ACCESS/AVAILABILITY OF CARE BEHAVIORAL HEALTH CARDIOVASCULAR CONDITIONS DIABETES MEDICATION MANAGEMENT MUSCULOSKELETAL CONDITIONS PREVENTION AND SCREENING RESPIRATORY CONDITIONS
  Call Abandonmenta Call Answer Timeliness Alcohol and Other Drug Dependence Treatment Prenatal and Postpartum Care Follow-up Care - ADHD Antidepressant Medication Management Follow-up After Hospitalization for Mental Illness Controlling High Blood Pressure Cholesterol Management - Cardiovascular Conditions Persistence of Beta-Blocker Comprehensive Diabetes Care Annual Monitoring Persistent Medications Anti-Rheumatic Drug Therapy Low Back Pain Imaging Breast Cancer Screening Cervical Cancer Screening Chlamydia Screening in Women Childhood Immunizations Colorectal Cancer Screening Avoidance of Antibiotic Treatment - Acute Bronchitis Use of Appropriate Medications - Asthma Testing for Children with Pharyngitis Pharmacotherapy Management of COPD Exacerbation Use of Spirometry Testing - COPD Treatment for Children with URI

CALIFORNIA HMOs

    Initiation - Total Initiation - Age 13-17 Initiation - Age 18+ Engagement - Total Engagement - Age 13-17 Engagement - Age 18+ Timely Initiation of Prenatal Care Postpartum Care Initiation Phase Continuation and Maintenance Effective Acute Phase Treatment Effective Continuation Phase Treatment Follow-up within 30 days of hospital discharge Follow-up within 7 days of hospital discharge   LDL-C Screening LDL-C <100 mg/dL   HbA1c Test HbA1c <=9.0 percent Retinal Exam LDL-C Screening LDL-C <100 mg/dL Nephropathy Monitoring Blood Pressure Control (<130/80) Blood Pressure Control (<140/90) Total ACE or ARBs Digoxin Diuretics Anticonvulsants     Total   Age 16-20 Age 21-24 Total Combo 3 Combo 2     Age 5-11 Age 12-50 Total   Systemic corticosteroid within 14 days Bronchodilator with 30 days    
Aetna 1 84 44 41 44 16 18 15 90 85 19 26 57 43 75 59 63 91 61 64 88b 70b 56 85 47 85 35b 65b 72 73 81 71 60 82 79 65 86 43 50 47 76b 83b 53 23 95 91 91 38 80 83 28 84
Anthem Blue Cross NR NR 31 29 31 7 9 7 95 91 36 42 57 41 73 56 71 90b 69b 68 90 76 57 86 54 86 37 74 69 70 78 69 54 81 78 69 83 40 48 44 80 85 61 23 98 90 91 39 61 76 27 86
Blue Shield of CA NR NR 41 38 41 10 9 10 95 84 35 40 58 43 81 69 64 91 62 74 87 72 62 85 49 84 34 67 73 73 77 73 55 85 77 72 84 41 48 45 74b 80b 59 20 97 91 92 42 66 83 28 85
CIGNA 2 72 39 33 39 14 19 14 96 84 36 36 56 40 61 44 62 88 61 64 89 71 57 88 53 87 27b 61b 73 74 80 73 52 83 76 71 81 44 53 49 79 83 57b 27 94 92 92 41 71 85 24 88
Health Net 7 67 37 43 37 13 21 12 97 84 33 34 57 42 77 58 63 92 71 73 91b 76b 61b 87b 49b 85b 32b 67b 73 74 82 73 57 83 78 71 84 44 50 47 81 85 60b 22 97 91 92 47 71 81 27 87
Kaiser Permanente N Cal 2 79 41 47 41 20 25 20 97 89 30 29 85 63 84 72 80 93 73 88 91 79 70 89 63 93 55 79 70 72 81 68 64 90 79 82 87 61 69 65 80 82 69 48 99 95 96 88 76 89 21 97
Kaiser Permanente S Cal 2 80 39 47 38 17 25 16 94 82 35 37 87 66 83 73 79 94 69 85 90 74 73 89 55 92 54 80 74 75 84 72 69 83 79 80 87 66 70 68 80 84 65 21 96 95 95 87 69 82 21 97
PacifiCare 2 81 30 23 31 11 15 10 95 84 32 35 58 44 78 61 67 91 66 73 89 74 59b 84 47 86 36 72 72 72 79 72 54 83 78 72 85 43 49 46 76b 82b 62 23 97 90 91 41 64 84 24 87
Western Health Advantage 0 100 24 NA 24 5 NA 5 94 84 38 37 59 41 83 72 64 90b 60b 83 87b 71b 51b 83b 48b 80b 30b 60b 75 76 87 74 58 85 81 73 83 47 59 53 78b 84b 55b 17 96 92 92 68 NA NA 32 89
 CCHRI Unwgtd Avg w/ Kaiser 2 80 36 38 36 13 17 12 95 85 33 35 64 47 77 63 68 91 66 75 89 74 61 86 52 86 38 69 72 73 81 72 58 84 78 73 84 48 55 51 78 83 60 25 96 92 93 55 70 83 26 89
                                                     
 NCQA Nat'l Average 3 78 42 42 42 16 20 16 92 83 36 40 63 46 76 57 63 89 60 75 89 72 56 85 45 82 33 66 79 79 82 79 62 86 73 70 81 40 43 42 77 81 59 25 97 91 92 76 67 76 38 84
                                                     
 NCQA Nat'l 90th % 1 84 47 47 47 20 24 20 97 88 41 46 67 50 83 66 68 91 65 80 92 77 66 87 51 86 37 70 82 82 86 82 65 90 78 74 84 46 51 48 82 86 65 26 98 93 94 85 72 82 41 89

NOTES   

- Significantly above national mean
  - Significantly below national mean
  a - Lower number reflects better performance
  b - 2007 rates reported—rotation measure
  NA - Not reported due to small denominator size
  NR - Rate not reported by the plan