HEDIS^® and CAHPS^® Results for Molina Healthcare of Washington

HEDIS^®

Molina Healthcare of Washington uses the Healthcare Effectiveness Data and Information Set (HEDIS®) tool each year as a way to measure the quality. This is done by looking at the type of care and service provided. HEDIS® is maintained by NCQA. The tool allows for review of certain aspects of care. This includes clinical and non-clinical care. It also shows where plans can improve care and service. Molina’s goal is to be better than 75% of other Medicaid health plans in the nation.

MEDICAID

Appropriate testing for Children with Pharyngitis Chlamydia Screening – ages 16-20, ages 21-25 and the total rate Cholesterol Management for Patients with Cardiovascular Conditions Comprehensive Diabetes Screening– -HbA1c Screening -Eye exams -o LDL-c Screening & Level Follow-up for Children Prescribed ADHD Medications Timeliness of Prenatal and Post Partum Care Use of Appropriate Medications for Asthma (ages 12-50) Well Child Exams -First 15 Months -Ages 3-6 -Well Adolescent

MEDICARE

Colorectal Cancer Screening Care for Older Adults – All 4 components – -Advance Care -Medication Review -Functional Status Assessment -Pain Screening Controlling High Blood Pressure Glaucoma Screening in Older Adults Medication Reconciliation Post Discharge Use of High Medications in Elderly (One prescription rate)




CAHPS^®

The CAHPS® (Consumer Assessment of Healthcare Providers and Systems) survey is also maintained by NCQA. The survey is performed each year. It measures how happy members are with the health plan and the service received from doctors.

Molina Healthcare of Washington met its goal in CAHPS® rates in the following areas:

MEDICAID

Rating of Health Care Rating of Personal Doctor How well Doctors communicate

MEDICARE

Getting Needed Care Getting Care Quickly How well Doctors communicate Health Plan Customer Service Getting Needed Prescriptions Getting Information from Plan Rating of Personal Doctor Rating of Health Plan

Detailed results can be found by clicking the links below:

 2011 HEDIS® Results

 2011 HEDIS® Medicare Results

If you have any questions or would like additional information about HEDIS® or CAHPS® please contact Teresa Quesinberry, Supervisor Quality Improvement at 800-423-9399 Ext 141328.

HEDIS® is a Registered Trademark of the National Committee for Quality Assurance.

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