michigan quality improvement consortium measurement committee year-end report
DESCRIPTION
Michigan Quality Improvement Consortium Measurement Committee Year-End Report December 15, 2008. Michigan Quality Improvement Consortium Chart Book - 2008. MQIC Measurement Committee December, 2008. THANK YOU ALL FOR YOUR CONTRIBUTIONS Measuring Reporting Improving - PowerPoint PPT PresentationTRANSCRIPT
-
Michigan Quality Improvement Consortium
Measurement Committee Year-End ReportDecember 15, 2008
-
Michigan Quality Improvement Consortium
Chart Book - 2008
MQIC Measurement CommitteeDecember, 2008
-
Chart12
0.53460.52330.56450.52540.50860.5490.63550.5860.6419
0.80330.84890.84120.8580.84450.88020.88760.89450.8989
2000
2001
2002
2003
2004
2005
2006
2007
2008
Measures
Percent
HEDIS Diabetes IndicatorsCommercial MembersHEDIS 2001 - HEDIS 2008
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
0
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
00
00
00
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
00
00
00
00
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
200020012002200320042005200620072008200020012002200320042005200620072006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%64.19%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%89.89%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*200720082000200120022003200420052006*2007LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%25.83%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%85.08%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*200720082000200120022003200420052006*2007
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%82.67%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%
LDL-C Control < 10037.85%43.08%47.52%41.82%42.67%LDL-C Control < 10038.10%20072008
Glyc Hb Good Control47.70%50.36%
20072008BP Control
-
Chart13
0.31190.39020.28820.31640.29970.27140.27650.26660.2583
0.65820.76780.82920.87380.89270.93320.93730.84940.8508
2000
2001
2002
2003
2004
2005
2006
*2007
2008
Measures
Percent
HEDIS Diabetes IndicatorsCommercial MembersHEDIS 2001 - HEDIS 2008
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
0
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
00
00
00
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
00
00
00
00
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
200020012002200320042005200620072008200020012002200320042005200620072006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%64.19%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%89.89%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*200720082000200120022003200420052006*2007LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%25.83%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%85.08%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*200720082000200120022003200420052006*2007
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%82.67%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%
LDL-C Control < 10037.85%43.08%47.52%41.82%42.67%LDL-C Control < 10038.10%20072008
Glyc Hb Good Control47.70%50.36%
20072008BP Control
-
Chart1
0.42650.43730.57990.62370.51770.54620.61210.83450.8267
LDL-C Control < 100LDL-C Control < 100LDL-C Control < 100LDL-C Control < 1000.37850.43080.47520.41820.4267
2000
2001
2002
2003
2004
2005
2006
*2007
2008
Measures
Percent
HEDIS Diabetes IndicatorsCommercial MembersHEDIS 2001 - HEDIS 2008
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
0
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
00
00
00
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
00
00
00
00
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
200020012002200320042005200620072008200020012002200320042005200620072006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%64.19%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%89.89%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*200720082000200120022003200420052006*2007LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%25.83%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%85.08%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*200720082000200120022003200420052006*2007
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%82.67%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%
LDL-C Control < 10037.85%43.08%47.52%41.82%42.67%LDL-C Control < 10038.10%20072008
Glyc Hb Good Control47.70%50.36%
20072008BP Control
-
Chart5
0.38950.4479
0.60430.6314
0.27390.3314
2007
2008
Measures
Percent
HEDIS Diabetes Indicators Commercial Members HEDIS 2007 - HEDIS 2008
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
0
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
00
00
00
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
00
00
00
00
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
20002001200220032004200520062007200020012002200320042005200620072006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*20072000200120022003200420052006*2007LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*20072000200120022003200420052006*2007
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%
LDL-C Control < 10037.85%43.08%47.52%41.82%LDL-C Control < 10038.10%2007
Glyc Hb Good Control47.70%
20072008BP Control
-
Chart3
0.43110.53510.5080.41310.43610.4990.55350.56150.5724
0.69330.73590.75560.74730.73480.81430.80050.76890.838
2000
2001
2002
2003
2004
2005
2006
2007
2008
Measures
Percent
HEDIS Diabetes Indicators Medicaid Members HEDIS 2001 - HEDIS 2008
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
0
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
00
00
00
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
00
00
00
00
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
2000200120022003200420052006200720082000200120022003200420052006200720082006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%64.19%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%57.24%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%89.89%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%83.80%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*200720082000200120022003200420052006*20072008LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%25.83%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%41.42%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%85.08%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%75.54%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*200720082000200120022003200420052006*20072008
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%82.67%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%80.02%
LDL-C Control < 10037.85%43.08%47.52%41.82%42.67%LDL-C Control < 10038.10%41.29%20072008
Glyc Hb Good Control47.70%50.36%
20072008BP Control
-
Chart4
0.37410.46480.43160.57470.52240.4270.42280.46790.4142
0.5460.63530.68490.72770.72990.83540.83540.74130.7554
2000
2001
2002
2003
2004
2005
2006
*2007
2008
Measures
Percent
HEDIS Diabetes Indicators Medicaid Members HEDIS 2001 - HEDIS 2008
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
0
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
00
00
00
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
00
00
00
00
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
2000200120022003200420052006200720082000200120022003200420052006200720082006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%64.19%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%57.24%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%89.89%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%83.80%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*200720082000200120022003200420052006*20072008LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%25.83%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%41.42%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%85.08%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%75.54%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*200720082000200120022003200420052006*20072008
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%82.67%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%80.02%
LDL-C Control < 10037.85%43.08%47.52%41.82%42.67%LDL-C Control < 10038.10%41.29%20072008
Glyc Hb Good Control47.70%50.36%
20072008BP Control
-
Chart5
0.45260.47620.53350.54280.41020.49880.53450.78630.8002
LDL-C Control < 100LDL-C Control < 100LDL-C Control < 100LDL-C Control < 100LDL-C Control < 100LDL-C Control < 100LDL-C Control < 1000.3810.4129
2000
2001
2002
2003
2004
2005
2006
*2007
2008
Measures
Percent
HEDIS Diabetes Indicators Medicaid Members HEDIS 2001 - HEDIS 2008
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
0
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
00
00
00
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
00
00
00
00
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
2000200120022003200420052006200720082000200120022003200420052006200720082006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%64.19%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%57.24%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%89.89%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%83.80%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*200720082000200120022003200420052006*20072008LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%25.83%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%41.42%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%85.08%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%75.54%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*200720082000200120022003200420052006*20072008
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%82.67%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%80.02%
LDL-C Control < 10037.85%43.08%47.52%41.82%42.67%LDL-C Control < 10038.10%41.29%20072008
Glyc Hb Good Control47.70%50.36%
20072008BP Control
-
Chart6
0.33520.4402
0.55550.5612
0.27990.3314
2007
2008
Measures
Percent
HEDIS Diabetes Indicators Medicaid Members HEDIS 2001 - HEDIS 2008
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
0
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
00
00
00
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
00
00
00
00
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
20002001200220032004200520062007200020012002200320042005200620072006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*20072000200120022003200420052006*2007LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*20072000200120022003200420052006*2007
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%
LDL-C Control < 10037.85%43.08%47.52%41.82%LDL-C Control < 10038.10%2007
Glyc Hb Good Control47.70%
20072008BP Control
-
Chart6
0.8050.75290.7306
0.93040.90480.9422
0.18020.20210.1566
0.8033LDL-C Control < 130LDL-C Control < 130
0.54370.53690.5407
0.9790.88260.918
0.76190.93250.9192
2006
*2007
2008
Measures
Percent
HEDIS Diabetes IndicatorsMedicare MembersHEDIS 2006 - HEDIS 2008
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
0
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
00
00
00
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
00
00
00
00
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
2000200120022003200420052006200720082000200120022003200420052006200720082006*20072008
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%64.19%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%57.24%Retinal Exams80.50%75.29%73.06%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%89.89%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%83.80%Glyc Hb Testing93.04%90.48%94.22%
Glyc Hb Poor Control18.02%20.21%15.66%
2000200120022003200420052006*200720082000200120022003200420052006*20072008LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%25.83%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%41.42%LDL-C Control < 10054.37%53.69%54.07%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%85.08%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%75.54%LDL-C Testing97.90%88.26%91.80%
Nephropathy Monitoring76.19%93.25%91.92%
2000200120022003200420052006*200720082000200120022003200420052006*20072008
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%82.67%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%80.02%
LDL-C Control < 10037.85%43.08%47.52%41.82%42.67%LDL-C Control < 10038.10%41.29%20072008
Glyc Hb Good Control47.70%50.36%
20072008BP Control
-
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
0
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
00
00
00
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
00
00
00
00
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
20002001200220032004200520062007200020012002200320042005200620072006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*20072000200120022003200420052006*2007LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*20072000200120022003200420052006*2007
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%
LDL-C Control < 10037.85%43.08%47.52%41.82%LDL-C Control < 10038.10%20072008
Glyc Hb Good Control47.70%50.36%
20072008BP Control
-
Chart1
0.44420.43540.4480.3998Retinal Exams0.39980.32040.35480.3683
0.68290.68280.69280.77830.74790.7830.80140.79260.8226
2000
2001
2002
2003
2004
2005
2006
2007
2008
Measures
Percent
HEDIS Diabetes IndicatorsBCBSM MembersHEDIS 2001 - HEDIS 2008
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
0
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
00
00
00
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
00
00
00
00
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
0
0
0
0
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
20002001200220032004200520062007200020012002200320042005200620072006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*20072000200120022003200420052006*2007LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*20072000200120022003200420052006*2007
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%
LDL-C Control < 10037.85%43.08%47.52%41.82%LDL-C Control < 10038.10%2007
Glyc Hb Good Control47.70%
2007BP Control
-
diabetes non-hedis
DiabStatins
2006
Commercial55.32%
Medicaid20.48%
MeasuresCY 2006 ResultsMQIC Best Practice
Prescription Filled for Statin Drug - Commercial55.32%68.10%
Prescription Filled for Statin Drug - Medicaid20.48%84.21%
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY2005 ResultsMQIC Best Practice
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
diabetes non-hedis
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
2006
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2006
asthma non-hedis
CommercialMedicaidMedicare
20002001200220032004200520062007200020012002200320042005200620072006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*20072000200120022003200420052006*2007LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*20072000200120022003200420052006*2007
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%
LDL-C Control < 10037.85%43.08%47.52%41.82%LDL-C Control < 10038.10%2007
Glyc Hb Good Control47.70%
2007BP Control
-
Chart3
0.55320.6285
0.20480.5198
Medicare0.6681
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
00
00
00
00
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
20002001200220032004200520062007200020012002200320042005200620072006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*20072000200120022003200420052006*2007LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*20072000200120022003200420052006*2007
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%
LDL-C Control < 10037.85%43.08%47.52%41.82%LDL-C Control < 10038.10%2007
Glyc Hb Good Control47.70%
2007BP Control
-
Chart4
0.58180.589
2006
2007
Measure
Percent
Non-HEDIS Diabetes Indicators BCBSM Members Calendar Years 2006-2007
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
20002001200220032004200520062007200020012002200320042005200620072006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*20072000200120022003200420052006*2007LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*20072000200120022003200420052006*2007
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%
LDL-C Control < 10037.85%43.08%47.52%41.82%LDL-C Control < 10038.10%2007
Glyc Hb Good Control47.70%
2007BP Control
-
Chart7
7.546.33
4.566.15
2.591.49
5.686.61
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
20002001200220032004200520062007200020012002200320042005200620072006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*20072000200120022003200420052006*2007LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*20072000200120022003200420052006*2007
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%
LDL-C Control < 10037.85%43.08%47.52%41.82%LDL-C Control < 10038.10%2007
Glyc Hb Good Control47.70%
2007BP Control
-
Chart8
13.01
21.01
5.86
21.1
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
20002001200220032004200520062007200020012002200320042005200620072006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*20072000200120022003200420052006*2007LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*20072000200120022003200420052006*2007
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%
LDL-C Control < 10037.85%43.08%47.52%41.82%LDL-C Control < 10038.10%2007
Glyc Hb Good Control47.70%
2007BP Control
-
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
20002001200220032004200520062007200020012002200320042005200620072006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*20072000200120022003200420052006*2007LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*20072000200120022003200420052006*2007
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%
LDL-C Control < 10037.85%43.08%47.52%41.82%LDL-C Control < 10038.10%2007
Glyc Hb Good Control47.70%
2007BP Control
-
Chart2
7.68
3.86
1.82
3.2
2007
Measures
Rate
Non-HEDIS Diabetes Disease-Burden IndicatorsBCBSM MembersCalendar Year 2007
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40
Cerebrovascular Accident/1000 Diabetic Members9.904.76
Amputation/1000 Diabetic Members3.513.60
Dialysis/1000 Diabetic Members14.3814.60
diabetes non-hedis
0
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
diabetes hedis
00
00
00
2006
2007
Product
Percent
Non-HEDIS Diabetes IndicatorsStatin TherapyCalendar Year 2007
asthma non-hedis
00
00
00
00
2002
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsCommercial MembersCalendar Year 2007
asthma-hedis
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicaid MembersCalendar Year 2007
depression hedis
2007
Measures
Rate
Non-HEDIS Diabetes Disease Burden IndicatorsMedicare MembersCalendar Year 2007
tobacco control non-hedis
CommercialMedicaidMedicare
20002001200220032004200520062007200020012002200320042005200620072006*2007
Retinal Exams53.46%52.33%56.45%52.54%50.86%54.90%63.55%58.60%Retinal Exams43.11%53.51%50.80%41.31%43.61%49.90%55.35%56.15%Retinal Exams80.50%75.29%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.02%88.76%89.45%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%81.43%80.05%76.89%Glyc Hb Testing93.04%90.48%
Glyc Hb Poor Control18.02%20.21%
2000200120022003200420052006*20072000200120022003200420052006*2007LDL-C Control < 13080.33%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.14%27.65%26.66%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.70%42.28%46.79%LDL-C Control < 10054.37%53.69%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.32%93.73%84.94%LDL-C Testing54.60%63.53%68.49%72.77%72.99%83.54%83.54%74.13%LDL-C Testing97.90%88.26%
Nephropathy Monitoring76.19%93.25%
2000200120022003200420052006*20072000200120022003200420052006*2007
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%54.62%61.21%83.45%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%49.88%53.45%78.63%
LDL-C Control < 10037.85%43.08%47.52%41.82%LDL-C Control < 10038.10%2007
Glyc Hb Good Control47.70%
2007BP Control
-
diabetes non-hedis
Commercial
20042005
Lipid Lowering Rx51.12%63.53%
BP Control
MeasuresCY 2005 ResultsMQIC Best Practice
Prescription Filled for Lipid Lowering Drugs63.53%71.50%
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY2005 ResultsMQIC Best Practice
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
diabetes non-hedis
2004
2005
Measures
Percent
Non-HEDIS Diabetes IndicatorsCommercial MembersCalendar Years 2004 - 2005
diabetes hedis
2005
Measure
Percent
Non-HEDIS Diabetes IndicatorsMedicaid MembersCalendar Year 2005
asthma non-hedis
CommercialMedicaidMedicare
2000200120022003200420052000200120022003200420052005
Retinal Exams53.46%52.33%56.45%52.54%50.86%63.55%Retinal Exams43.11%53.51%50.80%41.31%43.61%55.35%Retinal Exams80.50%
Glyc Hb Testing80.33%84.89%84.12%85.80%84.45%88.76%Glyc Hb Testing69.33%73.59%75.56%74.73%73.48%80.05%Glyc Hb Testing93.04%
Glyc Hb Poor Control31.19%39.02%28.82%31.64%29.97%27.65%Glyc Hb Poor Control37.41%46.48%43.16%57.47%52.24%42.28%Glyc HB Poor Control18.02%
LDL-C Testing65.82%76.78%82.92%87.38%89.27%93.73%LDL-C Testing54.60%63.53%68.49%72.77%72.99%86.30%LDL-C Testing97.70%
LDL-C Control < 13039.25%48.24%56.94%57.58%65.41%73.04%LDL-C Control < 13027.07%35.79%41.34%41.18%50.79%63.76%LDL-C Control < 13080.33%
LDL-C Control < 10037.85%47.52%LDL-C Control < 10034.11%46.07%LDL-C Control < 10054.37%
Nephropathy Monitoring42.65%43.73%57.99%62.37%51.77%61.21%Nephropathy Monitoring45.26%47.62%53.35%54.28%41.02%53.45%Nephropathy Monitoring76.19%
MeasuresHEDIS 2006 ResultsMQIC Best Practice
Retinal Exams66.50%83.78%
Glycosylated Hemoglobin Testing88.90%95.09%
Glycosylated Hemoglobin Poor Control23.60%9.58%
LDL-C Testing93.30%97.81%
LDL-C Control < 130 mg/dL71.60%80.54%
LDL-C Control < 100 mg/dL50.00%54.74%
Nephropathy Monitoring60.20%81.06%
MeasuresHEDIS 2006 ResultsMQIC Best Practice
Retinal Exams48.60%53.01%
Glycosylated Hemoglobin Testing76.20%82.41%
MeasuresHEDIS 2006 ResultsMQIC Best PracticeGlycosylated Hemoglobin Poor Control49.10%42.32%
Retinal Exams54.80%67.40%
Glycosylated Hemoglobin Testing87.50%91.73%
Glycosylated Hemoglobin Poor Control29.70%21.17%
MeasuresHEDIS 2006 ResultsMQIC Best Practice
LDL-C Testing80.50%88.08%
LDL-C Control < 130 mg/dL51.30%72.26%
LDL-C Control < 100 mg/dL32.60%62.04%
Nephropathy Monitoring48.80%65.92%
MeasuresHEDIS 2006 ResultsMQIC Best Practice
LDL-C Testing92.30%96.59%
LDL-C Control < 130 mg/dL67.50%72.99%
LDL-C Control < 100 mg/dL43.80%48.66%
Nephropathy Monitoring55.10%63.50%
asthma non-hedis
2000
2001
2002
2003
2004
2005
Measures
Percent
HEDIS Diabetes IndicatorsCommercial MembersHEDIS 2001 - HEDIS 2006
asthma-hedis
2000
2001
2002
2003
2004
2005
Measures
Percent
HEDIS Diabetes IndicatorsMedicaid MembersHEDIS 2001 - HEDIS 2006
depression hedis
2005
Measures
Percent
HEDIS Diabetes IndicatorsMedicare MembersHEDIS 2006
tobacco control non-hedis
2000
2001
2002
2003
2004
2005
Measures
Percent
HEDIS Diabetes Indicators Commercial Members HEDIS 2001 - HEDIS 2006
tobacco control hedis
2000
2001
2002
2003
2004
2005
Measures
Percent
HEDIS Diabetes IndicatorsMedicaid MembersHEDIS 2001 - HEDIS 2006
bcbs diab hedis
Commercial
20012002200320042005
Asthma ER Rate/100076.09115.0262.60131.7897.33
Asthma Px Exams (%)73.6185.9981.8688.1090.66
MeasuresCY 2005 ResultsMQIC Best Practice
Emergency Room Visits for Asthma/1000 Members with Asthma97.3346.76
Periodic Assessment for Asthma90.66%93.69%
Medicaid
2005
Asthma ER/1000160.31
Asthma Px Exams71.35
MeasuresCY 2005 ResultsMQIC Best Practice
Emergency Room Visits for Asthma/1000 Members with Asthma160.3196.88
Periodic Assessment for Asthma71.35%96.55%
bcbs diab hedis
00000
00000
2001
2002
2003
2004
2005
Measures
Rate
Non-HEDIS Asthma IndicatorsCommercial MembersCalendar Years 2001 - 2005
bcbs diab non-hedis
0
0
2005
Measures
Rate
Non-HEDIS Asthma Indicators Medicaid Members Calendar Year 2005
bcbs asthma hedis
Commercial
20002001200220032004
asthma med 5-9 yo65.51%64.49%69.49%63.45%73.57%94.63%
asthma med 10-17 yo64.53%65.35%64.44%58.06%66.80%91.49%
asthma med 18-56 yo68.69%67.09%69.84%65.55%72.19%90.27%
asthma med all67.60%66.45%68.75%63.69%71.31%91.13%
Medicaid
20002001200220032004
asthm med 5-9 yo65.22%60.76%61.48%51.11%64.39%87.56%
asthma med 10-17 yo56.04%63.61%64.42%58.98%63.82%86.47%
20002001200220032004
asthma med 18-56 yo62.89%63.43%70.39%68.23%70.03%85.58%
asthma med all61.97%62.90%66.90%62.09%67.07%86.21%
*2005 - Specification Change
MeasuresHEDIS 2006 ResultsMQIC Best Practice
Appropriate Asthma Medications 5 - 9 Years Old95.70%99.39%
Appropriate Asthma Medications 10 - 17 Years Old91.70%98.15%
MeasuresHEDIS 2006 ResultsMQIC Best Practice
Appropriate Asthma Medications 5 - 9 Years Old88.00%94.59%
Appropriate Asthma Medications 10 - 17 Years Old85.60%92.26%
Appropriate Asthma Medications 18 - 56 Years Old83.40%91.18%
Appropriate Asthma Medications Combined Ages85.70%92.18%
*2005 - Specification Change
MeasuresHEDIS 2006 ResultsMQIC Best Practice
Appropriate Asthma Medications 18 - 56 Years Old88.50%94.59%
Appropriate Asthma Medications Combined Ages89.90%95.91%
bcbs asthma hedis
2000
2001
2002
2003
2004
*2005
Measures
Percent
HEDIS Asthma IndicatorsCommercial MembersHEDIS 2001 - HEDIS 2006
bcbs asthma non-hedis
0.65220.60760.61480.51110.64390.8756
0.56040.63610.64420.58980.63820.8647
200020012002200320040
0.62890.63430.70390.68230.70030.8558
0.61970.6290.6690.62090.67070.8621
2000
2001
2002
2003
2004
*2005
Measures
Percent
HEDIS Asthma IndicatorsMedicaid MembersHEDIS 2001 - HEDIS 2006
bcbsm tobacco control hedis
2000
2001
2002
2003
2004
*2005
Measures
Percent
HEDIS Asthma IndicatorsCommercial MembersHEDIS 2001 - HEDIS 2006
bcbs pharyngitis
CommercialMedicare
20022003200420052005
Anti-Dep Med Opt Contact18.91%25.00%25.76%25.72%Anti-Dep Med Opt Contact13.61%
Anti-Dep Med Acute Tx54.92%60.67%56.10%56.94%Anti-Dep Med Acute Tx47.62%
Anti-Dep Med Cont Tx38.01%41.58%38.43%40.07%Anti-Dep Med Cont Tx31.97%
MeasureHEDIS 2006 ResultsMQIC Best Practice
Antidepressant Medications, Optimal Contacts11.80%13.71%
Antidepressant Medications, Effective Acute54.90%47.83%
Treatment Phase
Antidepressant Medication, Effective Continu-41.00%39.13%
ation Treatment Phase
MeasureHEDIS 2006 ResultsMQIC Best Practice
Antidepressant Medications, Optimal Contacts20.60%28.91%
Antidepressant Medications, Effective Acute61.40%63.55%
Treatment Phase
Antidepressant Medication, Effective Continu-45.00%48.19%
ation Treatment Phase
bcbs pharyngitis
0000
0000
0000
2002
2003
2004
2005
Measures
Percent
HEDIS Depression IndicatorsCommercial MembersHEDIS 2003 - HEDIS 2006
bcbsm adultprev hedis
0
0
0
2005
Measures
Percentage
HEDIS Depression Indicators Medicare Members HEDIS 2006
pharyngitis
Commercial
200320042005
Smoking Prevalence19.67%21.27%15.14%
Quit Rate10.09%10.56%
MeasuresCY 2005 ResultsMQIC Best Practice
Smoking Prevalence15.14%11.87%
Medicaid
20042005
Smoking Prevalence42.28%39.64%
Quit Rate3.51%
MeasuresCalendar Year 2005 ResultsMQIC Best Practice
Smoking Prevalence39.64%37.96%
pharyngitis
000
000
2003
2004
2005
Measures
Percent
Non-HEDIS Tobacco Control IndicatorsCommercial MembersCalendar Years 2004 - 2005
hypertension non-hedis
00
00
2004
2005
Measures
Percent
Non-HEDIS Tobacco Control IndicatorsMedicaid MembersCalendar Years 2004 - 2005
hypertension
commercial
200320042005
Adv Smokers to Quit74.90%74.73%69.28%
Disc Smok Cess Meds47.86%46.33%38.55%
Disc Smok Cess Strat41.96%40.57%35.76%
MeasuresHEDIS 2006 ResultsMQIC Best Practice
Advising Smokers to Quit71.20%83.33%
Discussion of Smoking Cessation Medications39.40%48.82%
Discussion of Smoking Cessation Strategies39.00%50.16%
Medicaid
20042005
Adv Smokers to Quit67.64%76.60%
Disc Smok Cess Meds38.20%66.42%
Disc Smok Cess Strat32.70%66.79%
MeasuresHEDIS 2006 ResultsMQIC Best Practice
Advising Smokers to Quit75.85%
Discussion of Smoking Cessation Medications44.68%
Discussion of Smoking Cessation Strategies50.16%
hypertension
000
000
000
2003
2004
2005
Measures
Percent
HEDIS Tobacco Control IndicatorsCommercial MembersHEDIS 2004 - HEDIS 2006
bcbs hyperlipidemia
00
00
00
2004
2005
Measures
Percent
HEDIS Tobacco Control IndicatorsMedicaid MembersHEDIS 2005 - HEDIS 2006
hyperlipidemia
200020012002200320042005
Retinal Exams44.42%43.54%44.80%39.98%32.04%
Glyc Hb Testing68.29%68.28%69.28%77.83%74.79%80.14%
LDL-C Testing71.70%75.54%79.69%82.56%83.56%87.11%
Nephropathy Monitoring22.30%23.03%26.58%32.29%30.04%38.73%
hyperlipidemia
2000
2001
2002
2003
2004
2005
Measures
Percent
HEDIS Diabetes IndicatorsBCBS MembersHEDIS 2001 - HEDIS 2006
aaod
2005
Lipid Lowering Rx63.87%
aaod
2005
Measures
Percent
Non-HEDIS Diabetes Indicators BCBSM Members Calendar Year 2005
Sheet3
200020012002200320042005
asthm med 5-9 yo67.94%69.63%72.16%75.07%76.29%96.89%
asthma med 10-17 yo62.36%64.51%66.40%69.50%70.26%93.74%
asthma med 18-56 yo67.55%68.37%72.50%73.30%72.91%90.44%
asthma med all66.62%67.74%71.42%72.81%72.77%91.72%
Sheet3
000000
000000
000000
000000
2000
2001
2002
2003
2004
2005
Measures
Percent
HEDIS Asthma IndicatorsBCBS MembersHEDIS 2001 - HEDIS 2006
Sheet2
20012002200320042005
Asthma ER/100052.1957.5452.5749.7844.19
Asthma Px Exams73.2075.8875.9476.3076.09
Sheet2
00000
00000
2001
2002
2003
2004
2005
Measures
Rate
Non-HEDIS Asthma IndicatorsBCBS MembersCalendar Years 2001-2005
adultprev hedis
2005
Adv Smokers to Quit72.51%
Disc Smok Cess Meds44.02%
Disc Smok Cess Strat43.41%
adultprev hedis
0
0
0
2005
Measures
Percent
HEDIS Tobacco Control Indicators BCBSM Members HEDIS 2006
% 2-18 yo tested
20042005
2-18 Years Old Tested54.58%54.17%
00
2004
2005
HEDIS AC Pharyngitis IndicatorsBCBS MembersHEDIS 2005 - HEDIS 2006
2005
cxcascrg 21-64 yrs74.71%
brcascrg 52-69 yrs71.32%
0
0
2005
Measures
Percent
Adult Preventive Services Indicators BCBSM Members HEDIS 2006 - Baseline
% 2-18 yo tested
20042005
Commercial69.81%63.32%
Medicaid26.60%34.82%
Percent 2 - 18 Years Old Tested for Strept and Were Prescribed an Antibiotic
ProductHEDIS 2006 ResultsMQIC Best Practice
Commercial69.70%74.00%
Medicaid52.00%58.78%
00
00
2004
2005
Product
Percent
HEDIS AC Pharyngitis IndicatorsHEDIS 2005 - HEDIS 2006
Dx HTN
2005
Commercial18.81%
Medicaid11.78%
Medicare71.70%
ProductCY 2005 ResultsMQIC Best Practice
Commercial18.81%12.03%
Medicaid11.78%19.43%
Medicare71.70%69.44%
0
0
0
2005
Product
Percent
Non-HEDIS Hypertension IndicatorPercent Members with any Diagnosis of HypertensionCalendar Year 2005 - Baseline
CBP
20042005
Comm65.86%75.23%
Medicaid57.87%59.23%
Medicare71.70%
ProductHEDIS 2006 ResultsMQIC Best Practice
Commercial68.80%76.86%
Medicaid61.40%75.96%
Medicare66.40%72.26%
00
00
00
2004
2005
Product
Percent
HEDIS Hypertension Indicators - CBP HEDIS 2005 - HEDIS 2006
20042005
CDC LDL-C Testing83.36%
CHM LDL-C Testing74.63%
0
0
2004
Measures
Percent
Hyperlipidemia HEDIS IndicatorsBCBS MembersHEDIS 2005 - HEDIS 2006
comm
20042005
CDC LDL test89.27%
CDC LDL < 130 mg/dL65.41%
CDC LDL < 100 mg/dL37.85%
CHM test78.01%
CHM < 130 mg/dL63.29%
CHM < 100 mg/dL47.35%
MeasuresHEDIS 2006 ResultsMQIC Best Practice
CDC LDL test
CDC LDL < 130 mg/dL
CDC LDL < 100 mg/dL
CHM test
CHM < 130 mg/dL
CHM < 130 mg/dL
Medicaid
20042005
CDC LDL test72.99%
CDC LDL < 130 mg/dL50.79%
CDC LDL < 100 mg/dL34.11%
CHM test57.71%
CHM < 130 mg/dL40.57%
CHM < 100 mg/dL26.86%
MeasuresHEDIS 2006 ResultsMQIC Best Practice
CDC LDL test
CDC LDL < 130 mg/dL
CDC LDL < 100 mg/dL
CHM test
CHM < 130 mg/dL
CHM < 130 mg/dL
0
0
0
0
0
0
2004
Measures
Percent
Hyperlipidemia HEDIS IndicatorsCommercial MembersHEDIS 2005 - HEDIS 2006
0
0
0
0
0
0
2004
Measures
Percent
Hyperlipidemia HEDIS IndicatorsMedicaid MembersHEDIS 2005 - HEDIS 2006
commMedicare
200420052005
Initiation of AAOD Tx55.07%49.52%Initiation of AAOD Tx68.39%
Engagement of AAOD Tx25.10%21.31%Engagement of AAOD Tx5.81%
MeasuresHEDIS 2006 ResultsMQIC Best Practice
Initiation of Alcohol & Other Drug Dependence
Treatment50.90%83.33%
Engagement of Alcohol & Other Drug Dependence Treatment4.70%8.33%
MeasuresHEDIS 2006 ResultsMQIC Best Practice
Initiation of Alcohol & Other Drug Dependence Treatment44.50%55.65%
Engagement of Alcohol & Other Drug Dependence Treatment14.10%25.00%
00
00
2004
2005
Measures
Percent
Substance Use Disorders HEDIS IndicatorsCommercial MembersHEDIS 2005 - HEDIS 2006
0
0
2005
Measures
Percentage
Substance Use Disorders HEDIS Indicators Medicare Members HEDIS 2006
Commercial
2005
chlamscrg 16-25 yrs39.20%
colcascrg 51-80 yrs58.68%
cxcascrg 21-64 yrs86.59%
brcascrg 52-69 yrs77.82%
Medicaid
2005
chlamscrg 16-25 yrs54.67%
cxcascrg 21-64 yrs64.21%
brcascrg 52-69 yrs57.11%
Medicare
2005
colcascrg 51-80 yrs64.33%
brcascrg 52-69 yrs80.09%
MeasuresHEDIS 2006 ResultsMQIC Best PracticeMeasuresHEDIS 2006 ResultsMQIC Best Practice
Chlamydia Screening Combined16-25 yrs34.90%48.30%Chlamydia Screening Combined16-25 yrs50.60%64.30%
Colorectal Cancer Screening52.30%69.34%Cervical Cancer Screening65.00%74.45%
Cervical Cancer Screening81.80%88.60%Breast Cancer Screening53.90%61.77%
Breast Cancer Screening72.00%82.22%
MeasuresHEDIS 2006 ResultsMQIC Best Practice
Colorectal Cancer Screening53.90%69.81%
Breast Cancer Screening71.60%85.97%
0
0
0
2005
Measures
Percent
Adult Preventive Services Indicators Medicaid Members HEDIS 2006 - Baseline
0
0
0
0
2005
Measures
Percent
Adult Preventive Services Indicators Commerical Members HEDIS 2006 - Baseline
0
0
2005
Measures
Percent
Adult Preventive Services Indicators Medicare Members HEDIS 2006 - Baseline
diabetes non-hedis
DiabStatinsDiab Disease Burden
2006200720022007
Commercial55.32%62.85%diabami/k7.546.33
Medicaid20.48%51.98%diabcva/k4.566.15
Medicare66.81%diabamp/k2.591.49
diabdial/k5.686.61
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members6.335.90
Cerebrovascular Accident/1000 Diabetic Members6.153.04
Amputation/1000 Diabetic Members1.491.07
Dialysis/1000 Diabetic Members6.616.10
MeasuresCY 2007 ResultsMQIC Best PracticeMedicaid
Prescription Filled for Statin Drug - Commercial62.85%65.50%2007
Prescription Filled for Statin Drug - Medicaid51.98%51.98%diabami/k13.01
Prescription Filled for Statin Drug - Medicare66.81%76.19%diabcva/k21.01
diabamp/k5.86
diabamp/k21.10
Medicaid
2005
Lipid Lowering Rx91.65%
BP Control
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members13.015.11
Cerebrovascular Accident/1000 Diabetic Members21.019.31
Amputation/1000 Diabetic Members5.863.00
Dialysis/1000 Diabetic Members21.1013.00
Medicare
2007
diabami/k20.40
diabcva/k9.90
diabamp/k3.51
MeasuresCY2005 ResultsMQIC Best Practicediabamp/k14.38
Prescription Filled for Lipid Lowering Drugs91.65%99.47%
MeasuresCY ResultsMQIC Best Practice
Acute Myocardial Infarction/1000 Diabetic Members20.4020.40