A 5 page summary of a Power Point presentation and speaker notes assessing measurement of quality of care for Aetna U.S. Healthcare in 2002 plus a one-page handout summarizing the presentation. The presentation discusses member access to services and member satisfaction, and how management can increase the measures of each. Bibliography lists 6 sources.
Name of Research Paper File: CC6_KShmoAetnaPpt.rtf
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Unformatted Sample Text from the Research Paper:
Slide 2: Qualitative Measures * Indicators in several areas: - Access to care. -
Prevention and screening. - Maternity care. - Acute and chronic illness.
- Member satisfaction. * If members are satisfied with these aspects of their own care, then they are likely to be satisfied with the
services they receive from the company as well. The indicators used on the report card
for Aetna U.S. Healthcare relate to member access to services; prevention and screening; maternity care; acute and chronic illness; and member satisfaction. NCQA/HEDIS does not measure quality of care
in terms of quantitative results obtainable only through close review of patient records, but rather a qualitative approach designed to measure members perceived quality of care.
The rationale is that if members are satisfied with the length of time they have to wait for an appointment to see a doctor and if they
are able to take advantage of preventive measures (i.e., flu shots, cholesterol screening, diabetes screening), then it is reasonable to assume that they are receiving care of at least an
adequate level of quality. Slide 3: Reported Measures for Aetna U.S. Healthcare * Members are not making full use of services available; may increase cost of treatment in the
future. The figures here reflect only members use of the services available to them.
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