September 23, 2014 | Tags: Blog | Tags: Adolescents , Measurement
The Oregon Health Care Quality Corporation (Q Corp) released the 2014 Information for a Healthy Oregon statewide report earlier this month. The report tracks preventive care for women, pediatric care, chronic disease care and the use of health care services, such as emergency department visits, in Oregon. For the first time this year, the report includes Medicare data through the Qualified Entity Certification Program. In 2012, Q Corp was one of the first three organizations in the U.S. selected as a qualified entity by the Centers for Medicare & Medicaid Services (CMS), which permitted it to obtain fee-for-service claims data submitted by Oregon clinics to Medicare. The new Medicare data offers information on the quality of care provided to more than 350,000 Medicare members in Oregon.
The statewide report reveals significant opportunity for improvement in providing adolescent well-care visits for both commercial and Medicaid populations across the state. Oregon rates for adolescent well-care visits among both payer types fall below the national average. Oregon’s rate for this measure among commercial payers is 29.5 percent, compared to the national commercial average of 40.1 percent. Similarly, the adolescent well-care visit national average for Medicaid payers is 49.7 percent, compared to Oregon’s rate of 27.0 percent. Though the rates for commercial payers are slightly higher, this is an area in which significant opportunity for improvement exists across all payer types in Oregon.
On September 23rd, 2014, the Institute hosted a webinar on Enhancing Adolescent Well-Visits, which provided an overview of key components of the adolescent well visits, strategies for getting adolescents in for well visits and strategies for providing quality well-visit care. You can access resources and a recording of this webinar on the Institute website>>>
Q Corp’s statewide report also shows well-child visit rates for children 3-6 years of age in Oregon are below the national average. However, an analysis of clinic performance shows that a significant proportion of clinics have increased their scores since 2012. Also noteworthy is the finding that clinics recognized as Patient-Centered Primary Care Homes (PCPCHs) by the Oregon Health Authority perform better than non-PCPCH recognized clinics on adolescent well-child visits for children 3-6 years of age. PCPCH recognized clinics have a mean clinic score of 60.0 percent, compared to 54.2 percent for non-PCPCH recognized clinics.
Another interesting finding in this year’s statewide report is the wide variation that exists in chlamydia screenings for adolescent women in clinics across Oregon. The report reveals that issues of confidentiality and access to care are major barriers for women 18 and younger, whose screening rate is significantly lower than the rate for older women.
The report also shows an improvement in rates of chlamydia screenings for sexually active women 16 to 24 years of age, as recommended by the U.S. Preventive Services Task Force. Despite an increase from 28.8 percent in 2009 to 45.5 percent as noted in this year’s report, Oregon’s chlamydia screening rate remains below the national average of 49.1 percent.
In addition to the data from CMS, 12 of Oregon’s largest health plans and the Oregon Health Authority’s Division of Medical Assistance Programs also contributed claims data for this report. Combined, this data represents care given to more than 2.6 million Oregonians and provides more comprehensive information than any contributing organization can provide on its own.
Access the entire Information for a Healthy Oregon statewide report on the Q Corp website>>>
Katrina Kahl, MPH, is the Director of Communications at Q Corp.