Prime Enrollees Consumer Watch McDonald AHC-Ft. Eustis FY 2016 Defense Health Cost Assessment & Program Evaluation

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1 Prime Enrollees Consumer Watch McDonald AHC-Ft. Eustis 16 Defense Health Cost Assessment & Program Evaluation McDonald AHC-Ft. Eustis: Sample size-1,51 Response rate-9.7% Source: Health Care Survey of DoD Beneficiaries Inside Consumer Watch TRICARE Consumer Watch shows what at your MTF say aout their healthcare in the Health Care Survey of DoD Beneficiaries (HCSDB). Every quarter, a representative sample of TRICARE eneficiaries are asked aout their care in the last 12 months. Responses are adjusted for age and health status. Results from 14 to 16 are reported here. Starting in 13, results include scores from surveys fielded in only three quarters. The survey for quarter four was canceled as a result of sequestration. The HCSDB includes questions from the Consumer Assessment of Healthcare Providers and Systems (CAHPS), a survey designed to help consumers choose among health plans. data, from the National Committee for Quality Assurance (NCQA) for 15, are used in calculating enchmarks. a Significantly exceeds enchmark (p<.5). Significantly falls short of enchmark (p<.5). See appendix for tale data. 4 Health Care Figure 1: Health Care Rating 74 61ᵇ 55ᵇ 57ᵇ were asked to rate their healthcare from to 1, where is worst and 1 is est. Figure 1 shows the percentage who rated their healthcare 8 or aove for each of the following time periods: 14, 15, and 16. Laels refer to the year a survey was fielded. Numers in red italics are significantly different from the enchmark (p<.5). Health care ratings depend on things like access to care, and how patients get along with the doctors, nurses, and other care providers who treat them Health Plan Figure 2: Health Plan Rating 73ᵃ were asked to rate their health plan from to 1, where is worst and 1 is est. Figure 2 shows the percentage who rated their plan 8 or aove for each reporting period. Health plan ratings depend on access to care and how the plan handles things like claims, referrals and customer complaints. Personal Provider who have a personal provider were asked to rate their personal provider from to 1, where is worst and 1 is est. 4 Figure 3 shows the percentage who rated their doctor 8 or aove for each reporting period. Personal doctor ratings depend on how the patient gets along with the one doctor responsile for their asic care. Specialist Figure 3: Personal Provider Rating ᵇ 76 Enrollees who have consulted specialist physicians were asked to rate from to 1 the specialist they had seen most in the previous 12 months. Figure 4 shows the proportion of enrollees who rated their specialist 8 or aove for each reporting period. Specialist ratings depend on eneficiaries access to doctors with the special skills they need. 4 Figure 4: Specialist Rating

2 McDonald AHC-Ft. Eustis 16 Health Care Topics Health Care Topics scores average together results for related questions. Each score is the percentage who usually or always got treatment they wanted or had no prolem getting a desired service Figure 5: Access Composites Getting needed care Getting care quickly Figure 5 (Access Composites) includes the composites Getting needed care and Getting care quickly. Scores in Getting needed care are ased on getting referral to a specialist and getting needed treatments. Getting care quickly scores concern how long patients wait for an appointment or urgent care. Figure 6 (Doctor s Communication) includes the composite for How well doctors communicate. Scores in How well doctors communicate are ased on whether the personal doctor spends enough time with patients, treats them respectfully and answers their questions. Figure 7 (Claims/Service Composites) includes composite scores for Customer service and Claims processing. Scores in the Customer service composite concern patients aility to get courteous service and information aout their health plan. enchmark enchmark Claims processing scores are ased on oth timeliness and correctness Figure 6: Doctor's Communication Doctors' communication Preventive Care The preventive care tale compares rates for diagnostic screening tests and smoking cessation with goals from Healthy People, a government initiative to improve Americans health y preventing illness. The mammography rate shown is the proportion of women 4 or aove with a mammogram in the past two years. Pap smear is the proportion of adult women screened for cervical cancer in the past three years. enchmark Preventive Care Type of Care Hypertension is the proportion of adults whose lood pressure was checked in the past two years and who know whether their pressure is too high. Prenatal care is the proportion of women pregnant now or in the past 12 months who received prenatal care in their first trimester. Percent not oese is the proportion with a ody mass index elow 3. The non-smoking rate is the proportion of adults who currently do not smoke. Counseled to quit is the numer of smokers or toacco users whose doctor told them to quit, over the numer of smokers and toacco users with an office visit in the past 12 months. He a lthy Pe ople 2 2 Goa l Mammography (w omen > 4) (43) Pap Smear (w omen > 18) (59) Hypertension Screen 93 84ᵇ (adults) (127) Prenatal Care (in 1st trimester) - Percent Not Oese 72 77ᵃ (adults) (116) Non-Smokers 96ᵃ (adults) (122) Figure 7: Claims/Service Composites Counseled to Quit (adults) - ᵃNumers in green significantly exceed the Healthy People goal (p<.5). ᵇNumers in red significantly fall short of the Healthy People goal (p<.5). The numer of responding eneficiaries for each type of care is in parentheses Customer service Claims processing 86 enchmark enchmark 2

3 Figure 1: Health Care Rating Figure 2: Health Plan Rating a Figure 3: Personal Provider Rating Figure 4: Specialist Rating

4 Figure 5: Access Composites Getting Needed Care For Getting Needed Care Getting Care Quickly For Getting Care Quickly Figure 6: Doctor's Communication Doctor's Communication Figure 7: Claims/Service Composites Customer Service For Customer Service Claims Processing For Claims Processing

5 Preventive Care Type of Care Healthy People Goal Mammography (women >= 4) (43) 81 Pap Smear (women >=18) (59) 93 Hypertension Screen (adults) (127) Prenatal Care (in 1st trimester) Percent Not Oese (adults) a 76 (116) 69 Non-Smokers (adults) 96 a 84 (122) 88 Counseled to Quit (adults) a. Numers in green significantly exceed the Healthy People goal (p<.5).. Numers in red significantly fall short of the Healthy People goal (p<.5). The numer of responding eneficiaries for each type of care is in parentheses.