Quality Assurance Reporting Requirements (QARR) Health Disparities 2018
health.data.ny.gov | Last Updated 10 Jun 2021This dataset includes Medicaid Managed Care, Commercial HMO, and Commercial PPO performance data from the Quality Assurance Reporting Requirements (QARR) by member demographic characteristics. QARR is largely based on measures of quality developed and published by the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS®). Plans are required to submit quality performance data each year. Demographic information analyzed in this report includes members’ sex, age, race/ethnicity, Medicaid aid category, cash assistance status, behavioral health conditions including serious mental illness (SMI) and substance use disorder (SUD), payer status, and region of residence. Measuring the quality of care, and the ability to measure disparities in care is an important first step to a better understanding of the underlying factors that drive differences in care among certain populations within Medicaid Managed Care, Commercial HMO, and Commercial PPO. <p>These data are published annually for Medicaid Managed Care in the Health Care Disparities in New York State Report and on the NYSDOH website: https://www.health.ny.gov/health_care/managed_care/reports/ </p>
This dataset has the following 12 columns:
| Column Name | API Column Name | Data Type | Description | Sample Values |
|---|---|---|---|---|
| Measurement Year | measurement_year | text | The time period the data represent. | 2018 view top 100 |
| Payer | payer | text | Medicaid Managed Care, Commercial HMO, Commercial PPO. | Medicaid Managed Care Commercial PPO Commercial HMO view top 100 |
| Domain | domain | text | The measures in QARR are divided into seven domains: Provider, Network, Access to Primary Care, Child and Adolescent Health, Women’s Health, Adult Health, Behavioral Health, and Satisfaction with Care. Information from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) consumer satisfaction survey is included in the Provider Network, Adults Living with Illness, as well as in the Satisfaction with Care sections. | Adult Health Behavioral Health Child and Adolescent Health Satisfaction with Care Womens Health view top 100 |
| Sub Domain | sub_domain | text | Category within the domain with more detailed information regarding a certain aspect of quality. | Behavioral Health Managing Medications for Adults Child Preventive Care Managing Respiratory Conditions for Adults Child and Adolescent Behavioral Health view top 100 |
| Measure Description | measure_description | text | Description of quality measure. This dataset contains 66 measures from the QARR. | Annual Monitoring for Patients on Persistent Medications- Combined Rate Follow-Up After ED Visit for AOD Dependence for 30 days Follow-Up After ED Visit for AOD Dependence for 7 days Monitoring Diabetes - HbA1c Testing Managing Diabetes Outcomes - HbA1C Control (<8.0%) view top 100 |
| Measure | measure | text | Measure short name that corresponds to the short name in the QARR dataset file. | FUA within 7 days Persist Meds-Combined FUA within 30 days Statin Cadio - Adherent Diabetes BP <140/90 view top 100 |
| Method of Data Collection | method_of_data_collection | text | Methods of collecting quality data are administrative review, hybrid review, and the CAHPS survey. Administrative review utilizes administrative systems only to identify the eligible population, numerator events, and exclusions to calculate a rate. Hybrid review utilizes administrative systems to use a sample of the eligible population in addition to medical chart review. The CAHPS survey is an annual survey that asks consumers and patients to report on and evaluate their experiences with health care. | Administrative Review Hybrid Review CAHPS Survey view top 100 |
| Category | category | text | This field reflects characteristics that are extracted from the member information that is collected during enrollment and is linked to QARR member-level data. The categories of demographic information include: members’ gender, age, race/ethnicity, Medicaid aid category, payer status, cash assistance status, mental health condition, substance use, and region of residence. | Region Race Age Sex Statewide view top 100 |
| Characteristics | characteristics | text | This field reflects the range of values that are appropriate for each demographic category. | Western Northeast Hudson Valley Long Island New York City view top 100 |
| Numerator | numerator | number | Number of persons within each characteristic. | 78 17 611 370 28 view top 100 |
| Denominator | denominator | number | Number of persons meeting denominator criteria specified by HEDIS 2019 within each characteristic. | 120 109 260 193 603 view top 100 |
| Rate | rate | number | Percentage of numerator compliant within the denominator criteria. | 85 87 86 84 88 view top 100 |