Health Care
For full metadata information, see http://clfuture.org/programs/regional-equity-atlas/about-indicators/indicator-metadata-data-links-documentation#Healthcare
Rate of Well-Child Visits, 3-6 Years
The Well-Child Visits (3-6 years) indicator shows the percentage of children 3-6 years of age who received one or more well-child visits with a primary care provider during the measurement year.
Rate of Potentially Avoidable Emergency Department Visits by Adults
The Potentially Avoidable Emergency Department Visits by Adults indicator shows the percentage of Emergency Department visits by adults that were for problems that could have been more appropriately managed by a primary care provider in an office or clinic setting. The measure is based on the primary diagnosis appearing on the MediCal list of preventable ICD-9 diagnosis codes (PDF). The data include only patients 18 years or older at the time of the emergency department visit.
Health Outcomes
For full metadata information, see http://clfuture.org/programs/regional-equity-atlas/about-indicators/indicator-metadata-data-links-documentation#Healthoutcomes
Rate of Asthma
Data set includes participating insurance plan members ages 5-50 identified as having asthma during the measurement year or the year prior based on having a claim with an asthma diagnosis (493.XX) in any location OR having a pharmacy claim for asthma (based on HEDIS definition).
Rate of Diabetes
Data set includes participating insurance plan members ages 18-75 identified as having diabetes during the measurement year or the year prior according to either of the following HEDIS events:
- Pharmacy Data - Members who were dispensed insulin or oral hypoglycemics/antihyperglycemics during the measurement year or year prior to the measurement year on an ambulatory basis.
- Claim/Encounter Data - Members who had two face-to-face encounters with a diagnosis of diabetes on different dates of service in an outpatient setting or nonacute setting, or one face-to-face encounter in an acute inpatient or ED setting during the measurement year or the year prior to the measurement year. May count services that occur over both years.
Rate of Cardiovascular Disease
Data set includes participating insurance plan members ages 18-75 identified as having a cardiovascular condition, defined either through an event or a diagnosis.
- Event - Member discharged alive for AMI, CABG or PTCA on or between 2-6 months prior to the measurement year.
- Diagnosis - Member meets at least one of the following criteria during both the measurement year and the year prior: 1) At least one outpatient visit with any IVD diagnosis; 2) At least one acute inpatient visit with any IVD diagnosis.