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Comparing Clinics’ Quality of Care Using the Utah APCD

In July 2016, the Office of Health Care Statistics (OHCS) began using All Payer Claims Database (APCD) data to produce and publish publicly-available quality measures comparing identified medical clinics. Since then, the OHCS has updated and
expanded the comparison data on an annual basis. Clinics with five or more physicians were identified by name in public data and clinics with fewer than five physicians were aggregated into small health areas and reported by geography only. In July 2018, the OHCS published results covering calendar year 2016 for seven National Quality Forum (NQF) quality measures.

Key findings include:

  • A good portion of Utah clinics were performing well-above the 2016 national commercial insurance averages (national averages) for three measures: avoidance of antibiotic treatment in adults with acute bronchitis (33.3%), asthma medication ratio (13.3%), and medical attention for nephropathy (20.6%).
  • Very few Utah clinics were performing better than the national averages for breast cancer screening (4.4%).
  • While only a few Utah clinics were performing better than the national averages for HbA1c testing (7.6%), most clinics were achieving more than 90% compliance.
  • For antidepressant medication management, no Utah clinics were performing better than the national averages for effective acute phase treatment, and only a few Utah clinics (4.0%) were performing better than the national averages for effective continuation phase treatment.
  • Nearly half of Utah clinics (48.4%) were performing worse than the national averages for chlamydia screening in women.

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