“What makes this analysis notable is that for the first time, people will be able to look up their doctor's office and see how they stack up against other doctor's offices for these two measures. The measures showed significant variation in the state, with some clinics doing very well on one or both measures while others have ample room for improvement,” said Norman Thurston, Director of the UDOH Office of Health Care Statistics. “We hope Utahns will use it to make better informed health care decisions.”
Data from the APCD showed (note: higher rates are better for both measures):
- HbA1c testing rates are high across all clinics. No clinic with 10 or more patients had a compliance rate less than 70%.
- 68 clinics had an HbA1c testing rate of 100%, with an average of 5.3 patients per clinic.
- Avoidance of antibiotic treatment for adults with acute bronchitis (AAB) rates were generally low. The average AAB compliance rate for clinics with 10 or more patients was 37.9% but some clinics had compliance rates as low as 5.9%.
- 21 clinics had AAB compliance rates of 100% with an average of 3.7 patients per clinic.
The Utah APCD is the fifth operating APCD in the nation and consists of medical and pharmacy claims, as well as information about member eligibility and providers for all private health insurance payers covering Utah residents. As of 2014, the APCD receives information on more than 80 million health care services provided annually to Utahns.
“The real power of the APCD comes from the ability to analyze care provided to patients across payers, providers, and time. The APCD has the granularity to compare costs and quality by geography, patient groups, providers, payers, and virtually any other classification that can be defined,” said Thurston. “It is an essential tool to improve quality, reduce costs, and promote cost transparency.”
The Utah State Legislature gave the UDOH statutory authority to collect and analyze all health care claims paid on behalf of Utahns into the APCD in 2008, with a goal to fill critical information gaps needed to make effective health policy decisions and empower health care purchasers with knowledge about cost and quality. This report is also required by state law.
To download a copy of the complete data analysis visit http://ow.ly/kxzZ301zbab. Information on the Utah APCD can be found at http://health.utah.gov/hda/apd/.
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Office of Health Care Statistics
(o) 801-538-7052 (m) 801-386-3541