Europe: Sample size-4,81 Response rate-9.5% Inside Consumer Watch TRICARE Consumer Watch shows what TRICARE in your region 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 and the results are adjusted for age and health status and reported in this pulication. The survey for quarter four of 216 was canceled. 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 215, are used in calculating enchmarks. a Significantly exceeds enchmark (p<.5). Significantly falls short of enchmark (p<.5). See appendix for tale data. 2 Health Care Figure 1: Health Care Rating 74 59ᵇ 62ᵇ 64ᵇ were asked to rate Prime Enrollees Consumer Watch Europe Quarter 1 217 DEFENSSE HEALTH COSST ASSSSESSSSMENT & PROGRAM EVALUATIION 17 their healthcare from to 1, where is worst and 1 is est. Figure 1 shows the percentage who rated their healthcare 8 or aove in the survey fielded in the first quarter of fiscal year 217, descriing the period Octoer 215 to Septemer 216, and each of the 3 previous quarters. 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. 2 Health Plan Figure 2: Health Plan Rating 58 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. Figure 3 shows the percentage who rated their doctor 8 or aove for each Source: Health Care Survey of DoD Beneficiaries 64 66ᵃ 66ᵃ 17 2 82 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 64ᵇ 69ᵇ 73ᵇ 17 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. 2 Figure 4: Specialist Rating 81 76 66ᵇ 74 17 1
Europe Quarter 1 217 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) 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. 9 7 5 Figure 5: Access Composites Getting needed care Getting care quickly 86 84 enchmark enchmark 17 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. Claims processing scores are ased on oth the timeliness and correctness of plan s claims handling. 9 75 Figure 6: Doctor's Communication Doctors' communication enchmark 17 Preventive Care The preventive care tale compares rates for diagnostic screening tests and smoking cessation with goals from Healthy People 22, a government initiative to improve Americans health y preventing illness. The mammography rate shown is the proportion of women 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. Type of Care Qtr 2 2 16 75 65 55 Preventive Care Qtr 3 2 16 Figure 7: Claims/Service Composites Customer service enchmark 87 Claims processing 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. Qtr 4 2 16 17 Qtr 1 2 17 enchmark He a lthy Pe ople 2 2 Goa l Mammography 84 83-64 81 (w omen > ) (31) Pap Smear 88-91 93 (w omen > 18) (15) Hypertension Screen 86ᵇ 93 - (adults) (375) Prenatal Care - - - - 78 (in 1st trimester) - Percent Not Oese 79ᵃ ᵃ - 87ᵃ 69 (adults) (35) Non-Smokers 92 ᵃ - ᵃ 88 (adults) (3) Counseled to Quit - - (adults) (41) ᵃNumers in green significantly exceed the Healthy People 22 goal (p<.5). ᵇNumers in red significantly fall short of the Healthy People 22 goal (p<.5). The numer of responding eneficiaries for each type of care is in parentheses. 2
Figure 1: Health Care Rating / 74 59 62-17 64 Figure 2: Health Plan Rating / 58 64 66 a - 17 66 a Figure 3: Personal Provider Rating / 82 64 69-17 73 Figure 4: Specialist Rating / 81 76 66-17 74
Figure 5: Access Composites Getting Needed Care For Getting Needed Care Getting Care Quickly For Getting Care Quickly 82 86 78 84 69 86 75 84-86 - 84 17 82 86 78 84 Figure 6: Doctor's Communication Doctor's Communication 91 92-17 88 Figure 7: Claims/Service Composites Customer Service For Customer Service Claims Processing For Claims Processing 62 7 87 62 63 87 - - 87 17 83 87
Preventive Care Type of Care Qtr 2 216 Qtr 3 216 Qtr 4 216 Qtr 1 217 Healthy People 22 Goal Mammography (women >= ) 84 83-64 (31) 81 Pap Smear (women >=18) 88-91 (15) 93 Hypertension Screen (adults) 86 93 - (375) Prenatal Care (in 1st trimester) - - - - 78 Percent Not Oese (adults) 79 a a - 87 a (35) 69 Non-Smokers (adults) 92 a - a (3) 88 Counseled to Quit (adults) - (41) - a.numers in green significantly exceed the Healthy People 22 goal (p<.5)..numers in red significantly fall short of the Healthy People 22 goal (p<.5). The numer of responding eneficiaries for each type of care is in parentheses.