|
You can feel confident with Preferred Care -
Our NCQA Commercial health plan rating is “excellent”
The National
Committee for Quality
Assurance (NCQA), an
independent, not-for-profit
organization dedicated to
measuring the quality of
America’s health care,
assesses and reports on
the quality of care of
managed care plans.
The Healthcare
Effectiveness Data &
Information Set (HEDIS®) is a tool health plans use to
evaluate their performance
in terms of clinical quality
and customer service. Here
are some of the key measures
from our most recent
HEDIS results as reported
in the Quality Compass®. The Consumer
Assessment of Healthcare
Providers and Systems
(CAHPS®) survey is sent
to Preferred Care members
annually to ask your opinion
about your health care
experience with your doctors
and Preferred Care.
The same survey is sent
to other members of health
plans nationwide. The following are some of the results from the 2007
survey of overall quality
and how members rate
their doctors’ care.
| |
Preferred Care Rating |
National Average |
|
| Overall Quality |
|
| - Rating of all health care |
80.5% |
73.61% |
| - Rating of health plan |
69.4% |
63.03% |
|
How members rate doctors’ care
|
|
Rating of personal doctor
|
82.3% |
81.08% |
Rating of specialist seen most often
|
82.6% |
79.9% |
| How well doctors communicate |
93.4% |
92.76% |
|
| Women’s Health – Unique challenges |
|
| Preferred Care strives to ensure that women receive ongoing, consistent health care support. |
Cervical cancer screening
|
83.94% |
81.03% |
| Timeliness of prenatal care |
94.39% |
90.56% |
| Postpartum care |
89.8% |
79.87% |
|
| Children’s Health – The best start in life |
| Preferred Care is concerned about your children’s health. Making sure they receive the best preventive care and the best care possible when they are sick should be simple. That’s why most of our health plans offer free well child visits. |
| Adolescent well care visits |
65.56% |
40.29% |
| Adolescent immunization status (Combo 2) |
84.8% |
57.66% |
| Childhood immunization status (Combo 2) |
90.75% |
79.79% |
| Appropriate testing for children with pharyngitis |
87.68% |
72.70% |
|
| Adult Health |
|
| As you age, your health concerns may change. Preferred Care will continue to work with you and your
doctors to help you remain in the best health possible, even after an illness |
| Advising smokers quit |
75.9% |
73.36% |
| Beta blocker treatment after a heart attack |
100% |
97.71% |
| Follow-up after hospitalization for selected mental illness (7 days) |
67.16% |
56.74% |
| Cholesterol management after acute cardiovascular events screening rate |
91.24% |
87.53% |
| Appropriate use of medications for patients with asthma |
91.3% |
91.64% |
|
| Comprehensive Diabetes Care |
|
| Diabetic eye exams |
65.45% |
54.65% |
| Diabetic HbA1c testing |
92.94% |
87.50% |
| Diabetic LDL-C screening |
86.37% |
83.35% |
| Diabetic nephropathy monitoring |
82% |
79.68% |
Preferred Care’s Quality Improvement Program is committed to increasing clinical quality, maximizing
safe clinical practices, and enhancing service to members throughout the organization.
You may request information about Preferred Care’s Quality Improvement initiatives, programs,
and a report on the organization’s progress in meeting its goals by calling Preferred Care Member
Services Center. Representatives are available weekdays from 7 a.m. to 6 p.m. (Eastern Time) at
585-325-3113 or 800-950-3224. TTY users may call 585-325-2629 or 800-252-2452.
Quality Compass and HEDIS are registered trademarks of the National Committee for Quality Assurance (NCQA).
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
Last updated: April 1, 2008
|
Need
help choosing a health plan?
