2012 Member Satisfaction Survey Results
Overall Rating of Health Plan
| Dean Health Plan |
National Average |
| 71.19% |
62.51% |
| |
Dean Health Plan |
National Average |
| Rating of Specialist Most Often Seen |
82.86% |
82.70% |
| Customer Service |
85.80% |
84.16% |
| Getting Care Quickly |
87.40% |
86.56% |
| Claims Processing |
85.77% |
88.38% |
| Plan Information on Cost |
65.97% |
64.96% |
| Getting Needed Care |
87.78% |
85.85% |
| Overall Rating of Health Care |
81.82% |
76.94% |
| Doctor Communication |
94.04% |
94.31% |
| Rating of Personal Doctor |
83.55% |
83.58% |
| Shared Decision Making |
61.07% |
62.17% |
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.
2012 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) |
98.73% |
97.54% |
| Children (25 mo to 6 yrs) |
91.71% |
91.13% |
| Children (7 to 11 yrs) |
90.33% |
91.07% |
| Children (12 to 19 yrs) |
89.90% |
88.38% |
| Adults (20 to 44 yrs) |
95.58% |
93.20% |
| Adults (45 to 64 yrs) |
96.78% |
95.38% |
| Adults (age 65+) |
98.97% |
96.62% |
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) |
98.85% |
96.30% |
| Asthma Patients (12 to 18 yrs) |
94.76% |
92.89% |
| All Asthma Patients (19 to 50 yrs) |
91.91% |
88.74% |
| All Asthma Patients (51 to 64 yrs) |
93.61% |
93.10% |
| All Asthma Patients (Total) |
93.80% |
91.77% |
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 |
66.67% |
56.44% |
| Follow Up After Hospitalization for Mental Illness - 30 Days |
86.73% |
74.58% |
| Antidepressant Medication Management Effective Acute Phase Treatment |
73.64% |
65.27% |
| Antidepressant Medication Management Continuation Phase Treatment |
57.17% |
49.12% |
| Initiation and Engagement of Alcohol and Other Drug Dependence Treatment- Initiation |
38.63% |
40.37% |
| Initiation and Engagement of Alcohol and Other Drug Dependence Treatment- Engagement |
16.74% |
15.59% |
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) |
69.60% |
68.74% |
| Cervical Cancer Screening |
79.37% |
75.55% |
| Colorectal Cancer Screening |
65.48% |
58.77% |
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) |
73.85% |
62.46% |
| Cholesterol Management for Patients with Cardiovascular Conditions (LDL Screening) |
94.13% |
85.97% |
| Cholesterol Management for Patients with Cardiovascular Conditions (LDL Control: <100 mg/dL) |
76.80% |
55.89% |
| Persistence of Beta Blocker Treatment After a Heart Attack |
86.21% |
79.06% |
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 |
82.48% |
70.26% |
| Well Child Visits in the First Fifteen Months of Life (6 or more visits) |
84.01% |
77.09% |
| Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life |
74.04% |
71.22% |
| Adolescent Well Care Visits |
41.31% |
41.99% |
| Appropriate Treatment for children with Upper Respiratory Infection |
91.41% |
83.04% |
| Appropriate Testing for children with Pharyngitis |
78.87% |
79.75% |
| Follow-up Care for Children Prescribed ADHD Medication Initiation Phase |
37.50% |
39.37% |
| Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents – BMI Percentile |
71.05% |
36.43% |
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 |
94.22% |
88.59% |
| Poor HbA1c Control (>9.0) (lower is better) |
20.94% |
30.48% |
| LDL-C Screening |
94.53% |
83.45% |
| LDL-C Control (<100) |
70.16% |
45.49% |
| Kidney Disease Screening |
89.53% |
81.10% |
| Eye Exams for Diabetic Members |
69.38% |
52.97% |
| Blood Pressure Control for Diabetic Members (<140/90) |
77.81% |
63.24% |
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 |
91.15% |
86.67% |
| Postpartum Care |
88.46% |
76.19% |
| Chlamydia Screening |
38.07% |
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 |
81.02% |
42.65% |
| Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis |
22.29% |
22.58% |
| Use of Spirometry Testing in the Assessment and Diagnosis of COPD |
43.24% |
41.72% |
| Use of Imaging Studies for Low Back Pain |
78.22% |
74.08% |
| Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis |
89.42% |
87.19% |
| Phamacotherapy Management of COPD – Bronchodilator |
78.86% |
78.33% |
| Phamacotherapy Management of COPD - Systemic Corticosteroid |
63.41% |
70.41% |
