How well do HMOs help members maintain good health and avoid illness?
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Understanding the Table
Current performance area: Staying Healthy and Living with Illness
Compare: Selected HMOs
Source: DOH, 2005
Plans are listed in alphabetical order.
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| Performance Compared to the New York HMO Average |
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Significantly better than the NY HMO average |
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Not significantly different than the NY HMO average |
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Significantly worse than the NY HMO average |
| SS |
Rate not suitable for comparison because of a small sample size. |
| NV |
Plan submitted invalid data. |
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| NOTE: Symbols show statistically significant differences between each plan’s score and the New York average. Statistically significant means scores varied by more than could be accounted for by chance. |
New York HMOs were rated on how well they help people maintain good health and recover from illness.
Understanding The Table
The circles show how each HMO compares to the average for all New York HMOs. Look for HMOs with a in the table. These HMOs performed better than the New York HMO average. In other words, a greater percentage of members who received these services.
Childhood Immunization
Childhood immunizations prevent the resurgence of many serious infectious diseases. HMOs were rated on the percentage of 2-year-olds who were fully immunized with the following vaccines: 4 Diptheria/Tetanus/Pertussis, 3 Polio, 1 Measles/Mumps/Rubella, 3 H Influenza type B,
3 Hepatitis B, and 1 Varicella.
Chlamydia Screening (ages 21-25)
Chlamydia is the leading cause of preventable infertility and can lead to pelvic inflammatory disease. Women with chlamydial infections often do not have symptoms, so routine screening and treatment is essential. HMOs were rated on the percentage of sexually active young women who had at least one test for chlamydia.
Advising Smokers to Quit
Clinician advice to stop smoking improves the chances a smoker will quit. Smokers who quit have immediate and long-term benefits, reducing risks for many diseases and improving health in general. HMOs were rated on the percentage of members, 18 years and older, who are either current smokers or who recently quit, who received advice within the last 2 years from a health care provider to quit smoking.
Persistence of Beta-Blocker Treatment
Use of beta-blockers reduces the likelihood of dying after a heart attack. It also reduces the risk and severity of another heart attack and preserves heart function. HMOs were rated on the percentage of members, 35 years and older, who were hospitalized after a heart attack and who received beta-blocker medication for 6 months.
Follow-Up After Hospitalization for Mental Illness Within 30 Days
Adequate and timely follow-up care for patients discharged from an inpatient mental health facility helps to provide transitional care to an outpatient setting. Follow-up can prevent readmission or identify patients who would benefit from readmission. HMOs were rated on the percentage of members who were hospitalized for treatment for selected mental health disorders (such as depression or bipolar disorder) and were seen on an ambulatory basis or who were in intermediate treatment with a mental health provider within 30 days of discharge.
Keep in mind...
These measures indicate how well an HMO delivers preventive care to help members stay healthy. Evaluate the importance of each performance measure to you and your family. The Staying Healthy category is only one of eight performance areas presented.
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