Prime Enrollees Consumer Watch Womack AMC-Ft. Bragg 16 Defense Health Cost Assessment & Program Evaluation Womack AMC-Ft. Bragg: Sample size-3,171 Response rate-6.8% 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 s. a Significantly exceeds (p<.5). Significantly falls short of (p<.5). See appendix for tale data. 4 Health Care Figure 1: Health Care Rating 74 5ᵇ 59ᵇ 61ᵇ 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 (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. 4 57 Health Plan Figure 2: Health Plan Rating 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 63 65 63 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 82 7 65ᵇ 74 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 81 75 79 61ᵇ 1
Womack AMC-Ft. Bragg 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. Claims processing scores are ased on oth timeliness and correctness. Figure 6: Doctor's Communication Doctors' communication Figure 7: Claims/Service Composites 15 75 Customer service Claims processing 86 a 9 7 5 Figure 5: Access Composites Getting needed care Getting care quickly 86 84 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. 9 75 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. Preventive Care Type of Care 2 14 2 15 2 16 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 - - 78 81 (w omen > 4) (38) Pap Smear 9 91 89 93 (w omen > 18) (72) Hypertension Screen 88 93 97 (adults) (125) Prenatal Care - - - 78 (in 1st trimester) - Percent Not Oese 84ᵃ 81ᵃ 78 69 (adults) (117) Non-Smokers 84 91 97ᵃ 88 (adults) (124) 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. 65 55 2
Figure 1: Health Care Rating 74 14 5 15 59 16 61 Figure 2: Health Plan Rating 57 14 63 15 65 16 63 Figure 3: Personal Provider Rating 82 14 7 15 65 16 74 Figure 4: Specialist Rating 81 14 75 15 79 16 61
Figure 5: Access Composites Getting Needed Care For Getting Needed Care Getting Care Quickly For Getting Care Quickly 14 77 86 77 84 15 68 86 61 84 16 76 86 71 84 Figure 6: Doctor's Communication Doctor's Communication 14 87 15 84 16 91 Figure 7: Claims/Service Composites Customer Service For Customer Service Claims Processing For Claims Processing 14 - a 86 15 89 83 86 16 77 89 86
Preventive Care Type of Care 14 15 16 Healthy People Goal Mammography (women >= 4) - - 78 (38) 81 Pap Smear (women >=18) 9 91 89 (72) 93 Hypertension Screen (adults) 88 93 97 (125) Prenatal Care (in 1st trimester) - - - 78 Percent Not Oese (adults) 84 a 81 a 78 (117) 69 Non-Smokers (adults) 84 91 97 a (124) 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.