TRICARE Users Consumer Watch South Quarter 1 FY 2016

Transcription

1 TRICARE Users Consumer Watch South Quarter 1 16 Inside Consumer Watch TRICARE Consumer Watch is a brief summary of what TRICARE users in your region say about their healthcare. Data are taken from the Health Survey of DoD Beneficiaries (HCSDB). The HCSDB includes questions from the Consumer Assessment of Healthcare Providers and Systems (CAHPS), a survey designed to help consumers choose among health plans. The survey for quarter four of 15 was canceled. Figures 1 through 4 show the proportion of Prime enrollees with a military PCM (direct care), or enrolled to a civilian PCM, or using Standard/Extra for most of their care in the past year (purchased care) who respond 8 or above when asked to give a rating on a to 1 scale ( is bad, and 1 is good), for Health, Health Plan, Personal Doctor, or the Specialist they see most often. Rates are adjusted for age and health status. Source: Health Survey of DoD Beneficiaries *74 Figure 4: Specialist Rating * data, from the National Committee for Quality Assurance (NCQA) for 13, are used in calculating benchmarks. Rates differing significantly from the benchmark are in italics and shown in red. Legend: * Significantly different from *68 *7 *65 61 *64 *72 Figure 2: Health Plan Rating Health Topics Health Topics scores average together results for related questions. Each score is the percentage who usually or always got treatment they wanted. Asterisks show values significantly different from the benchmark (p <.5). Figure 5 presents the composites Getting needed care. Scores are based on patients problems getting referrals and approvals and getting needed treatment. Figure 1: Health Rating *57 *57 * Figure 3: Personal Provider Rating *72 *71 * Figure 5: Getting Needed 86 * * * 16 1

2 South Quarter 1 16 Getting care quickly shown in Figure 8 shows Customer service Figure 6 scores concern how long scores, which concern patients patients wait for an appointment or ability to get information about their wait in the doctor s office. health plan. 65 Figure 6: Getting Quickly * * * 9 87 Figure 9: Claims Processing * Claims processing scores in Figure 9 are based on the timeliness and correctness of plan s claims handling. Preventive The preventive care table compares TRICARE users rates for diagnostic screening tests and smoking and tobacco use cessation with goals from Healthy People, a government initiative to improve Americans health by preventing illness Scores in Figure 7, Doctor s communication are based on whether the doctor spends enough time with patients, treats them respectfully and answers their questions Figure 7: Doctors' Communication 94 * * 16 Figure 8: Customer Service * * 16 * Type of Preventive Qtr Qtr Qtr Qtr Mammography (w omen >= ) 87 *89-88 (415) *91-88 (137) Pap Smear (w omen >= 18) *82 *83 - *79 (74) *82 *82 - *83 (222) Hypertension Screen (adults) 93 *89-93 (1566) (389) Prenatal (in 1st trimester) * (38) Percent Not Obese (adults) * *82 - * (1449) (3) Non-Smokers (adults) 89 *92 - *92 (1515) 87 *93 - *94 (378) Counseled to Quit (adults) (193) (38) He a lthy Pe ople 2 2 Goa l *Numbers in red italics are significantly different from the Healthy People goal (p<.5). The number of responding beneficiaries for each type of care is in parentheses.

3 Figure 1: Health Rating *57 * *59 7 Figure 2: Health Plan Rating *68 *7 61 * *64 *72 Figure 3: Personal Provider Rating *72 * *68 Figure 4: Specialist Rating *74 84 *

4 Figure 5: Getting Needed 86 * 86 * * Figure 6: Getting Quickly *7 82 * *69 84 Figure 7: Doctors Communication 94 * * *87 94 Figure 8: Customer Service * 84 * Figure 9: Claims Processing *94

5 Type of Preventive Qtr 2 15 Qtr 3 15 Qtr 4 15 Qtr 1 16 Healthy People Goal Mammography (women >= ): 87 *89-88 (415) Mammography (women >= ): *91-88 (137) Pap Smear (women >= 18): *82 *83 - *79 (74) 93 Pap Smear (women >= 18): *82 *82 - *83 (222) 93 Hypertension Screen (adults): 93 *89-93 (1566) Hypertension Screen (adults): (389) Prenatal (in 1st trimester): * (38) 78 Prenatal (in 1st trimester): (-) 78 Percent Not Obese (adults): * *82 - * (1449) 69 Percent Not Obese (adults): (3) 69 Non-Smokers (adults): 89 *92 - *92 (1515) 88 Non-Smokers (adults): 87 *93 - *94 (378) 88 Counseled to Quit (adults): (193) - Counseled to Quit (adults): (38) - *Numbers with red italics are significantly different from the Healthy People goal (p<.5) The number of responding beneficiaries for each type of care is in parentheses.