Print this pageTo help you make more informed choices about your health care, the Health Care Authority is providing you with information about how the PEBB health plans performed on certain national service and clinical quality indicators in 2007. These are not all of the available service and quality indicators. Service quality is measured by the Consumer Assessment of Health Plans and Systems (CAHPS) survey. For more information on this survey and other available service quality indicators, visit the Agency on Healthcare Research and Quality (www.ahrq.gov). Clinical quality is measured by the Healthcare Effectiveness Data and Information Set (HEDIS). For more information on this survey and other available clinical quality indicators, visit the National Committee on Quality Assurance (www.ncqa.org). If you would like more information on how a health plan performed on other available quality indicators, please contact the plan directly.
2007 Service and Clinical Quality Indicators |
PPO | MCO | |
|---|---|---|---|
| Uniform Medical Plan |
Group Health* | Kaiser* | |
| Customer Satisfaction (CAHPS®) | |||
| Rating of their health plan | 67.0  |
65.5  |
60.5 |
| Rating of health care they received | 79.1 |
73.0 |
64.9  |
| Rating of personal doctor | 82.5 |
82.0 |
78.4 |
| Getting care that is needed | 88.2 |
82.2 |
73.1 |
| Getting care without long waits | 90.3 |
87.1 |
76.3 |
| How well doctors communicate | 95.0 |
94.1 |
92.4 |
| Health plan customer service | 86.1 |
86.2 |
80.1 |
| Clinical Quality (HEDIS®) | |||
| Childhood immunizations | not available for PPOs |
70.8 |
83.3 |
| Beta blocker after heart attack | 97.1 |
100.0 |
|
| Diabetic care (HbA1c screening) | 93.8 |
93.7 |
|
| Diabetic care (cholesterol screening) | 86.2 |
90.3 |
|
- statistically below respective national benchmark
- statistically above respective national benchmark
* Data from these health plans are not limited to PEBB members. The data represent members from the health plans' commercial book of business.
Note: Service and clinical quality information for Aetna Public Employees Plan is not available because this plan is new for 2008.
When Making Comparisons Between Plans
Preferred Provider Organizations (PPOs) and Managed Care Organizations (MCOs) operate in very different ways. When using these data to make comparisons, be aware that PPOs and MCOs have different national benchmarks. What you see above is how the health plans compared to their respective national benchmarks.
What the Numbers Mean - CAHPS
The ratings refer to the percentage of respondents who answered always or usually to questions on the survey related to key areas of customer satisfaction. Survey participants were also asked to rate the quality of their health care, personal doctor, and health plan. The numbers in those rows refer to the percentage of respondents who gave a rating of 8, 9, or 10.
What the Numbers Mean - HEDIS
The ratings refer to the percentage of eligible members who received the appropriate clinical service.
