Transcript Putting Quality to Work:

Overview of
Chlamydia Screening
in HEDIS®
March 2002
Sarah Shih
Background
 New measure in HEDIS 2000
 Developed in response to need
 Pilot tests published
– Mangione-Smith R et al. Arch Pediatr Adolesc Med
2000; 154(11):1108-1113.
2
Chlamydia Screening
Denominator
– Females ages 16 - 26 years old, identified
as sexually active through diagnostic or
procedural codes
Numerator
– For the Denominator population, lab tests
for Chlamydia identified by Administrative
Data Sources
3
Chlamydia Screening
 Reported in two age cohorts
– 16 - 20 years
– 21 - 26 years
 Collected by plans
– Medicaid
– Commercial
4
National Rates
5
National Rates
6
Regional Variation 2001
C e n su s R e g io n
N e w E n g la n d
M id d le A tla n tic
S o u th A tla n tic
E a st N o rth C e n tra l
S o u th C e n tra l
W e st N o rth C e n tra l
M o u n ta in
P a cific
A ll p la n s re p o rtin g
A g e G ro u p
1 6 – 2 0 ye a rs
N
M ean
29
46
60
66
74
30
26
26
334
2 8 .2
2 2 .4
2 5 .6
2 5 .2
1 9 .3
1 9 .8
2 7 .6
2 4 .1
2 3 .6
Low est
A g e G ro u p
2 1 – 2 6 ye a rs
N
M ean
29
48
62
68
75
30
26
26
342
2 3 .8
2 0 .3
2 3 .1
2 1 .8
1 7 .4
1 5 .0
2 6 .0
2 1 .0
2 0 .7
H ig h e s t
7
Other HEDIS measures
 Breast Cancer Screening
 Cervical Cancer Screening
 Prenatal and Postpartum Care
8
Other HEDIS measures
9
Other HEDIS measures
10
Other HEDIS measures
11
Other HEDIS measures
12
Thoughts for the Future
 Quality Improvement Activities
 Accreditation requirements
 State of Managed Care Quality
Report
www.ncqa.org
13