Table 2.
All Plans |
Plan C |
Plan I |
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Quality Measurea | Volume Category (No. of Attributed Quality Events)b |
No. of PCPs Meeting Threshold for Volume Category |
% Of PCPs Meeting Threshold for Volume Categoryc |
Mean No. of Quality Events Among PCPs Meeting Threshold for Volume Category |
Mean Performance Rate for Volume Category, % |
Reliability at Mean No. of Quality Events for Volume Categoryd |
Reliability at Minimum No. of Quality Events for Volume Categorye |
Reliability at Mean No. of Quality Events for Volume Categoryd |
Reliability at Minimum No. of Quality Events for Volume Categorye |
Preventive Care | |||||||||
Cervical cancer screening |
≥10 | 23,985 | 25 | 62 | 67 | 0.70 | 0.20 | 0.74 | 0.23 |
≥20 | 17,459 | 18 | 79 | 67 | 0.75 | 0.34 | 0.76 | 0.37 | |
≥30 | 13,898 | 14 | 93 | 67 | 0.77 | 0.43 | 0.77 | 0.47 | |
≥50 | 9326 | 10 | 120 | 68 | 0.80 | 0.57 | 0.80 | 0.60 | |
Chlamydia screening in women |
≥10 | 2003 | 2 | 19 | 33 | 0.51 | 0.34 | 0.58 | 0.42 |
≥20 | 626 | 1 | 31 | 34 | 0.63 | 0.51 | 0.68 | 0.58 | |
≥30 | 234 | 0 | 43 | 35 | 0.70 | 0.60 | 0.74 | 0.67 | |
≥50 | 50 | 0 | 67 | 38 | 0.79 | 0.72 | 0.79 | 0.76 | |
Colorectal cancer screening |
≥10 | 20,680 | 21 | 54 | 42 | 0.86 | 0.39 | 0.74 | 0.28 |
≥20 | 14,987 | 15 | 69 | 43 | 0.87 | 0.56 | 0.76 | 0.43 | |
≥30 | 11,718 | 12 | 82 | 44 | 0.88 | 0.66 | 0.78 | 0.53 | |
≥50 | 7502 | 8 | 106 | 45 | 0.89 | 0.76 | 0.81 | 0.65 | |
Chronic Care | |||||||||
Use of appropriate medications for people with asthma |
≥10 | 1053 | 1 | 15 | 82 | 0.25 | 0.17 | 0.04 | 0.03 |
≥20 | 164 | 0 | 27 | 82 | 0.36 | 0.29 | 0.07 | 0.05 | |
≥30 | 40 | 0 | 40 | 80 | 0.45 | 0.36 | 0.09 | 0.07 | |
≥50 | 6 | 0 | 57 | 79 | 0.52 | 0.49 | — | — | |
Comprehensive diabetes care |
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Low-density lipoprotein cholesterol testing |
≥10 | 3578 | 4 | 21 | 84 | 0.57 | 0.37 | 0.44 | 0.28 |
≥20 | 1286 | 1 | 33 | 86 | 0.69 | 0.56 | 0.54 | 0.43 | |
≥30 | 499 | 1 | 48 | 86 | 0.75 | 0.65 | 0.61 | 0.52 | |
≥50 | 142 | 0 | 76 | 88 | 0.84 | 0.75 | 0.68 | 0.63 | |
Medical attention for nephropathy |
≥10 | 5796 | 6 | 19 | 47 | 0.81 | 0.64 | 0.72 | 0.56 |
≥20 | 1765 | 2 | 33 | 50 | 0.86 | 0.78 | 0.80 | 0.72 | |
≥30 | 664 | 1 | 48 | 54 | 0.90 | 0.84 | 0.84 | 0.79 | |
≥50 | 178 | 0 | 80 | 59 | 0.94 | 0.90 | 0.89 | 0.86 | |
Annual monitoring for patients taking persistent medications (angiotensin-converting enzyme inhibitor) |
≥10 | 7949 | 8 | 24 | 76 | 0.66 | 0.37 | 0.52 | 0.29 |
≥20 | 3602 | 4 | 36 | 78 | 0.71 | 0.54 | 0.60 | 0.45 | |
≥30 | 1825 | 2 | 47 | 78 | 0.75 | 0.64 | 0.65 | 0.55 | |
≥50 | 530 | 1 | 71 | 79 | 0.81 | 0.75 | 0.72 | 0.66 | |
Acute Care | |||||||||
Appropriate treatment for children with upper respiratory tract infections |
≥10 | 5914 | 6 | 43 | 83 | 0.73 | 0.36 | 0.82 | 0.59 |
≥20 | 3806 | 4 | 60 | 84 | 0.78 | 0.54 | 0.88 | 0.76 | |
≥30 | 2758 | 3 | 73 | 85 | 0.81 | 0.64 | 0.91 | 0.83 | |
≥50 | 1669 | 2 | 96 | 85 | 0.85 | 0.76 | 0.93 | 0.89 | |
Inappropriate antibiotic treatment for adults with acute bronchitisf |
≥10 | 2126 | 2 | 19 | 27 | 0.63 | 0.45 | 0.45 | 0.28 |
≥20 | 594 | 1 | 32 | 26 | 0.74 | 0.63 | 0.59 | 0.45 | |
≥30 | 219 | 0 | 47 | 24 | 0.81 | 0.72 | 0.68 | 0.58 | |
≥50 | 65 | 0 | 72 | 25 | 0.86 | 0.80 | 0.76 | 0.71 |
PCP indicates primary care physician.
The mean is based on the group of physicians who had at least 1 quality event attributed to them for this measure.
The volume categories are not mutually exclusive; a physician with 25 quality events will be included in the volume categories of 10 or more and 20 or more.
The proportion of physicians who meet the volume category requirements for the quality measure out of all physicians with at least 1 quality event on any quality measure (n = 97,268).
The reliability estimate for the mean number of quality events among physicians who meet the volume category requirements for the composite. Estimates above the recommended level are boldfaced.
The reliability estimate for the minimum number of quality events for the volume category. Estimates above the recommended level are boldfaced.
Lower performance is better for this measure.