11/2/2015 Domain: Care Coordination / Patient Safety
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1 11/2/2015 Domain: Care Coordination / Patient Safety 2014 CT Commercial Medicaid Compared to 2012 all LOB Medicaid Quality Compass Benchmarks Documentation of Current Medications in the Medical Record Annual Monitoring of Persistent Medications 2371 (roll-up) Plan All-Cause Readmission 1768 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 'All-Cause Unplanned Admissions for Patients 36 with Diabetes All-Cause Unplanned Admissions for Patients 37 with Heart Failure All-Cause Unplanned Admissions for Patients 38 with Multiple Chronic Conditions Chronic Obstructive Pulmonary Disease Congestive Heart Failure Admission Rate Rate of Hospitalization for Ambulatory Care- Sensitive Conditions: PQI Composite Pediatric ambulatory care sensitive condition composite (ped.) Asthma in Younger Adults Admission Rate (ped.) Annual % asthma patients (2-20) with 1 or more asthma-related ED visits (ped.) Potentially Avoidable ED visits Hospital Admissions for Pediatric Asthma, per 100,000 children (ped.) 17 Adult Major Depressive Disorder (MDD): Coordination of Care of Patients with Specific Comorbid Conditions 0728
2 11/2/2015 Domain: Care Coordination / Patient Safety Ambulatory Care: ED visits/1000 (rate) Ambulatory Care: Outpatient visits/1000 (rate) Note: Regional means data is used when CT specific data is unavailable
3 11/2/2015 Domain: Prevention CT Commercial compared to 2014 (2013 data) all LOB national benchmark Medicaid Compared to 2013 (2012 data) all LOB Medicaid Quality Compass Benchmarks 18 Breast cancer screening Cervical cancer screening Chlamydia screening in women 0033 Colorectal cancer screening Preventive care and screening: influenza immunization( (adlt + ped.) Adolescent female immunizations HPV Weight assessment and counseling for nutrition and physical activity for children/adolescents (ped.) 25 Preventative care and screening: BMI screening and follow up 26 Developmental screening in the first three years of life (ped.) Well-child visits in the first 15 months of life (ped.) visits 28 Well-child visits in the third, fourth, fifth and sixth years of life (ped.) 29 Adolescent well-care visit (ped.) visits 30 Tobacco use screening and cessation intervention Preventive care and screening: screening for high blood pressure and follow-up documented Prenatal Care & Postpartum care 1517 (see below) Frequency of Ongoing Prenatal Care (FPC) 1391 (available data = >81%) Oral health: Primary Caries Prevention (ped.) Screening for clinical depression and follow-up plan (adlt + ped.)
4 11/2/2015 Domain: Prevention Maternal depression screening 1401 Pediatric behavioral health screening (ped.) 0722 Flu Vaccinations for Adults Ages Advising smokers to quit Discussing cessation medications Discussing Cessation Strategies % Current Smokers (rate)* Prenatal Care & Postpartum care - Postpartum Care Prenatal Care & Postpartum care - Timeliness of Prenatal Care Weight assessment and counseling for nutrition and physical activity for children/adol- BMI percentile Weight assess. and counseling for nutrition & physical activity childn/adol BMI percentile- nutrition counseling Weight assess. and counseling for nutrition & physical activity childn/adol BMI percentile- physical counseling Well child visits first 15 months: 6 visits Lead Screening in Children *Graph reflects inverse of this measure Note: Regional means data is used when CT specific data is unavailable
5 11/2/2015 Domain: Acute Chronic Care 2014 CT Commercial Medicaid Compared to 2012 all LOB Medicaid Quality Compass Benchmarks Medication Management for People with 1799 Asthma Disease Modifying Anti-Rheumatic Drug 0054 Therapy for Rheumatoid Arthritis Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) Comprehensive Diabetes Care: Eye Exam Diabetes: Foot Exam 0056 Comprehensive Diabetes Care: Medical 0062 Attention for Nephropathy Controlling High Blood Pressure Heart Failure (HF): Beta- Blocker Therapy for Left Ventricular Systolic Dysfunction Use of Spirometry Testing in the Assessment 0577 and Diagnosis of COPD Persistence of Beta-Blocker Treatment After a 0071 Heart Attack CAD: Medication adherence 0543 Use of Imaging Studies for Low Back Pain Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis Appropriate Treatment for Children with Upper Respiratory Infection Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic (Used "Asprin Use" from below as a proxy) Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in regionl
6 11/2/2015 Domain: Acute Chronic Care Appropriate Treatment for Children with Pharyngitis Asthma Medication Ratio Medication Management for People with Asthma: Medication Compliance 75% HbA1c Test Aspirin Use 2012 regionl Note: Regional means data is used when CT specific data is unavailable
7 11/2/2015 Domain: Behavioral Health 2014 CT Commercial Medicaid Compared to 2012 all LOB Medicaid Quality Compass Benchmarks Follow-Up Care for Children Prescribed Attention Deficit/Hyperactivity Disorder Medication Depression Remission at Twelve Months Child and Adolescent Major Depressive Disorder: Suicide Risk Assessment Unhealthy alcohol use - screening 1365 Antidepressnat Medication Management - Effective Acute Phase Treatment Antidepressnat Medication Management - Effective Continuation Phase Treatment Follow-Up Care After Hospitalization for Mental Illness - 30 Days Follow-Up Care After Hospitalization for Mental Illness - 7 Days Initiation & Engagement of Alcohol & Other Drug Dependence Treatment Follow-Up Care for Children Prescribed ADHD Medication - Continuation & maintanence phase Follow-Up Care for Children Prescribed ADHD Medication - Initiation phase 2012 Note: Regional means data is used when CT specific data is unavailable
Clinical Quality Measure Crosswalk: HEDIS, Meaningful Use, PQRS, PCMH, Beacon, 10 SOW
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