HEDIS Trends in Medi-Cal (HEDIS MY)
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- Peregrine Sanders
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1 Trends in Medi-Cal ( - MY) 2014) ) ) Prevention and Screening ABA Adult BMI Assessment Diabetes Care 90.8% 90.1% 93.9% th CDC-HT CDC-H8 CDC-H9 CDC-E CDC-N Diabetes Care HbA1c Testing HbA1c Control <8% Poor HbA1c Control >9% (lower rate is better) Eye Exams Medical Attention for Nephropathy 83.5% 86.0% 87.8% th 46.0% 47.1% 48.7% h 41.8% 41.6% 40.0% th 49.7% 58.0% 54.7% th 86.6% 94.4% 92.2% th CDC-BP Blood Pressure Control (<140/90) Cardiovascular Conditions 65.1% 58.6% 60.0% th CBP Controlling High Blood Pressure - Total 66.8% 68.3% 67.8% th * Ranking from NCQA Quality Compass
2 Trends in Medi-Cal ( - MY) 2014) ) ) PBH Persistence of Beta Blocker Treatment After Heart Attack 77.6% NQ 77.6% NA NA Pediatric Health W34 Well-Child Visits in the 3rd, 4th, 5th, and 6th Years of Life 69.5% 71.4% 78.5% th WCC- BMI Adolescents (BMI) 80.2% 78.9% 78.2% th WCC--N Adolescents (Nutrition) 80.2% 76.8% 77.7% th WCC-PA CIS-3 IMA-1 IMA-2 Adolescents (Physical Activity) Childhood Immunization Status - Combo 3 Immunizations for Adolescents Combo 1 Immunizations for Adolescents Combo % 68.5% 68.0% th 77.7% 73.6% 71.5% th 77.0% 74.6% th NA NA 28.3% NA 75 th * Ranking from NCQA Quality Compass
3 Trends in Medi-Cal ( - MY) 2014) ) ) ADD Follow-Up for Children Prescribed ADHD initiation 29.8% 31.1% 32.8% 1.7 <25 th ADD Follow-Up for Children Prescribed ADHD - Continuation and Maintenance Respiratory Conditions 32.8% 36.4% 38.0% 1.6 <25 th CWP URI AAB MMA-75 PCE Appropriate Testing for Children with Pharyngitis Appropriate Treatment for Children with Upper Respiratory Infections Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis Management for People with Asthma-75% Compliance Total Pharmacotherapy Management of COPD Exacerbation Systemic Corticosteroid 25.5% 25.0% 27.5% 2.5 <25 th 87.5% 87.8% 88.6% th 29.7% 29.7% 31.5% th 24.9% 32.6% 33.5% th 60.4% 62.0% 66.3% th * Ranking from NCQA Quality Compass
4 Trends in Medi-Cal ( - MY) 2014) ) ) PCE SPR Pharmacotherapy Management of COPD Exacerbation Bronchodilator Use of Spirometry Testing in the Assessment and Diagnosis of COPD 82.6% 84.8% 86.5% th NR NA 14.9% NA <25 th Women s Health BCS Breast Cancer Screening - Total 57.7% 58.1% 59.3% th CCS CHL PPC-PST Cervical Cancer Screening Chlamydia Screening in Women-Total Prenatal and Postpartum Care - Postpartum Care 61.8% 57.6% 59.3% th 61.4% 61.7% 62.9% th 57.0% 55.2% 56.2% 1.0 <25 th PPC-Pre Prenatal and Postpartum Care - Timeliness of Prenatal Care Musculoskeletal Health LBP Use of Imaging Studies for Low Back Pain Behavioral Health AMM Antidepressant Management - Acute Phase 82.2% 74.2% 75.1% 0.9 <25 th 79.7% 78.0% 74.6% th 49.1% 58.9% 56.7% th * Ranking from NCQA Quality Compass
5 Trends in Medi-Cal ( - MY) 2014) ) ) AMM Antidepressant Managementcontinuation phase Management 32.9% 43.2% 40.2% th ACE s - ACE/ARB 86.6% 87.1% 88.2% th DIG DIU s - Digoxin s - Diuretics 47.4% 48.2% 49.2% th 85.7% 86.4% 87.7% th * Ranking from NCQA Quality Compass
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Trends in Medi-Cal ( - MY) Prevention and Screening 2013) ) ) ABA Adult BMI Assessment Diabetes Care CDC-HT Diabetes Care HbA1c Testing 83.8% 90.8% 90.1% -0.7 75 th 83.5% 83.5% 86.0% 2.5 50 th CDC-H8 CDC-H9
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