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| 2007 HEDIS® and CAHPS® Results |
| 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 2007 report is based on the care members received through
the end of 2006. |
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| Improvements were seen in many of our 2007 HEDIS scores. Specific results can
be found by clicking on the link below: |
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 Molina
Healthcare of Washington 2007 HEDIS Rates |
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| HEDIS 2005 versus HEDIS 2007 |
- Improved performance on 19 of 34 measures from 2005 to 2007 (55.882%)
- Average improvement of 6.493 percentage points from 2005 to 2007 -- simple
average for all reported measures |
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| HEDIS 2006 versus HEDIS 2007 |
- Improved performance on 19 of 34 measures from 2006 to 2007 (55.882%)
- Average improvement of 7.988 percentage points from 2006 to 2007 -- simple
average for all reported measures |
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| Accreditation Benchmark Comparison (2007 Methodology) |
- Exceeded 90th percentile for 8 of 17 measures
- Exceeded 75th percentile for 13 of 17 measures |
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| National Benchmark Comparison |
- Exceeded 75th percentile for 6 of 34 measures
- Of these, 2 exceeded the 90th percentile |
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| 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 both the Childhood and Adolescent Immunization rates. Our Well Child exam
results remain at or near the best among the state's Medicaid plans.
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| Last year the comparatively low results within in the Diabetes Nephropathy
rates were of concern. Increased screenings were noted in 2006 however, and
successes with this Diabetes sub-measure have reached the 90th percentile
accreditation score, Additionally 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. |
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| 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: |
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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.
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A digital thermometer is offered to new mothers having a confirmed post-partum
visit.
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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.
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Participation in the statewide Child Profile immunization registry to assist in
the promotion of accurate immunization data.
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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 photo coupon, bike helmet, or a video
rental coupon.
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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.
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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.
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Annual distribution of Preventive Care Guidelines in the member handbook and on
the Molina website.
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| CAHPS®
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Molina Healthcare of Washington Annually measures member satisfaction using the
CAHPS® survey (Consumer Assessment of Health Plans. 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 2007
Adult Medicaid survey shows increasing member satisfaction levels in many key
measurement areas.
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Molina
Healthcare of Washington 2007 CAHPS Survey |
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| Among the most prominent: |
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Ease at seeing a specialist
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Getting Care Quickly
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Doctors spending enough time with you
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| Interventions in a key health area helped alleviate last year's concern about
the continuing drop in the proportion of members reporting that they have been
counseled to quit smoking during a recent office visit resulting in a
statistically significant in performance year-over-year. |
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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.
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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. For
more information about HEDIS, please call Cynthia Waters at 1-800-423-9899
Ext. 141324.
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- Adobe Acrobat Reader is required to view the file(s) above. If you do not
have Adobe Reader installed on your computer, click on the Adobe Acrobat Reader
button below to download. |
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