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Aetna Report Card

Quality Report Cards
HEDIS (performance measures developed by National Committee for Quality Assurance)  
http://www.NCQA.org

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 Quality Measure

 

Description

Rate

Member Access and Use of Services

 

 

 

Adults' Access to Preventative Health Services

Adults who had ambulatory visits in the past three years:

- Ages 20 to 44

- Ages 45 to 64

- Ages 65 and older

 

  

91%

92%

95%

 

 Children's Access to Primary Care Providers

Children who had an ambulatory visit in 2003:

- Ages 12 Months to24 Months

- Ages 25 Months to 6 Years

Children who had an ambulatory visit in the past two years:
- Ages 7 to 11 years
- Ages 12 to 19 years

  



97%



89%





87%


82%

 

 Well-Child Visits in the First 15 Months of Life

Children who had six or more well-child visits during the first 15 months on life.

  

57%

Well-Child Visits in the Third Through Sixth Year of Life

Children age three to six who had one or more well-child visits in 2003.

  

69%

 

 Well-Care Visits

Adolescents age 12 to 21 who had one or more well-care visits in 2003.

 

36%

Prevention and
Screening

 

 

 Childhood Immunizations

Two-year-olds receiving the appropriate immunizations

- One MMR between ages of one and two

- Four DTP/DTaPs between ages of 42 days and two years

- Three OPVs between ages of 42 days and two years

- Three HIBs between ages 42 days and two years

- Three Hep Bs by the age of two, with one falling on or between 6 months and two years.

- One VZV between ages of 42 days and two years

 

 

90%

 

84%

 

87%

 

88%

  

80%

 

 

88%

 Adolescent Immunizations

Adolescents who received the appropriate immunizations:

- Two MMR's by age 13

- Three HepBs by age 13

- One VZV by age 13

 

 

70%


58%

 
50%

 

Advising Smokers to Quit

Represents the percentage of smokers who saw a doctor and were advised to quit smoking.

 

 

NA

Breast Cancer Screening

Women ages 52 to 69 who had a mammogram during the previous two years.

 

 

 

71%

Cervical Cancer Screening

Women ages 21 to 64 who had a PAP test during the previous three years.

 

 

85%

Maternity Care

 

 

Prenatal Care

Women who received prenatal care in the first trimester, or within 42 days of enrollment.

 

89%

 

Postpartum Care

Women who had a postpartum visit three to eight weeks after the delivery.



81%

Acute and Chronic Illness

 

 Beta-Blocker Treatment After a Heart Attack

Adults who were prescribed a beta-blocker after hospitalization for a heart attack.

  

96%

Eye Exams for People with Diabetes

Diabetics age 18 to 75 who had an eye exam in 2003.

 

48%

 Follow-Up After Hospitalization for Mental Health

Ambulatory follow-up witin 30 days of patients hospitalized for treatment of mental health disorder.

 

75%

Cholesterol Management After Acute Cardivascular Events

Member hospitalized for cardiovascular event who had a cholesterol screening.

 

73%

Member Satisfaction

 

How Would You Rate Your Health Plan?

Represents the percentage of members who chose number 8-10 on the original scale of 0-10, where the 0 isthe lowest rating and 10 is the highest. NCQA considers 8-10 to be equivalent to ratings of  "Completely
Satisfied", "Very Satisfied", and "Somewhat Satisfied".

 

 

57%

How Would You Rate Your Doctor or Nurse?

Represents the percentage of members who chose number 8-10 on the original scale of 0-10, where the 0 is
the lowest rating and 10 is the highest. NCQA considers 8-10 to be equivalent to ratings of "Completely
Satisfied", "Very Satisfied", and "Somewhat Satisfied".

 

  

72%

How Would You Rate Your Specialist?

Represents the percentage of members who chose number 8-10 on the original scale of 0-10, where the 0 is the lowest rating and 10 is the highest. NCQA considers 8-10 to be equivalent to ratings of "Completely Satisfied", "Very Satisfied", and "Somewhat Satisfied".

 

  

81%

HEDIS results (excl. survey data) are solely based upon recorded

and reported info. and therefore may understate actual performance.

DIRECT: 301.297.4666      1-800-705-7624      Cell: 240-417-7372 

email: life@BRANCHINSURANCE.com

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