Quality Health Care Report Card Enhancements in Arizona

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Enhancements to online report cards for health plans in Arizona have been made to provide comprehensive and quality health care. Updates include improved visuals, expanded performance measures, and easier access to resources. Target audience clarity, other lines of business incorporation, and member-centric focus are key highlights of the updates.

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Uploaded on Sep 17, 2024 | 0 Views

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MCO/Health Plan Report Cards Jamie Robin, QI Manager Reaching across Arizona to provide comprehensive quality health care for those in need 1

Current Online Report Card Only references Acute Lines of Business Outdated and overwhelming visuals Target audience not clearly identified Includes Business Operations, CAHPS Survey, and Performance Measure reporting elements Reaching across Arizona to provide comprehensive quality health care for those in need 2

Current On Line Report Card Reaching across Arizona to provide comprehensive quality health care for those in need 3

Updated Online Report Card Includes other lines of business: o CMDP, ALTCS E/PD, ALTCS DD, and RBHA Member-centric focus Updated visuals and formatting to enhance appearance and overall appeal Similar reporting elements with expanded performance measures incorporated Reaching across Arizona to provide comprehensive quality health care for those in need 4

Updated Online Report Card Includes new Resources/Links section o Will provide easier access to specific plan (line of business) quality related documents Example includes EQRO reports Anticipate initial posting October 2017 with formal reviews and approvals to follow o This includes review and approval through CMS Reaching across Arizona to provide comprehensive quality health care for those in need 5

Update Online Report Card Reaching across Arizona to provide comprehensive quality health care for those in need 6

Update Online Report Card Reaching across Arizona to provide comprehensive quality health care for those in need 7

Update Online Report Card Reaching across Arizona to provide comprehensive quality health care for those in need 8

Update Online Report Card Selected performance measures for each line of business Acute ED Utilization CMDP ED Utilization ALTCS EPD ED Utilization DDD RBHA SMI ED Utilization ED Utilization Inpatient Utilization Inpatient Utilization Inpatient Utilization Inpatient Utilization Inpatient Utilization Hospital Readmissions Hospital Readmissions Hospital Readmissions Hospital Readmissions Children's Access to PCPs Children's Access to PCPs Children's Access to PCPs EPSDT Participation (18-21) Annual Dental Visits Annual Dental Visits Annual Dental Visits Annual Dental Visit Flu Shots for Adults Flu Shots for Adults Flu Shots for Adults Breast Cancer Screening Breast Cancer Screening Colorectal Screening Colorectal Screening Cervical Cancer Screening Cervical Cancer Screening Timeliness of Prenatal Care Timeliness of Prenatal Care Admission Rate for COPD or Asthma (Older Adults) Heart Failure Admission Rate Admission Rate for COPD or Asthma (Older Adults) Heart Failure Admission Rate Heart Failure Admission Rate Asthma in Younger Adults Admission Rates Diabetes Screening for People with Schizophrenic or Bipolar Disorder Who are Using Antipsychotics Follow Up After Hospitalization - 7 Day Follow Up After Hospitalization - 30 Day Follow Up After Hospitalization - 7 Day Follow Up After Hospitalization - 30 Day Reaching across Arizona to provide comprehensive quality health care for those in need 9