A Snapshot of Clinical Performance by Utah Small Area (July 1, 2012)
A Snapshot of Clinical Performance by Utah Small Area Introduction Health care clinics in Utah vary in a number of important ways. Clinics not only vary by their location and the services they provide, they also vary in the quality of care they provide to Utahns. This report is a preliminary investigation into how the clinics in Utah are performing statewide. To report clinic data at a community level, Utah has been divided into small areas so that they can be compared. Small areas are based on:
•Population size •Political boundaries •Economic similarity Currently, there are five health care measures being used to compare clinics. Each measure has its own map of Utah, with a listing of the small areas. The small areas have been rated to highlight both the highest (top 20% in Utah) and lowest performing areas (lowest 20% in Utah). The small area ratings are based on the residence of the patients, not the location of the clinic. The data used to create the maps can be found in the Appendix. **It is important to note that the data in this report come from a limited dataset that includes only claims from commercially-insured Utahns (2010). Please take this into consideration when any comparisons to other data are made**
A Snapshot of Clinical Performance by Utah Small Area Cholesterol Screening (LDL-C): Diabetes What is the measure? This measure tracks all diabetic individuals who have had their cholesterol screened within the measurement year.
Who is eligible? This measure examines all members 18 to 75 years of age who have been diagnosed with diabetes (type 1 and 2).
Why is this measure important? Individuals with diabetes have a higher-than-average risk of having a heart attack or stroke. These affect individuals with diabetes more than twice as often as individuals without diabetes. High levels of LDL-C have a negative impact on cardiovascular health.
Utah: Excludes Wasatch Front
A Snapshot of Clinical Performance by Utah Small Area Cholesterol Screening (LDL-C): Diabetes What is the measure? This measure tracks all diabetic individuals who have had their cholesterol screened within the measurement year.
Who is eligible? This measure examines all members 18 to 75 years of age who have been diagnosed with diabetes (type 1 and 2).
Why is this measure important? Individuals with diabetes have a higher-than-average risk of having a heart attack or stroke. These affect individuals with diabetes more than twice as often as individuals without diabetes. High levels of LDL-C have a negative impact on cardiovascular health.
Utah: Wasatch Front
A Snapshot of Clinical Performance by Utah Small Area Blood Sugar Screening (HbA1c): Diabetes What is the measure? This measure tracks all diabetic individuals who have had their blood sugar levels screened within the measurement year.
Who is eligible? This measure examines all members 18 to 75 years of age who have been diagnosed with diabetes (type 1 and 2).
Why is this measure important? Individuals with diabetes who maintain near normal HbA1c levels can gain on average, an extra five years of life, eight years of sight and six years free from kidney disease.
Utah: Excludes Wasatch Front
A Snapshot of Clinical Performance by Utah Small Area Blood Sugar Screening (HbA1c): Diabetes What is the measure? This measure tracks all diabetic individuals who have had their blood sugar levels screened within the measurement year.
Who is eligible? This measure examines all members 18 to 75 years of age who have been diagnosed with diabetes (type 1 and 2).
Why is this measure important? Individuals with diabetes who maintain near normal HbA1c levels can gain on average, an extra five years of life, eight years of sight and six years free from kidney disease.
Utah: Wasatch Front
A Snapshot of Clinical Performance by Utah Small Area Kidney Disease Screening (Nephropathy): Diabetes What is the measure? This measure tracks all diabetics who have had their kidneys screened for disease, or have evidence of kidney disease during the measurement year.
Who is eligible? This measure examines all members 18 to 75 years of age who have been diagnosed with diabetes (type 1 and 2).
Why is this measure important? Diabetes accounts for nearly 45 percent of new cases of kidney failure.
Utah: Excludes Wasatch Front
A Snapshot of Clinical Performance by Utah Small Area Kidney Disease Screening (Nephropathy): Diabetes What is the measure? This measure tracks all diabetics who have had their kidneys screened for disease, or have evidence of kidney disease during the measurement year.
Who is eligible? This measure examines all members 18 to 75 years of age who have been diagnosed with diabetes (type 1 and 2).
Why is this measure important? Diabetes accounts for nearly 45 percent of new cases of kidney failure.
Utah: Wasatch Front
A Snapshot of Clinical Performance by Utah Small Area Well-Child Visit with a Primary Care Provider: 5 or more What is the measure? This measure tracks the percentage of children who turned 15 months old during the measurement year and had at least five well-child visits. Who is eligible? Any member who turns 15 months old during the measurement year is eligible for the measure. The visit must be with a primary care provider, although it does not have to be the one assigned to the child. This does not included emergency room visits.
Why is this measure important? These visits provide information about the growth and development of the child, as well as being a key time and place for communication between the physicians and caregiver.
Utah: Excludes Wasatch Front
A Snapshot of Clinical Performance by Utah Small Area Well-Child Visit with a Primary Care Provider: 5 or more What is the measure? This measure tracks the percentage of children who turned 15 months old during the measurement year and had at least five well-child visits. Who is eligible? Any member that who 15 months old during the measurement year is eligible for the measure. The visit must be with a primary care provider, although it does not have to be the one assigned to the child. This does not included emergency room visits.
Why is this measure important? These visits provide information about the growth and development of the child, as well as being a key time and place for communication between the physicians and caregiver.
Utah: Wasatch Front
A Snapshot of Clinical Performance by Utah Small Area Breast Cancer Screening What is the measure? This measure tracks women who have received a mammogram during the measurement year, or the year prior.
Who is eligible? This measure includes all women 40 to 69 years of age. This measure does not include other biopsies or methods of imaging (ultrasounds, MRI, etc.)
Why is this measure important? Early detection is associated with better survival rates and more treatment options. The five-year survival rate is 89 percent; the 10-year survival rate is 81 percent.
Utah: Excludes Wasatch Front
A Snapshot of Clinical Performance by Utah Small Area Breast Cancer Screening What is the measure? This measure tracks women who have received a mammogram during the measurement year, or the year prior.
Who is eligible? This measure includes all women 40 to 69 years of age. This measure does not include other biopsies or methods of imaging (ultrasounds, MRI, etc.)
Why is this measure important? Early detection is associated with better survival rates and more treatment options. The five-year survival rate is 89 percent; the 10-year survival rate is 81 percent.
Utah: Wasatch Front
A Snapshot of Clinical Performance by Utah Small Area About the Report Who produced the report? The mission of the Health Data Committee (HDC), staffed by the Office of Health Care Statistics, is to collect, analyze, and publicly report health care data. This is done to support health care improvement initiatives, and has been an ongoing process since 1992. In 2011, House Bill 128 mandated the creation of the Utah Clinic Performance report. HealthInsight also provided support in reviewing the data contained in this report. Where do the data come from? The data used in the Utah Clinic Performance report come from the All Payer Claims Database. The APCD contains health care claims data from commercial health insurance plans and Third Party Administrators (TPAs). The database contains both medical and pharmacy claims. How were the measures chosen? The measures in this report were chosen by the Reporting Taskforce. There are five measures in this first report, each helping to capture the quality of care clinics are providing. The measures were chosen to cover a range of health issues and will be updated annually. In addition, five new measures will be added to the report each year. Contact Information
Utah Department of Health Office of Health Care Statistics PO Box 144004 Salt Lake City, Utah 84114
Phone (801) 538-7048 Fax (801) 538-9916
A Snapshot of Clinical Performance by Utah Small Area Appendix: Data Tables
Cholesterol Screening (LDL-C): Diabetes State Average 45.74% Brigham City Kearns North Orem W. Jordan, Copperton Provo/BYU West Valley West Sandy, NE West Jordan No. South Jordan East Orem Sandy Center Murray Riverton/Draper Other Box Elder Co. Syracuse/Kaysville Clearfield/Hill AFB
55.01% 54.04% 53.61% 53.07% 51.88% 51.81% 51.62% 51.59% 51.12% 50.55% 49.93% 49.87% 49.74% 48.83% 48.76% 48.56%
Provo South South Salt Lake Magna Sandy, SE Taylorsville Ben Lomond Rose Park Pleasant Grove/Lindon Farmington/Centerville West Valley East Morgan/East Weber Co. Woods Cross/No. SL Glendale West Orem Cottonwood
48.47% 48.46% 48.27% 48.24% 48.17% 47.79% 47.49% 47.34% 47.29% 47.15% 47.05% 46.65% 46.18% 45.88% 45.77%
Riverdale Wasatch Co. Layton Downtown Ogden Lehi/Cedar Valley Utah Co. South Millcreek Downtown Salt Lake Foothill/U of U Bountiful Tooele Co. Holladay Midvale Springville/Spanish Fork Avenues
45.66% 45.40% 45.30% 45.10% 44.83% 44.50% 44.46% 44.35% 44.29% 44.19% 44.17% 43.81% 42.95% 42.60% 42.04%
Other Cache/Rich Co. South Ogden American Fork/Alpine Roy/Hooper Sevier/Piute/Wayne Co. Cedar City St. George Summit Co. Logan Other Washington Co. Juab/Millard/Sanpete Co. Carbon/Emery Co. Other Southwest Dist. TriCounty LHD Grand/San Juan Co.
These percentages represent the number of individuals living in these areas who received the recommended procedure.
41.68% 41.59% 41.01% 40.87% 40.74% 40.00% 38.34% 37.74% 37.70% 34.61% 34.34% 34.21% 31.96% 30.97% 20.73%
A Snapshot of Clinical Performance by Utah Small Area Appendix: Data Tables
Blood Sugar Screening (HbA1c): Diabetes State Average 58.71% Brigham City West Jordan No. Kearns Logan Other Cache/Rich Co. East Orem West Valley East Syracuse/Kaysville Provo South Pleasant Grove/Lindon South Jordan Ben Lomond North Orem W. Jordan, Copperton Utah Co. South West Valley West
65.62% 64.83% 64.74% 64.63% 64.42% 63.74% 63.45% 63.43% 63.32% 63.05% 63.04% 62.85% 62.63% 62.61% 62.57% 62.56%
Sandy Center Taylorsville Magna Murray Sandy, NE Riverton/Draper Springville/Spanish Fork Clearfield/Hill AFB South Salt Lake Layton Other Box Elder Co. Downtown Ogden American Fork/Alpine Farmington/Centerville Provo/BYU
62.52% 62.20% 62.13% 61.96% 61.65% 61.52% 61.36% 61.35% 61.23% 61.19% 60.53% 60.46% 60.37% 60.00% 60.00%
Glendale Lehi/Cedar Valley Riverdale Morgan/East Weber Co. Sandy, SE West Orem South Ogden Woods Cross/No. SL Foothill/U of U Tooele Co. Midvale Rose Park Cottonwood Roy/Hooper Downtown Salt Lake
59.63% 59.41% 59.16% 59.08% 58.53% 58.42% 57.49% 57.32% 56.62% 56.52% 56.39% 55.78% 55.58% 55.13% 54.82%
Avenues Millcreek Sevier/Piute/Wayne Co. Bountiful Holladay Wasatch Co. Cedar City Other Southwest Dist. St. George Summit Co. Carbon/Emery Co. Other Washington Co. TriCounty LHD Juab/Millard/Sanpete Co. Grand/San Juan Co.
These percentages represent the number of individuals living in these areas who received the recommended procedure.
52.87% 52.85% 52.47% 52.21% 52.19% 51.15% 50.34% 48.86% 48.56% 48.11% 47.37% 46.45% 46.34% 46.13% 37.80%
A Snapshot of Clinical Performance by Utah Small Area Appendix: Data Tables
Kidney Disease Screening (Nephropathy): Diabetes State Average 29.95% East Orem Kearns North Orem Springville/Spanish Fork West Valley East Magna Provo/BYU Ben Lomond West Orem West Jordan No. West Valley West Taylorsville Downtown Ogden Sandy, NE South Salt Lake Riverton/Draper
41.39% 38.09% 36.86% 36.27% 36.08% 35.89% 35.63% 35.19% 35.13% 35.03% 34.77% 33.74% 33.66% 33.63% 33.48% 33.47%
Morgan/East Weber Co. Murray Utah Co. South Lehi/Cedar Valley Provo South W. Jordan, Copperton Pleasant Grove/Lindon Foothill/U of U South Jordan Glendale Sandy Center Woods Cross/No. SL Other Box Elder Co. American Fork/Alpine Sandy, SE
33.26% 33.25% 33.25% 33.21% 33.19% 33.07% 32.79% 32.42% 31.61% 31.19% 31.11% 31.10% 30.99% 30.65% 30.59%
Midvale 30.49% Tooele Co. Riverdale 30.23% Roy/Hooper Rose Park 30.15% Wasatch Co. Millcreek 30.06% Syracuse/Kaysville Downtown Salt Lake 29.75% Layton Farmington/Centerville 29.65% Sevier/Piute/Wayne Co. Cottonwood 29.23% Brigham City Other Cache/Rich Co. 28.84% Clearfield/Hill AFB Avenues 28.03% St. George Holladay 28.00% Carbon/Emery Co. Bountiful 27.99% Other Washington Co. Juab/Millard/Sanpete Co. 27.95% Other Southwest Dist. Logan 27.65% Summit Co. Cedar City 27.59% TriCounty LHD South Ogden 26.61% Grand/San Juan Co.
These percentages represent the number of individuals living in these areas who received the recommended procedure.
26.06% 24.90% 24.71% 24.22% 23.20% 22.84% 22.06% 21.87% 20.77% 20.53% 20.22% 17.81% 16.51% 11.82% 8.54%
A Snapshot of Clinical Performance by Utah Small Area Appendix: Data Tables
Well-Child Visit with a Primary Care Provider: 5 or more State Average 52.84% Other Cache/Rich Co. Logan Sandy Center Holladay Midvale Downtown Salt Lake Taylorsville Foothill/U of U Millcreek Woods Cross/No. SL Grand/San Juan Co. Sandy, SE Cottonwood South Jordan Farmington/Centerville W. Jordan, Copperton
67.20% 66.19% 64.65% 63.60% 63.20% 63.02% 61.83% 61.74% 61.21% 60.71% 60.71% 60.16% 59.61% 58.13% 57.03% 57.02%
Avenues Wasatch Co. Riverton/Draper Layton Magna Lehi/Cedar Valley St. George Sandy, NE West Jordan No. Cedar City Bountiful South Ogden Pleasant Grove/Lindon Other Washington Co. Syracuse/Kaysville
56.84% West Valley West 55.65% Riverdale 55.07% American Fork/Alpine 54.77% Kearns 54.76% Morgan/East Weber Co. 54.52% Other Box Elder Co. 54.44% West Orem 54.33% Murray 54.15% Summit Co. 53.57% Downtown Ogden 53.54% Tooele Co. 53.21% Roy/Hooper 53.16% South Salt Lake 53.05% Ben Lomond 52.44% North Orem
52.38% 52.31% 52.15% 51.79% 51.67% 51.45% 51.12% 50.35% 50.25% 49.66% 48.86% 48.59% 48.19% 47.91% 47.79%
West Valley East East Orem Provo/BYU Clearfield/Hill AFB TriCounty LHD Other Southwest Dist. Springville/Spanish Fork Utah Co. South Provo South Glendale Brigham City Rose Park Juab/Millard/Sanpete Co. Carbon/Emery Co. Sevier/Piute/Wayne Co.
These percentages represent the number of individuals living in these areas who received the recommended procedure.
47.54% 47.30% 46.54% 46.50% 45.61% 45.52% 45.33% 43.59% 42.01% 40.85% 38.79% 38.27% 34.75% 34.52% 33.80%
A Snapshot of Clinical Performance by Utah Small Area Appendix: Data Tables
Breast Cancer Screenings State Average 42.97% Avenues Foothill/U of U Logan Sandy, NE Other Cache/Rich Co. Summit Co. Sandy, SE Holladay Millcreek Cottonwood Provo/BYU Downtown Salt Lake South Jordan East Orem Taylorsville Riverton/Draper
56.46% 56.08% 53.43% 51.54% 50.96% 50.90% 50.17% 49.97% 49.54% 48.79% 48.71% 48.17% 47.47% 47.16% 46.76% 45.17%
South Ogden Sandy Center Farmington/Centerville Woods Cross/No. SL West Orem Provo South North Orem Morgan/East Weber Co. W. Jordan, Copperton West Jordan No. Murray Pleasant Grove/Lindon Cedar City St. George Other Southwest Dist.
45.13% 44.95% 44.72% 44.64% 44.44% 44.36% 44.36% 44.18% 43.35% 42.54% 42.31% 42.30% 42.30% 42.24% 42.10%
Springville/Spanish Fork Bountiful Midvale Other Washington Co. Syracuse/Kaysville American Fork/Alpine Layton Riverdale Kearns South Salt Lake Other Box Elder Co. Brigham City Wasatch Co. Lehi/Cedar Valley Roy/Hooper
41.77% 41.72% 41.60% 41.40% 41.26% 40.99% 40.80% 40.70% 39.66% 39.22% 39.20% 39.07% 38.95% 38.42% 38.01%
West Valley West Ben Lomond West Valley East Downtown Ogden Carbon/Emery Co. Rose Park Sevier/Piute/Wayne Co. TriCounty LHD Clearfield/Hill AFB Utah Co. South Grand/San Juan Co. Tooele Co. Magna Glendale Juab/Millard/Sanpete Co.
These percentages represent the number of individuals living in these areas who received the recommended procedure.
37.92% 37.32% 36.93% 36.66% 36.63% 36.46% 36.41% 36.07% 35.18% 34.29% 33.83% 33.50% 33.02% 32.04% 31.56%