The Utah Department of Health (UDOH)
recently released the
Performance Report for
Utah Commercial HMOs and Medicaid &
CHIP Health Plans
,
Performance Measures
(HEDIS®),*
and
Consumer Satisfaction
Survey Results (CAHPS®).†
These reports measure the quality of
care and services we provide—including
care that helps you stay healthy and care
you need if you get sick. You can
compare the cost of insurance premiums
and the quality of the care and service
you can expect from health plans
in Utah.
SelectHealth was the top-rated health
plan for customer satisfaction among
Utah HMO health insurance companies.
We surpassed state and national averages
for both clinical performance and
customer satisfaction more times than
any other Utah health plan.
You can review the 2013 Health Plan
Quality of Care Report (HEDIS) at
health.utah.gov/myhealthcare/reports/
hedis
. The 2013 Consumer Satisfaction
Report of Utah Health Plans is available
at
health.utah.gov/myhealthcare/
reports/cahps/2013
.
WE’RE WORKING FOR
YOUR HEALTH
HEDIS includes more than 70 standardized
measures that look at how well health plans
perform on key healthcare issues. HEDIS
measures cover topics such as these:
•
Breast, cervical, and colon
cancer screenings
•
Prenatal care and care after delivery
of a child
•
Immunizations and well-child visits
for children and adolescents
•
Appropriate use of antibiotics
•
Diabetes complication screening
•
High blood pressure control
We have developed programs to help
us improve our level of service, such as
reminder phone calls, condition-specific
newsletters, and reports for doctors to
keep track of their patients’ progress.
Our programs focus on excellence in
clinical areas included in the UDOH’s
Performance Report. Results indicate our
efforts are working.
This year, significant improvements were
seen in the following areas:
•
Diabetes management
•
Obesity monitoring
•
Childhood and adolescent
immunizations
•
Cholesterol screening
•
Antidepressant medication adherence
•
Flu immunizations
Our personalized phone calls allow
us to share information to improve
personal health. We have developed new
programs for patient satisfaction with
providers, diabetes, women’s health, and
well-child visits. These programs offer
care management referrals, assistance
with appointments, condition-specific
educational mailings, and other tools to
help you and your family better manage
your health. We consistently receive
positive feedback for outreach efforts
and have used comments to further
improve services.
WE VALUE YOUR FEEDBACK
Every year, we use survey responses to
determine member satisfaction. Quality
improvement strategies are then created
to address certain areas. This year’s
member satisfaction survey revealed that
our “Overall Rating of the Health Plan”
scores improved, and we were rated the
number one HMO plan in Utah.
WE’RE IMPROVING CARE FOR
HOSPITALIZED PATIENTS
Intermountain Healthcare® is also
working to improve care provided to
patients who are hospitalized for serious
medical conditions. We work with
Intermountain to ensure that patients
receive proper medications, treatments,
and tests. We also want to be certain
that patients are discharged from the
hospital with the appropriate medications
and education to help them manage
their illness.
The Centers for Medicare & Medicaid
Services (CMS) has collected clinical
performance data for most hospitals. It
evaluates care provided to patients who
have been admitted to a hospital for a
heart attack, pneumonia, or heart failure.
Visit
hospitalcompare.hhs.gov
to
learn more.
We would love to hear from
you! If you have comments,
please contact us. For more
information about our Quality
Improvement programs, call
800-374-4949, option 7,
or
e-mail
qualityimprovement@
selecthealth.org
.
*
HEDIS is a registered trademark of the
National Committee for Quality Assurance.
†If you would like a copy of the
2013 Performance Report for Utah
Commercial HMOs and Medicaid
& CHIP Health Plans
,
Performance
Measures (HEDIS)
, and
Consumer
Satisfaction Survey Results (CAHPS),
call the Office of Health Care Statistics
at
801-538-7048
.
Making
the grade
Total Fitness | spring 2014 |
selecthealth.org
my select
health
