Health Plan Profile
Prestige Health Choice
Medicaid Non-Reform HMO


Accreditation Status: Not Applicable
Available in Counties: MIAMI-DADE, HILLSBOROUGH, LEE, ORANGE, PASCO, PINELLAS, SEMINOLE

2009 Performance Measure Data Submissions for Medicaid Non-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
One Check Out of Three Possible Checks
Adult BMI Assessment
Diamond means Not Measurable / Small Population
Adults' Access to Preventive/ Ambulatory Health Services - ages 20-44
One Check 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+
Three 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
Square means Not Applicable / Not Available
Antidepressant Medication Management - Effective Acute Phase Treatment
Square means Not Applicable / Not Available
Antidepressant Medication Management - Effective Continuation Phase Treatment
Square means Not Applicable / Not Available
Breast Cancer Screening
Diamond means Not Measurable / Small Population
Cervical Cancer Screening
One Check Out of Three Possible Checks
Childhood Immunization Status - Combination 2
Diamond means Not Measurable / Small Population
Childhood Immunization Status - Combination 3
Diamond means Not Measurable / Small Population
Comprehensive Diabetes - Eye Exam
One Check 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
Square means Not Applicable / Not Available
Follow-Up after Hospitalization for Mental Illness - 30 Day
Square means Not Applicable / Not Available
Follow-Up Care for Children Prescribed ADHD Medication - Continuation and Maintenance
Square means Not Applicable / Not Available
Follow-Up Care for Children Prescribed ADHD Medication - Initiation Phase
Square means Not Applicable / Not Available
Frequency of HIV Disease Monitoring Lab Tests - CD4
Diamond means Not Measurable / Small Population
Frequency of HIV Disease Monitoring Lab Tests - VL
Diamond means Not Measurable / Small Population
Highly Active Anti-Retroviral Treatment
Diamond means Not Measurable / Small Population
Immunization for Adolescents - Combination 1
Diamond means Not Measurable / Small Population
Lead Screening in Children
Diamond means Not Measurable / Small Population
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
One Check Out of Three Possible Checks
Prenatal Care Frequency - Greater than 81% of Visits
One Check Out of Three Possible Checks
Postpartum Care
One Check Out of Three Possible Checks
Readmission Rate (Inverse Measure)
Square means Not Applicable / Not Available
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
Diamond means Not Measurable / Small Population
Well-Child 0 Visits (Inverse Measure)
Diamond means Not Measurable / Small Population
Well-Child 6+ Visits
Diamond means Not Measurable / Small Population
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