The Washington Health Alliance published a new method for reporting on medical care quality in Washington state. The new quality composite score combines up to 29 measures from the Alliance’s Community Checkup, a comprehensive report on the quality of care being delivered to the commercially and Medicaid-insured. The Alliance has issued 13 Community Checkup reports, but this is the first time it has combined measures to create a single simplified score. The report includes results for all nine Accountable Communities of Health (ACHs), 27 counties for those with Medicaid coverage, and 24 counties for those with commercial insurance. The score summarizes results across four different areas considered to be indicators of strong primary care delivery:
- Prevention and Screening includes well-child visits, adolescent well-care, and screenings for chlamydia, breast, cervical, and colorectal cancer;
- Care for Chronic Diseases examines whether diabetes, high cholesterol, depression, and hypertension are well-managed;
- Coordinated and Cost-Effective Care considers whether costly inpatient readmissions and potentially unnecessary emergency room visits are avoided; and
- Appropriate and Cost-Effective Care reports on whether evidence-based practices are utilized, including prescribing generic medications and avoiding the inappropriate use of antibiotics.
The Alliance will utilize its new quality composite score methodology to report at the medical group and clinic location level in its next Community Checkup report, due to be released in September 2020.