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Domain: Effectiveness of Care Health Plan
Measure Aetna Better
Health
AmeriHealth
Caritas
Northeast
AmeriHealth
Caritas
Pennsylvania
Gateway Health Geisinger
Health Plan
Health Partners
Plans Keystone First
United
Healthcare UPMC for You
Weighted
Average
Adult BMI Assessment 86.13% 90.51% 93.19% 89.54% 94.56% 93.40% 88.81% 91.97% 95.83% 97.93%
BMI Percentile Documentation, Ages 3-11 69.20% 72.79% 84.94% 72.95% 83.40% 80.17% 82.33% 82.19% 75.86% 78.65%
BMI Percentile Documentation, Ages 12-17 74.59% 75.54% 84.21% 64.07% 80.99% 77.52% 77.34% 83.54% 74.59% 76.30%
BMI Percentile Documentation, Total 70.80% 73.72% 84.67% 69.34% 82.53% 79.25% 80.78% 82.73% 75.42% 77.80%
Counseling for Nutrition, Ages 3-11 65.40% 75.00% 75.68% 64.75% 72.33% 82.64% 79.86% 79.76% 71.98% 74.44%
Counseling for Nutrition, Ages 12-17 68.85% 84.17% 75.00% 59.28% 69.01% 79.07% 78.13% 74.39% 67.21% 71.66%
Counseling for Nutrition, Total 66.42% 78.10% 75.43% 62.53% 71.14% 81.40% 79.32% 77.62% 70.34% 73.42%
Counseling for Physical Activity, Ages 3-11 56.75% 64.34% 68.73% 57.38% 65.22% 61.98% 71.38% 69.64% 66.81% 65.38%
Counseling for Physical Activity, Ages 12-17 65.57% 75.54% 73.03% 57.49% 69.01% 72.09% 74.22% 75.00% 63.11% 68.61%
Counseling for Physical Activity, Total 59.37% 68.13% 73.32% 57.42% 66.58% 65.50% 72.26% 71.78% 65.54% 66.51%
Childhood Immunization Status, Combo 2 70.56% 66.91% 76.89% 72.26% 76.16% 82.24% 79.56% 76.40% 74.45% 76.07%
Immunizations for Adolescents, Combo 1 79.08% 84.67% 85.89% 88.32% 86.37% 88.08% 86.62% 83.94% 85.64% 85.94%
Lead Screening in Children 77.62% 81.75% 75.43% 75.43% 81.75% 82.73% 77.62% 81.51% 86.86% 80.32%
Breast Cancer Screening, Ages 52-74 45.72% 58.04% 63.08% 54.53% 58.91% 63.29% 62.73% 50.88% 57.49% 58.41%
Cervical Cancer Screening (Ages 21-64) 50.36% 59.12% 63.26% 56.45% 60.26% 69.13% 61.56% 57.66% 62.24% 60.82%
Non-Recommended Cervical Cancer Screening in
Adolescent Females (Ages 16-20) 0.91% 2.55% 0.82% 0.91% 2.22% 0.54% 0.42% 0.60% 0.92% 0.91%
Chlamydia Screening in Women, Ages 16 to 20 Years 51.78% 46.12% 53.12% 53.71% 47.18% 74.97% 67.39% 56.64% 47.68% 56.91%
Chlamydia Screening in Women, Ages 21 to 24 Years 62.95% 54.86% 57.32% 63.52% 56.17% 75.53% 73.30% 68.26% 58.88% 64.75%
Appropriate Testing for Children With Pharyngitis 79.69% 77.36% 80.10% 81.24% 84.23% 81.97% 84.24% 83.59% 85.75% 82.92%
Appropriate Treatment for Children With Upper Respiratory
Infection 91.53% 88.62% 90.31% 89.99% 93.59% 95.40% 95.44% 89.62% 87.72% 91.14%
®️2018 HEDIS Rate Chart by HEDIS
Domain: Effectiveness of Care Continued Health Plan
Weighted
Measure Aetna Better
Health
AmeriHealth
Caritas
Northeast
AmeriHealth
Caritas
Pennsylvania
Gateway Health Geisinger
Health Plan
Health Partners
Plans Keystone First
United
Healthcare UPMC for You
Average
Avoidance of Antibiotic Treatment in Adults with Acute
Bronchitis 38.48% 28.24% 29.74% 37.55% 39.19% 44.64% 35.89% 37.71% 35.46% 36.41%
Use of Spirometry Testing in the Assessment and Diagnosis
of Chronic Obstructive Pulmonary Disease (COPD) 25.34% 26.72% 33.33% 29.46% 30.54% 29.02% 25.35% 31.45% 32.72% 29.59%
Pharmacotherapy Management of COPD Exacerbation
(Systemic Corticosteroids) 83.19% 80.89% 81.04% 72.53% 79.26% 72.67% 77.21% 73.44% 69.78% 74.94%
Pharmacotherapy Management of COPD Exacerbation
(Bronchodilators) 82.15% 87.84% 88.44% 82.04% 85.90% 90.78% 92.53% 81.84% 79.08% 85.19%
Statin Therapy for Patients With Cardiovascular Disease
Received Statin Therapy (Total) 81.08% 70.57% 75.64% 80.72% 82.36% 80.17% 70.38% 79.57% 78.05% 77.70%
Statin Therapy for Patients With Cardiovascular Disease
Statin Adherence 80% (Total) 60.91% 74.92% 80.90% 66.92% 66.74% 68.89% 80.49% 62.57% 68.28% 70.00%
Statin Therapy for Patients With Diabetes Received Statin
Therapy (Total) 63.86% 52.40% 53.10% 64.67% 64.76% 67.25% 50.56% 63.44% 61.84% 60.27%
Statin Therapy for Patients With Diabetes Statin Adherence
80% (Total) 59.13% 75.00% 77.25% 61.57% 62.48% 64.96% 74.17% 59.55% 65.54% 66.39%
Medication Management for People with Asthma (Medication
Compliance 75%), Ages 5 to 64 4 36.16% 56.30% 55.15% 38.02% 47.86% 39.43% 46.73% 37.37% 44.54% 44.46%
Asthma Medication Ratio, Ages 5 to 64 64.13% 62.12% 68.73% 64.54% 68.24% 65.44% 61.81% 60.14% 66.73% 64.46%
Controlling High Blood Pressure, Ages 18 to 85 4 60.83% 68.13% 65.94% 52.31% 70.47% 69.88% 62.77% 65.69% 65.89% 64.35%
Persistence of Beta Blocker Treatment After a Heart Attack,
18 years and older 83.67% 86.42% 91.45% 84.46% 84.92% 79.40% 88.75% 80.17% 85.29% 84.97%
Domain: Effectiveness of Care (Continued) Health Plan
Measure Aetna Better
Health
AmeriHealth
Caritas
Northeast
AmeriHealth
Caritas
Pennsylvania
Gateway Health Geisinger
Health Plan
Health Partners
Plans Keystone First
United
Healthcare UPMC for You
Weighted
Average
Hemoglobin A1c Screening for People with Diabetes 83.24% 87.10% 86.52% 87.40% 86.13% 89.06% 86.24% 84.91% 89.54% 87.23%
Hemoglobin A1c Poorly Controlled in People with Diabetes1,4 38.86% 36.04% 34.24% 39.87% 32.30% 33.13% 35.49% 37.12% 30.69% 34.69%
Hemoglobin A1c Good Control in People with Diabetes
(<8.0%) 47.95% 52.12% 51.55% 45.61% 55.47% 55.31% 54.39% 52.47% 55.14% 52.87%
Hemoglobin A1c Good Control in People with Diabetes
(<7.0%) 32.60% 38.20% 36.74% 32.36% 38.76% 39.33% 38.93% 37.83% 40.63% 37.83%
Eye Exams for People with Diabetes 43.67% 58.83% 63.21% 55.82% 64.78% 62.66% 55.89% 57.14% 62.06% 58.98%
Medical Attention for Nephropathy 87.52% 89.93% 85.79% 90.59% 89.05% 91.56% 89.22% 88.52% 90.73% 89.63%
Blood Pressure Control (<140/90 mm Hg) 60.61% 75.44% 72.13% 62.04% 82.12% 66.25% 67.00% 70.76% 72.34% 69.20%
Disease Modifying Anti-Rheumatic Drug Therapy in
Rheumatoid Arthritis 77.50% 78.18% 85.10% 76.22% 79.33% 77.02% 70.43% 78.21% 75.83% 76.55%
Use of Imaging Studies for Low Back Pain 66.48% 67.18% 68.90% 69.30% 69.67% 76.66% 79.56% 72.89% 72.82% 72.47%
Antidepressant Medication Management (Effective Acute
Phase Treatment) 48.13% 60.76% 60.58% 46.51% 50.43% 45.39% 56.53% 49.01% 51.40% 51.40%
Antidepressant Medication Management (Effective
Continuation Phase Treatment) 32.48% 51.54% 49.62% 31.97% 36.29% 31.80% 45.33% 34.62% 33.40% 37.15%
Follow-Up Care for Children Prescribed ADHD Medication
(Initiation Phase) 26.32% 29.19% 23.52% 50.24% 39.27% 53.98% 20.36% 55.38% 50.34% 40.45%
Follow-Up Care for Children Prescribed ADHD Medication
(Continuation and Maintenance Phase) 30.40% 35.29% 26.68% 57.87% 37.56% 61.92% 23.36% 63.96% 53.60% 45.21%
Diabetes Screening for People With Schizophrenia or Bipolar
Disorder Who Are Using Antipsychotic Medications, Ages 18-
64
87.44% 89.35% 90.04% 88.14% 89.60% 89.31% 86.05% 86.69% 88.55% 88.12%
Diabetes Monitoring for People With Diabetes and
Schizophrenia, Ages 18-64 68.91% 75.81% 70.55% 71.34% 80.31% 79.61% 76.03% 66.47% 76.25% 74.85%
Cardiovascular Monitoring for People With Cardiovascular
Disease and Schizophrenia, Ages 18-643 NA NA NA 73.68% NA 83.72% 82.61% NA 67.57% 78.07%
Adherence to Antipsychotic Medications for Individuals With
Schizophrenia, Ages 19-64 54.57% 78.26% 69.72% 66.14% 71.77% 59.87% 70.16% 62.79% 70.39% 66.56%
Use of Multiple Concurrent Antipsychotics in Children and
Adolescents (Total) 2.06% 1.37% 1.37% 1.59% 2.13% 0.55% 1.10% 0.53% 1.83% 1.50%
Metabolic Monitoring for Children and Adolescents on
Antipsychotics (Total) 66.62% 69.17% 67.10% 64.10% 72.24% 62.67% 56.68% 60.26% 58.29% 63.08%
Annual Monitoring for Patients on Persistent Medications 85.07% 85.51% 88.10% 87.24% 88.44% 88.89% 86.00% 86.58% 86.63% 87.06%
Domain: Access/Availability of Care Health Plan
Measure Aetna Better
Health
AmeriHealth
Caritas
Northeast
AmeriHealth
Caritas
Pennsylvania
Gateway Health Geisinger
Health Plan
Health Partners
Plans Keystone First
United
Healthcare UPMC for You
Weighted
Average
Adults' Access to Preventive / Ambulatory Health Services,
Ages 20 to 44 Years 65.92% 82.30% 83.16% 82.28% 83.28% 75.26% 76.61% 71.73% 81.01% 77.84%
Adults' Access to Preventive / Ambulatory Health Services,
Ages 45 to 64 Years 73.49% 87.06% 90.00% 89.24% 88.99% 86.98% 86.47% 79.70% 87.88% 86.09%
Adults' Access to Preventive / Ambulatory Health Services,
Ages 65 Years and Older 69.59% 88.17% 88.42% 88.04% 88.22% 84.53% 82.91% 74.60% 85.15% 82.98%
Adults' Access to Preventive / Ambulatory Health Services,
Total 68.27% 83.96% 85.52% 84.64% 85.27% 79.57% 80.15% 74.28% 83.46% 80.70%
Children's Access to Primary Care Practitioners, Ages 12 to
24 Months 94.64% 95.66% 92.95% 96.96% 97.24% 95.63% 96.18% 94.65% 97.37% 95.98%
Children's Access to Primary Care Practitioners, Ages 25
Months to 6 Years 86.40% 87.27% 84.64% 89.26% 89.70% 88.13% 88.18% 87.40% 90.69% 88.36%
Children's Access to Primary Care Practitioners, Ages 7 to
11 Years 90.74% 90.37% 89.69% 93.34% 94.28% 92.60% 93.57% 91.30% 93.23% 92.60%
Children's Access to Primary Care Practitioners, Ages 12 to
19 Years 89.49% 90.00% 88.98% 92.03% 93.37% 90.27% 92.67% 91.11% 91.58% 91.46%
Annual Dental Visit, Ages 2 to 20 Years2,4 57.88% 64.30% 65.90% 63.70% 57.85% 66.51% 69.35% 58.81% 58.58% 63.00%
Prenatal Care in First Trimester4 82.00% 85.40% 90.02% 81.51% 86.62% 89.29% 84.91% 84.43% 91.24% 86.56%
Postpartum Care4 58.15% 65.94% 67.88% 66.18% 70.32% 74.45% 64.96% 63.26% 71.78% 67.71%
Domain: Utilization and Relative Resource Use Health Plan
Measure Aetna Better
Health
AmeriHealth
Caritas
Northeast
AmeriHealth
Caritas
Pennsylvania
Gateway Health Geisinger
Health Plan
Health Partners
Plans Keystone First
United
Healthcare UPMC for You
Weighted
Average
Well-Child Visits in the First 15 Months of Life (6 or more
visits)4 65.69% 75.43% 72.51% 68.37% 74.85% 68.36% 69.10% 74.45% 68.06% 69.90%
Well-Child Visits in the Third, Fourth, Fifth and Sixth Year of
Life4 72.99% 74.70% 82.00% 76.40% 79.86% 82.59% 75.18% 77.13% 77.70% 77.57%
Adolescent Well-Care Visits4 47.93% 65.21% 66.18% 61.56% 60.69% 65.21% 63.99% 62.29% 61.46% 61.98%
Frequency of Selected Procedures Procedures/1,000 Member Months
Bariatric Weight Loss Surgery - 0 to 19 Years, Male 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Bariatric Weight Loss Surgery - 0 to 19 Years, Female 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Bariatric Weight Loss Surgery - 20 to 44 Years, Male 0.02 0.04 0.08 0.01 0.02 0.03 0.02 0.02 0.04 0.03
Bariatric Weight Loss Surgery - 20 to 44 Years, Female 0.05 0.09 0.20 0.09 0.11 0.09 0.07 0.07 0.09 0.09
Bariatric Weight Loss Surgery - 45 to 64 Years, Male 0.02 0.01 0.06 0.01 0.02 0.02 0.03 0.03 0.03 0.03
Bariatric Weight Loss Surgery - 45 to 64 Years, Female 0.05 0.11 0.17 0.10 0.10 0.13 0.09 0.06 0.10 0.10
Tonsillectomy - 0 to 9 Years 0.59 0.74 0.88 0.63 0.73 0.66 0.53 0.54 0.76 0.66
Tonsillectomy - 10 to 19 Years 0.27 0.38 0.39 0.30 0.28 0.19 0.20 0.20 0.37 0.28
Hysterectomy, Abdominal - 15 to 44 Years 0.08 0.09 0.11 0.08 0.12 0.09 0.09 0.05 0.09 0.09
Hysterectomy, Abdominal - 45 to 64 Years 0.27 0.29 0.23 0.20 0.27 0.23 0.27 0.24 0.19 0.23
Hysterectomy, Vaginal - 15 to 44 Years 0.12 0.14 0.16 0.12 0.10 0.05 0.06 0.05 0.15 0.10
Hysterectomy, Vaginal - 45 to 64 Years 0.16 0.11 0.20 0.16 0.11 0.13 0.11 0.16 0.14 0.14
Domain: Utilization and Relative Resource Use (Continued) Health Plan
Measure Aetna Better
Health
AmeriHealth
Caritas
Northeast
AmeriHealth
Caritas
Pennsylvania
Gateway Health Geisinger
Health Plan
Health Partners
Plans Keystone First
United
Healthcare UPMC for You
Weighted
Average
Frequency of Selected Procedures (Continued) Procedures/1,000 Member Months
Cholecystectomy, Closed (Laparoscopic) - 30 to 64 Years,
Male 0.19 0.27 0.25 0.30 0.32 0.16 0.17 0.20 0.36 0.25
Cholecystectomy, Closed (Laparoscopic) - 15 to 44 Years,
Female 0.60 0.94 0.66 0.63 0.76 0.39 0.39 0.44 0.74 0.59
Cholecystectomy, Closed (Laparoscopic) - 45 to 64 Year,s
Female 0.47 0.74 0.71 0.64 0.69 0.35 0.36 0.45 0.63 0.53
Cholecystectomy, Open - 30 to 64 Years, Male 0.02 0.01 0.04 0.02 0.04 0.05 0.02 0.01 0.03 0.03
Cholecystectomy, Open - 15 to 44 Years, Female 0.00 0.01 0.01 0.01 0.01 0.01 0.01 0.01 0.01 0.01
Cholecystectomy, Open - 45 to 64 Years, Female 0.07 0.04 0.02 0.02 0.03 0.03 0.04 0.01 0.03 0.03
Back Surgery - 20 to 44 Years, Male 0.16 0.27 0.20 0.20 0.33 0.11 0.12 0.14 0.28 0.20
Back Surgery - 20 to 44 Years, Female 0.14 0.18 0.21 0.19 0.26 0.08 0.10 0.15 0.26 0.17
Back Surgery - 45 to 64 Years, Male 0.44 0.81 0.74 0.75 0.79 0.33 0.44 0.51 0.80 0.60
Back Surgery - 45 to 64 Years, Female 0.39 0.56 0.63 0.71 0.64 0.31 0.36 0.49 0.74 0.54
Mastectomies - 15 to 44 Years, Female 0.03 0.05 0.04 0.03 0.03 0.03 0.05 0.02 0.03 0.03
Mastectomies - 45 to 64 Years, Female 0.11 0.09 0.18 0.12 0.12 0.12 0.12 0.15 0.11 0.12
Lumpectomies - 15 to 44 Years, Female 0.10 0.12 0.08 0.11 0.12 0.15 0.14 0.09 0.09 0.11
Lumpectomies - 45 to 64 Years, Female 0.34 0.38 0.32 0.35 0.24 0.44 0.44 0.32 0.29 0.35
Domain: Utilization and Relative Resource Use (Continued) Health Plan
Measure Aetna Better
Health
AmeriHealth
Caritas
Northeast
AmeriHealth
Caritas
Pennsylvania
Gateway Health Geisinger
Health Plan
Health Partners
Plans Keystone First
United
Healthcare UPMC for You
Weighted
Average
Ambulatory Care, All Ages Visits/1,000 Member Months
Outpatient Visits 275.26 396.63 398.19 371.66 407.67 305.40 314.79 317.53 373.77 346.52
Emergency Department Visits1 66.63 76.68 80.21 80.42 63.59 70.73 64.45 62.75 65.00 68.91
Inpatient Utilization - General Hospital/Acute Care, All Ages Discharges/1,000 Member Months and Average Length of Stay
Total Discharges 5.76 7.14 7.13 7.48 6.17 7.08 8.41 6.65 7.01 7.13
Maternity Discharges 2.25 3.02 3.24 2.49 2.53 2.85 2.73 2.43 2.59 2.65
Surgery Discharges 1.46 1.53 1.59 2.03 1.41 1.80 1.97 1.54 2.06 1.79
Medicine Discharges 2.64 3.41 3.25 3.68 2.90 3.18 4.50 3.32 3.03 3.41
Total Average Length of Stay 4.75 4.21 4.34 4.42 4.12 4.60 4.43 4.72 4.31 4.44
Maternity Average Length of Stay 2.71 2.53 2.81 2.76 2.65 2.82 2.89 2.80 2.64 2.76
Surgery Average Length of Stay 7.31 6.02 6.67 6.77 6.55 7.51 7.38 8.30 6.47 7.04
Medicine Average Length of Stay 4.62 4.48 4.27 3.92 3.87 4.13 3.81 4.10 3.88 4.02
Antibiotic Utilization Prescription Per Member Per Year and Percentage of Antibiotics of Concern
Average Number of Antibiotic Prescriptions PMPY, All Ages 0.86 1.31 0.99 0.94 1.17 0.72 0.87 0.78 1.08 0.94
Percentage of Antibiotics of Concern of Total Antibiotic
Prescriptions, All Ages 39.86% 42.62% 37.05% 37.41% 42.87% 35.45% 35.71% 37.22% 40.30% 38.57%
Domain: Health Plan Descriptive Information Health Plan
Measure Aetna Better
Health
AmeriHealth
Caritas
Northeast
AmeriHealth
Caritas
Pennsylvania
Gateway Health Geisinger
Health Plan
Health Partners
Plans Keystone First
United
Healthcare UPMC for You
Weighted
Average
Board Certification 45.34% 87.49% 87.49% 56.49% 85.68% 83.08% 85.82% 76.48% 85.50% 72.25%
HealthChoices Enrollment 8.94% 3.84% 8.31% 13.13% 8.14% 10.91% 18.67% 9.88% 18.18% 11.11%
Years in Business 8 5 20 25 5 33 21 8 22
Domain: Effectiveness of Care - 1st year measures Health Plan
Measure Aetna Better
Health
AmeriHealth
Caritas
Northeast
AmeriHealth
Caritas
Pennsylvania
Gateway Health Geisinger
Health Plan
Health Partners
Plans Keystone First
United
Healthcare UPMC for You
Weighted
Average
Use of Opioids at High Dosage1, 5 77.14 60.05 73.14 73.68 68.30 90.51 114.09 97.26 72.57 84.20
Use of Opioids From Multiple Providers - Multiple
Pharmacies1 , 5 68.23 117.45 56.01 59.27 42.84 57.40 76.54 24.97 224.32 96.11
Use of Opioids From Multiple Providers - Multiple
Prescribers1, 5 194.68 184.29 211.63 241.46 179.26 174.87 184.07 177.10 53.13 163.52
Use of Opioids From Multiple Providers - Multiple Prescribers
and Multiple Pharmacies1,5 31.01 45.56 29.77 34.25 20.84 30.24 38.14 12.48 28.36 30.40
Plan All Cause Readmissions Expected Readmission Rate5 0.17 0.17 0.18 0.20 0.18 0.20 0.21 0.19 0.07 0.13
Plan All Cause Readmissions Observed Readmission
(Num/Dem) 5 10.20% 9.37% 10.67% 16.09% 12.12% 9.63% 17.53% 13.20% 10.26% 12.12%
1 A lower rate indicates better performance for these measures.
2 ADV (ages 2-20) is a P4P measure beginning 2016.
3 NA indicates that the health plan followed the specifications but the denominator was too small (< 30) to report a valid rate.
4 Measures highlighted in yellow are Pay-for-Performance (P4P) measures.
5 Use of Opioids at High Dosage, Use of Opioids from Multiple Providers, Plan All-Cause Readmissions are 1st year measures and will not be reported in 2018.
* Rates in red font are less than the weighted average for the measure and may appear equal to weighted averages due to rounding.
®️2018 Adult CAHPS Rate Chart by Survey Section
Survey Section: Your Health Care in the Last Six Months Health Plan
Measure Aetna Better
Health
AmeriHealth
Caritas
Northeast
AmeriHealth
Caritas
Pennsylvania
Gateway Health Geisinger
Health
Health Partners
Plans Keystone First
United
Healthcare UPMC for You
Weighted
Average
Needed Care Right Away (Usually or Always) 84.55% 86.28% 89.60% 87.36% 83.46% 85.98% 84.03% 82.81% 92.12% 86.75%
Appointment for Routine Care When Needed (Usually or
Always) 78.41% 84.59% 85.76% 84.08% 81.74% 80.81% 80.25% 85.58% 84.57% 83.30%
Talk About Preventing Illness (Yes) 71.50% 74.93% 74.43% 74.84% 72.80% 76.65% 76.17% 75.00% 67.48% 73.43%
Talk About the Reasons You Might Want to Take a Medicine
(Yes) 90.82% 93.72% 89.94% 94.87% 96.18% 85.71% 88.14% 92.92% 94.95% 92.47%
Talk About the Reasons You Might Not Want to Take a
Medicine (Yes) 67.68% 72.77% 60.00% 70.19% 64.89% 63.10% 59.83% 69.91% 69.77% 66.92%
Asked About Best Choice for You Regarding Medications
(Yes) 76.53% 80.93% 78.09% 83.85% 78.46% 77.38% 75.86% 79.65% 75.46% 78.60%
Satisfaction with Health Care (Rating of 8 to 10) 66.67% 77.31% 74.05% 72.82% 74.79% 75.13% 76.37% 75.97% 77.64% 74.94%
Getting Care You Need (Usually or Always) 84.04% 90.45% 83.91% 85.21% 89.50% 87.18% 85.65% 87.55% 88.48% 87.03%
In the last 6 months, did you get care from a dentist's office
or dental clinic? Yes 35.64% 36.00% 41.04% 34.25% 46.94% 39.44% 44.08% 38.89% 36.52% 38.90%
In the last 6 months, did you get care from a dentist's office
or dental clinic? No 64.36% 64.00% 58.96% 65.75% 53.06% 60.56% 55.92% 61.11% 63.48% 61.10%
In the last 6 months, how many times did you go to a
dentist's office or dental clinic? None 0.00% 0.62% 3.45% 4.03% 0.00% 4.04% 2.99% 1.68% 1.19% 1.97%
In the last 6 months, how many times did you go to a
dentist's office or dental clinic? 1 42.86% 56.79% 43.10% 41.94% 56.52% 35.35% 50.00% 52.94% 56.55% 49.26%
In the last 6 months, how many times did you go to a
dentist's office or dental clinic? 2 31.63% 14.81% 23.56% 27.42% 24.64% 25.25% 26.12% 18.49% 20.83% 23.11%
In the last 6 months, how many times did you go to a
dentist's office or dental clinic? 3 10.20% 12.35% 13.22% 16.13% 7.25% 17.17% 8.96% 9.24% 13.69% 12.01%
In the last 6 months, how many times did you go to a
dentist's office or dental clinic? 4 5.10% 6.79% 8.62% 1.61% 6.52% 8.08% 5.22% 5.88% 3.57% 5.76%
In the last 6 months, how many times did you go to a
dentist's office or dental clinic? 5 to 9 7.14% 6.17% 5.75% 6.45% 2.17% 3.03% 3.73% 9.24% 2.38% 5.02%
In the last 6 months, how many times did you go to a
dentist's office or dental clinic? 10 or more 1.02% 1.85% 0.57% 0.00% 0.72% 1.01% 2.24% 0.84% 0.00% 0.90%
Satisfaction with Your Dental Care (0 Worst dental care
possible) 3.19% 1.26% 1.22% 1.75% 0.75% 1.14% 0.78% 5.36% 3.11% 1.99%
Satisfaction with Your Dental Care (1 out of 10 Rating) 1.06% 0.63% 0.61% 0.00% 0.00% 0.00% 0.00% 1.79% 1.86% 0.69%
Satisfaction with Your Dental Care (2 out of 10 Rating) 0.00% 1.26% 0.61% 0.88% 1.49% 0.00% 2.34% 1.79% 1.24% 1.13%
Satisfaction with Your Dental Care (3 out of 10 Rating) 3.19% 3.14% 1.22% 3.51% 0.75% 3.41% 0.78% 0.89% 2.48% 2.08%
Satisfaction with Your Dental Care (4 out of 10 Rating) 3.19% 0.00% 2.44% 2.63% 0.00% 0.00% 3.91% 0.00% 0.62% 1.39%
Satisfaction with Your Dental Care (5 out of 10 Rating) 12.77% 5.66% 10.98% 10.53% 0.75% 7.95% 7.81% 5.36% 3.73% 7.02%
Satisfaction with Your Dental Care (6 out of 10 Rating) 3.19% 6.29% 3.05% 3.51% 3.73% 3.41% 4.69% 3.57% 6.21% 4.33%
Satisfaction with Your Dental Care (7 out of 10 Rating) 5.32% 7.55% 10.98% 7.89% 11.19% 7.95% 10.16% 8.93% 7.45% 8.75%
Satisfaction with Your Dental Care (8 out of 10 Rating) 19.15% 15.72% 16.46% 12.28% 14.93% 19.32% 15.63% 17.86% 12.42% 15.68%
Satisfaction with Your Dental Care (9 out of 10 Rating) 10.64% 15.09% 14.02% 16.67% 26.87% 14.77% 19.53% 15.18% 12.42% 16.20%
Satisfaction with Your Dental Care (10 Best dental care
possible) 38.30% 43.40% 38.41% 40.35% 39.55% 42.05% 34.38% 39.29% 48.45% 40.73%
Survey Section: Your Personal Doctor Health Plan
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Weighted
Average
Clear Explanations (Usually or Always) 92.21% 94.28% 90.42% 92.45% 93.87% 91.57% 90.41% 90.69% 93.33% 92.26%
Personal Doctor Listens Carefully (Usually or Always) 89.74% 93.37% 89.78% 91.37% 96.23% 93.22% 91.32% 91.22% 91.88% 92.00%
Respect from Providers (Usually or Always) 91.03% 92.15% 92.33% 93.12% 95.71% 94.86% 92.69% 89.76% 91.64% 92.52%
Doctor Spends Enough Time With You (Usually or Always) 90.45% 90.85% 89.71% 88.81% 90.52% 89.33% 89.59% 85.29% 90.72% 89.61%
Doctor Informed and Up to Date on Your Care (Usually or
Always) 82.42% 82.95% 81.37% 86.63% 86.15% 85.98% 85.71% 86.11% 85.71% 84.63%
Satisfaction With Personal Doctor (Rating of 8 to 10) 73.46% 83.00% 79.36% 79.52% 82.82% 83.56% 81.75% 80.80% 83.64% 81.17%
Survey Section: Getting Health Care from Specialists Health Plan
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Weighted
Average
Getting Appointment With Specialist (Usually or Always) 80.53% 85.84% 79.73% 84.86% 80.00% 85.95% 80.92% 76.92% 89.08% 83.14%
Satisfaction With Specialist (Rating of 8 to 10) 77.76% 83.56% 81.34% 85.00% 82.47% 85.96% 82.98% 80.17% 80.00% 82.18%
Survey Section: Your Health Plan Health Plan
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Weighted
Average
Understanding Written or Internet Materials (Usually or
Always) 57.81% 78.79% 68.04% 76.00% 77.27% 61.67% 81.33% 76.19% 69.90% 72.06%
Getting Needed Information (Usually or Always) 76.00% 89.82% 83.44% 88.57% 82.95% 82.73% 84.85% 82.08% 87.10% 84.96%
Courteous Treatment by Staff (Usually or Always) 93.33% 97.01% 95.39% 92.14% 94.32% 92.73% 94.70% 94.29% 94.19% 94.40%
Health Plan Forms Easy to Fill Out (Usually or Always) 95.02% 96.00% 94.20% 95.13% 96.88% 95.62% 92.31% 95.68% 95.18% 95.11%
Satisfaction with Health Plan (Rating of 8 to 10) 69.26% 81.11% 80.71% 77.50% 81.72% 81.61% 83.39% 72.90% 82.36% 79.32%
Survey Section: About You Health Plan
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Weighted
Average
Overall Health (Very Good or Excellent) 35.14% 28.57% 23.88% 28.14% 35.23% 31.94% 31.68% 35.14% 30.18% 30.53%
Overall Mental or Emotional Health (Very Good or Excellent) 44.36% 34.29% 34.98% 32.67% 43.62% 36.02% 41.64% 38.22% 37.20% 37.56%
Had a Flu Shot (Yes) 33.70% 38.67% 41.11% 44.91% 38.10% 48.28% 39.34% 39.09% 38.88% 40.18%
Frequency of Smoking (Some Days or Everyday) 39.71% 41.72% 35.83% 44.19% 31.42% 35.38% 29.35% 31.73% 38.07% 36.91%
Advised to Quit Smoking (Usually or Always) 53.21% 50.81% 54.61% 59.30% 50.00% 56.04% 47.78% 57.45% 55.21% 54.12%
Discussed Smoking Cessation Medications (Usually or
Always) 23.85% 24.32% 31.58% 34.10% 34.07% 36.26% 28.89% 28.57% 29.02% 29.79%
Discussed Smoking Cessation Methods and Strategies
(Usually or Always) 22.94% 21.62% 25.66% 27.75% 33.70% 24.44% 26.44% 25.81% 20.83% 24.89%
Survey Section: About You Health Plan
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Weighted
Average
Age X X X X X X X X X X
Gender (Male) 48.38% 38.90% 34.66% 41.00% 32.66% 47.13% 48.88% 43.91% 37.99% 40.80%
Education Level X X X X X X X X X X
Hispanic or Latino Origin or Descent (Distribution of
Hispanics) 7.01% 9.55% 27.55% 11.20% 7.51% 32.79% 7.97% 8.82% 4.04% 12.46%
Racial Distribution X X X X X X X X X X
Note: The symbol X indicates that the measure cannot be reported as a single rate. 1Rates in red font are less than the weighted average for the measure and may appear equal to weighted averages due to rounding.
®️2018 Child CAHPS Rate Chart by Survey Section
Survey Section: Your Child's Health Care in the Last Six
Months Health Plan
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Weighted
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Urgent Care as Soon as Necessary (Usually or Always) 92.76% 94.74% 91.41% 91.34% 92.75% 85.58% 90.09% 88.24% 95.52% 91.73%
Appointment for Routine Care When Needed (Usually or
Always) 90.48% 90.16% 87.77% 93.00% 92.06% 83.33% 83.39% 86.16% 93.26% 88.89%
Doctor's Office or Clinic (One or More Visits) 80.37% 79.78% 79.60% 78.90% 82.20% 76.85% 77.29% 78.21% 80.32% 79.33%
Talk About Preventing Illness (Yes) 72.00% 76.63% 69.87% 69.44% 65.97% 66.39% 69.08% 72.93% 70.43% 70.52%
Talk About the Reasons You Might Want Your Child To Take a
Medicine (Yes) 92.94% 95.24% 8.79% 93.10% 93.33% 83.93% 89.39% 89.15% 92.54% 91.27%
Talk About the Reasons You Might Not Want Your Child To
Take a Medicine (Yes) 67.44% 66.35% 59.05% 59.30% 68.89% 51.79% 56.06% 69.77% 72.93% 64.91%
Asked About Best Choice for Your Child Regarding Medications
(Yes) 83.72% 77.88% 67.92% 80.95% 75.56% 73.21% 72.73% 82.81% 81.95% 77.96%
Satisfaction with Child's Health Care (Rating of 8 to 10) 82.49% 86.21% 85.58% 81.50% 83.68% 83.12% 84.17% 85.21% 88.00% 84.69%
Getting Care Your Child Needs (Usually or Always) 88.29% 89.35% 89.21% 89.37% 91.67% 82.70% 88.03% 89.53% 92.19% 88.91%
In the last 6 months, did your child get care from a dentist's
office or dental clinic? Yes 63.34% 58.99% 86.83% 70.59% 71.55% 70.34% 71.85% 66.47% 71.14% 67.76%
In the last 6 months, did your child get care from a dentist's
office or dental clinic? No 36.66% 41.01% 33.17% 29.41% 28.45% 29.66% 28.15% 33.53% 28.86% 32.24%
In the last 6 months, how many times did your child go to a
dentist's office or dental clinic? None 0.85% 1.35% 1.88% 0.93% 0.00% 1.96% 0.82% 2.09% 0.00% 1.08%
In the last 6 months, how many times did your child go to a
dentist's office or dental clinic? 1 61.70% 65.02% 61.65% 62.96% 72.54% 58.82% 67.76% 65.07% 71.71% 65.66%
In the last 6 months, how many times did your child go to a
dentist's office or dental clinic? 2 25.11% 23.32% 22.18% 19.44% 12.30% 23.53% 19.18% 19.10% 19.43% 20.23%
In the last 6 months, how many times did your child go to a
dentist's office or dental clinic? 3 4.26% 5.83% 5.64% 8.33% 8.20% 4.90% 6.12% 5.67% 4.00% 5.78%
In the last 6 months, how many times did your child go to a
dentist's office or dental clinic? 4 2.55% 0.90% 3.76% 2.78% 2.46% 2.45% 1.63% 2.69% 2.29% 2.42%
In the last 6 months, how many times did your child go to a
dentist's office or dental clinic? 5 to 9 2.55% 1.79% 3.38% 3.70% 2.46% 3.43% 2.86% 2.99% 1.14% 2.63%
In the last 6 months, how many times did your child go to a
dentist's office or dental clinic? 10 or more 1.28% 0.00% 0.00% 0.00% 0.00% 1.47% 0.41% 0.60% 0.29% 0.43%
Satisfaction with Child's Dental Care (0 Worst dental care
possible) 0.88% 0.94% 0.40% 0.49% 1.26% 1.55% 0.00% 0.00% 1.18% 0.72%
Satisfaction with Child's Dental Care (1 out of 10 Rating) 0.44% 0.00% 0.40% 0.98% 0.84% 1.04% 0.00% 0.00% 0.30% 0.40%
Satisfaction with Child's Dental Care (2 out of 10 Rating) 0.44% 0.94% 0.40% 0.49% 0.42% 0.52% 0.00% 0.63% 0.30% 0.45%
Survey Section: Your Child's Health Care in the Last Six
Months
(Continued)
Health Plan
Weighted
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Average
Satisfaction with Child's Dental Care (3 out of 10 Rating) 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.84% 0.94% 0.30% 0.27%
Satisfaction with Child's Dental Care (4 out of 10 Rating) 2.21% 1.41% 0.79% 2.44% 0.42% 0.52% 0.84% 0.94% 0.89% 1.12%
Satisfaction with Child's Dental Care (5 out of 10 Rating) 2.21% 0.94% 4.37% 1.95% 1.26% 1.55% 0.84% 2.81% 2.07% 2.07%
Satisfaction with Child's Dental Care (6 out of 10 Rating) 3.10% 2.82% 2.78% 2.93% 2.52% 3.63% 4.60% 2.19% 2.96% 3.01%
Satisfaction with Child's Dental Care (7 out of 10 Rating) 7.52% 7.04% 5.56% 11.22% 5.88% 4.66% 7.11% 7.50% 5.03% 6.74%
Satisfaction with Child's Dental Care (8 out of 10 Rating) 14.60% 15.96% 17.46% 15.61% 15.13% 12.95% 17.15% 17.50% 16.57% 16.05%
Satisfaction with Child's Dental Care (9 out of 10 Rating) 16.81% 22.54% 15.08% 16.59% 14.71% 19.69% 16.32% 18.44% 18.64% 17.63%
Satisfaction with Child's Dental Care (10 Best dental care
possible) 51.77% 47.42% 52.78% 47.32% 57.56% 53.89% 52.30% 49.06% 51.78% 51.53%
Which of the following would help your child see the dentist
more often? Choose all that apply (Help with transportation to
the dentist)
16.28% 10.15% 8.81% 14.29% 8.08% 23.42% 13.92% 15.23% 15.22% 14.12%
Which of the following would help your child see the dentist
more often? Choose all that apply (Reminders to visit the
dentist)
45.74% 19.80% 24.67% 34.86% 28.28% 58.11% 41.24% 34.98% 36.23% 36.38%
Which of the following would help your child see the dentist
more often? Choose all that apply (More dentists to choose
from)
56.59% 48.22% 32.16% 52.00% 51.01% 27.93% 21.65% 37.04% 46.38% 41.61%
Which of the following would help your child see the dentist
more often? Choose all that apply (More convenient office
hours)
41.09% 16.24% 19.38% 24.57% 25.76% 39.64% 28.35% 20.99% 25.36% 27.14%
Which of the following would help your child see the dentist
more often? Choose all that apply (Dentists that speak my
language)
21.71% 11.68% 17.62% 21.14% 11.11% 33.78% 15.98% 12.35% 13.77% 17.69%
Which of the following would help your child see the dentist
more often? Choose all that apply (Help in finding a dentist)
34.88% 22.34% 14.98% 27.43% 21.21% 21.62% 13.92% 20.99% 22.10% 22.36%
Which of the following would help your child see the dentist
more often? Choose all that apply (Better communication about
benefits from my child's health plan)
32.17% 13.20% 11.45% 17.14% 21.21% 36.04% 18.56% 16.87% 23.91% 21.61%
Which of the following would help your child see the dentist
more often? Choose all that apply (Education about good dental
care)
27.52% 10.15% 6.61% 12.00% 14.14% 37.39% 20.10% 18.52% 14.13% 18.14%
Which of the following would help your child see the dentist
more often? Choose all that apply (None of the above. My child
sees the dentist as often as I like)
59.29% 45.28% 40.58% 52.26% 54.05% 52.01% 39.56% 50.31% 60.81% 50.71%
Which of the following would help your child see the dentist
more often? Choose all that apply (Other (write in)
18.22% 26.90% 22.03% 12.57% 24.24% 13.96% 16.49% 15.64% 28.99% 20.15%
Survey Section: Your Child's Personal Doctor Health Plan
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Average
Weighted
Clear Explanations Given to Survey Respondent (Usually or
Always) 97.13% 96.52% 95.74% 96.83% 96.68% 90.87% 94.07% 91.40% 96.72% 95.10%
Attentiveness of Providers (Usually or Always) 96.04% 96.86% 95.00% 96.35% 95.93% 90341.00% 95.34% 94.05% 98.10% 95.49%
Respect from Providers (Usually or Always) 97.49% 97.21% 96.80% 97.26% 98.15% 91.28% 97.03% 95.95% 97.29% 96.60%
Clear Explanations Given to Child (Usually or Always) 91.95% 94.05% 94.57% 90.51% 94.05% 91.43% 94.20% 93.20% 95.36% 93.40%
Doctor Spends Enough Time With Your Child (Usually or
Always) 91.34% 93.03% 91.10% 93.15% 94.44% 82.11% 88.03% 89.52% 94.25% 91.04%
Child's Feeling, Growing and Behaving (Yes) 91.07% 90.28% 86.83% 87.67% 90.37% 87.56% 89.83% 91.13% 91.26% 89.76%
Doctor Informed and Up to Date on Your Child's Care (Usually
or Always) 86.92% 83.08% 82.39% 89.32% 87.41% 77.88% 83.02% 81.71% 82.56% 83.71%
Satisfaction with Personal Doctor (Rating of 8 to 10) 89.53% 90.66% 87.03% 87.59% 88.31% 86.72% 84.97% 87.20% 90.58% 88.22%
Survey Section: Getting Health Care from Specialists Health Plan
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Weighted
Average
Getting Appointment with Specialist For Your Child (Usually or
Always) 78.95% 72.82% 84.21% 81.11% 80.58% 81.48% 82.76% 79.22% 75.00% 79.18%
Satisfaction with Specialist (Rating of 8 to 10) 88.37% 84.62% 83.64% 79.27% 83.87% 89.04% 84.52% 87.86% 85.09% 85.22%
Survey Section: Your Child's Health Plan Health Plan
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Average
Weighted
Getting Needed Information (Usually or Always) 83.04% 86.40% 90.85% 85.22% 87.23% 77.86% 81.97% 85.71% 80.27% 84.26%
Courteous Treatment by Staff (Usually or Always) 96.36% 94.44% 97.18% 92.17% 93.62% 93.13% 95.04% 94.01% 96.60% 94.80%
Health Plan Forms Easy to Fill Out (Usually or Always) 85.68% 96.50% 95.65% 94.43% 96.55% 92.83% 94.64% 95.55% 97.38% 95.61%
Satisfaction with Child's Health Plan (Rating of 8 to 10) 80.90% 88.19% 88.81% 84.45% 87.75% 87.86% 87.35% 83.56% 89.64% 86.50%
Survey Section: About Your Child and You Health Plan
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Average
Weighted
Overall Health (Very Good or Excellent) 77.75% 73.56% 71.96% 75.30% 77.25% 68.37% 74.49% 71.32% 76.28% 74.05%
Overall Mental or Emotional Health (Very Good or Excellent) 73.81% 69.29% 66.09% 61.86% 69.03% 66.56% 68.51% 64.42% 63.35% 66.80%
Child's Age X X X X X X X X X X
Child's Gender (Male) 50.79% 53.79% 48.51% 54.38% 56.18% 56.17% 47.25% 53.86% 56.94% 53.19%
Hispanic or Latino Origin or Descent (Distribution of Hispanics) 16.62% 19.74% 44.50% 17.79% 12.22% 40.73% 20.06% 13.81% 11.90% 12.39%
Racial Distribution X X X X X X X X X X
Survey Respondent's Age X X X X X X X X X X
Survey Respondent's Gender (Male) 13.30% 13.68% 10.70% 14.38% 9.30% 9.33% 14.58% 13.81% 11.90% 12.39%
Survey Respondent's Education Level X X X X X X X X X X
Relation to Child X X X X X X X X X X
Note: The symbol X indicates that the measure cannot be reported as a single rate. 1Rates in red font are less than the weighted average for the measure and may appear equal to weighted averages due to rounding.
2018 Pennsylvania Performance Measure Rate Chart by Domain
Domain: Children Dental Health Plan
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Weighted
Average
nta
l
Annual Dental Visits for Members with Developmental
Disabilities, Ages 2 to 21 61.09% 66.53% 67.97% 63.82% 55.06% 64.74% 68.67% 56.24% 55.57% 62.50%
De
Dental Sealants for 6 to 9 year olds at elevated carries risk 25.21% 24.98% 22.43% 23.78% 38.44% 23.82% 22.79% 21.27% 23.67% 24.39%
Domain: Preventive Health Plan
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Weighted
Average
Follow-Up Care for Children Prescribed Attention-
Deficit/Hyperactivity Disorder Medication: Continuation and
Maintenance Phase
33.49% 40.50% 27.47% 60.06% 42.67% 67.89% 25.09% 66.29% 58.08% 48.46%
Reducing Potentially Preventable Readmissions1 11.42% 6.55% 7.87% 9.50% 9.60% 11.63% 12.60% 10.93% 8.66% 10.35%
Pre
ve
nti
ve
Adherence to Antipsychotic Medications for Individuals
with Schizophrenia 59.71% 76.76% 69.61% 68.74% 75.98% 62.86% 70.20% 66.91% 74.35% 69.00%
Developmental Screening in the First Three Years of Life
(turned 1, 2 or 3 during measurement year) - Use of CPT
code 96110 limited or 96111 extended4
58.81% 57.31% 47.79% 52.82% 62.28% 46.02% 53.15% 55.16% 67.54% 55.84%
Contraceptive Care for Postpartum Women Ages 15-44
(Numerator 1 Most or moderately effective contraception 3
days)4
11.77% 12.91% 14.59% 11.96% 13.50% 17.24% 17.67% 5.24% 10.49% 13.11%
Contraceptive Care for Postpartum Women Ages 15-44
(Numerator 2 Most or moderately effective contraception
60 days)4
39.05% 45.84% 50.30% 42.25% 36.18% 51.51% 46.05% 28.27% 22.32% 39.17%
Contraceptive Care for Postpartum Women Ages 15-44
(Numerator 3 Long acting reversible method of
contraception LARC 3 days)4
0.95% 0.19% 1.77% 0.92% 0.62% 4.92% 4.41% 1.06% 1.64% 2.19%
Contraceptive Care for Postpartum Women Ages 15-44
(Numerator 4 Long acting reversible method of
contraception LARC 60 days)4
7.86% 7.05% 12.99% 9.89% 6.33% 14.70% 14.77% 9.86% 9.39% 10.93%
Contraceptive Care for All Women Ages 15-44 (Numerator
1 Provision of most or moderately effective contraception)4
27.84% 32.08% 31.14% 30.33% 23.23% 29.38% 30.83% 22.45% 13.87% 25.79%
Contraceptive Care for All Women Ages 15-44 (Numerator
2 Provision of LARC)4 4.90% 5.62% 7.15% 6.10% 4.55% 7.08% 6.43% 5.43% 6.16% 6.07%
Domain: Chronic Conditions Health Plan
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Weighted
Average
Ch
ron
ic C
on
dit
ion
s
Asthma in Older Adults Admission Rate (Ages 40 and
Older) 46.12 56.16 67.23 101.42 270.78 70.04 100.13 77.70 68.03 93.74
Asthma in Younger Adults Admission Rate (Ages 18 - 39) 5.00 4.65 7.39 7.03 3.83 7.75 13.84 6.18 5.37 7.32
Heart Failure Admission Rate (Ages 18 - 64) 9.32 10.25 14.39 23.53 14.05 29.15 27.51 22.19 12.82 19.35
Heart Failure Admission Rate (Ages 65 and Older) 10.73 78.80 11.36 118.87 48.29 70.63 74.34 61.60 101.33 70.24
Diabetes Short-term Complications Admission Rate (Ages
18-64) 8.09 13.48 12.41 25.84 13.13 9.81 20.84 12.76 11.33 14.66
Diabetes Short-term Complications Admission Rate (Ages
65 and Older) 0.00 0.00 0.00 9.14 16.10 0.00 0.00 0.00 0.00 1.85
Domain: Pregnant Women Health Plan
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Weighted
Average
Pre
gn
an
t W
om
en
Elective Delivery 4.05% 15.50% 11.74% 2.47% 3.27% 1.51% 5.64% 4.48% 2.73% 4.69%
Percentage of Live Births Weighing < 2,500 Grams 10.17% 9.38% 9.46% 10.43% 7.16% 10.04% 10.52% 10.18% 10.21% 9.89%
Cesarean Rate for Nulliparous Singleton Vertex 24.14% 24.18% 21.11% 25.81% 22.05% 23.15% 23.39% 20.04% 25.83% 23.60%
Prenatal Screening for Smoking During a Prenatal Visit 73.39% 69.95% 76.92% 66.26% 89.85% 94.84% 90.86% 86.58% 96.54% 82.82%
Counseling/Advice for Smokers During a Prenatal Visit 74.75% 90.29% 92.59% 81.11% 88.14% 72.86% 90.16% 100.00% 85.27% 86.06%
Prenatal Screening for Environmental Tobacco Exposure
During a Prenatal Visit 39.53% 36.21% 38.46% 18.23% 52.97% 72.73% 57.78% 47.63% 55.06% 46.54%
Counseling/Advice for Environmental Tobacco Exposure
During a Prenatal Visit 82.14% 73.77% 58.54% 59.09% 78.08% 80.77% 70.73% 100.00% 87.80% 78.54%
Pregnant Smokers Who Quit During Their Pregnancy 8.08% 8.74% 11.11% 7.78% 15.97% 21.74% 13.33% 5.90% 9.30% 9.95%
Prenatal Depression Screening 47.29% 68.23% 71.22% 45.07% 84.75% 93.12% 83.70% 76.05% 82.72% 72.50%
Prenatal Depression Screening: Positive for Depression 22.40% 20.94% 23.00% 30.60% 21.65% 15.57% 12.98% 21.45% 20.00% 20.15%
Prenatal Depression Screening: Positive for Depression
and Evaluation,
Treatment or Referral
60.98% 74.14% 75.76% 71.43% 61.97% 84.75% 86.36% 79.03% 70.15% 73.66%
Postpartum Depression Screening 46.65% 59.86% 66.99% 74.83% 84.27% 79.41% 60.83% 90.80% 97.30% 73.36%
Postpartum Depression Screening: Positive for
Depression 19.72% 10.40% 15.12% 17.26% 18.67% 9.63% 13.17% 14.98% 18.75% 15.25%
Postpartum Depression Screening: Positive for
Depression and Evaluation, Treatment or Referral 60.71% 100.00% 96.77% 84.62% 76.19% 96.15% 96.30% 88.24% 92.59% 87.29%
Prenatal Screening Based on Use of Validated Depression
Tool 25.32% 34.98% 37.47% 25.86% 47.80% 67.57% 43.46% 33.16% 45.68% 40.24%
Postpartum Screening Based on Use of Validated
Depression Tool 29.37% 38.75% 51.96% 52.98% 56.55% 70.00% 44.51% 73.60% 78.04% 54.96%
Maternity Risk Factor Assessment - Alcohol Use 67.70% 69.70% 72.46% 46.80% 91.83% 94.59% 89.63% 83.68% 95.06% 79.07%
Maternity Risk Factor Assessment - Drug Use (Street) 66.22% 69.21% 72.70% 48.03% 95.79% 93.86% 87.65% 82.37% 93.33% 79.05%
Maternity Risk Factor Assessment - Drug Use
(Prescription) 73.13% 70.44% 73.70% 67.73% 96.29% 95.09% 89.14% 88.68% 97.78% 83.57%
Maternity Risk Factor Assessment - Intimate Partner
Violence 45.74% 47.78% 50.62% 24.38% 54.70% 77.15% 73.33% 63.16% 65.93% 55.87%
Frequency of Ongoing Prenatal Care, 81+ Percent of
Recommended Visits3 68.17% 71.53% 70.07% 72.99% 79.08% 76.89% 60.10% 63.99% 72.51% 70.60%
1 A lower rate indicates better performance for these measures.
2 Rates in red font are less than the weighted average for the measure and may appear equal to weighted averages due to rounding.
3 FPC is a first year measure for PAPM in 2018.
4 Contraception Measures CCP and CCW are first year measures.