Slide 1 HMO/PSN Quarterly Meeting Performance Improvement Projects September 26, 2011 Presenter: Christi Melendez, RN, CPHQ Project Manager, PIP Review Team

Slide 2 Presentation Topics Discuss Well-Child Visits in the First 15 Months of Life—Six or More Visits Results Discuss Validation Results Next Steps Important Dates

Slide 3 HMO/PSN Non-Reform Well-Child Visits in the First 15 Months of Life— Six or More Visits Baseline – Thirteen plans provided baseline results The overall rate for the Non-Reform HMOs was 34.0 percent The rates ranged from 11.1 to 80.0 percent

Slide 4 HMO/PSN Non-Reform Well-Child Visits in the First 15 Months of Life— Six or More Visits Remeasurement 1 – Twelve plans provided Remeasurement 1 results Seven plans reported improved rates from baseline to Remeasurement 1; all increases were statistically significant The overall rate increased from 34.0 percent to 37.1 percent

Slide 5 HMO/PSN Non-Reform Well-Child Visits in the First 15 Months of Life— Six or More Visits Remeasurement 2 – Ten plans provided Remeasurement 2 results Seven plans reported improved rates from Remeasurement 1 to Remeasurement 2; two of the increases were statistically significant The overall rate decreased from 37.1 percent to 30.0 percent

Slide 6 HMO/PSN Non-Reform Well-Child Visits in the First 15 Months of Life— Six or More Visits Remeasurement 3 – Five plans provided Remeasurement 3 results Two of the five plans reported improved rates from Remeasurement 2 to Remeasurement 3; none of the increases were statistically significant The overall rate decreased from 30.0 percent to 27.4 percent NOTE: Plans were not required to report Remeasurements 2 or 3 for calendar year 2010

Slide 7 HMO/PSN Non-Reform Baseline Well-Child Visits in the First 15 Months of Life—Six or More Visits

Slide 8 HMO/PSN Non-Reform Baseline to Remeasurement 1 Well-Child Visits in the First 15 Months of Life—Six or More Visits

Slide 9 HMO/PSN Non-Reform Baseline to Remeasurement 2 Well-Child Visits in the First 15 Months of Life—Six or More Visits

Slide 10 HMO/PSN Non-Reform Baseline to Remeasurement 3 Well-Child Visits in the First 15 Months of Life—Six or More Visits

Slide 11 HMO/PSN Non-Reform Statistically Significant Improvement and Sustained Improvement

Slide 12 HMO/PSN Reform Well-Child Visits in the First 15 Months of Life— Six or More Visits Baseline – Seven plans provided baseline results The overall rate for the Reform HMO/PSNs was 37.5 percent The rates ranged from 10.3 percent to 60.0 percent

Slide 13 HMO/PSN Reform Well-Child Visits in the First 15 Months of Life— Six or More Visits Remeasurement 1 – Three plans provided Remeasurement 1 results One of the three plans reported an improved rate from baseline to Remeasurement 1, the increase was not statistically significant The overall rate improved from 37.5 percent to 52.7 percent Remeasurement 2 – One plan provided a Remeasurement 1 rate of 46.2 percent; the result was below the plan’s baseline rate of 48.7 percent NOTE: Plans were not required to report Remeasurements 1 or 2 for calendar year 2010

Slide 14 HMO/PSN Reform Baseline Well-Child Visits in the First 15 Months of Life—Six or More Visits

Slide 15 HMO/PSN Reform Baseline to Remeasurement 1 Well-Child Visits in the First 15 Months of Life—Six or More Visits

Slide 16 HMO Validation Results Across All PIPs (Reform and Non-Reform)

Slide 17 PSN Validation Results Across All PIPs

Slide 18 Next Steps What’s Next? New Collaborative Intervention Work Group Develop Action Plan PIPs submitted to HSAG for validation Wednesday, December 14, 2011