hedis 101: connecting clinical quality and patient experience
DESCRIPTION
Our latest infographic, “HEDIS 101: Connecting Clinical Quality and Patient Experience,” breaks down measure detail from NCQA’s latest State of Healthcare Quality report. Take a look to learn how HEDIS impacts the healthcare system.TRANSCRIPT
NCQA’s 2013 State of Health Care Quality Report summarizes healthcare effectiveness data and information set (HEDIS) results from health plans covering a record 136 million people, or 43 percent of the U.S. population. Today, 30 percent
of the population's claims data is processed through the Verisk Health engine.
NCQA’s State of Health Care Quality Report is published in the fall and offers an update on how U.S. healthcare is performing across various measures:
Use HEDIS results to measure performance regarding important dimensions of care and service.
in 2014, compared to 4 retired measures in 2013.
Improvement in MedicareIn 2012, Medicare began making higher payments to health plans with better quality
performance. Measures where we see the largest gains are:
Better Care in MedicaidClinicians and health plans are improving patients’ experience of care, particularly in Medicaid plans. Primary care physicians are not the only ones receiving better CAHPS ratings. The measure, Rating of Specialist, improved 2.3 percentage points to 64.4.
Decline in Alcoholand Drug Treatment
Since 2007, Alcohol and other drug dependence treatment has seen some of the steepest declines of
any measure. Most noteably among Medicare PPOs, where the rate has dropped 13.2 percentage
points, to 43.3 percent.
Childhood VaccinationsThe alarming decline of 3.5 percentage
points in 2009, to 77.7, was the first decrease in the history of the measure. Myths relating vaccines to autism have been further
discredited in recent years.
Since 2010, improvements in Childhood Immunization Status–Influenza include a 6.2
percentage point increase in commercial HMOs, and a 8.7 percentage point increase in commercial PPOs.
A 5.9 increase brought the Medicaid HMO rate to 49.5 over the same period.
CDC Concerns on AntibioticsAntibiotic-resistant bacteria sickens 2
million people and kills 23,000 every year in the U.S. The latest HEDIS results
show little or no progress on overuse of antibiotics, the main cause of
antibiotic resistance.
Rankings are based on each plan’s overall score, which features performance across quality measures.
Across
90%of Health Plans
HEDIS 101Connecting Clinical Quality and Patient Experience
Learn more about how we’re helping Health Plans with HEDIS at:
www.veriskhealth.com/hedis
Sources: Verisk Health DatabaseNCQA, State of Health Care Quality 2013www.ncqa.org
© 2014 Verisk Health
2014 Measures
2013 Findings
25 PointsConsumer
Satisfaction
60 PointsRates for Clinical
Measures
15 PointsNCQA Accreditation
Standards Score
0Retired Measures
have been expanded to create a more accurate snapshot of the related care given to achieve
those measures.
25Measures
in 2014: Non-recommended cervical cancer screening in adolescent females.
1 First Year Measure
758
Quality Measures
Domains ofCare
Bacteria Kills
23,000People in the U.S. Every Year
Childhood Obesity For the first time, the proportion of children enrolled in commercial and Medicaid HMOs who got the recommended BMI assessments exceeded 50 percent. Rates for BMI Percentile Assessment (ages 3 – 17) rose 6.8 percentage points in commercial HMOs, to 51.6, and 5.8 percentage points in Medicaid HMOs, to 51.8.
6.2%Increase Since2010
64.42013 Rating ofSpecialist
6.8%
62.1Colorectal Cancer
Screening
88.9Persistance of Beta-Blocker
Treatment After aHeart Attack
20.0Potentially Harmful
Drug-Disease Interactionsin the Elderly
13.2%
Scores are calculated on a scale of 1–100:
136,000,000 People