Health Plan Profile
First Coast Advantage
Medicaid Reform PSN

Accreditation Status: Not required
Available in Counties: Duval

2009 Performance Measure Data Submissions for Medicaid Reform

Key Map:

Diamond means Not Measurable / Small Population- Not Measurable/Small Population Triangle means Not Reported - Not Reported Square means Not Applicable / Not Available - Not Applicable/Not Available
One Check- Three checkmarks represent the highest rank and one checkmark represents the lowest rank.

 
Quality of Care Indicators
Rating 
Adolescent Well Care
Two checks Out of Three Possible Checks
Adult BMI Assessment
Three Checks Out of Three Possible Checks
Adults' Access to Preventive/ Ambulatory Health Services - ages 20-44
Two checks Out of Three Possible Checks
Adults' Access to Preventive/ Ambulatory Health Services - ages 45-64
Two checks Out of Three Possible Checks
Adults' Access to Preventive/ Ambulatory Health Services - ages 65+
Two checks Out of Three Possible Checks
Adults' Access to Preventive/ Ambulatory Health Services - Total
Two checks Out of Three Possible Checks
Annual Dental Visits - Total
Two checks Out of Three Possible Checks
Antidepressant Medication Management - Effective Acute Phase Treatment
Two checks Out of Three Possible Checks
Antidepressant Medication Management - Effective Continuation Phase Treatment
Two checks Out of Three Possible Checks
Breast Cancer Screening
Two checks Out of Three Possible Checks
Cervical Cancer Screening
Two checks Out of Three Possible Checks
Childhood Immunization Status - Combination 2
Two checks Out of Three Possible Checks
Childhood Immunization Status - Combination 3
Two checks Out of Three Possible Checks
Comprehensive Diabetes - Eye Exam
Two checks Out of Three Possible Checks
Comprehensive Diabetes - Good Control
Two checks Out of Three Possible Checks
Comprehensive Diabetes - HbA1C Poor Control (Inverse Measure)
Two checks Out of Three Possible Checks
Comprehensive Diabetes - HbA1C Testing
Two checks Out of Three Possible Checks
Comprehensive Diabetes - LDL Screening
Two checks Out of Three Possible Checks
Comprehensive Diabetes - LDL-C Control
Two checks Out of Three Possible Checks
Comprehensive Diabetes - Nephropathy
Two checks Out of Three Possible Checks
Controlling Blood Pressure - Total
Two checks Out of Three Possible Checks
Follow-Up after Hospitalization for Mental Illness - 7 Day
Two checks Out of Three Possible Checks
Follow-Up after Hospitalization for Mental Illness - 30 Day
Two checks Out of Three Possible Checks
Follow-Up Care for Children Prescribed ADHD Medication - Continuation and Maintenance
Diamond means Not Measurable / Small Population
Follow-Up Care for Children Prescribed ADHD Medication - Initiation Phase
Two checks Out of Three Possible Checks
Frequency of HIV Disease Monitoring Lab Tests - CD4
Two checks Out of Three Possible Checks
Frequency of HIV Disease Monitoring Lab Tests - VL
Two checks Out of Three Possible Checks
Highly Active Anti-Retroviral Treatment
Two checks Out of Three Possible Checks
Immunization for Adolescents - Combination 1
Two checks Out of Three Possible Checks
Lead Screening in Children
Two checks Out of Three Possible Checks
Lipid Profile Annually
Two checks Out of Three Possible Checks
Persistence of Beta-Blocker Treatment After a Heart Attack
Diamond means Not Measurable / Small Population
Prenatal Care
Two checks Out of Three Possible Checks
Prenatal Care Frequency - Greater than 81% of Visits
Two checks Out of Three Possible Checks
Postpartum Care
Two checks Out of Three Possible Checks
Readmission Rate (Inverse Measure)
Two checks Out of Three Possible Checks
Use of Angiotensin-Converting Enzyme (ACE) Inhibitors/ Angiotensin Receptor Blockers (ARB) Therapy
Two checks Out of Three Possible Checks
Use of Appropriate Medications for People with Asthma - Total
Two checks Out of Three Possible Checks
Well-Child 0 Visits (Inverse Measure)
Two checks Out of Three Possible Checks
Well-Child 6+ Visits
Two checks Out of Three Possible Checks
Well-Child Visits in the 3rd, 4th, 5th, & 6th Years of Life
Two checks Out of Three Possible Checks

2008 Performance Measure Data Submissions for Medicaid Reform

Key Map:

Diamond means Not Measurable / Small Population- Not Measurable/Small Population Triangle means Not Reported - Not Reported Square means Not Applicable / Not Available - Not Applicable/Not Available
One Check- Three checkmarks represent the highest rank and one checkmark represents the lowest rank
 
Quality of Care Indicators:
Rating
Adults' Access to Preventive/Ambulatory Health Services
Two checks Out of Three Possible Checks
Use of Angiotensin-Converting Enzyme (ACE) Inhibitors/Angiotensin Receptor Blockers (ARB) Therapy
Diamond means Not Measurable / Small Population
Annual Dental Visits - Total
Two checks Out of Three Possible Checks
Antidepressant Medication Management - Effective Acute Phase Treatment
Two checks Out of Three Possible Checks
Antidepressant Medication Management - Effective Continuation Phase Treatment
Two checks Out of Three Possible Checks
Use of Appropriate Medications for People with Asthma - Total
Two checks Out of Three Possible Checks
Use of Appropriate Medications for People with Asthma in DM - Total
Diamond means Not Measurable / Small Population
Adolescent Well Care
Two checks Out of Three Possible Checks
Breast Cancer Screening
Two checks Out of Three Possible Checks
Controlling Blood Pressure - Total
Two checks Out of Three Possible Checks
Cervical Cancer Screening
Two checks Out of Three Possible Checks
Comprehensive Diabetes - HbA1C Testing
Two checks Out of Three Possible Checks
Comprehensive Diabetes - HbA1C Poor Control (Inverse Measure)
Two checks Out of Three Possible Checks
Comprehensive Diabetes - Good Control
Two checks Out of Three Possible Checks
Comprehensive Diabetes - Eye Exam
Two checks Out of Three Possible Checks
Comprehensive Diabetes - LDL Screening
Two checks Out of Three Possible Checks
Comprehensive Diabetes - LDL-C Control
Two checks Out of Three Possible Checks
Comprehensive Diabetes - Nephropathy
Two checks Out of Three Possible Checks
Childhood Immunization Status - Combination 2
Two checks Out of Three Possible Checks
Childhood Immunization Status - Combination 3
Two checks Out of Three Possible Checks
Follow-Up after Hospitalization for Mental Illness - 7 Day
One Check Out of Three Possible Checks
Follow-Up after Hospitalization for Mental Illness - 30 Day
One Check Out of Three Possible Checks
Frequency of Ongoing Prenatal Care - Greater than 81% of Visits
One Check Out of Three Possible Checks
Lipid Profile Annually
Two checks Out of Three Possible Checks
Lead Screening in Children
One Check Out of Three Possible Checks
Prenatal Care
Two checks Out of Three Possible Checks
Postpartum Care
One Check Out of Three Possible Checks
Mental Health Readmission Rate
Two checks Out of Three Possible Checks
Use of Beta Agonist
Diamond means Not Measurable / Small Population
Well-Child 0 Visits (Inverse Measure)
Two checks Out of Three Possible Checks
Well-Child 6+ Visits
Two checks Out of Three Possible Checks
Well-Child Visits in the 3rd, 4th, 5th, & 6th Years of Life
Two checks Out of Three Possible Checks

2007 Performance Measure Data Submissions for Medicaid Reform

Key Map:

Diamond Means Not Measureable/Small Population Not Measurable/Small Population - Triangle Means Not Reported Not Reported - Square Means Not Applicable/Not Available Not Applicable/Not Available
One Checkmark Three checkmarks represent the highest rank and one checkmark represents the lowest rank.

 
Quality of Care Indicators:
Rating
Annual Dental Visits Three Checks Out of Three Possible Checks
Adolescent Well Care Two checks Out of Three Possible Checks
Controlling Blood Pressure - Total Two checks Out of Three Possible Checks
Cervical Cancer Screening One Check Out of Three Possible Checks
Comprehensive Diabetes - HbA1C Testing Two checks Out of Three Possible Checks
Comprehensive Diabetes - HbA1C Poor Control (Inverse Measure) Two checks Out of Three Possible Checks
Comprehensive Diabetes - Good Control Two checks Out of Three Possible Checks
Comprehensive Diabetes - Eye Exam Three Checks Out of Three Possible Checks
Comprehensive Diabetes - LDL Screening Two checks Out of Three Possible Checks
Comprehensive Diabetes - LDL-C Control Two checks Out of Three Possible Checks
Comprehensive Diabetes - Nephropathy Two checks Out of Three Possible Checks
Follow-Up after Hospitalization for Mental Illness - 7 Day Two checks Out of Three Possible Checks
Follow-Up after Hospitalization for Mental Illness - 30 Day Two checks Out of Three Possible Checks
Prenatal Care Two checks Out of Three Possible Checks
Postpartum Care Two checks Out of Three Possible Checks
Use of Beta Agonist Diamond Means Not Measureable/Small Population
Well-Child 0 Visits (Inverse Measure) One Check Out of Three Possible Checks
Well-Child 6+ Visits One Check Out of Three Possible Checks
Well-Child Visits in the 3rd, 4th, 5th, & 6th Years of Life One Check Out of Three Possible Checks

 

For more information on Florida Medicaid Quality in Managed Care, please contact:

qualityinmc@ahca.myflorida.com


Reporting Medicaid Fraud