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Population Health Metrics | Yale Health
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href="/health-topics" aria-current="page" data-drupal-link-system-path="node/663">Health Topics<div class="menu__expand"><span></span><span></span></div></a> </summary> <div class="menu__submenu-wrapper"> <div class="menu__submenu-wrapper-content"> <ul class="menu menu--main menu--level-1 menu--submenu"> <li class="menu__item menu__item--active"> <a href="/population-health-metrics" aria-current="page" data-drupal-link-system-path="node/908" class="is-active">Population Health Metrics</a> </li> <li class="menu__item"> <a href="/emmi-educational-videos" data-drupal-link-system-path="node/1146">Emmi Educational Videos</a> </li> </ul> <div class="menu__image"> <figure class="media media--image media--main-menu"> <picture> <source srcset="/sites/default/files/styles/main_menu_1440/public/2024-04/23-023_YaleHealth_484.webp?h=deaec4b9&itok=cTW4Y7mB 1x" media="all and (min-width: 1440px)" type="image/webp" width="900" height="486"/> <source srcset="/sites/default/files/styles/main_menu_1440/public/2024-04/23-023_YaleHealth_484.jpg?h=deaec4b9&itok=cTW4Y7mB 1x" media="all and (min-width: 1440px)" type="image/jpeg" width="900" height="486"/> <img loading="eager" class="main_menu" src="/sites/default/files/styles/main_menu_1440/public/2024-04/23-023_YaleHealth_484.jpg?h=deaec4b9&itok=cTW4Y7mB" width="900" height="486" alt="children and parent in waiting area" /> </picture> </figure> </div> </div> </div> </details> </li> <li class="menu__item"> <a href="/forms-and-guidelines" data-drupal-link-system-path="node/911">Forms & Guidelines</a> </li> </ul> </nav> </div> <div class="site-header__tools"> <a href="/search" aria-label="Yale Health search page"> <i class="fal fa-search"></i><span class="visually-hidden">Search</span> </a> <button class="menu-toggle" data-js="menu-toggle" aria-controls="block-main" aria-expanded="false"> <span></span> <span></span> <span></span> </button> </div> </div> </header> <main id="site-main" class="site-main"> <div class="site-main__system"> <div class="region-system"> <div data-drupal-messages-fallback class="hidden"></div> </div> </div> <div class="region-content"> <div id="block-yale-health-content"> <article class="node node--page node--full node--no-aside" data-js="node-page"> <header class="node__header" data-js="node-header"> <h1 class="node__heading"> Population Health Metrics </h1> </header> <div class="node__content"> <div class="node__sections"> <div class="layout layout--one-column"> <div class="layout__content"> <div class="layout__regions"> <div class="layout__region layout__region--content"> <div class="layout__region-item"> <div class="paragraph paragraph--html-content paragraph--default" data-js="html-content"> <div class="paragraph__body"> <div class="ck-content"> <p>We are constantly looking for ways to make it easier for you to know and act on your individual care needs. We discuss preventive care at most visits, provide easy access to upcoming health needs through MyChart, and will often reach out to you if you are overdue for a particular test.</p><p>We routinely measure how well we are doing in reaching our membership with important services and set goals to improve. When setting goals, Yale Health refers to a large national data source called HEDIS (Healthcare Effectiveness Data and Information Set) that tracks the performance of organizations like ours around the country. HEDIS gives us an idea of how we are performing compared with other similar organizations.</p><p>We share some of these measures with you below.</p></div> </div> </div> </div> </div> </div> </div> </div> <section class="layout--has-header layout layout--one-column" aria-labelledby="heading-layout-955"> <div class="layout__content"> <div class="layout__header"> <header class="advanced-header-field advanced-header-field--heading-tag-h2"> <h2 id="heading-layout-955" class="advanced-header-field__heading"> Breast Cancer Screening </h2> </header> </div> <div class="layout__regions"> <div class="layout__region layout__region--content"> <div class="layout__region-item"><div class="paragraph paragraph--image paragraph--default" data-js="image"> <figure class="media media--image media--default"> <img loading="lazy" src="/sites/default/files/styles/original_optimized/public/2024-04/breast%20cancer%20screening%202024_final.png.webp?itok=WKOL15gZ" width="950" height="570" alt="breast cancer screening 2024" /> </figure> </div> </div> <div class="layout__region-item"> <div class="paragraph paragraph--html-content paragraph--default" data-js="html-content"> <header class="advanced-header-field advanced-header-field--heading-tag-h3"> <h3 id="heading-html_content-957" class="advanced-header-field__heading"> What is being done to improve breast cancer screening rates? </h3> </header> <div class="paragraph__body"> <div class="ck-content"> <ul><li>Preventive Health letters remind women about getting mammograms at least once every 2 years.</li><li>Wait times for mammograms are dependent on location, but are generally booking anywhere from 1 to 4 months out.</li></ul></div> </div> </div> </div> </div> </div> </div> </section> <section class="layout--has-header layout layout--one-column" aria-labelledby="heading-layout-958"> <div class="layout__content"> <div class="layout__header"> <header class="advanced-header-field advanced-header-field--heading-tag-h2"> <h2 id="heading-layout-958" class="advanced-header-field__heading"> Cervical Cancer Screening </h2> </header> </div> <div class="layout__regions"> <div class="layout__region layout__region--content"> <div class="layout__region-item"><div class="paragraph paragraph--image paragraph--default" data-js="image"> <figure class="media media--image media--default"> <img loading="lazy" src="/sites/default/files/styles/original_optimized/public/2024-04/cervical%20cancer%20screening%202024_final.png.webp?itok=QF-I8W6M" width="950" height="570" alt="cervical cancer screening 2024" /> </figure> </div> </div> <div class="layout__region-item"> <div class="paragraph paragraph--html-content paragraph--default" data-js="html-content"> <header class="advanced-header-field advanced-header-field--heading-tag-h3"> <h3 id="heading-html_content-960" class="advanced-header-field__heading"> What is being done to improve screening rates? </h3> </header> <div class="paragraph__body"> <div class="ck-content"> <ul><li>Preventive Health letters remind women about getting screened for cervical cancer screening. </li><li>Exploring other types of beneficial outreach to patients.</li><li>Interdepartmental collaboration to improve screening rates.</li></ul></div> </div> </div> </div> </div> </div> </div> </section> <section class="layout--has-header layout layout--one-column" aria-labelledby="heading-layout-961"> <div class="layout__content"> <div class="layout__header"> <header class="advanced-header-field advanced-header-field--heading-tag-h2"> <h2 id="heading-layout-961" class="advanced-header-field__heading"> Colorectal Cancer Screening </h2> </header> </div> <div class="layout__regions"> <div class="layout__region layout__region--content"> <div class="layout__region-item"><div class="paragraph paragraph--image paragraph--default" data-js="image"> <figure class="media media--image media--default"> <img loading="lazy" src="/sites/default/files/styles/original_optimized/public/2024-04/colorectal%20cancer%20screening%202024_final.png.webp?itok=CiWjLyKC" width="950" height="570" alt="colorectal cancer screening 2024" /> </figure> </div> </div> <div class="layout__region-item"> <div class="paragraph paragraph--html-content paragraph--default" data-js="html-content"> <header class="advanced-header-field advanced-header-field--heading-tag-h3"> <h3 id="heading-html_content-963" class="advanced-header-field__heading"> What is being done to improve screening rates? </h3> </header> <div class="paragraph__body"> <div class="ck-content"> <ul><li>Preventive Health letters remind people between the ages of 45 and 75 that they are due for screening. </li><li>Monthly mailing of FIT tests to those due for annual FIT testing. </li><li>Monthly reminder letters sent to those who have not returned their FIT.</li><li>Panel Management meetings for those due for screening.</li><li>Monthly reminders to those due for screening. These letters are sent 6 months after the Preventive Health letters.</li></ul></div> </div> </div> </div> </div> </div> </div> </section> <section class="layout--has-header layout layout--one-column" aria-labelledby="heading-layout-2082"> <div class="layout__content"> <div class="layout__header"> <header class="advanced-header-field advanced-header-field--heading-tag-h2"> <h2 id="heading-layout-2082" class="advanced-header-field__heading"> Controlling High Blood Pressure in People with Hypertension </h2> </header> </div> <div class="layout__regions"> <div class="layout__region layout__region--content"> <div class="layout__region-item"><div class="paragraph paragraph--image paragraph--default" data-js="image"> <figure class="media media--image media--default"> <img loading="lazy" src="/sites/default/files/styles/original_optimized/public/2024-04/hypertension%202024_final.png.webp?itok=QsOakuiU" width="950" height="570" alt="hypertension 2024" /> </figure> </div> </div> <div class="layout__region-item"> <div class="paragraph paragraph--html-content paragraph--default" data-js="html-content"> <header class="advanced-header-field advanced-header-field--heading-tag-h3"> <h3 id="heading-html_content-2084" class="advanced-header-field__heading"> What is being done to improve blood pressure control rates? </h3> </header> <div class="paragraph__body"> <div class="ck-content"> <ul><li>Encouragement of patients to take home BP readings prior to telehealth visits.</li><li>Panel management meetings with clinicians and their MAs.</li><li>Letter to patients who have not had an in-office BP reading in at least 1 year.</li></ul></div> </div> </div> </div> </div> </div> </div> </section> <section class="layout--has-header layout layout--one-column" aria-labelledby="heading-layout-2085"> <div class="layout__content"> <div class="layout__header"> <header class="advanced-header-field advanced-header-field--heading-tag-h2"> <h2 id="heading-layout-2085" class="advanced-header-field__heading"> Control of Diabetes (A1c <8) </h2> </header> </div> <div class="layout__regions"> <div class="layout__region layout__region--content"> <div class="layout__region-item"><div class="paragraph paragraph--image paragraph--default" data-js="image"> <figure class="media media--image media--default"> <img loading="lazy" src="/sites/default/files/styles/original_optimized/public/2024-04/control%20of%20diabetes%202024_final.png.webp?itok=NisPLscd" width="950" height="570" alt="control of diabetes 2024" /> </figure> </div> </div> <div class="layout__region-item"> <div class="paragraph paragraph--html-content paragraph--default" data-js="html-content"> <header class="advanced-header-field advanced-header-field--heading-tag-h3"> <h3 id="heading-html_content-2087" class="advanced-header-field__heading"> What is being done to improve A1c control rates? </h3> </header> <div class="paragraph__body"> <div class="ck-content"> <ul><li>Panel management meetings with clinicians and their MAs.</li><li>Quarterly lab reminder letters to patients overdue.</li><li>Diabetes education classes held virtually once per month.</li></ul></div> </div> </div> </div> </div> </div> </div> </section> <section class="layout--has-header layout layout--one-column" aria-labelledby="heading-layout-964"> <div class="layout__content"> <div class="layout__header"> <header class="advanced-header-field advanced-header-field--heading-tag-h2"> <h2 id="heading-layout-964" class="advanced-header-field__heading"> Cholesterol-Lowering Medication* Use Among People with Diabetes </h2> </header> </div> <div class="layout__regions"> <div class="layout__region layout__region--content"> <div class="layout__region-item"><div class="paragraph paragraph--image paragraph--default" data-js="image"> <figure class="media media--image media--default"> <img loading="lazy" src="/sites/default/files/styles/original_optimized/public/2024-04/medication-diabetes%202024_final.png.webp?itok=WHKy0TmH" width="950" height="570" alt="medication-diabetes 2024" /> </figure> </div> </div> <div class="layout__region-item"> <div class="paragraph paragraph--html-content paragraph--default" data-js="html-content"> <header class="advanced-header-field advanced-header-field--heading-tag-h3"> <h3 id="heading-html_content-966" class="advanced-header-field__heading"> What is being done to improve screening rates? </h3> </header> <div class="paragraph__body"> <div class="ck-content"> <ul><li>Panel management meetings review the use of statins.</li><li>Provider-based outreach to those patients who should be taking statins but are not.</li></ul><p><em>*Common statin medications include atorvastatin or simvastatin</em></p></div> </div> </div> </div> </div> </div> </div> </section> <section class="layout--has-header layout layout--one-column" aria-labelledby="heading-layout-967"> <div class="layout__content"> <div class="layout__header"> <header class="advanced-header-field advanced-header-field--heading-tag-h2"> <h2 id="heading-layout-967" class="advanced-header-field__heading"> Cholesterol-Lowering Medication Use Among People with Heart Disease </h2> </header> </div> <div class="layout__regions"> <div class="layout__region layout__region--content"> <div class="layout__region-item"><div class="paragraph paragraph--image paragraph--default" data-js="image"> <figure class="media media--image media--default"> <img loading="lazy" src="/sites/default/files/styles/original_optimized/public/2024-04/medication-heart%20disease%202024_final.png.webp?itok=9qw3ldNI" width="950" height="570" alt="medication-heart disease " /> </figure> </div> </div> <div class="layout__region-item"> <div class="paragraph paragraph--html-content paragraph--default" data-js="html-content"> <header class="advanced-header-field advanced-header-field--heading-tag-h3"> <h3 id="heading-html_content-969" class="advanced-header-field__heading"> What is being done to improve statin use among our patients? </h3> </header> <div class="paragraph__body"> <div class="ck-content"> <ul><li>Panel management meetings review the use of statins. </li><li>Provider-based outreach to those patients who should be taking statins but are not.</li></ul></div> </div> </div> </div> </div> </div> </div> </section> <section class="layout--has-header layout layout--one-column" aria-labelledby="heading-layout-2088"> <div class="layout__content"> <div class="layout__header"> <header class="advanced-header-field advanced-header-field--heading-tag-h2"> <h2 id="heading-layout-2088" class="advanced-header-field__heading"> Adolescents who Received at Least 1 Dose of the HPV Vaccine* </h2> </header> </div> <div class="layout__regions"> <div class="layout__region layout__region--content"> <div class="layout__region-item"><div class="paragraph paragraph--image paragraph--default" data-js="image"> <figure class="media media--image media--default"> <img loading="lazy" src="/sites/default/files/styles/original_optimized/public/2024-04/hpv%20vaccine%202024_final.png.webp?itok=XQf-xDgr" width="950" height="570" alt="hpv vaccine 2024" /> </figure> </div> </div> <div class="layout__region-item"> <div class="paragraph paragraph--html-content paragraph--default" data-js="html-content"> <header class="advanced-header-field advanced-header-field--heading-tag-h3"> <h3 id="heading-html_content-2090" class="advanced-header-field__heading"> What is being done to improve HPV compliance rates? </h3> </header> <div class="paragraph__body"> <div class="ck-content"> <ul><li>Starting in 2013, letters are mailed to parents 1 week prior to their child鈥檚 upcoming Well-Child visit in order to encourage HPV vaccination. </li></ul></div> </div> </div> </div> </div> </div> </div> </section> <section class="layout--has-header layout layout--one-column" aria-labelledby="heading-layout-2091"> <div class="layout__content"> <div class="layout__header"> <header class="advanced-header-field advanced-header-field--heading-tag-h2"> <h2 id="heading-layout-2091" class="advanced-header-field__heading"> 2-Year-Olds who Received 2 Doses of the Flu Vaccine </h2> </header> </div> <div class="layout__regions"> <div class="layout__region layout__region--content"> <div class="layout__region-item"><div class="paragraph paragraph--image paragraph--default" data-js="image"> <figure class="media media--image media--default"> <img loading="lazy" src="/sites/default/files/styles/original_optimized/public/2024-04/flu%20vaccine%202024_final.png.webp?itok=Bz7jTurm" width="950" height="570" alt="flu vaccine 2024" /> </figure> </div> </div> <div class="layout__region-item"> <div class="paragraph paragraph--html-content paragraph--default" data-js="html-content"> <header class="advanced-header-field advanced-header-field--heading-tag-h3"> <h3 id="heading-html_content-2093" class="advanced-header-field__heading"> What is being done to improve flu immunization compliance? </h3> </header> <div class="paragraph__body"> <div class="ck-content"> <ul><li>During flu season, letters to patients encouraging flu vaccination are sent to parents.</li><li>Reminder letters are also sent mid-flu season to those parents whose children have not yet been vaccinated.</li></ul></div> </div> </div> </div> </div> </div> </div> </section> </div> </div> </article> </div> </div> </main> <footer class="site-footer"> <div class="site-footer__content"> <div class="site-footer__branding"> <div class="branding-block" data-js="branding-block"> <a href="/" title="Home" aria-label="Go to homepage" rel="home" > <?xml version="1.0" encoding="UTF-8"?> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 581.8 86.9"> <path d="m179.2,36.3c-6.2,0-10.6,5-12.1,12.8l21.9-.2c.1-6.7-4-12.6-9.8-12.6m-1.1,50.5c-13,0-23.1-10.3-23.1-24.7,0-17.6,10.8-29.7,26.1-29.7,12.3,0,19.1,7,19.1,18v2.2l-33.5-.2c-.2,1.4-.4,3.6-.4,6.3,0,12.7,7.9,21,18.5,21,6.3,0,9.6-2.2,14.5-6.5l1.9,2.9c-7.1,6.5-12.9,10.7-23.1,10.7m-57.4-1v-2.9c5.6-.4,7.2-1.6,8.2-3.7V14.9c0-4.2-.6-6-9.2-6.7v-2.5l22.7-5.7.7,2.1-3.6,4.5v72.7c1.2,2.5,3.6,3.3,8.7,3.7v2.9c.1-.1-27.5-.1-27.5-.1Zm-37.8-19.1c-.5,2-.9,3.7-.9,6.5,0,3.7,2.1,7.5,6.2,7.5,3.7,0,5.8-1.2,9.2-3.9l.1-16.8c-3.2,1.5-11.2,5-14.6,6.7m24.8,20.2c-6.7,0-9.9-4.6-10.2-7.8-4.2,4.5-9.7,7.8-14.9,7.8-6.7,0-12.4-4.1-12.4-11.2,0-3.5.9-7.1,2.6-9.9l24.7-8.9v-9.2c0-5.6-2.6-10.9-8.2-10.9-3.4,0-6.6,4.1-6.8,10.4l-11.2,1.9v-1.2c3.7-11.2,16-15.5,22-15.5,11.3,0,15.4,6,15.3,15.2l-.4,26.1c-.1,5.1,2.6,6.3,5.1,6.3,2,0,4-1.2,6.3-3.6v3.5c-2.7,3.2-7.6,7-11.9,7M67,18.3l-20.5,34.5v23.2c2.4,5.6,8.3,6.3,14,6.6v3.2H20.4v-3.2c5.7-.2,12.7-1.1,14.5-4.8v-24L14,18.5C10.4,12.5,6.9,10.5,0,10.1v-3.3h34.9v3.2c-6.6.4-8.7,1.6-10.6,3.1l19.4,33.5L62.7,13.2c-2-1.5-4.6-2.9-11.2-3.2v-3.2h29.8v3.2c-6.6.3-10.9,2.5-14.3,8.3" style="fill:#00356b;"/> <path d="m261.6,85.8v-2.3c3.7-.1,7-1.2,7.9-2.8v-19.2h-27.7v19.2c.6,1.6,4.1,2.7,7.8,2.8v2.3h-24.7v-2.3c3.6-.1,7.1-1.2,7.8-2.8v-41.6c-.6-1.6-4.2-2.7-7.8-2.9v-2.1h24.7v2.1c-3.6.2-7.1,1.3-7.8,2.9v18.1h27.7v-18.1c-.9-1.6-4.1-2.7-7.9-2.9v-2.1h24.9v2.1c-3.7.2-7,1.3-7.9,2.9v41.6c.8,1.6,4.2,2.7,7.9,2.8v2.3h-24.9Z" style="fill:#00356b;"/> <path d="m556.9,85.8v-2.3c3.7-.1,7-1.2,7.9-2.8v-19.2h-27.7v19.2c.6,1.6,4.1,2.7,7.8,2.8v2.3h-24.7v-2.3c3.6-.1,7.1-1.2,7.8-2.8v-41.6c-.6-1.6-4.2-2.7-7.8-2.9v-2.1h24.7v2.1c-3.6.2-7.1,1.3-7.8,2.9v18.1h27.7v-18.1c-.9-1.6-4.2-2.7-7.9-2.9v-2.1h24.9v2.1c-3.7.2-7,1.3-7.9,2.9v41.6c.9,1.6,4.2,2.7,7.9,2.8v2.3h-24.9Z" style="fill:#00356b;"/> <path d="m508.7,48.9c-.2-6.9-3.9-10.5-9.8-10.7l-8.7-.1v40.9c1.8,3.8,6.3,4.3,10,4.5v2.3h-29.4v-2.3c3.7-.2,9.1-1,10.2-3.3v-42.1l-8.7.1c-5.9.1-9.6,3.7-9.7,10.7h-2.2v-15.5h2c1.1.3,2.1.6,4.8.6h36.8c1.9,0,3.7-.3,4.8-.6h2v15.5h-2.1Z" style="fill:#00356b;"/> <path d="m412,85.8v-2.3c3.3-.2,8.3-1.1,9.4-3.7v-40.7c-.6-1.6-4.2-2.6-7.8-2.8v-2.2h25.5v2.2c-3.6.2-7.9,1.3-8.5,2.9v42.7l14.7-.4c5.5-.1,9.2-5.4,9.3-12.2h2.2v16.6c-.1-.1-44.8-.1-44.8-.1Z" style="fill:#00356b;"/> <path d="m376.7,44.7l-1.1-3.9h-.4l-1.2,3.9-5.9,16.7h13.8l-5.2-16.7Zm4.3,41.1v-2.3c3.7-.2,6.8-1.1,7.7-2.8l-5.3-15.2h-16.6l-5.2,14.3c.8,1.9,4,3.5,7.7,3.7v2.3h-21.2v-2.3c3.7-.2,6.4-.9,8-2.9,2.2-5.5,4.8-11.8,7.2-18.4,3.4-9.2,6.8-18.1,8.7-23.6.9-2.4.9-3.4,1.1-5h9.9c.2,2.6.4,4,1.1,6.2,2.8,8.6,5,15.3,7.3,22.3,1.9,5.8,3.9,11.1,6.6,18,.9,2.3,4.2,3.3,7.9,3.5v2.3c-.1-.1-24.9-.1-24.9-.1Z" style="fill:#00356b;"/> <path d="m313,85.8l-18.4.2v-2.2c3.7-.2,9.3-1.3,10.3-3.9v-40.8c-.6-1.6-4.2-2.6-7.9-2.8v-2.2h33.7c2.2,0,3.7-.2,4.8-.5h1.9v13.6h-2.1c-.3-7.1-3.2-9.1-9.4-9.1h-11.8v19.3h11.1c5.5,0,7.8-.1,8.5-6.1h2v16.8h-2.1c-.6-6.5-2.4-6.6-8.4-6.6h-11.1v17.6c.2,1.1.6,2.2,2.1,2.8l12.9-.2c5.4-.1,9.1-2.4,9.3-9.4h2v13.5s-27.4,0-27.4,0Z" style="fill:#00356b;"/> </svg=> </a> </div> </div> <div class="site-footer__social-menu"> <nav role="navigation" aria-labelledby="block-social-menu" id="block-social" class="block-social-menu" data-js="block-social-menu"> <h2 class="visually-hidden" id="block-social-menu">Social Menu</h2> <ul class="menu menu--social menu--level-0"> <li class="menu__item"> <a href="http://www.twitter.com/yalehealth" aria-label="Go to Yale Health's Twitter page" title="Twitter"><i class="fab fa-twitter"></i></a> </li> <li class="menu__item"> <a href="https://www.facebook.com/yalehealthcenter" aria-label="Go to Yale Health's Facebook page" title="Facebook"><i class="fab fa-facebook"></i></a> </li> <li class="menu__item"> <a href="https://www.instagram.com/yalehealthcenter" aria-label="Go to Yale Health's Instagram page" title="Instagram"><i class="fab fa-instagram"></i></a> </li> <li class="menu__item"> <a href="https://www.linkedin.com/company/yalehealth/" aria-label="Go to Yale Health's LinkedIn page" title="LinkedIn"><i class="fab fa-linkedin"></i></a> </li> </ul> </nav> </div> <div class="site-footer__text"> <div> <div class="ck-content"> <p><strong>Yale Health</strong> <br>55 Lock Street <br>P.O. 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