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QARR: Caring for Children and Adolescents with Illnesses by Payer: Beginning 2008

This is a chart based on Quality Assurance Reporting Requirements: Beginning 2008.

Row numberMeasurement YearPayerPlan IDPlan NameDomainSub DomainMeasure DescriptionMeasureMethod of Data CollectionEligible PopulationDenominatorNumeratorRateLevel of SignificancePercentile 90thPercentile 75thPercentile 50thPercentile 25thPercentile 10th
12011Child Health PlusStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesFollow-Up Care for Children Prescribed ADHD Medication:Continuation PhaseADHD-ContinuationAdministrative Review748748438596561575248
22011Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesFollow-Up Care for Children Prescribed ADHD Medication:Continuation PhaseADHD-ContinuationAdministrative Review771771359476150484139
32011Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesFollow-Up Care for Children Prescribed ADHD Medication:Continuation PhaseADHD-ContinuationAdministrative Review12141214605506155494741
42011Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesFollow-Up Care for Children Prescribed ADHD Medication:Continuation PhaseADHD-ContinuationAdministrative Review259225921701667874696052
52011Child Health PlusStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesFollow-Up Care for Children Prescribed ADHD Medication:Initiation PhaseADHD-InitiationAdministrative Review287928781464516456524940
62011Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesFollow-Up Care for Children Prescribed ADHD Medication:Initiation PhaseADHD-InitiationAdministrative Review333627061200445247444141
72011Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesFollow-Up Care for Children Prescribed ADHD Medication:Initiation PhaseADHD-InitiationAdministrative Review441544131942445250464236
82011Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesFollow-Up Care for Children Prescribed ADHD Medication:Initiation PhaseADHD-InitiationAdministrative Review10460104526134596764615343
92011Child Health PlusStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Treatment for Upper Respiratory Infection (URI)Appro Tx for URIAdministrative Review34673346734027889291898682
102011Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Treatment for Upper Respiratory Infection (URI)Appro Tx for URIAdministrative Review56356563566590889089898885
112011Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Treatment for Upper Respiratory Infection (URI)Appro Tx for URIAdministrative Review28294282943209899191888783
122011Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Treatment for Upper Respiratory Infection (URI)Appro Tx for URIAdministrative Review17069517069513576929493919084
132011Child Health PlusStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Asthma Medications- 3+ Controllers (Ages 12-18)Asthma 3+ 12-18yrAdministrative Review343432012300728274716759
142011Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Asthma Medications- 3+ Controllers (Ages 12-18)Asthma 3+ 12-18yrAdministrative Review207919101448768277747371
152011Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Asthma Medications- 3+ Controllers (Ages 12-18)Asthma 3+ 12-18yrAdministrative Review290627412096768379757370
162011Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Asthma Medications- 3+ Controllers (Ages 12-18)Asthma 3+ 12-18yrAdministrative Review971292136371697572706764
172011Child Health PlusStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Asthma Medications- 3+ Controllers (Ages 5-11)Asthma 3+ 5-11yrAdministrative Review411538433018798683777473
182011Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Asthma Medications- 3+ Controllers (Ages 5-11)Asthma 3+ 5-11yrAdministrative Review268124511959808682807873
192011Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Asthma Medications- 3+ Controllers (Ages 5-11)Asthma 3+ 5-11yrAdministrative Review412138263060808581807774
202011Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Asthma Medications- 3+ Controllers (Ages 5-11)Asthma 3+ 5-11yrAdministrative Review191701813513129727875737167
212011Child Health PlusStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Asthma Medications- 3+ Controllers (Ages 5-18)Asthma 3+ 5-18yrAdministrative Review754970445318768478767067
222011Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Asthma Medications- 3+ Controllers (Ages 5-18)Asthma 3+ 5-18yrAdministrative Review476043613407788379777674
232011Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Asthma Medications- 3+ Controllers (Ages 5-18)Asthma 3+ 5-18yrAdministrative Review702765675156798279777570
242011Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Asthma Medications- 3+ Controllers (Ages 5-18)Asthma 3+ 5-18yrAdministrative Review288822734819500717674717067
252011Child Health PlusStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 12-18)Asthma Meds 12-18yrAdministrative Review341332012836899490888581
262011Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 12-18)Asthma Meds 12-18yrAdministrative Review207919101778939795938988
272011Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 12-18)Asthma Meds 12-18yrAdministrative Review291027452537929494939190
282011Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 12-18)Asthma Meds 12-18yrAdministrative Review971292138015879391878785
292011Child Health PlusStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 5-11)Asthma Meds 5-11yrAdministrative Review409338433626949896959290
302011Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 5-11)Asthma Meds 5-11yrAdministrative Review268124512371979898979695
312011Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 5-11)Asthma Meds 5-11yrAdministrative Review412338283655959897969591
322011Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 5-11)Asthma Meds 5-11yrAdministrative Review191701813516368909693919089
332011Child Health PlusStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 5-18)Asthma Meds 5-18yrAdministrative Review750670446462929894928988
342011Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 5-18)Asthma Meds 5-18yrAdministrative Review476043614149959796959492
352011Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 5-18)Asthma Meds 5-18yrAdministrative Review703365736192949695949492
362011Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 5-18)Asthma Meds 5-18yrAdministrative Review288822734824383899492908888
372011Child Health PlusStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Testing for PharyngitisPharyngitisAdministrative Review302873028726560889090878578
382011Commercial HMOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Testing for PharyngitisPharyngitisAdministrative Review280242802424561889291878483
392011Commercial PPOStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Testing for PharyngitisPharyngitisAdministrative Review480114801141886879189888786
402011Medicaid Managed CareStatewide AverageChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Testing for PharyngitisPharyngitisAdministrative Review773397733966363869086847976

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Open Data NY - DOH Open Data NY - DOH

created Mar 09, 2013

updated Sep 30, 2013

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Description

The column chart shows peformance measurement rates for child and adolescent health managed care by payer. The chart can be filtered by measurement year or measure by changing the options under the Filter tab. The chart uses statewide average rates of all insurance plans. Removing the statewide average filter is not recommended.

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Health
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Public
Tags
managed care, medicaid, plan performance
Row Count
40
Dataset Summary
Organization
Office of Quality and Patient Safety and Bureau of Quality Measurement and Improvement
Time Period
Beginning 2008
Posting Frequency
Annually
Data Frequency
Annual
Dataset Owner
Bureau of Quality Measurement and Improvement
Coverage
Statewide
Granularity
Health Plan
Units
Rates and Percentages
Notes
Notes
Plan-specific rates (percentages) are accompanied by a symbol to denote whether the plan's rate is statistically above (+) or below (-) the statewide average. When comparing plan rates and associated significance ratings, you may notice plans that have the same numerical rating, but a different significance rating. While this may seem like an error, plan significance ratings are based on how much a plan's rate differs from the statewide average and the number of individuals included in the rate. Therefore, plans can have the same rate but have different significance ratings because their rates are based on different numbers of enrollees.
Disclaimers
Limitations
QARR data is collected by health plans and the information is validated by a licensed organization. Only valid information is included in the data. Not all measures are collected each year. Some services require more resource intensive methods of collection, and these measures are often rotated to control collection burden. Measure specification changes and health plan mergers and closures limit the ability to trend this data over time. Please use caution when attempting to compare measures and/or health plans over time. Please review each measure description carefully as some measures have different specifications for payers and cannot be compared across payers even within each year. Several measures are reported as reported as inverted rates please refer to the measure descriptions.
Dataset Information
Agency
Health, Department of

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