Go back to the interactive dataset

Quality Assurance Reporting Requirements: Beginning 2008

Row numberMeasurement YearPayerPlan IDPlan NameDomainSub DomainMeasure DescriptionMeasureMethod of Data CollectionEligible PopulationDenominatorNumeratorRateLevel of SignificancePercentile 90thPercentile 75thPercentile 50thPercentile 25thPercentile 10th
12013Commercial HMO1040678Univera HealthcareAdult HealthManaging Medications for AdultsAnnual Monitoring for Patients on Persistent Medications- DigoxinPersist Meds-DigoxinAdministrative Review48484593.7592.7190.1785.3183.0981.18
22013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthChild Preventive CareChildhood Immunization - Combo 7Immu - Combo 7Hybrid Review36936923062.33Significantly better than the statewide average69.6965.4261.6841.2338.24
32013Commercial HMO1040678Univera HealthcareAdult HealthManaging Preventive Care for AdultsColon Cancer ScreeningColon Cancer ScreenHybrid Review1179737622359.3167.1566.3965.0359.3153.87
42013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthPreventive Counseling for Children and AdolescentsCounseling for Physical ActivityWCC Physical ActivityHybrid Review666930525182.3Significantly better than the statewide average82.378.9974.756.5151.39
52013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthChild Preventive CareAdolescent Immunization Tdap/TdAdol immu-Tdap/TdHybrid Review53635433795.298.8296.0995.6293.2189.81
62013Commercial HMO1040678Univera HealthcareAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - HbA1c TestingDiabetes HbA1c TestHybrid Review238356450890.0791.7191.1790.3388.3287.67
72013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthCaring for Children and Adolescents with IllnessesUse of Appropriate Medications for People with Asthma (Ages 12-18)Asthma Meds 12-18yrAdministrative Review62585810097.594.3291.0388.1784.67
82013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 50% Days Covered(Ages 12-18)ASA Med Mgmt 50% 12-18yrAdministrative Review62581729.31Significantly worse than the statewide average64.6758.1855.3451.4139.66
92013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthChild Preventive CareChildhood Immunization - 2 or 3 RotavirusImmu - 2 or 3 RotavirHybrid Review36936930582.66Significantly better than the statewide average86.3483.782.770.0762.87
102013Commercial HMO1040678Univera HealthcareAdult HealthManaging Respiratory Conditions for AdultsUse of Appropriate Medications for People with Asthma (Ages 51-64)Asthma Meds 51-64yrAdministrative Review33219017592.1193.8793.7790.9889.1788.36
112013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthCaring for Children and Adolescents with IllnessesMedical Management for People with Asthma 50% Days Covered (Ages 5-11)ASA Med Mgmt 50% 5-11yrAdministrative Review64552749.0968.1463.0358.625449.83
122013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAppropriate Treatment for Upper Respiratory Infection (URI)Appro Tx for URIAdministrative Review67867812381.86Significantly worse than the statewide average92.0791.1988.7487.7983.02
132013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthChild Preventive CareWeight Assessment for Children and Adolescents 12-17 YrsWCC BMI 12-17yrHybrid Review294014012488.57Significantly better than the statewide average88.0787.578.0759.1654.89
142013Commercial HMO1040678Univera HealthcareProvider NetworkProvider NetworkSatisfaction with Personal Doctor Satisfaction w/PCPCAHPS Survey22718079.2Significantly worse than the statewide average
152013Commercial HMO1040678Univera HealthcareAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Lipids Controlled (<100 mg/dL)Diabetes <100mg/dLHybrid Review238356427248.235049.5547.138.137.21
162013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthChild Preventive CareCounseling for Nutrition for Children and Adolescents 12-17 YrsWCC Nutrition 12-17yrHybrid Review294014011884.29Significantly better than the statewide average84.2982.5775.8362.358.7
172013Commercial HMO1040678Univera HealthcareAdult HealthManaging Respiratory Conditions for AdultsUse of Spirometry Testing in the Assessment and Diagnosis of COPDSpirometryAdministrative Review2192199945.2163.6461.4352.3342.3941.1
182013Commercial HMO1040678Univera HealthcareUse of ServicesUse of ServicesInitiation of Alcohol and Other Drug TreatmentInitiation of AOD TxAdministrative Review64264224337.8542.4240.734036.735.93
192013Commercial HMO1040678Univera HealthcareBehavioral HealthBehavioral HealthFollow-Up After Hospitalization for Mental Illness Within 7 DaysFUH within 7 daysAdministrative Review99993131.31Significantly worse than the statewide average65.465.0258.2449.8839.47
202013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthChild Preventive CareAdolescent Well-Care VisitsAdol WC VisitsAdministrative Review61786178394363.82Significantly better than the statewide average68.6166.3560.5656.2349.79
212013Commercial HMO1040678Univera HealthcareAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Received All TestsDiabetes All TestsHybrid Review238356427248.2352.349.4244.0939.4238.84
222013Commercial HMO1040678Univera HealthcareAdult HealthManaging Preventive Care for AdultsDiscussion of Aspirin Risks and BenefitsDiscuss AspirinCAHPS Survey25145.4252.6152.5847.2144.1743.01
232013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAsthma Medication Ratio (Ages 5-18)ASA Med Ratio 5-18yrAdministrative Review1261139987.6187.3186.8984.378.775.18
242013Commercial HMO1040678Univera HealthcareSatisfaction with CareSatisfaction with Access to Care and Health Plan for AdultsGetting Care NeededGetting Care NeededCAHPS Survey22620189.01
252013Commercial HMO1040678Univera HealthcareWomens HealthPreventive Care for WomenBreast Cancer ScreeningBreast Cancer ScreenAdministrative Review54425442401973.8576.476.2773.1167.6667.22
262013Commercial HMO1040678Univera HealthcareProvider NetworkProvider NetworkBoard Certified Other SpecialistsBoard Cert-OtherAdministrative Review3804307980.94Significantly better than the statewide average81.580.9479.4473.4673.35
272013Commercial HMO1040678Univera HealthcareProvider NetworkProvider NetworkBoard Certified Geriatric SpecialistsBoard Cert-GeriatricAdministrative Review745777.0374.5872.4369.5463.4353.66
282013Commercial HMO1040678Univera HealthcareUse of ServicesUse of ServicesInitiation of Alcohol and Other Drug Treatment (Ages 18+)Initiation of AOD Tx 18+yrAdministrative Review61861823337.742.1841.1139.836.2236.2
292013Commercial HMO1040678Univera HealthcareAdult HealthManaging Diabetes Outcomes for AdultsManaging Diabetes Outcomes - Blood pressure controlled (<140/90 mm Hg)Diabetes BP <140/90Hybrid Review238356440471.63Significantly better than the statewide average73.1171.7166.8953.7247.01
302013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthChild Preventive CareChildhood Immunization - Combo 6Immu - Combo 6Hybrid Review36936923363.14Significantly better than the statewide average69.2265.2862.4744.2141.88
312013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthChild Preventive CareCounseling for Physical Activity for Children and Adolescents 12-17 YrsWCC Activity 12-17yrHybrid Review294014011682.86Significantly better than the statewide average83.4982.8676.7854.8953.93
322013Commercial HMO1040678Univera HealthcareProvider NetworkProvider NetworkBoard Certified Family MedicineBoard Cert-Family MedAdministrative Review66453780.8783.7882.7780.5176.1974.73
332013Commercial HMO1040678Univera HealthcareAdult HealthMonitoring Diabetes for AdultsMonitoring Diabetes - Nephropathy MonitoringDiabetes NephropathyHybrid Review238356447383.8786.3684.1683.681.0177.62
342013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthPreventive Counseling for Children and AdolescentsAssessment, Counseling, or Education:Alcohol and Other Drug UseAPC-AODHybrid Review299814010877.14Significantly better than the statewide average77.1475.2368.1340.6138.04
352013Commercial HMO1040678Univera HealthcareAdult HealthManaging Cardiovascular Conditions for AdultsPersistence of Beta-Blocker TreatmentBeta-Blocker TxAdministrative Review38383694.7492.379085.9882.6174.9
362013Commercial HMO1040678Univera HealthcareAdult HealthManaging Respiratory Conditions for AdultsMedical Management for People with Asthma 50% Days Covered (Ages 51-64)ASA Med Mgmt 50% 51-64yrAdministrative Review3321751267280.0776.6874.8173.171.48
372013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthChild Preventive CareChildhood Immunization-3 or more HibsImmu - 3+ HibsHybrid Review36936935495.9398.3396.8495.6492.789.18
382013Commercial HMO1040678Univera HealthcareAdult HealthManaging Respiratory Conditions for AdultsMedical Management for People with Asthma 75% Days Covered (Ages 51-64)ASA Med Mgmt 75% 51-64yrAdministrative Review3321759353.1464.5755.6352.5448.9545.77
392013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthChild Preventive CareChildhood Immunization - Combo 10Immu - Combo 10Hybrid Review36936917848.2459.8152.5749.1833.2328.82
402013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthCaring for Children and Adolescents with IllnessesAsthma Medication Ratio (Ages 12-18)ASA Med Ratio 12-18yrAdministrative Review62584781.0384.4882.0679.0672.3969.4
412013Commercial HMO1040678Univera HealthcareSatisfaction with CareSatisfaction with Access to Care and Health Plan for AdultsPlan Information on CostInformation on CostCAHPS Survey1369066.45
422013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthChild Preventive CareAdolescent Immunization ComboAdol immu-ComboHybrid Review53635426374.2978.2175.4771.5368.1565.28
432013Commercial HMO1040678Univera HealthcareAdult HealthManaging Respiratory Conditions for AdultsUse of Appropriate Medications for People with Asthma (Ages 19-50)Asthma Meds 19-50yrAdministrative Review28624621587.490.8590.0289.1987.485.74
442013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthChild Preventive CareChildhood Immunization - Combo 5Immu - Combo 5Hybrid Review36936927273.71Significantly better than the statewide average77.1374.9470.4250.6146.68
452013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthChild Preventive CareChildhood Immunization-3 or more IPVsImmu - 3+ IPVsHybrid Review36936935295.39Significantly better than the statewide average96.4395.8694.769185.4
462013Commercial HMO1040678Univera HealthcareAdult HealthManaging Respiratory Conditions for AdultsAsthma Medication Ratio (Ages 51-64)ASA Med Ratio 51-64yrAdministrative Review33219016486.3286.7286.3282.4677.3870.14
472013Commercial HMO1040678Univera HealthcareSatisfaction with CareSatisfaction with Access to Care and Health Plan for AdultsRating of Health PlanRating of Health PlanCAHPS Survey25614556.45Significantly worse than the statewide average
482013Commercial HMO1040678Univera HealthcareAdult HealthManaging Respiratory Conditions for AdultsPharmacotherapy Management of COPD Exacerbation- BronchodilatorCOPD-BronchoAdministrative Review56564682.1485.883.4479.2677.4774.37
492013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthPreventive Counseling for Children and AdolescentsCounseling for NutritionWCC NutritionHybrid Review666930526085.25Significantly better than the statewide average85.2584.2380.0565.862.27
502013Commercial HMO1040678Univera HealthcareChild and Adolescent HealthChild Preventive CareChildhood Immunization Status (Combo 3)Immu - Combo 3Hybrid Review36936931084.01Significantly better than the statewide average85.2884.0178.9161.859.71

About

Open Data NY - DOH Open Data NY - DOH

created Mar 08, 2013

updated Mar 10, 2015

View Full Page
Description

As a way of monitoring managed care plan performance and improving the quality of care provided to New York State residents, the New York State Department of Health (NYSDOH) collects data for four types of managed care insurance (commercial HMO, commercial Preferred Provider Organization, Medicaid managed care, and Child Health Plus) on an annual basis. Not all measures are collected each year. Some services require more resource intensive methods of collection, and these measures are collected every other year to reduce the burden associated with reviewing patient records. Refer to the Health Measures Descriptions document to learn about the specific measures included in this dataset. Measure specification changes and health plan mergers and closures preclude the ability to trend this data over time. Please use caution when attempting to compare measures and/or health plans over time. For more information, check out http://www.health.ny.gov/health_care/managed_care/reports/quality_performance_improvement.htm, or go to the "About" tab.

Activity
Community Rating
Current value: 0.0 out of 5
Your Rating
Current value: out of 5
Raters
0
Visits
11875
Downloads
986
Comments
0
Contributors
0
Meta
Category
Health
Permissions
Public
Tags
managed care, medicaid, plan performance, qarr, quality-safety-costs
Row Count
33543
Dataset Summary
Organization
Office of Quality and Patient Safety
Time Period
Beginning 2008
Posting Frequency
Annual
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
Not all measures are collected each year. Some services require more resource intensive methods of collection, and these measures are collected every other year to reduce the burden associated with reviewing patient records. Refer to the Health Measures Descriptions document to learn about the specific measures included in this dataset. Measure specification changes and health plan mergers and closures preclude the ability to trend this data over time. Please use caution when attempting to compare measures and/or health plans over time.
Dataset Information
Agency
Health, Department of

Filter

  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;

Sort

  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;

Search

Saved Views

Sharing

This dataset is public

Publishing

See Preview