Health Plan Profile
NetPASS
 Medicaid Reform PSN

Accreditation Status: Not required
Available in Counties: Broward (This plan no longer participates in the Medicaid Reform program.)

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
Diamond means Not Measurable / Small Population
Antidepressant Medication Management - Effective Continuation Phase Treatment
Diamond means Not Measurable / Small Population
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
Two checks Out of Three Possible Checks
Follow-Up after Hospitalization for Mental Illness - 30 Day
Two checks Out of Three Possible Checks
Frequency of Ongoing Prenatal Care - Greater than 81% of Visits
Diamond means Not Measurable / Small Population
Lipid Profile Annually
Two checks Out of Three Possible Checks
Lead Screening in Children
One Check Out of Three Possible Checks
Prenatal Care
Diamond means Not Measurable / Small Population
Postpartum Care
Diamond means Not Measurable / Small Population
Mental Health Readmission Rate
One Check Out of Three Possible Checks
Use of Beta Agonist
Two checks Out of Three Possible Checks
Well-Child 0 Visits (Inverse Measure)
Three 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 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
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 Diamond Means Not Measureable/Small Population
Postpartum Care Diamond Means Not Measureable/Small Population
Use of Beta Agonist Diamond Means Not Measureable/Small Population
Well-Child 0 Visits (Inverse Measure) Diamond Means Not Measureable/Small Population
Well-Child 6+ Visits Diamond Means Not Measureable/Small Population
Well-Child Visits in the 3rd, 4th, 5th, & 6th Years of Life Two checks Out of Three Possible Checks

 

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

qualityinmc@ahca.myflorida.com


Reporting Medicaid Fraud