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Medical Group Snapshot

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SELECT AN INSURANCE TYPE   

First Choice Community Healthcare - Commercially Insured Patients

67%
Percentage of patients 18 to 85 years whose blood pressure was controlled (<140/90) in 2013.
Community Avg 65% · State Avg Not Available · National Avg 64%
Note: This 67% is based on a low number of patients. Consumers should use many sources in making choices for health care services.
For 2013, the data for outcome measures for First Choice Community Health, like Blood Pressure Control, Blood Sugar Control and Cholesterol Control, were collected using medical record reviews with small sample sizes. The sample sizes were smaller than in previous years and may impact the reliability of the rates. Since this is based on limited identifiable patients, consumers should use many sources in making choices for health care services. In addition, this decrease in sample size is the reason clinics were unable to report these outcomes measures.

First Nations Community HealthSource - Commercially Insured Patients

Note: The number of patients is too small (fewer than 30) to reliably tell how well the medical group is performing across all insurance types.

New Mexico Heart Institute - Commercially Insured Patients

Note: The number of patients is too small (fewer than 30) to reliably tell how well the medical group is performing across all insurance types.

Presbyterian Medical Group - Commercially Insured Patients

75%
Percentage of patients 18 to 85 years whose blood pressure was controlled (<140/90) in 2013.
Community Avg 65% · State Avg Not Available · National Avg 64%
Note: This 75% is based on a low number of patients. Consumers should use many sources in making choices for health care services.
For 2013, the data for outcome measures for Presbyterian Medical Group, like Blood Pressure Control, Blood Sugar Control and Cholesterol Control, were collected using medical record reviews with small sample sizes. The sample sizes were smaller than in previous years and may impact the reliability of the rates. Since this is based on limited identifiable patients, consumers should use many sources in making choices for health care services. In addition, this decrease in sample size is the reason clinics were unable to report these outcomes measures.

UNM Medical Group - Commercially Insured Patients

63%
Percentage of patients 18 to 85 years whose blood pressure was controlled (<140/90) in 2013.
Community Avg 65% · State Avg Not Available · National Avg 64%
Note: For 2013, the data for outcome measures for UNM Medical Group, like Blood Pressure Control, Blood Sugar Control and Cholesterol Control, were collected using electronic medical records (EMR) with limited identifiable patients to pull data from, which is a different methodology from previous years when manual chart reviews were utilized. Since this is based on limited identifiable patients, consumers should use many sources in making choices for health care services. In addition, this methodology change may be the reason why some clinics were unable to report these measures.

About this Data

A "commercial line of business" usually refers to health insurance that is provided to employers for their employees. The information above shows how participating medical groups performed in caring for patients with commercial (or private) health insurance.

Diabetes Care and LDL Testing measures listed on Medical Group Snapshot are based on claims data and chart reviews. Breast Cancer Screenings, Cervical Cancer Screenings, and Proper Asthma Medications measures are based on claims data.

While many of the participating medical groups serve patients outside of the four county area, this version of Medical Group Snapshot only reports data from medical providers working and patients living within the following zip codes for the Cities of Albuquerque and Rio Rancho and the Four Counties of Bernalillo, Sandoval, Valencia, and Torrance plus Southern Santa Fe County (see Year 5 Zip Codes).

For 2013, the data for outcome measures, like Blood Pressure Control, Blood Sugar Control and Cholesterol Control, for some of the medical groups were collected using electronic medical records (EMR) with limited identifiable patients to pull data from or were collected using medical record reviews with small sample sizes. Both are different methodologies from previous years when manual chart reviews from large samples were utilized for outcomes measures. This may impact reliable comparison of these rates across medical groups and across years. In addition, these methodology changes contributed to why some clinics were unable to report these measures. Consumers should always use many sources in making choices for health care services.

To learn more about the medical groups participating in Medical Group Snapshot, please visit their websites listed below:


First Choice Community Healthcare (FCCH) http://www.fcch.com/

First Nations Community HealthSource (FNCH) http://www.fnch.org/

New Mexico Heart Institute http://www.nmhi.com/

Presbyterian Medical Group http://www.phs.org/phs/doctors/pmg/

University of New Mexico (UNM) Medical Group (UNMMG) http://unmmg.org/

What This Report Shows About Blood Pressure Control

This report shows how many patients who have high blood pressure in a medical group have controlled their high blood pressure. This means that their blood pressure was less than 140/90 mm Hg.

The scores in the charts above show the percent (%) of patients who controlled their high blood pressure. A high score is better. For example, 85% is better than 75%.

This measure counted how many patients between 18 and 85 with high blood pressure controlled their high blood pressure in 2013.

If a medical group is not listed for this measure or "NA" or "Data Not Available" is shown, it means one of two things:

1. There may have been no numbers for this measure for this line of business from this medical group.

OR

2. A medical group may have had too few patients (less than 30 patients) who have this condition in this line of business.

Sources

The information on this page was compiled by the New Mexico Coalition for Healthcare Quality from a variety of sources, including (but not limited to) American Heart Association, National Heart Lung and Blood Institute, and Centers for Disease Control and Prevention. This information summarizes core care elements appropriate to most adults. This information should not be construed as representing standards of care nor a substitute for individualized evaluation and treatment on clinical circumstances by a qualified health care professional. Please see our disclaimer.

For more information on this complex health issue, please see the High Blood Pressure Links page for resources and sources of information.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). The HEDIS benchmarks contained herein are owned and copyrighted by NCQA and are included in this publication with the permission of NCQA. The HEDIS benchmarks pertain to performance measured at the health plan level and do not represent any standard of medical care. The benchmarks are provided “AS-IS” without any warranty of any kind including but not limited to any warranty of accuracy or fitness for a particular purpose.

©2010 National Committee for Quality Assurance. All rights reserved.

Page text updated April 20, 2015.

An initiative of the New Mexico Coalition for Healthcare Quality and the Robert Wood Johnson Foundation, with additional funding provided by HealthInsight New Mexico