First Annual ReMeasurement

1
First Annual Re-Measurement
90
80
70
60
50
Percent
40
30
20
10
0
Diabetic
gt/1/yr
BP
Systolic
Annual
HbA1clt8.
Microalbu
Smoking
Retinal
HbA1c
Measure
BPlt135m
Lipid
5
minuria
Cessation
Eye Exam
Tests
ment
m
Panel
1996
30.9
66.2
53.2
16.4
64.2
61.7
38.9
74.1
1997
41.4
71.5
57.7
17.9
83.8
69.2
45.8
75.6
2
Second Year Barrier Analysis

• PCPs may not be aware of their total panel of
  members with Diabetes
• PCPs failing to refer members for eye exams
• Member lacks knowledge of need for testing
• Member lack of follow through with obtaining exam
• Inadequate communication between ophthalmologist
  and PCP
• No referral required therefore no feedback
  mechanism to the PCP from vision services

3
Tools
Taking Charge of Diabetes
Free Glucose Meters
www.PacifiCare.com
4
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5
Tools
Provider Feedback
6
Tools
Provider Feedback
7
Medication Compliance
8
(No Transcript)
9
Barrier Analysis
Member Survey
10
Barrier Analysis
PCP Survey
11
Tools
Provider Feedback
12
Disease Management Continuum
2003

• Case-based Orthopedics
• Others under review
• asthma/COPD
• rare diseases
• imaging

2002
2001

• Taking Charge of Asthma
• Case-based Cancer
• Case-based NICU

• Case-based CHF
• Case-based CVD/Stroke
• Case-based ESRD
• Case-based COPD

1999
1998

• Taking Charge of Depression

• Taking Charge of
• Your Heart Health

1997

• Taking Charge of Diabetes