Colon Cancer Screening . 56 .
Adult BMI Assessment 70 . 79
Flu Shot for Adults . 40 .
Controlling High Blood Pressure 67 . 63
Cholesterol Screening Test . 90 .
Cholesterol Level Controlled (<100 mg/dL) . 52 .
Cardiovascular Monitoring for People with Cardiovascular Disease and Schizophrenia . . 82
Persistence of Beta-Blocker Treatment . 77 81
Drug Therapy for Rheumatoid Arthritis 76 77 78
Annual Monitoring for Patients on Persistent Medications- ACE Inhibitors/ARBs 91 91 92
Annual Monitoring for Patients on Persistent Medications- Digoxin 94 94 93
Annual Monitoring for Patients on Persistent Medications- Diuretics 90 90 91
Annual Monitoring for Patients on Persistent Medications- Anticonvulsant 67 66 68
Annual Monitoring for Patients on Persistent Medications- Combined Rate 89 90 90
Use of Appropriate Medications for People with Asthma (Ages 12-18) . 87 82
Use of Appropriate Medications for People with Asthma (Ages 19-50) . 84 82
Use of Appropriate Medications for People with Asthma (Ages 19-64) . 84 82
Use of Appropriate Medications for People with Asthma (Ages 51-64) . 83 81
Use of Appropriate Medications for People with Asthma (Ages 5-11) 92 90 86
Use of Appropriate Medications for People with Asthma (Ages 5-18) . 89 85
Use of Appropriate Medications for People with Asthma (Ages 5-64) . 87 83
Appropriate Asthma Medications- 3+ Controllers (Ages 12-18) . 69 64
Appropriate Asthma Medications- 3+ Controllers (Ages 19-50) . 72 69
Appropriate Asthma Medications- 3+ Controllers (Ages 19-64) . 74 71
Appropriate Asthma Medications- 3+ Controllers (Ages 51-64) . 77 75
Appropriate Asthma Medications- 3+ Controllers (Ages 5-11) 76 72 67
Appropriate Asthma Medications- 3+ Controllers (Ages 5-18) . 71 66
Appropriate Asthma Medications- 3+ Controllers (Ages 5-64) . 72 68
Medical Management for People with Asthma 50% Covered(Ages 12-18) . 50 49
Medical Management for People with Asthma 50% Covered( Ages 19-50) . 63 63
Medical Management for People with Asthma 50% Covered (Ages 19-64) . 68 68
Medical Management for People with Asthma 50% Covered (Ages 51-64) . 78 77
Medical Management for People with Asthma 50% Covered (Ages 5-11) . 51 48
Medical Management for People with Asthma 50% Covered (Ages 5-18) . 50 48
Medical Management for People with Asthma 50% Covered (Ages 5-64) . 59 57
Medical Management for People with Asthma 75% Covered (Ages 12-18) . 25 25
Medical Management for People with Asthma 75% Covered (Ages 19-50) . 38 38
Medical Management for People with Asthma 75% Covered (Ages 19-64) . 44 43
Medical Management for People with Asthma 75% Covered (Ages 51-64) . 54 53
Medical Management for People with Asthma 75% Covered (Ages 5-11) . 26 25
Medical Management for People with Asthma 75% Covered (Ages 5-18) . 26 25
Medical Management for People with Asthma 75% Covered (Ages 5-64) . 35 34
Asthma Medication Ratio (Ages 12-18) . . 52
Asthma Medication Ratio (Ages 19-50) . . 54
Asthma Medication Ratio (Ages 19-64) . . 55
Asthma Medication Ratio (Ages 51-64) . . 58
Asthma Medication Ratio (Ages 5-11) . . 56
Asthma Medication Ratio (Ages 5-18) . . 55
Asthma Medication Ratio (Ages 5-64) . . 55
Use of Spirometry Testing in the Assessment and Diagnosis of COPD 46 50 53
Pharmacotherapy Management of COPD Exacerbation- Corticosteroid 66 68 72
Pharmacotherapy Management of COPD Exacerbation- Bronchodilator 85 84 88
Monitoring Diabetes - HbA1c Testing . 89 .
Monitoring Diabetes - Lipid Profile . 87 .
Monitoring Diabetes - Dilated Eye Exam . 64 .
Monitoring Diabetes - Nephropathy Monitoring . 83 .
Monitoring Diabetes - Received All Tests . 51 .
Managing Diabetes Outcomes -Poor HbA1c Control . 33 .
Managing Diabetes Outcomes - HbA1C Control (<8.0%) . 58 .
Managing Diabetes Outcomes - HbA1C Control (<7.0%) for Selected Populations . 41 .
Managing Diabetes Outcomes - Lipids Controlled (<100 mg/dL) . 47 .
Managing Diabetes Outcomes - Blood pressure controlled (<140/80 mm Hg) . 44 .
Managing Diabetes Outcomes - Blood pressure controlled (<140/90 mm Hg) . 66 .
Managing Diabetes Outcomes - HbA1c and Lipids Controlled . 37 .
Engaged in Care 80 84 83
Viral Load Monitoring 58 64 72
Syphilis Screening 58 66 71
Annual Dental Visit (Ages 2-18) 54 55 57
Annual Dental Visit (Ages 2-21) 53 54 56
Antidepressant Medication Management-Effective Acute Phase Treatment 52 51 53
Antidepressant Medication Management-Effective Continuation Phase Treatment 35 34 37
Follow-Up After Hospitalization for Mental Illness Within 7 Days 70 72 65
Follow-Up After Hospitalization for Mental Illness Within 30 Days 85 83 79
Adherence to Antipsychotic Medications for Individuals with Schizophrenia . . 64
Board Certified Family Medicine 80 80 78
Board Certified Internal Medicine 81 81 80
Board Certified OB/GYN 76 77 74
Board Certified Pediatrics 82 82 81
Satisfaction with Provider Communication . . .
Satisfaction with Personal Doctor . . .
Satisfaction with Specialist . . .
Getting Care Needed . . .
Getting Care Quickly . . .
Customer Service . . .
Rating of Health Plan . . .
Collaborative Decision Making . . .
Care Coordination . . .
Wellness Discussion . . .
Rating of Overall Healthcare . . .
Getting Needed Counseling or Treatment . . .
Rating of Counseling or Treatment . . .
Access to Prescription Medicines for Children . . .
Coordination of Care for Children with Chronic Conditions . . .
Getting Care Needed for Children . . .
Satisfaction with Provider Communication for Children . . .
Customer Service for Children . . .
Collaborative Decision Making for Children . . .
Family-Centered Care: Getting Needed Information for Children . . .
Rating of Overall Healthcare for Children . . .
Rating of HP - High Users for Children . . .
Family-Centered Care: Personal Doctor Who Knows Child . . .
Getting Care Quickly for Children . . .
Rating of Counseling or Treatment for Children . . .
Rating of Health Plan for Children . . .
Satisfaction with Personal Doctor for Children . . .
Satisfaction with Specialist for Children . . .
Access to Specialized Services for Children . . .
Childhood Immunization-MMR . 93 .
Childhood Immunization-Varicella . 91 .
Childhood Immunization-3 or more Hibs . 93 .
Childhood Immunization-3 or more HepB . 92 .
Childhood Immunization-3 or more IPVs . 93 .
Childhood Immunization-4 or more DTPs . 83 .
Childhood Immunization - 4 or more Pneumococcals . 81 .
Childhood Immunization - 2 or more HepA . 37 .
Childhood Immunization - 2 or more Influenza . 57 .
Childhood Immunization - 2 or 3 Rotavirus . 69 .
Childhood Immunization - Combo 2 . 78 .
Childhood Immunization Status (Combo 3: 4-3-1-3-3-1-4) . 74 .
Childhood Immunization - Combo 4 . 34 .
Childhood Immunization - Combo 5 . 59 .
Childhood Immunization - Combo 6 . 49 .
Childhood Immunization - Combo 7 . 30 .
Childhood Immunization - Combo 8 . 26 .
Childhood Immunization - Combo 9 . 41 .
Childhood Immunization - Combo 10 . 23 .
Lead Testing . 89 .
Adolescent immunization-Menignococcal . 70 72
Adolescent immunization-Tdap/Td . 91 92
Adolescent immunization-Combo . 67 69
Adolescent immunization-HPV . . 26
Well-Child & Preventive Care Visits in First 15 Months of Life (5+ Visits) 77 83 83
Well-Child & Preventive Care Visits in 3rd, 4th, 5th & 6th Year of Life 80 83 82
Adolescent Well-Care Visits 56 59 59
Appropriate Treatment for Upper Respiratory Infection (URI) 91 92 93
Appropriate Testing for Pharyngitis 84 86 87
Follow-Up Care for Children Prescribed ADHD Medication:Initiation Phase 58 59 57
Follow-Up Care for Children Prescribed ADHD Medication:Continuation Phase 64 66 63
Weight Assessment- BMI Percentile 65 73 .
Weight Assessment for Children and Adolescents 12-17 Yrs 66 73 .
Weight Assessment for Children and Adolescents 3-11 Yrs 65 73 .
Counseling for Nutrition 71 77 .
Counseling for Nutrition for Children and Adolescents 12-17 Yrs 69 75 .
Counseling for Nutrition for Children and Adolescents 3-11 Yrs 72 77 .
Counseling for Physical Activity 58 66 .
Counseling for Physical Activity for Children and Adolescents 12-17 Yrs 63 72 .
Counseling for Physical Activity for Children and Adolescents 3-11 Yrs 56 63 .
Assessment, Counseling, or Education:Preventive Actions Associated with Sexual Activity 60 66 .
Assessment, Counseling, or Education:Depression 52 59 .
Assessment, Counseling, or Education:Tobacco Use 64 70 .
Assessment, Counseling, or Education:Alcohol and Other Drug Use 60 67 .
Breast Cancer Screening 68 67 68
Cervical Cancer Screening 72 71 71
Chlamydia Screening (Ages 16-20) 67 70 71
Chlamydia Screening (Ages 21-24) 69 72 73
Chlamydia Screening (Ages 16-24) 68 71 72
Timeliness of Prenatal Care 90 . 88
Postpartum Care 73 . 70
Frequency of Ongoing Prenatal Care 74 . 70
Use of Appropriate Medications for People with Asthma (Ages 12-50) 88 . .
Appropriate Asthma Medications- 3+ Controllers (Ages 12-50) 77 . .
Appropriate Asthma Medications- 3+ Controllers (Ages 5-50) 76 . .
Use of Appropriate Medications for People with Asthma (Ages 5-50) 90 . .
Board Certified Geriatric Specialists 73 73 70
Rating of HP - High Users . . .
Board Certified Other Specialists 79 80 78
Recommend Plan to Others . . .
Diabetes Monitoring for People with Diabetes and Schizophrenia . . 75
Diabetes Screening for People w/ Schizophrenia or Bipolar Disorder Using Antipsychotic Meds . . 79