Prime Enrollees Consumer Watch NHC Patuxent River FY 2016 Defense Health Cost Assessment & Program Evaluation

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1 Prime Enrollees Consumer Wtch NHC Ptuxent River 16 Defense Helth Cost Assessment & Progrm Evlution NHC Ptuxent River: Smple size-1,457 Response rte-1.2% Source: Helth Cre Survey of DoD Beneficiries Inside Consumer Wtch TRICARE Consumer Wtch shows wht t your MTF sy out their helthcre in the Helth Cre Survey of DoD Beneficiries (HCSDB). Every qurter, representtive smple of TRICARE eneficiries re sked out their cre in the lst 12 months. Responses re djusted for ge nd helth sttus. Results from 14 to 16 re reported here. Strting in 13, results include scores from surveys fielded in only three qurters. The survey for qurter four ws cnceled s result of sequestrtion. The HCSDB includes questions from the Consumer Assessment of Helthcre Providers nd Systems (CAHPS), survey designed to help consumers choose mong helth plns. Benchmrk dt, from the Ntionl Committee for Qulity Assurnce (NCQA) for 15, re used in clculting enchmrks. Significntly exceeds enchmrk (p<.5). Significntly flls short of enchmrk (p<.5). See ppendix for tle dt. Helth Cre Figure 1: Helth Cre Rting ᵇ were sked to rte their helthcre from to 1, where is worst nd 1 is est. Figure 1 shows the percentge who rted their helthcre 8 or ove for ech of the following time periods: 14, 15, nd 16. Lels refer to the yer survey ws fielded. Numers in red itlics re significntly different from the enchmrk (p<.5). Helth cre rtings depend on things like ccess to cre, nd how ptients get long with the doctors, nurses, nd other cre providers who tret them. 57 Helth Pln Figure 2: Helth Pln Rting 67ᵃ were sked to rte their helth pln from to 1, where is worst nd 1 is est. Figure 2 shows the percentge who rted their pln 8 or ove for ech reporting period. Helth pln rtings depend on ccess to cre nd how the pln hndles things like clims, referrls nd customer complints. Personl Provider 68ᵃ who hve personl provider were sked to rte their personl provider from to 1, where is worst nd 1 is est. Figure 3 shows the percentge who rted their doctor 8 or ove for ech reporting period. Personl doctor rtings depend on how the ptient gets long with the one doctor responsile for their sic cre. Specilist Figure 3: Personl Provider Rting Enrollees who hve consulted specilist physicins were sked to rte from to 1 the specilist they hd seen most in the previous 12 months. Figure 4 shows the proportion of enrollees who rted their specilist 8 or ove for ech reporting period. Specilist rtings depend on eneficiries ccess to doctors with the specil skills they need. Figure 4: Specilist Rting 81 Benchmrk Benchmrk Benchmrk Benchmrk

2 NHC Ptuxent River 16 Helth Cre Topics Helth Cre Topics scores verge together results for relted questions. Ech score is the percentge who usully or lwys got tretment they wnted or hd no prolem getting desired service Figure 5: Access Composites Getting needed cre Getting cre quickly Figure 5 (Access Composites) includes the composites Getting needed cre nd Getting cre quickly. Scores in Getting needed cre re sed on getting referrl to specilist nd getting needed tretments. Getting cre quickly scores concern how long ptients wit for n ppointment or urgent cre. Figure 6 (Doctor s Communiction) includes the composite for How well doctors communicte. Scores in How well doctors communicte re sed on whether the personl doctor spends enough time with ptients, trets them respectfully nd nswers their questions. Figure 7 (Clims/Service Composites) includes composite scores for Customer service nd Clims processing. Scores in the Customer service composite concern ptients ility to get courteous service nd informtion out their helth pln. enchmrk enchmrk Clims processing scores re sed on oth timeliness nd correctness Figure 6: Doctor's Communiction Doctors' communiction Preventive Cre enchmrk The preventive cre tle compres rtes for dignostic screening tests nd smoking cesstion with gols from Helthy People, government inititive to improve Americns helth y preventing illness. The mmmogrphy rte shown is the proportion of women or ove with mmmogrm in the pst two yers. Pp smer is the proportion of dult women screened for cervicl cncer in the pst three yers. Preventive Cre Type of Cre Hypertension is the proportion of dults whose lood pressure ws checked in the pst two yers nd who know whether their pressure is too high. Prentl cre is the proportion of women pregnnt now or in the pst 12 months who received prentl cre in their first trimester. Percent not oese is the proportion with ody mss index elow 3. The non-smoking rte is the proportion of dults who currently do not smoke. Counseled to quit is the numer of smokers or tocco users whose doctor told them to quit, over the numer of smokers nd tocco users with n office visit in the pst 12 months. He lthy Pe ople 2 2 Go l Mmmogrphy - ᵃ - 81 (w omen > ) - Pp Smer (w omen > 18) (53) Hypertension Screen (dults) (141) Prentl Cre (in 1st trimester) - Percent Not Oese 83ᵃ (dults) (134) Non-Smokers (dults) (139) Figure 7: Clims/Service Composites Counseled to Quit (dults) - ᵃNumers in green significntly exceed the Helthy People gol (p<.5). ᵇNumers in red significntly fll short of the Helthy People gol (p<.5). The numer of responding eneficiries for ech type of cre is in prentheses Customer service Clims processing enchmrk enchmrk 2

3 Figure 1: Helth Cre Rting Benchmrk Figure 2: Helth Pln Rting Benchmrk Figure 3: Personl Provider Rting Benchmrk Figure 4: Specilist Rting Benchmrk

4 Figure 5: Access Composites Getting Needed Cre Benchmrk For Getting Needed Cre Getting Cre Quickly Benchmrk For Getting Cre Quickly Figure 6: Doctor's Communiction Doctor's Communiction Benchmrk Figure 7: Clims/Service Composites Customer Service Benchmrk For Customer Service Clims Processing Benchmrk For Clims Processing

5 Preventive Cre Type of Cre Helthy People Gol Mmmogrphy (women >= ) Pp Smer (women >=18) (53) 93 Hypertension Screen (dults) (141) Prentl Cre (in 1st trimester) Percent Not Oese (dults) (134) 69 Non-Smokers (dults) (139) 88 Counseled to Quit (dults) Numers in green significntly exceed the Helthy People gol (p<.5).. Numers in red significntly fll short of the Helthy People gol (p<.5). The numer of responding eneficiries for ech type of cre is in prentheses.

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