2008 HEDIS^® and CAHPS^® Results for Washington

Molina Healthcare of Washington utilizes the NCQA (National Committee Quality Assurance) Health Effectiveness and Data Information Set (HEDIS®) as a measurement tool to provide a fair and consistent assessment of specific aspects of performance and to provide a basis for improvements in care and service. The HEDIS 2008 report is based on the care members received through the end of 2007.

 Molina Healthcare of Washington 2008 HEDIS Rates

• Improved performance on 12 of 19 selected measures from 2006 to 2008 (63.16%)

• Improved performance on 12 of 19 selected measures from 2007 to 2008 (63.16%)
  

• Exceeded 90th percentile for 7 of 16 measures
• Exceeded 75th percentile for 11 of 16 measures

• Exceeded 75th percentile for 5 of 19 selected measures
• Of these, 7 exceeded the 90th percentile
• Obtained or exceeded the Molina goal of the 75th percentile for 63.16% of reported measures

Molina Healthcare of Washington's HEDIS rates continues to reflect the quality care provided to our members. We are very encouraged by the sustained increases in the Childhood Immunization rates. Our Well Child exam results are the best among the state's Medicaid plans. Improvements in Diabetic Disease Management resulted in our HbA1c Control measure reaching the 75th percentile accreditation threshold. We continue to enhance our interventions in these critical areas of member care.

A focus on healthy outcomes is key in alleviating last year's concern about the proportion of members missing services resulting in a statistically significant performance year-over-year for the following measures:

• Controlling High Blood Pressure
• Cervical Cancer Screening
• Childhood Immunizations Combinations 2 & 3

At Molina Healthcare of Washington, we realize opportunities for improvement always exists. We remain committed to working with providers and members, to improve the health of our members and increase the effectiveness of our healthcare systems. Among our current interventions:

• Car seat program for expectant mothers: As an encouragement for early prenatal visits during the first trimester (or shortly after joining Molina Healthcare), we provide an infant car or booster seat upon confirmation of qualifying prenatal visit.
• A digital thermometer is offered to new mothers having a confirmed post-partum visit.
• Immunization schedules and an immunization passport in our post-partum packet: An additional immunization reminder is mailed out to parents of our nine-month old members.
• Participation in the statewide Child Profile immunization registry to assist in the promotion of accurate immunization data.
• Annual birthday card reminders for Well-Child examinations are sent to the parents of our child and adolescent members. Upon completion of the exam, we offer (depending upon the child's age) a child’s ID kit, $10 Safeway gift card, bike helmet, or a video rental coupon.
• All identified diabetic members receive age-specific Healthy Living with Diabetes educational materials. Our RN Care Managers and Health Educators work closely with the more severe diabetics to identify the patient's medical needs and resolve concerns.
• Our Asthma program, "Breathe with Ease", is aimed at assisting members with their understanding of Asthma. Components of the program include general Asthma education to all identified Asthma members and identification of "high needs" members to provide a more intensive Asthma program. Our RN Care Managers and Health Educators work closely with the more severe Asthmatics and their providers to identify the patient's medical needs and resolve concerns.
• Annual distribution of Preventive Care Guidelines in the member handbook and on the Molina website.

CAHPS^®

Molina Healthcare of Washington 2008 CAHPS Survey

Molina Healthcare of Washington Annually measures member satisfaction using the CAHPS^® survey (Consumer Assessment of Health Plans Survey). This survey looks at key satisfaction drivers throughout the continuum of care, including health plan performance and the members' experiences in the physician office. Our 2008 Adult Medicaid survey shows increasing member satisfaction levels in many key measurement areas.

MHW succeeded in not only maintaining, but increasing our overall Medicaid CAHPS results in 2008 with increases observed in nearly all composites. The results for Advising Smokers to Quit were also gratifying, with an increase from ’07 to ’08 of nearly 4 points (and an increase from ’06 to ’08 of nearly 12.5 points). The overall theme for Medicaid is one of real improvement.

• Rating of Personal Doctor
• Rating of Specialist Seen Most Often
• Rating of All Health Care
• Getting Care Quickly
• How Well Doctors Communicate

Molina Healthcare values the care and education our practitioners provide to our members. Our Quality Improvement Program and initiatives represent a collaborative effort between the practitioner and Molina Healthcare to improve the overall health of our members. Together we can make a difference in the quality of care.

For more information on Molina Healthcare of Washington's Quality Improvement Program, please call our Health Education line at 1-800-423-9899 Ext. 141428. Updated guidelines on preventive health, Asthma, Diabetes, or Chlamydia may be found in our Clinical Practice Guidelines section under providers. For more information about HEDIS, please call Cynthia Waters at 1-800-423-9899 Ext. 141324.

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