This report presents the results of the MassHealth Managed Care HEDIS 2007 project in three sections. These sections are based on the consumer re- porting domains used in health plan report cards (i.e., Staying Healthy, Living with Illness and Getting Better). These domains group clinical and NCQA’s access to care HEDIS measures with similar characteristics. REPORT SECTION DEFINITION MEASURES SELECTED BY MASSHEALTH FOR HEDIS 2007 REPORTING Staying Healthy These measures provide informa- Breast Cancer Screening tion about how well a plan provides Cervical Cancer Screening services that maintain good health Frequency of Ongoing Prenatal Care and prevent illness. Prenatal and Postpartum Care Living with Illness These measures provide informa- Antidepressant Medication Management tion about how well a plan helps Comprehensive Diabetes Care people manage chronic illness. Controlling High Blood Pressure Follow-up After Hospitalization for Mental Illness Follow-up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication Initiation and Engagement of Alcohol and Other Drug Dependency Treatment Getting Better This measure provides information Appropriate Treatment for Children with Upper Respiratory Infection about how well plan helps people recover from illness. This report also includes seven appendices that provide more detailed results: Appendix A includes a list of the MassHealth regions and the service areas the regions cover. Appendix B includes the <21%, 21-40%, 41-60% and 61-80% of expected visit rates for the Frequency of Ongoing Prenatal Care measure. Appendix C presents data for the Antidepressant Medication Management measure for PCCP members with Basic, Essential and Non-Basic/Non- Essential coverage. Appendix D presents data for the Follow-up After Hospitalization for Mental Illness measure for PCCP members with Basic, Essential and Non-Basic/ Non-Essential coverage. Appendix E presents data for the Follow-up Care for Children Prescribed ADHD Medication measure for PCCP members with Basic, Essential and Non-Basic/Non-Essential coverage. includes the age-stratified results for the Initiation and Engagement of Alcohol and Other Drug Dependency Treatment measure. Appendix F Appendix G includes the age-stratified results for the Initiation and Engagement of Alcohol and Other Drug Dependency Treatment measure for PCCP members with Basic, Essential and Non-Basic/Non-Essential coverage.
This report presents the results of the MassHealth Managed Care HEDIS 2007 project in three sections. These sections are based on the consumer re- porting domains used in NCQA’s health plan report cards (i.e., Staying Healthy, Living with Illness and Getting Better). These domains group clinical and access to care HEDIS measures with similar characteristics. REPORT SECTION DEFINITION MEASURES SELECTED BY MASSHEALTH FOR HEDIS 2007 REPORTING Staying Healthy These measures provide informa- tion about how well a plan provides services that maintain good health and prevent illness. Breast Cancer Screening Cervical Cancer Screening Frequency of Ongoing Prenatal Care Prenatal and Postpartum Care Living with Illness These measures provide informa- tion about how well a plan helps people manage chronic illness. Antidepressant Medication Management Comprehensive Diabetes Care Controlling High Blood Pressure Follow-up After Hospitalization for Mental Illness Follow-up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication Initiation and Engagement of Alcohol and Other Drug Dependency Treatment Getting Better This measure provides information about how well plan helps people recover from illness. Appropriate Treatment for Children with Upper Respiratory Infection This report also includes seven appendices that provide more detailed results: Appendix A includes a list of the MassHealth regions and the service areas the regions cover. Appendix B includes the <21%, 21-40%, 41-60% and 61-80% of expected visit rates for the Frequency of Ongoing Prenatal Care measure. Appendix C presents data for the Antidepressant Medication Management measure for PCCP members with Basic, Essential and Non-Basic/Non- Essential coverage. Appendix D presents data for the Follow-up After Hospitalization for Mental Illness measure for PCCP members with Basic, Essential and Non-Basic/ Non-Essential coverage. Appendix E presents data for the Follow-up Care for Children Prescribed ADHD Medication measure for PCCP members with Basic, Essential and Non-Basic/Non-Essential coverage. Appendix F includes the age-stratified results for the Initiation and Engagement of Alcohol and Other Drug Dependency Treatment measure. Appendix G includes the age-stratified results for the Initiation and Engagement of Alcohol and Other Drug Dependency Treatment measure for PCCP members with Basic, Essential and Non-Basic/Non-Essential coverage.