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Page Updated 4/30/2002 (M)
American Lung Association's
State
of the Air 2001 Report
American Lung Association's
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HEDIS MEASURES |
Health Plan Employer Data and Information Set (HEDIS) is a set of
standardized performance measures designed to ensure that
purchasers and consumers have the information they need to
reliably compare the performance of managed health care plans. The
performance measures in HEDIS are related to many significant
public health issues such as cancer, heart disease, smoking, asthma
and diabetes.
For
more information
on HEDIS statistics.
HEDIS is sponsored, supported and
maintained
by NCQA.
|
|
| NCQA
State of Managed Care Quality 2000 Report |
The National Committee for
Quality Assurance (NCQA) released its fourth annual State of
Managed Care Quality report, which contains encouraging news for
health care consumers. Across every single clinical quality
measure NCQA examines, and in every region of the country,
reporting plans made their largest gains ever in 1999. The report
is based on an analysis of health plan performance data from
Quality Compass® 2000, NCQA’s database of managed
care information, and the most comprehensive resource of its kind.
The 466 health plan products submitting data to the 2000 edition
of Quality Compass cover some 51 million people.
NCQA
2001 Report 
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|
Welcome to
Asthma Statistics & Data:
 Statistics and data are valuable tools to help prove that the work you
are doing impacts directly upon patient care. Use this section to access
asthma hospitalization rates, statistical charts, and other tools that
will help you with your ability to report on the statistical impact of
your services on healthcare and chronic disease management.
 The
Massachusetts Division of Health
Care Finance and Policy collects, analyzes, and disseminates information
with the goal of improving the quality, efficiency, and effectiveness of the
health care delivery system in MA.
One approach to assessing our health care delivery system is to look at
health care outputs or outcomes. Traditional outcome measures include
mortality and morbidity rates. Another outcome measure is
"preventable hospitalization" (PH) rates. Because lack of primary
care for particular medical conditions often leads to hospitalization, it is
possible to measure preventable hospitalization rates as a way of assessing
primary care delivery, thereby identifying appropriate areas to improve in
the health care delivery system. Certain ambulatory care sensitive
conditions such as asthma, if treated in a timely fashion with adequate
primary care and managed properly on an outpatient basis, should not advance
to the point where hospitalization is required. Preventable
hospitalization is the term used by the Division to describe inpatient
hospital admissions for ambulatory care sensitive conditions.
Information and data on preventable hospitalization is designed to serve as
a tool for improving the health status of Massachusetts residents. It
is also a tool for containing costs. This tool promotes the efficient
use of health care resources primarily because encouraging appropriate
delivery of primary care reduces the need for costly inpatient care.
The statistical tables, courtesy of the Division
of Health Care Finance & Policy, listed below are based on FY
1999 Preventable Hospitalizations (PH) per 1,000 population for asthma in the categories of geographic area,
age breakdown, and payor source. The addition of a payor source code allows
for comparisons in performance among insurance plans and other Health
Maintenance Organizations (HMO).
Links to Other State and Federal Statistics are Listed Below the Division of Heath Care Finance & Policy
Data Tables.
|
MA Division of Health
Care
Finance & Policy
Asthma Hospitalizations & Preventable Hospitalizations
FY 99 |
|
Massachusetts Residents (ZIP Codes
01001 - 02791)
Asthma Hospitalizations |
|
FY 1999, All Ages |
Top 10 |
ZIP
Code |
City /
Town |
Counts |
|
1
|
02124 |
Dorchester South |
256 |
|
2
|
02119 |
Roxbury |
168
|
|
3
|
02301* |
Brockton
|
159
|
|
4
|
02121 |
Dorchester North
|
147
|
|
5
|
02125 |
Dorchester
North
|
127
|
|
6
|
02126 |
Dorchester
South
|
119
|
|
7
|
02155 |
Medford
|
112
|
|
8
|
01040 |
Holyoke
|
106
|
|
9
|
02130 |
Jamaica Plain
|
105
|
|
10
|
02149 |
Everett |
94 |
|
Statewide |
8,310 |
|
*Per US Postal Service, this is a new Zip Code as of
7/1/98. It was 02401 |
Massachusetts Residents (ZIP Codes
01001- 02791)
Asthma Hospitalizations (PH)
FY 1999 - Age Breakdown |
Ages 0 - 17 |
Ages 18 - 64 |
|
Condition
|
Counts
|
Population¹
|
PH
Rate²
|
Condition
|
Counts
|
Population
|
PH
Rate
|
|
Asthma
|
2,388
|
1,419,512
|
1.68
|
Asthma
|
4,306
|
3,865,974
|
1.11
|
Ages 65+ |
All Ages |
|
Condition
|
Counts
|
Population
|
PH
Rate
|
Condition
|
Counts
|
Population
|
PH
Rate
|
|
Asthma
|
1,616
|
883,647
|
1.83
|
Asthma
|
8,310
|
6,169,133
|
1.35
|
|
¹ -Population figures are from
Claritas, Inc.
² - ph rates are per one thousand population. PH rate = counts/pop x
1000 |
|
Massachusetts Residents (ZIP Codes 01001 - 02791)
Preventable Hospitalizations (PH)
Observation Stay Discharges
FY 1998, All Ages*
|
FY 1998, PH Observation Stays, All Ages |
Counts
|
%
|
|
Diabetes
|
852
|
4.33%
|
|
Asthma
|
3,611
|
18.37%
|
|
Other PH
Conditions
|
15,192
|
77.29%
|
Statewide |
19,6555
|
100.00%
|
|
*Observation Stay Discharges for FY
1999 to be released in early spring |
Massachusetts Residents (ZIP Codes 01001 - 02791)
Asthma Hospitalizations
FY 1999 - Age Breakdown |
|
Asthma, Ages 0-17
|
PAYOR
TYPE |
COUNTS |
% |
|
HMO
|
960
|
40.20%
|
|
Medicaid non-Managed Care
|
433
|
18.13%
|
|
Medicaid Managed Care
|
339
|
14.20%
|
|
Blue Cross Managed Care
|
184
|
7.71%
|
|
Commercial non-Managed Care
|
138
|
5.78%
|
|
Blue Cross non-Managed Care
|
97
|
4.06%
|
|
PPO and other Managed Care Plan
|
90
|
3.77%
|
|
Self-Pay
|
38
|
1.59%
|
|
Commercial Managed Care
|
37
|
1.55%
|
|
Free Care
|
36
|
1.51%
|
|
Not Valid Code
|
22
|
0.92%
|
|
Other Government Payor
|
9
|
0.38%
|
|
Others*
|
5
|
0.21%
|
|
All Payor Types
|
2,388
|
100.00%
|
FY
1999 Asthma, Ages 18-64 |
PAYOR
TYPE |
COUNTS |
% |
|
HMO
|
1,118
|
25.69%
|
|
Medicaid non-Managed Care
|
728
|
16.91%
|
|
Medicare non-Managed Care
|
566
|
13.14%
|
|
Medicaid Managed Care
|
353
|
8.20%
|
|
Blue Cross Managed Care
|
292
|
6.78%
|
|
Blue Cross non-Managed Care
|
229
|
5.32%
|
|
Commercial non-Managed Care
|
217
|
5.04%
|
|
Self-Pay
|
205
|
4.76%
|
|
PPO and other Managed Care
|
170
|
3.95%
|
|
Free Care
|
154
|
3.58%
|
|
Other non-Managed Care Plan
|
113
|
2.62%
|
|
Commercial Managed Care
|
45
|
1.05%
|
|
Medicare Managed Care
|
45
|
1.05%
|
|
Not Valid Code
|
36
|
0.84%
|
|
Worker's Compensation
|
17
|
0.39%
|
|
Other Government Payor
|
14
|
0.33%
|
|
Others*
|
4
|
0.09%
|
|
All Payor Types
|
4,306 |
100.00% |
|
FY 1998, Asthma, Ages 65+
|
PAYOR TYPE |
COUNTS |
% |
|
Medicare non-Managed Care
|
1,192
|
73.76%
|
|
Medicare Managed Care
|
232
|
14.36%
|
|
HMO
|
66
|
4.08%
|
|
Medicaid non-Managed Care
|
22
|
1.36%
|
|
Not Valid Code
|
20
|
1.24%
|
|
Blue Cross Managed Care
|
17
|
1.05%
|
|
Blue Cross non-Managed Care
|
15
|
0.93%
|
|
Commercial non-Managed Care
|
14
|
0.87%
|
|
Free Care
|
14
|
0.87%
|
|
Other Government Payor
|
9
|
0.56%
|
|
PPO and other Managed Care Plan
|
6
|
0.37%
|
|
Others*
|
10
|
0.65%
|
|
All Payor Types
|
1,616 |
100.00% |
| FY
1999, Asthma, All Ages |
PAY0R TYPE |
COUNTS |
% |
|
HMO
|
2,144 |
25.80%
|
|
Medicare non-Managed Care
|
1,759
|
21.17%
|
|
Medicaid non-Managed Care
|
1,183
|
14.24%
|
|
Medicaid Managed Care
|
692
|
8.33%
|
|
Blue Cross Managed Care
|
493
|
5.93%
|
|
Commercial non-Managed Care
|
369
|
4.44%
|
|
Blue Cross non-Managed Care
|
341
|
4.10%
|
|
Medicare Managed Care
|
277
|
3.20%
|
|
PPO and other Managed Care Plan
|
266
|
3.20%
|
|
Self-Pay
|
246
|
2.96%
|
|
Free Care
|
204
|
2.45%
|
|
Other non-Managed Care Plan
|
115
|
1.38%
|
|
Commercial Managed Care
|
85
|
1.02%
|
|
Not Valid Code
|
78
|
0.94%
|
|
Other Government Payor
|
32
|
0.39%
|
|
Worker's Compensation
|
17
|
0.20%
|
|
Point of Service Plan
|
9
|
0.11%
|
|
All Payor Types
|
8,310 |
100.00% |
* Note: To insure patient confidentiality, "others" are
the sum of payor types
with less than six discharges |
Links
to other Asthma-Related Statistics & Data Sites
|
-
Massachusetts
Health Data Consortium, Inc.
The Massachusetts Health Data Consortium
collects, analyzes and disseminates
health care information. The Consortium's information
products, services and special projects support health
policy development, technology planning and implementation,
and improved decision making in the allocation and financing
of health care.
|
- Mass
Community Health Information Profile (MassCHIP)
The Massachusetts Community
Health Information Profile (MassCHIP) is a dynamic,
user-friendly information service that provides free, online
access to many health status, health outcomes, and other
social indicators. With MassCHIP,
you
can obtain community-level data to assess
health needs, monitor health status indicators, and evaluate
health programs.
|
|
|
- Centers
for Disease Control
National Center for Health
Statistics' downloadable fast statistics for all types
of diseases and states. Contains national asthma
statistics
|
|
|
|
|
|
|
- New England
HEDIS Coalition
The New England HEDIS Coalition (NEHC) was established in 1993
as a collaborative effort among health plans and purchasers to
implement collection and reporting of HEDISR
(Health Plan and Employer Information Set) performance
measures. HEDIS captures comprehensive data and
evaluates the actual results a health plan achieves, in
effectiveness of care, access and availability of care, cost
of care and member satisfaction. With each revision, HEDIS
addresses a wider range of health care issues and becomes more
"outcomes," or "results," oriented. NCQA
requires that HEDIS measures are (1) relevant to purchasers
and consumers, (2) scientifically sound and (3) feasible to
produce at a reasonable cost and in a consistent fashion with
all regard for patient confidentiality.
HEDIS Health Plan
Performance Charts in New England.
|
- National
Committee on Quality Assurance (NCQA)
NCQA is an independent, non-profit organization whose mission
is to evaluate and report on the quality of the nation’s
managed care organizations. Their web site is a key part of
that effort. It allows them to provide you and millions of
other visitors with information you can use to help decide
which health plan you want to cover you, your family, or your
employees.
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