Quality Measures

Based on HEDIS® 2017, Senior Preferred's WI/IA HMO performs above the 90th percentile for many measures, such as:

  • Breast Cancer Screening.
    The percentage of women between 50-74 years of age who had a mammogram to screen for breast cancer.
  • Diabetic eye exams.
    The percentage of individuals with diabetes who had a retinal or dilated eye examination.
  • Medication Reconciliation Post-Discharge.
    Percentage of individuals for whom medications were reconciled the date of discharge or within 30 days of discharge.

In addition, we are working to improve measures, including:

  • Colorectal cancer screening.
    The percentage of members 50-75 years of age who had appropriate screening for colorectal cancer.
  • Osteoporosis Management.
    The percentage of females who suffered a fracture and received either a bone mineral density (BMD) test or prescription for a drug to treat osteoporosis in the six months after date of the fracture.
  • Plan All-Cause Readmissions.
    Number of acute inpatient stays that were followed by an unplanned acute readmission within 30 days.

For a more detailed overview of all quality measures or for a copy of our program evaluation or description, please contact Senior Preferred Quality Management and Population Health at (800) 394-5566.

The source for data contained in this article is Quality Compass® 2017. Quality Compass® and HEDIS® are registered trademarks of the National Committee for Quality Assurance.

This web page was updated on August 30, 2019.

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