54 5 64 15 74 35 84 75 55 6 65 16 75 38 85 80 56 7 66 17 76 41 86 85 57 8 67 18 77 44 87 90 58 9 68 19 78 47 88 95 59 10 69 20 79 50 89 100 The total score across all measures will be calculated for each performance year. Tables 3.16.8-2 and 3.16.8-3, below, describe the subset of clinical and Member experience performance measure targets that the HCA will use. Table 3.16.8-2 Performance Measure Benchmark Source Benchmark Target Clinical Performance Measures (for UMP Classic, Non-Medicare/UMP CDHP population) Adult Body Mass Index Assessment Quality Compass 90th percentile (PPO) Antidepressant Medication Management Quality Compass 90th percentile – Effective Acute Phase Treatment* (PPO) Antidepressant Medication Management Quality Compass 90th percentile – Effective Continuation Phase Treatment* (PPO) Breast Cancer Screening* Quality Compass 90th percentile (PPO) Cervical Cancer Screening* Quality Compass 90th percentile (PPO) Childhood Immunization Status (Combo Quality Compass 90th percentile 10) (PPO) Chlamydia Screening in Women Quality Compass 90th percentile (PPO) Comprehensive Diabetes Care: Blood Quality Compass 90th percentile Pressure Control (PPO) Comprehensive Diabetes Care: Eye Exam Quality Compass 90th percentile (PPO) Comprehensive Diabetes Care: Quality Compass 90th percentile Hemoglobin A1c (HbA1c) Poor Control (PPO) (>9.0%) Controlling High Blood Pressure Quality Compass 90th percentile (PPO) Medication Management for People with Quality Compass 90th percentile Asthma (Asthma Medication Ratio) (PPO) Statin Therapy for Patients with Quality Compass 90th percentile Cardiovascular Disease (Received Statin (PPO) Therapy) CAD Statin Adherence Measure Washington Health 90th percentile Alliance Well-Child Visits in the 3rd, 4th, 5th and Quality Compass 90th percentile 6th Years of Life (PPO) Table 3.16.8-3
54 5 64 15 74 35 84 75 55 6 65 16 75 38 85 80 56 7 66 17 76 41 86 85 57 8 67 18 77 44 87 90 58 9 68 19 78 47 88 95 59 10 69 20 79 50 89 100 The total score across all measures will be calculated for each performance year. Tables 3.16.8-2 and 3.16.8-3, below, describe the subset of clinical and Member experience performance measure targets that the HCA will use. Table 3.16.8-2 Performance Measure Benchmark Source Benchmark Target Clinical Performance Measures (for UMP Classic, Non-Medicare/UMP CDHP population) Adult Body Mass Index Assessment Quality Compass (PPO) 90th percentile Antidepressant Medication Management – Effective Acute Phase Treatment* Quality Compass (PPO) 90th percentile Antidepressant Medication Management – Effective Continuation Phase Treatment* Quality Compass (PPO) 90th percentile Breast Cancer Screening* Quality Compass (PPO) 90th percentile Cervical Cancer Screening* Quality Compass (PPO) 90th percentile Childhood Immunization Status (Combo 10) Quality Compass (PPO) 90th percentile Chlamydia Screening in Women Quality Compass (PPO) 90th percentile Comprehensive Diabetes Care: Blood Pressure Control Quality Compass (PPO) 90th percentile Comprehensive Diabetes Care: Eye Exam Quality Compass (PPO) 90th percentile Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) Quality Compass (PPO) 90th percentile Controlling High Blood Pressure Quality Compass (PPO) 90th percentile Medication Management for People with Asthma (Asthma Medication Ratio) Quality Compass (PPO) 90th percentile Statin Therapy for Patients with Cardiovascular Disease (Received Statin Therapy) Quality Compass (PPO) 90th percentile CAD Statin Adherence Measure Washington Health Alliance 90th percentile Well-Child Visits in the 3rd, 4th, 5th and 6th Years of Life Quality Compass (PPO) 90th percentile Table 3.16.8-3