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Quality Focus 

2013 Member Satisfaction Survey Results

Overall Rating of Health Plan

Dean Health Plan National Average
68.18% 61.72%

  Dean Health Plan National Average
Rating of Specialist Most Often Seen 85.00% 83.15%
Customer Service 83.40% 87.17%
Getting Care Quickly 89.99% 86.33%
Claims Processing 87.90% 88.36%
Plan Information on Cost 58.79% 63.19%
Getting Needed Care 90.86% 87.86%
Overall Rating of Health Care 82.73% 76.21%
Doctor Communication 97.00% 94.71%
Rating of Personal Doctor 88.29% 83.71%

NCQA Accreditation

The National Committee for Quality Assurance (NCQA) is an organization dedicated to measuring the quality of America's health care. Their standards are purposely set high to encourage health plans to continuously improve the quality of care and customer service.
Participation in this accreditation program is strictly voluntary. Dean Health Plan has been measuring our quality focus in this program since 1999 and is proud to have achieved the highest level attainable: "Excellent Accreditation" for the last 12 years.

2013 HEDIS Performance

The Healthcare Effectiveness Data and Information Set (HEDIS) was established to provide employers, individuals and families with information that would allow them to compare the performance of different health plans.

Access To Care

Access to Care measures the percentage of members who received an ambulatory or preventive care visit during the measurement year.

  Dean Health Plan National Average
Children (12 to 24 mo) 98.86% 97.47%
Children (25 mo to 6 yrs) 91.25% 90.88%
Children (7 to 11 yrs) 90.18% 91.39%
Children (12 to 19 yrs) 90.49% 88.68%
Adults (20 to 44 yrs) 95.05% 93.11%
Adults (45 to 64 yrs) 96.52% 95.43%
Adults (age 65+) 98.72% 96.73%

Asthma Care

Asthma care measures the percentage of members with persistent asthma who were appropriately prescribed medication.

  Dean Health Plan National Average
Asthma Patients (5 to 11 yrs) 98.01% 95.58%
Asthma Patients (12 to 18 yrs) 92.61% 92.20%
All Asthma Patients (19 to 50 yrs) 92.15% 87.83%
All Asthma Patients (51 to 64 yrs) 95.12% 92.30%
All Asthma Patients (Total) 94.05% 90.96%

Behavior and Mental Health

Behavioral Health measures the rate that members receive appropriate follow up care and medication management after a diagnosis.

  Dean Health Plan National Average
Follow Up After Hospitalization for Mental Illness - 7 Days 70.82% 55.32%
Follow Up After Hospitalization for Mental Illness - 30 Days 88.10% 74.02%
Antidepressant Medication Management Effective Acute Phase Treatment 80.38% 69.03%
Antidepressant Medication Management Continuation Phase Treatment 65.28% 53.49%
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment- Initiation 35.74% 40.15%
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment- Engagement 16.39% 14.06%

Cancer Screening

Cancer screening measures the rate that members receive routine cancer screenings within the recommended timeframes.

  Dean Health Plan National Average
Breast Cancer Screening (ages 42 - 69) 70.69% 68.48%
Cervical Cancer Screening 78.74% 74.59%
Colorectal Cancer Screening 68.49% 59.68%

Cardiac Care

Cardiac care measures the rate that members who have had a cardiac episode or are at risk are receiving the appropriate treatment and screenings.

  Dean Health Plan National Average
Controlling High Blood Pressure (Ages 18-85) 74.57% 60.64%
Cholesterol Management for Patients with Cardiovascular Conditions (LDL Screening) 91.38% 86.06%
Cholesterol Management for Patients with Cardiovascular Conditions (LDL Control: <100 mg/dL) 73.23% 55.51%
Persistence of Beta Blocker Treatment After a Heart Attack 92.79% 81.49%

Child and Adolesent Care

Childhood and adolescent measures the rate that children and adolescents are receiving appropriate screenings and medical care throughout the measurement year.

  Dean Health Plan National Average
Childhood Immunizations 84.18% 71.94%
Well Child Visits in the First Fifteen Months of Life (6 or more visits) 80.01% 77.29%
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life 74.27% 71.46%
Adolescent Well Care Visits 41.86% 41.77%
Appropriate Treatment for children with Upper Respiratory Infection 91.99% 83.21%
Appropriate Testing for children with Pharyngitis 78.98% 79.59%
Follow-up Care for Children Prescribed ADHD Medication Initiation Phase 34.48% 38.37%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents – BMI Percentile 72.02% 42.30%

Diabetes Care

Diabetes care measures the rate that members diagnosed with diabetes receive routine screenings and are at that appropriate levels to reduce risk.

  Dean Health Plan National Average
HbA1cTesting 94.69% 88.70%
Poor HbA1c Control (>9.0) (lower is better) 20.47% 31.38%
LDL-C Screening 90.00% 83.64%
LDL-C Control (<100) 61.09% 45.52%
Kidney Disease Screening 89.06% 81.55%
Eye Exams for Diabetic Members 70.74% 53.00%
Blood Pressure Control for Diabetic Members (<140/90) 84.38% 62.98%

Women's Health

Women’s health measures the rate that members receive timely prenatal care, postpartum care and receive annual screenings for Chlamydia.

  Dean Health Plan National Average
Timeliness of Prenatal Care 89.23% 85.36%
Postpartum Care 88.46% 75.14%
Chlamydia Screening 40.00% 43.78%

Other Types of Care

There are a number of measures that monitor the rates that Dean Health Plan’s providers use appropriate testing for diagnosis, use safe practices when prescribing antibiotics and appropriately managing medications for their patients.

  Dean Health Plan National Average
Adult BMI Assessment 85.67% 51.06%
Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis 21.16% 23.04%
Use of Spirometry Testing in the Assessment and Diagnosis of COPD 39.16% 42.52%
Use of Imaging Studies for Low Back Pain 81.83% 74.74%
Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis 82.60% 87.56%
Phamacotherapy Management of COPD – Bronchodilator 56.08% 79.15%
Phamacotherapy Management of COPD - Systemic Corticosteroid 53.38% 72.10%

Wisconsin Health Reports

If you want to research quality metrics within the state, Dean recommends visiting Wisconsin Health Reports. This website will help you better understand what kind of care you should be receiving from your doctor, clinic or hospital. It can also help you make decisions about where to go for quality care.

This website is supported by a set of nonprofit groups that are working to improve the health of people in Wisconsin.