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Results by County: Pend Oreille-Yakima
2016 COMMUNITY CHECKUP RESULTS
DECEMBER 2016
www.WACommunityCheckup.org
2 Community Checkup report:
www.WACommunityCheckup.org
More about the Alliance:
www.WAHealthAlliance.org
More about Healthier Washington: www.hca.wa.gov/hw/
Pend Oreille ..................................................................................................................................... 94
Pierce .............................................................................................................................................. 98
San Juan ........................................................................................................................................ 102
Skagit ............................................................................................................................................ 105
Skamania ....................................................................................................................................... 109
Snohomish ..................................................................................................................................... 111
Spokane ........................................................................................................................................ 115
Stevens .......................................................................................................................................... 119
Thurston ........................................................................................................................................ 123
Wahkiakum ................................................................................................................................... 127
Walla Walla ................................................................................................................................... 129
Whatcom ....................................................................................................................................... 133
Whitman ....................................................................................................................................... 137
Yakima .......................................................................................................................................... 141
Table of Contents
3 Community Checkup report:
www.WACommunityCheckup.org
More about the Alliance:
www.WAHealthAlliance.org
More about Healthier Washington: www.hca.wa.gov/hw/
One of the key themes of the Community Checkup is variation of care. Just as results vary significantly among medical groups, so too do results vary at the county level. When you see patterns of potential overuse or underuse by geography, it might reflect a practice culture in that region or problems with access to care. Identifying this variation is an important step in looking for ways to address it so that all Washingtonians receive a similar high level of quality care.
The Community Checkup reports results1 for all 39 counties in Washington state, for both the commercially insured and Medicaid insured populations. Results are compared to the national 90th percentile, based upon national benchmarks computed by the National Committee for Quality Assurance (NCQA). This reflects the top 10 percent of performance across the nation.2
About Healthier Washington Healthier Washington is a state-sponsored initiative to transform health care in Washington state so that people experience better health during their lives, receive better care when they need it, and care is more affordable and accessible.
Learn more about Healthier Washington at: www.hca.wa.gov/about-hca/healthier-washington.
1 Organizations may have the same or similar rates but different scores due to the application of rounding and or confidence intervals. 2 Quality Compass® 2016 is used with permission of the National Committee for Quality Assurance (“NCQA”). Any analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such analysis, interpretation, or conclusion. Quality Compass® is a registered trademark of NCQA.
Introduction
94
PEND OREILLE COUNTYCommercial Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 87% 90%
Access to primary care (ages 20–44) 89% 92%
Access to primary care (ages 2–6 years) 72% 89%
Access to primary care (ages 45–64) 97% 96%
Access to primary care (ages 65+) 96% 98%
Access to primary care (ages 7–11 years) 81% 90%
ADHD medication generic prescriptions 50% 70%
Adolescent well-care visits 25% 44%
Antidepressant medication generic prescriptions 100% 98%
Blood sugar (HbA1c) testing for people with diabetes 84% 90%
Breast cancer screening 64% 75%
Cervical cancer screening 50% 75%
Cholesterol-lowering medication generic prescriptions 91% 92%
Colon cancer screening 41% 63%
Eye exam for people with diabetes 64% 75%
High-blood pressure medication generic prescriptions 99% 97%
Hospitalization for COPD or asthma*,*** 0 52
Kidney disease screening for people with diabetes 74% 86%
Medication safety: monitoring patients on high-blood pressure medications 73% 82%
Mental health services for adults 19% 29%
Mental health services for children 31% 35%
Potentially avoidable ER visits* 11% 10%
Stomach acid medication generic prescriptions 96% 92%
Taking cholesterol-lowering medications as directed 79% 76%
95
PEND OREILLE COUNTYCommercial Insurance
Measure Rate Score State Average
Taking hypertension medications as directed 75% 79%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
96
PEND OREILLE COUNTYMedicaid Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 89% 86%
Access to primary care (ages 12–24 months) 85% 89%
Access to primary care (ages 20–44) 77% 71%
Access to primary care (ages 2–6 years) 75% 75%
Access to primary care (ages 45–64) 82% 75%
Access to primary care (ages 65+) 82% 84%
Access to primary care (ages 7–11 years) 81% 86%
ADHD medication generic prescriptions 81% 78%
Adolescent well-care visits 29% 41%
Antidepressant medication generic prescriptions 88% 100%
Appropriate testing for children with sore throat 66% 66%
Avoiding antibiotics for children with upper respiratory infection 74% 93%
Blood sugar (HbA1c) testing for people with diabetes 38% 63%
Cervical cancer screening 51% 55%
Chlamydia screening 40% 51%
Cholesterol-lowering medication generic prescriptions 98% 96%
Eye exam for people with diabetes 68% 63%
High-blood pressure medication generic prescriptions 100% 99%
Hospitalization for COPD or asthma*,*** 0 484.6
Kidney disease screening for people with diabetes 45% 71%
Mental health services for adults 40% 46%
Mental health services for children 65% 63%
Potentially avoidable ER visits* 15% 19%
Stomach acid medication generic prescriptions 95% 89%
97
PEND OREILLE COUNTYMedicaid Insurance
Measure Rate Score State Average
Substance use disorder services for adults (Medicaid insured) 28% 28%
Well-child visits (ages 3-6 years) 59% 58%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
98
PIERCE COUNTYCommercial Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 89% 90%
Access to primary care (ages 12–24 months) 97% 98%
Access to primary care (ages 20–44) 91% 92%
Access to primary care (ages 2–6 years) 88% 89%
Access to primary care (ages 45–64) 96% 96%
Access to primary care (ages 65+) 98% 98%
Access to primary care (ages 7–11 years) 90% 90%
ADHD medication generic prescriptions 67% 70%
Adolescent well-care visits 44% 44%
Antidepressant medication generic prescriptions 99% 98%
Appropriate testing for children with sore throat 83% 77%
Avoiding antibiotics for adults with acute bronchitis 34% 34%
Avoiding antibiotics for children with upper respiratory infection 93% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 77% 80%
Blood sugar (HbA1c) testing for people with diabetes 91% 90%
Breast cancer screening 73% 75%
Cervical cancer screening 73% 75%
Chlamydia screening 40% 39%
Cholesterol-lowering medication generic prescriptions 91% 92%
Colon cancer screening 63% 63%
Eye exam for people with diabetes 80% 75%
High-blood pressure medication generic prescriptions 96% 97%
Hospital readmissions within 30 days (commercially insured)*,** 0.9 1
Hospitalization for COPD or asthma*,*** 70.1 52
99
PIERCE COUNTYCommercial Insurance
Measure Rate Score State Average
Kidney disease screening for people with diabetes 87% 86%
Managing medications for people with asthma 68% 67%
Medication safety: monitoring patients on high-blood pressure medications 83% 82%
Mental health services for adults 27% 29%
Mental health services for children 29% 35%
Potentially avoidable ER visits* 11% 10%
Spirometry testing to assess and diagnose COPD 41% 40%
Statin therapy for patients with cardiovascular disease 82% 82%
Staying on antidepressant medication (12 weeks) 72% 72%
Staying on antidepressant medication (6 months) 56% 56%
Stomach acid medication generic prescriptions 90% 92%
Taking cholesterol-lowering medications as directed 75% 76%
Taking diabetes medications as directed 65% 65%
Taking hypertension medications as directed 78% 79%
Well-child visits (ages 3-6 years) 72% 73%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
100
PIERCE COUNTYMedicaid Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 85% 86%
Access to primary care (ages 12–24 months) 87% 89%
Access to primary care (ages 20–44) 70% 71%
Access to primary care (ages 2–6 years) 76% 75%
Access to primary care (ages 45–64) 73% 75%
Access to primary care (ages 65+) 83% 84%
Access to primary care (ages 7–11 years) 85% 86%
ADHD medication generic prescriptions 75% 78%
Adolescent well-care visits 46% 41%
Antidepressant medication generic prescriptions 99% 100%
Appropriate testing for children with sore throat 75% 66%
Avoiding antibiotics for adults with acute bronchitis 29% 30%
Avoiding antibiotics for children with upper respiratory infection 94% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 75% 77%
Blood sugar (HbA1c) testing for people with diabetes 67% 63%
Breast cancer screening 24% 27%
Cervical cancer screening 58% 55%
Chlamydia screening 51% 51%
Cholesterol-lowering medication generic prescriptions 97% 96%
Colon cancer screening 40% 43%
Eye exam for people with diabetes 61% 63%
High-blood pressure medication generic prescriptions 99% 99%
Hospitalization for COPD or asthma*,*** 611.2 484.6
Kidney disease screening for people with diabetes 74% 71%
101
PIERCE COUNTYMedicaid Insurance
Measure Rate Score State Average
Managing medications for people with asthma 64% 60%
Medication safety: monitoring patients on high-blood pressure medications 83% 82%
Mental health services for adults 43% 46%
Mental health services for children 63% 63%
Potentially avoidable ER visits* 18% 19%
Spirometry testing to assess and diagnose COPD 25% 22%
Statin therapy for patients with cardiovascular disease 25% 20%
Staying on antidepressant medication (12 weeks) 60% 58%
Staying on antidepressant medication (6 months) 45% 42%
Stomach acid medication generic prescriptions 83% 89%
Substance use disorder services for adults (Medicaid insured) 22% 28%
Substance use disorder services for children (Medicaid insured) 32% 36%
Taking cholesterol-lowering medications as directed 53% 57%
Taking diabetes medications as directed 45% 45%
Taking hypertension medications as directed 58% 59%
Well-child visits (ages 3-6 years) 62% 58%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
102
SAN JUAN COUNTYCommercial Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 91% 90%
Access to primary care (ages 20–44) 92% 92%
Access to primary care (ages 2–6 years) 86% 89%
Access to primary care (ages 45–64) 96% 96%
Access to primary care (ages 65+) 98% 98%
Access to primary care (ages 7–11 years) 86% 90%
ADHD medication generic prescriptions 73% 70%
Adolescent well-care visits 30% 44%
Antidepressant medication generic prescriptions 97% 98%
Avoiding antibiotics for children with upper respiratory infection 92% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 92% 80%
Blood sugar (HbA1c) testing for people with diabetes 91% 90%
Breast cancer screening 68% 75%
Cervical cancer screening 70% 75%
Chlamydia screening 25% 39%
Cholesterol-lowering medication generic prescriptions 93% 92%
Colon cancer screening 53% 63%
Eye exam for people with diabetes 68% 75%
High-blood pressure medication generic prescriptions 97% 97%
Hospitalization for COPD or asthma*,*** 0 52
Kidney disease screening for people with diabetes 88% 86%
Managing medications for people with asthma 59% 67%
Medication safety: monitoring patients on high-blood pressure medications 79% 82%
Mental health services for adults 24% 29%
103
SAN JUAN COUNTYCommercial Insurance
Measure Rate Score State Average
Mental health services for children 30% 35%
Potentially avoidable ER visits* 11% 10%
Statin therapy for patients with cardiovascular disease 75% 82%
Staying on antidepressant medication (12 weeks) 65% 72%
Staying on antidepressant medication (6 months) 43% 56%
Stomach acid medication generic prescriptions 95% 92%
Taking cholesterol-lowering medications as directed 74% 76%
Taking hypertension medications as directed 75% 79%
Well-child visits (ages 3-6 years) 58% 73%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
104
SAN JUAN COUNTYMedicaid Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 88% 86%
Access to primary care (ages 12–24 months) 86% 89%
Access to primary care (ages 20–44) 67% 71%
Access to primary care (ages 2–6 years) 64% 75%
Access to primary care (ages 45–64) 64% 75%
Access to primary care (ages 65+) 85% 84%
Access to primary care (ages 7–11 years) 89% 86%
ADHD medication generic prescriptions 100% 78%
Adolescent well-care visits 32% 41%
Antidepressant medication generic prescriptions 99% 100%
Avoiding antibiotics for children with upper respiratory infection 93% 93%
Cervical cancer screening 50% 55%
Chlamydia screening 40% 51%
Cholesterol-lowering medication generic prescriptions 100% 96%
High-blood pressure medication generic prescriptions 100% 99%
Hospitalization for COPD or asthma*,*** 0 484.6
Mental health services for adults 43% 46%
Mental health services for children 60% 63%
Potentially avoidable ER visits* 12% 19%
Substance use disorder services for adults (Medicaid insured) 38% 28%
Well-child visits (ages 3-6 years) 42% 58%
Footnotes
* A lower rate is better for this measure.
*** This measure reports per 1,000.
105
SKAGIT COUNTYCommercial Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 88% 90%
Access to primary care (ages 12–24 months) 95% 98%
Access to primary care (ages 20–44) 91% 92%
Access to primary care (ages 2–6 years) 85% 89%
Access to primary care (ages 45–64) 96% 96%
Access to primary care (ages 65+) 98% 98%
Access to primary care (ages 7–11 years) 90% 90%
ADHD medication generic prescriptions 74% 70%
Adolescent well-care visits 38% 44%
Antidepressant medication generic prescriptions 98% 98%
Appropriate testing for children with sore throat 86% 77%
Avoiding antibiotics for adults with acute bronchitis 37% 34%
Avoiding antibiotics for children with upper respiratory infection 92% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 81% 80%
Blood sugar (HbA1c) testing for people with diabetes 89% 90%
Breast cancer screening 68% 75%
Cervical cancer screening 70% 75%
Chlamydia screening 33% 39%
Cholesterol-lowering medication generic prescriptions 93% 92%
Colon cancer screening 56% 63%
Eye exam for people with diabetes 79% 75%
High-blood pressure medication generic prescriptions 97% 97%
Hospital readmissions within 30 days (commercially insured)*,** 0.9 1
Kidney disease screening for people with diabetes 84% 86%
106
SKAGIT COUNTYCommercial Insurance
Measure Rate Score State Average
Managing medications for people with asthma 64% 67%
Medication safety: monitoring patients on high-blood pressure medications 80% 82%
Mental health services for adults 27% 29%
Mental health services for children 39% 35%
Potentially avoidable ER visits* 11% 10%
Spirometry testing to assess and diagnose COPD 45% 40%
Statin therapy for patients with cardiovascular disease 82% 82%
Staying on antidepressant medication (12 weeks) 69% 72%
Staying on antidepressant medication (6 months) 54% 56%
Stomach acid medication generic prescriptions 96% 92%
Taking cholesterol-lowering medications as directed 74% 76%
Taking diabetes medications as directed 64% 65%
Taking hypertension medications as directed 76% 79%
Well-child visits (ages 3-6 years) 72% 73%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
107
SKAGIT COUNTYMedicaid Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 90% 86%
Access to primary care (ages 12–24 months) 83% 89%
Access to primary care (ages 20–44) 70% 71%
Access to primary care (ages 2–6 years) 75% 75%
Access to primary care (ages 45–64) 73% 75%
Access to primary care (ages 65+) 81% 84%
Access to primary care (ages 7–11 years) 89% 86%
ADHD medication generic prescriptions 86% 78%
Adolescent well-care visits 38% 41%
Antidepressant medication generic prescriptions 100% 100%
Appropriate testing for children with sore throat 83% 66%
Avoiding antibiotics for adults with acute bronchitis 35% 30%
Avoiding antibiotics for children with upper respiratory infection 95% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 78% 77%
Blood sugar (HbA1c) testing for people with diabetes 69% 63%
Breast cancer screening 26% 27%
Cervical cancer screening 49% 55%
Chlamydia screening 48% 51%
Cholesterol-lowering medication generic prescriptions 98% 96%
Colon cancer screening 45% 43%
Eye exam for people with diabetes 58% 63%
High-blood pressure medication generic prescriptions 100% 99%
Kidney disease screening for people with diabetes 80% 71%
Managing medications for people with asthma 56% 60%
108
SKAGIT COUNTYMedicaid Insurance
Measure Rate Score State Average
Medication safety: monitoring patients on high-blood pressure medications 83% 82%
Mental health services for adults 47% 46%
Mental health services for children 64% 63%
Potentially avoidable ER visits* 18% 19%
Spirometry testing to assess and diagnose COPD 28% 22%
Statin therapy for patients with cardiovascular disease 20% 20%
Staying on antidepressant medication (12 weeks) 51% 58%
Staying on antidepressant medication (6 months) 38% 42%
Stomach acid medication generic prescriptions 94% 89%
Substance use disorder services for adults (Medicaid insured) 37% 28%
Substance use disorder services for children (Medicaid insured) 49% 36%
Taking cholesterol-lowering medications as directed 58% 57%
Taking diabetes medications as directed 38% 45%
Taking hypertension medications as directed 54% 59%
Well-child visits (ages 3-6 years) 61% 58%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
109
SKAMANIA COUNTYCommercial Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 82% 90%
Access to primary care (ages 20–44) 90% 92%
Access to primary care (ages 45–64) 94% 96%
Access to primary care (ages 65+) 98% 98%
ADHD medication generic prescriptions 72% 70%
Antidepressant medication generic prescriptions 95% 98%
Breast cancer screening 50% 75%
Cervical cancer screening 54% 75%
Cholesterol-lowering medication generic prescriptions 100% 92%
Colon cancer screening 51% 63%
High-blood pressure medication generic prescriptions 99% 97%
Hospitalization for COPD or asthma*,*** 0 52
Mental health services for adults 31% 29%
Taking hypertension medications as directed 67% 79%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
110
SKAMANIA COUNTYMedicaid Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 91% 86%
Access to primary care (ages 12–24 months) 90% 89%
Access to primary care (ages 20–44) 85% 71%
Access to primary care (ages 2–6 years) 86% 75%
Access to primary care (ages 65+) 88% 84%
Access to primary care (ages 7–11 years) 91% 86%
ADHD medication generic prescriptions 73% 78%
Adolescent well-care visits 29% 41%
Antidepressant medication generic prescriptions 100% 100%
Appropriate testing for children with sore throat 86% 66%
Avoiding antibiotics for children with upper respiratory infection 89% 93%
Cervical cancer screening 29% 55%
Chlamydia screening 33% 51%
High-blood pressure medication generic prescriptions 100% 99%
Mental health services for adults 51% 46%
Mental health services for children 71% 63%
Potentially avoidable ER visits* 16% 19%
Stomach acid medication generic prescriptions 96% 89%
Substance use disorder services for adults (Medicaid insured) 32% 28%
Well-child visits (ages 3-6 years) 67% 58%
Footnotes
* A lower rate is better for this measure.
111
SNOHOMISH COUNTYCommercial Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 90% 90%
Access to primary care (ages 12–24 months) 98% 98%
Access to primary care (ages 20–44) 92% 92%
Access to primary care (ages 2–6 years) 90% 89%
Access to primary care (ages 45–64) 96% 96%
Access to primary care (ages 65+) 98% 98%
Access to primary care (ages 7–11 years) 91% 90%
ADHD medication generic prescriptions 75% 70%
Adolescent well-care visits 42% 44%
Antidepressant medication generic prescriptions 99% 98%
Appropriate testing for children with sore throat 74% 77%
Avoiding antibiotics for adults with acute bronchitis 27% 34%
Avoiding antibiotics for children with upper respiratory infection 94% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 77% 80%
Blood sugar (HbA1c) testing for people with diabetes 92% 90%
Breast cancer screening 74% 75%
Cervical cancer screening 71% 75%
Chlamydia screening 35% 39%
Cholesterol-lowering medication generic prescriptions 93% 92%
Colon cancer screening 64% 63%
Eye exam for people with diabetes 77% 75%
High-blood pressure medication generic prescriptions 97% 97%
Hospital readmissions within 30 days (commercially insured)*,** 0.9 1
Hospitalization for COPD or asthma*,*** 33.3 52
112
SNOHOMISH COUNTYCommercial Insurance
Measure Rate Score State Average
Kidney disease screening for people with diabetes 88% 86%
Managing medications for people with asthma 65% 67%
Medication safety: monitoring patients on high-blood pressure medications 84% 82%
Mental health services for adults 27% 29%
Mental health services for children 31% 35%
Potentially avoidable ER visits* 10% 10%
Spirometry testing to assess and diagnose COPD 42% 40%
Statin therapy for patients with cardiovascular disease 84% 82%
Staying on antidepressant medication (12 weeks) 71% 72%
Staying on antidepressant medication (6 months) 55% 56%
Stomach acid medication generic prescriptions 93% 92%
Taking cholesterol-lowering medications as directed 75% 76%
Taking diabetes medications as directed 64% 65%
Taking hypertension medications as directed 79% 79%
Well-child visits (ages 3-6 years) 73% 73%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
113
SNOHOMISH COUNTYMedicaid Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 86% 86%
Access to primary care (ages 12–24 months) 88% 89%
Access to primary care (ages 20–44) 72% 71%
Access to primary care (ages 2–6 years) 76% 75%
Access to primary care (ages 45–64) 77% 75%
Access to primary care (ages 65+) 84% 84%
Access to primary care (ages 7–11 years) 86% 86%
ADHD medication generic prescriptions 82% 78%
Adolescent well-care visits 42% 41%
Antidepressant medication generic prescriptions 100% 100%
Appropriate testing for children with sore throat 69% 66%
Avoiding antibiotics for adults with acute bronchitis 23% 30%
Avoiding antibiotics for children with upper respiratory infection 95% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 75% 77%
Blood sugar (HbA1c) testing for people with diabetes 66% 63%
Breast cancer screening 26% 27%
Cervical cancer screening 52% 55%
Chlamydia screening 45% 51%
Cholesterol-lowering medication generic prescriptions 96% 96%
Colon cancer screening 45% 43%
Eye exam for people with diabetes 65% 63%
High-blood pressure medication generic prescriptions 99% 99%
Hospitalization for COPD or asthma*,*** 305.9 484.6
Kidney disease screening for people with diabetes 74% 71%
114
SNOHOMISH COUNTYMedicaid Insurance
Measure Rate Score State Average
Managing medications for people with asthma 56% 60%
Medication safety: monitoring patients on high-blood pressure medications 83% 82%
Mental health services for adults 46% 46%
Mental health services for children 58% 63%
Potentially avoidable ER visits* 18% 19%
Spirometry testing to assess and diagnose COPD 23% 22%
Statin therapy for patients with cardiovascular disease 19% 20%
Staying on antidepressant medication (12 weeks) 57% 58%
Staying on antidepressant medication (6 months) 43% 42%
Stomach acid medication generic prescriptions 92% 89%
Substance use disorder services for adults (Medicaid insured) 31% 28%
Substance use disorder services for children (Medicaid insured) 40% 36%
Taking cholesterol-lowering medications as directed 66% 57%
Taking diabetes medications as directed 48% 45%
Taking hypertension medications as directed 67% 59%
Well-child visits (ages 3-6 years) 61% 58%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
115
SPOKANE COUNTYCommercial Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 92% 90%
Access to primary care (ages 12–24 months) 98% 98%
Access to primary care (ages 20–44) 92% 92%
Access to primary care (ages 2–6 years) 89% 89%
Access to primary care (ages 45–64) 96% 96%
Access to primary care (ages 65+) 98% 98%
Access to primary care (ages 7–11 years) 92% 90%
ADHD medication generic prescriptions 67% 70%
Adolescent well-care visits 44% 44%
Antidepressant medication generic prescriptions 98% 98%
Appropriate testing for children with sore throat 71% 77%
Avoiding antibiotics for adults with acute bronchitis 26% 34%
Avoiding antibiotics for children with upper respiratory infection 92% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 81% 80%
Blood sugar (HbA1c) testing for people with diabetes 89% 90%
Breast cancer screening 79% 75%
Cervical cancer screening 78% 75%
Chlamydia screening 39% 39%
Cholesterol-lowering medication generic prescriptions 94% 92%
Colon cancer screening 62% 63%
Eye exam for people with diabetes 79% 75%
High-blood pressure medication generic prescriptions 97% 97%
Hospital readmissions within 30 days (commercially insured)*,** 0.9 1
Hospitalization for COPD or asthma*,*** 68.4 52
116
SPOKANE COUNTYCommercial Insurance
Measure Rate Score State Average
Kidney disease screening for people with diabetes 84% 86%
Managing medications for people with asthma 71% 67%
Medication safety: monitoring patients on high-blood pressure medications 81% 82%
Mental health services for adults 29% 29%
Mental health services for children 41% 35%
Potentially avoidable ER visits* 10% 10%
Spirometry testing to assess and diagnose COPD 38% 40%
Statin therapy for patients with cardiovascular disease 76% 82%
Staying on antidepressant medication (12 weeks) 72% 72%
Staying on antidepressant medication (6 months) 56% 56%
Stomach acid medication generic prescriptions 94% 92%
Taking cholesterol-lowering medications as directed 76% 76%
Taking diabetes medications as directed 66% 65%
Taking hypertension medications as directed 80% 79%
Well-child visits (ages 3-6 years) 73% 73%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
117
SPOKANE COUNTYMedicaid Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 88% 86%
Access to primary care (ages 12–24 months) 87% 89%
Access to primary care (ages 20–44) 73% 71%
Access to primary care (ages 2–6 years) 79% 75%
Access to primary care (ages 45–64) 76% 75%
Access to primary care (ages 65+) 79% 84%
Access to primary care (ages 7–11 years) 89% 86%
ADHD medication generic prescriptions 64% 78%
Adolescent well-care visits 44% 41%
Antidepressant medication generic prescriptions 100% 100%
Appropriate testing for children with sore throat 64% 66%
Avoiding antibiotics for adults with acute bronchitis 22% 30%
Avoiding antibiotics for children with upper respiratory infection 93% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 77% 77%
Blood sugar (HbA1c) testing for people with diabetes 63% 63%
Breast cancer screening 26% 27%
Cervical cancer screening 59% 55%
Chlamydia screening 50% 51%
Cholesterol-lowering medication generic prescriptions 97% 96%
Colon cancer screening 45% 43%
Eye exam for people with diabetes 58% 63%
High-blood pressure medication generic prescriptions 99% 99%
Hospitalization for COPD or asthma*,*** 544.5 484.6
Kidney disease screening for people with diabetes 70% 71%
118
SPOKANE COUNTYMedicaid Insurance
Measure Rate Score State Average
Managing medications for people with asthma 67% 60%
Medication safety: monitoring patients on high-blood pressure medications 83% 82%
Mental health services for adults 46% 46%
Mental health services for children 69% 63%
Potentially avoidable ER visits* 16% 19%
Spirometry testing to assess and diagnose COPD 21% 22%
Statin therapy for patients with cardiovascular disease 26% 20%
Staying on antidepressant medication (12 weeks) 63% 58%
Staying on antidepressant medication (6 months) 45% 42%
Stomach acid medication generic prescriptions 82% 89%
Substance use disorder services for adults (Medicaid insured) 26% 28%
Substance use disorder services for children (Medicaid insured) 32% 36%
Taking cholesterol-lowering medications as directed 62% 57%
Taking diabetes medications as directed 43% 45%
Taking hypertension medications as directed 58% 59%
Well-child visits (ages 3-6 years) 62% 58%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
119
STEVENS COUNTYCommercial Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 92% 90%
Access to primary care (ages 20–44) 91% 92%
Access to primary care (ages 2–6 years) 84% 89%
Access to primary care (ages 45–64) 96% 96%
Access to primary care (ages 65+) 97% 98%
Access to primary care (ages 7–11 years) 82% 90%
ADHD medication generic prescriptions 85% 70%
Adolescent well-care visits 39% 44%
Antidepressant medication generic prescriptions 97% 98%
Avoiding antibiotics for adults with acute bronchitis 27% 34%
Avoiding X-ray, MRI and CT scan for low-back pain 84% 80%
Blood sugar (HbA1c) testing for people with diabetes 85% 90%
Breast cancer screening 68% 75%
Cervical cancer screening 64% 75%
Chlamydia screening 28% 39%
Cholesterol-lowering medication generic prescriptions 97% 92%
Colon cancer screening 46% 63%
Eye exam for people with diabetes 77% 75%
High-blood pressure medication generic prescriptions 99% 97%
Hospital readmissions within 30 days (commercially insured)*,** 1.2 1
Kidney disease screening for people with diabetes 77% 86%
Managing medications for people with asthma 82% 67%
Medication safety: monitoring patients on high-blood pressure medications 69% 82%
Mental health services for adults 21% 29%
120
STEVENS COUNTYCommercial Insurance
Measure Rate Score State Average
Mental health services for children 17% 35%
Potentially avoidable ER visits* 10% 10%
Statin therapy for patients with cardiovascular disease 67% 82%
Staying on antidepressant medication (12 weeks) 60% 72%
Staying on antidepressant medication (6 months) 50% 56%
Stomach acid medication generic prescriptions 94% 92%
Taking cholesterol-lowering medications as directed 72% 76%
Taking diabetes medications as directed 64% 65%
Taking hypertension medications as directed 76% 79%
Well-child visits (ages 3-6 years) 63% 73%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
121
STEVENS COUNTYMedicaid Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 88% 86%
Access to primary care (ages 12–24 months) 87% 89%
Access to primary care (ages 20–44) 76% 71%
Access to primary care (ages 2–6 years) 73% 75%
Access to primary care (ages 45–64) 71% 75%
Access to primary care (ages 65+) 75% 84%
Access to primary care (ages 7–11 years) 82% 86%
ADHD medication generic prescriptions 89% 78%
Adolescent well-care visits 34% 41%
Antidepressant medication generic prescriptions 99% 100%
Appropriate testing for children with sore throat 40% 66%
Avoiding antibiotics for children with upper respiratory infection 86% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 69% 77%
Blood sugar (HbA1c) testing for people with diabetes 63% 63%
Cervical cancer screening 45% 55%
Chlamydia screening 41% 51%
Cholesterol-lowering medication generic prescriptions 99% 96%
Colon cancer screening 37% 43%
Eye exam for people with diabetes 56% 63%
High-blood pressure medication generic prescriptions 100% 99%
Hospitalization for COPD or asthma*,*** 0 484.6
Kidney disease screening for people with diabetes 53% 71%
Managing medications for people with asthma 71% 60%
Mental health services for adults 43% 46%
122
STEVENS COUNTYMedicaid Insurance
Measure Rate Score State Average
Mental health services for children 63% 63%
Potentially avoidable ER visits* 16% 19%
Staying on antidepressant medication (12 weeks) 51% 58%
Staying on antidepressant medication (6 months) 42% 42%
Stomach acid medication generic prescriptions 95% 89%
Substance use disorder services for adults (Medicaid insured) 26% 28%
Substance use disorder services for children (Medicaid insured) 28% 36%
Well-child visits (ages 3-6 years) 49% 58%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
123
THURSTON COUNTYCommercial Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 91% 90%
Access to primary care (ages 12–24 months) 99% 98%
Access to primary care (ages 20–44) 93% 92%
Access to primary care (ages 2–6 years) 92% 89%
Access to primary care (ages 45–64) 97% 96%
Access to primary care (ages 65+) 98% 98%
Access to primary care (ages 7–11 years) 91% 90%
ADHD medication generic prescriptions 78% 70%
Adolescent well-care visits 48% 44%
Antidepressant medication generic prescriptions 99% 98%
Appropriate testing for children with sore throat 76% 77%
Avoiding antibiotics for adults with acute bronchitis 40% 34%
Avoiding antibiotics for children with upper respiratory infection 92% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 81% 80%
Blood sugar (HbA1c) testing for people with diabetes 88% 90%
Breast cancer screening 76% 75%
Cervical cancer screening 75% 75%
Chlamydia screening 42% 39%
Cholesterol-lowering medication generic prescriptions 95% 92%
Colon cancer screening 61% 63%
Eye exam for people with diabetes 80% 75%
High-blood pressure medication generic prescriptions 96% 97%
Hospital readmissions within 30 days (commercially insured)*,** 1.2 1
Hospitalization for COPD or asthma*,*** 60.9 52
124
THURSTON COUNTYCommercial Insurance
Measure Rate Score State Average
Kidney disease screening for people with diabetes 86% 86%
Managing medications for people with asthma 73% 67%
Medication safety: monitoring patients on high-blood pressure medications 80% 82%
Mental health services for adults 28% 29%
Mental health services for children 31% 35%
Potentially avoidable ER visits* 10% 10%
Spirometry testing to assess and diagnose COPD 40% 40%
Statin therapy for patients with cardiovascular disease 81% 82%
Staying on antidepressant medication (12 weeks) 76% 72%
Staying on antidepressant medication (6 months) 61% 56%
Stomach acid medication generic prescriptions 93% 92%
Taking cholesterol-lowering medications as directed 81% 76%
Taking diabetes medications as directed 69% 65%
Taking hypertension medications as directed 84% 79%
Well-child visits (ages 3-6 years) 77% 73%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
125
THURSTON COUNTYMedicaid Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 86% 86%
Access to primary care (ages 12–24 months) 91% 89%
Access to primary care (ages 20–44) 69% 71%
Access to primary care (ages 2–6 years) 81% 75%
Access to primary care (ages 45–64) 74% 75%
Access to primary care (ages 65+) 82% 84%
Access to primary care (ages 7–11 years) 87% 86%
ADHD medication generic prescriptions 81% 78%
Adolescent well-care visits 43% 41%
Antidepressant medication generic prescriptions 100% 100%
Appropriate testing for children with sore throat 66% 66%
Avoiding antibiotics for adults with acute bronchitis 36% 30%
Avoiding antibiotics for children with upper respiratory infection 95% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 80% 77%
Blood sugar (HbA1c) testing for people with diabetes 63% 63%
Breast cancer screening 18% 27%
Cervical cancer screening 54% 55%
Chlamydia screening 53% 51%
Cholesterol-lowering medication generic prescriptions 97% 96%
Colon cancer screening 36% 43%
Eye exam for people with diabetes 59% 63%
High-blood pressure medication generic prescriptions 99% 99%
Kidney disease screening for people with diabetes 70% 71%
Managing medications for people with asthma 59% 60%
126
THURSTON COUNTYMedicaid Insurance
Measure Rate Score State Average
Medication safety: monitoring patients on high-blood pressure medications 78% 82%
Mental health services for adults 45% 46%
Mental health services for children 63% 63%
Potentially avoidable ER visits* 17% 19%
Statin therapy for patients with cardiovascular disease 20% 20%
Staying on antidepressant medication (12 weeks) 66% 58%
Staying on antidepressant medication (6 months) 48% 42%
Stomach acid medication generic prescriptions 92% 89%
Substance use disorder services for adults (Medicaid insured) 26% 28%
Substance use disorder services for children (Medicaid insured) 43% 36%
Taking cholesterol-lowering medications as directed 61% 57%
Taking diabetes medications as directed 48% 45%
Taking hypertension medications as directed 59% 59%
Well-child visits (ages 3-6 years) 64% 58%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
127
WAHKIAKUM COUNTYCommercial Insurance
Measure Rate Score State Average
Access to primary care (ages 20–44) 90% 92%
Access to primary care (ages 45–64) 92% 96%
Access to primary care (ages 65+) 99% 98%
Antidepressant medication generic prescriptions 100% 98%
Cervical cancer screening 70% 75%
Cholesterol-lowering medication generic prescriptions 93% 92%
Colon cancer screening 79% 63%
High-blood pressure medication generic prescriptions 95% 97%
Hospitalization for COPD or asthma*,*** 0 52
Medication safety: monitoring patients on high-blood pressure medications 83% 82%
Mental health services for adults 27% 29%
Stomach acid medication generic prescriptions 97% 92%
Taking cholesterol-lowering medications as directed 86% 76%
Taking hypertension medications as directed 85% 79%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
128
WAHKIAKUM COUNTYMedicaid Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 81% 86%
Access to primary care (ages 20–44) 67% 71%
Access to primary care (ages 2–6 years) 75% 75%
Access to primary care (ages 7–11 years) 73% 86%
Mental health services for adults 49% 46%
Mental health services for children 76% 63%
Substance use disorder services for adults (Medicaid insured) 25% 28%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
129
WALLA WALLA COUNTYCommercial Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 91% 90%
Access to primary care (ages 12–24 months) 100% 98%
Access to primary care (ages 20–44) 93% 92%
Access to primary care (ages 2–6 years) 89% 89%
Access to primary care (ages 45–64) 97% 96%
Access to primary care (ages 65+) 99% 98%
Access to primary care (ages 7–11 years) 90% 90%
ADHD medication generic prescriptions 65% 70%
Adolescent well-care visits 40% 44%
Antidepressant medication generic prescriptions 99% 98%
Antidepressant medication generic prescriptions 99% 98%
Appropriate testing for children with sore throat 81% 77%
Avoiding antibiotics for adults with acute bronchitis 35% 34%
Avoiding antibiotics for children with upper respiratory infection 91% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 77% 80%
Blood sugar (HbA1c) testing for people with diabetes 87% 90%
Breast cancer screening 73% 75%
Cervical cancer screening 70% 75%
Chlamydia screening 27% 39%
Cholesterol-lowering medication generic prescriptions 92% 92%
Colon cancer screening 58% 63%
Eye exam for people with diabetes 65% 75%
High-blood pressure medication generic prescriptions 96% 97%
Kidney disease screening for people with diabetes 77% 86%
130
WALLA WALLA COUNTYCommercial Insurance
Measure Rate Score State Average
Managing medications for people with asthma 67% 67%
Medication safety: monitoring patients on high-blood pressure medications 78% 82%
Mental health services for adults 27% 29%
Mental health services for children 39% 35%
Potentially avoidable ER visits* 9% 10%
Spirometry testing to assess and diagnose COPD 44% 40%
Statin therapy for patients with cardiovascular disease 76% 82%
Staying on antidepressant medication (12 weeks) 75% 72%
Staying on antidepressant medication (6 months) 59% 56%
Stomach acid medication generic prescriptions 91% 92%
Taking cholesterol-lowering medications as directed 75% 76%
Taking diabetes medications as directed 62% 65%
Taking hypertension medications as directed 78% 79%
Well-child visits (ages 3-6 years) 71% 73%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
131
WALLA WALLA COUNTYMedicaid Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 91% 86%
Access to primary care (ages 12–24 months) 93% 89%
Access to primary care (ages 20–44) 75% 71%
Access to primary care (ages 2–6 years) 81% 75%
Access to primary care (ages 45–64) 76% 75%
Access to primary care (ages 65+) 79% 84%
Access to primary care (ages 7–11 years) 90% 86%
ADHD medication generic prescriptions 78% 78%
Adolescent well-care visits 40% 41%
Antidepressant medication generic prescriptions 100% 100%
Appropriate testing for children with sore throat 71% 66%
Avoiding antibiotics for children with upper respiratory infection 95% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 80% 77%
Blood sugar (HbA1c) testing for people with diabetes 65% 63%
Breast cancer screening 26% 27%
Cervical cancer screening 61% 55%
Chlamydia screening 50% 51%
Cholesterol-lowering medication generic prescriptions 98% 96%
Colon cancer screening 44% 43%
Eye exam for people with diabetes 64% 63%
High-blood pressure medication generic prescriptions 100% 99%
Kidney disease screening for people with diabetes 57% 71%
Managing medications for people with asthma 64% 60%
Medication safety: monitoring patients on high-blood pressure medications 85% 82%
132
WALLA WALLA COUNTYMedicaid Insurance
Measure Rate Score State Average
Mental health services for adults 52% 46%
Mental health services for children 67% 63%
Potentially avoidable ER visits* 16% 19%
Staying on antidepressant medication (12 weeks) 55% 58%
Staying on antidepressant medication (6 months) 48% 42%
Stomach acid medication generic prescriptions 90% 89%
Substance use disorder services for adults (Medicaid insured) 19% 28%
Substance use disorder services for children (Medicaid insured) 30% 36%
Well-child visits (ages 3-6 years) 66% 58%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
133
WHATCOM COUNTYCommercial Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 90% 90%
Access to primary care (ages 12–24 months) 99% 98%
Access to primary care (ages 20–44) 92% 92%
Access to primary care (ages 2–6 years) 88% 89%
Access to primary care (ages 45–64) 96% 96%
Access to primary care (ages 65+) 98% 98%
Access to primary care (ages 7–11 years) 88% 90%
ADHD medication generic prescriptions 73% 70%
Adolescent well-care visits 41% 44%
Antidepressant medication generic prescriptions 98% 98%
Appropriate testing for children with sore throat 88% 77%
Avoiding antibiotics for adults with acute bronchitis 32% 34%
Avoiding antibiotics for children with upper respiratory infection 94% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 82% 80%
Blood sugar (HbA1c) testing for people with diabetes 93% 90%
Breast cancer screening 75% 75%
Cervical cancer screening 76% 75%
Chlamydia screening 39% 39%
Cholesterol-lowering medication generic prescriptions 95% 92%
Colon cancer screening 68% 63%
Eye exam for people with diabetes 68% 75%
High-blood pressure medication generic prescriptions 98% 97%
Hospital readmissions within 30 days (commercially insured)*,** 1 1
Kidney disease screening for people with diabetes 86% 86%
134
WHATCOM COUNTYCommercial Insurance
Measure Rate Score State Average
Managing medications for people with asthma 63% 67%
Medication safety: monitoring patients on high-blood pressure medications 80% 82%
Mental health services for adults 31% 29%
Mental health services for children 34% 35%
Potentially avoidable ER visits* 7% 10%
Spirometry testing to assess and diagnose COPD 45% 40%
Statin therapy for patients with cardiovascular disease 82% 82%
Staying on antidepressant medication (12 weeks) 71% 72%
Staying on antidepressant medication (6 months) 53% 56%
Stomach acid medication generic prescriptions 94% 92%
Taking cholesterol-lowering medications as directed 75% 76%
Taking diabetes medications as directed 65% 65%
Taking hypertension medications as directed 77% 79%
Well-child visits (ages 3-6 years) 68% 73%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
135
WHATCOM COUNTYMedicaid Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 86% 86%
Access to primary care (ages 12–24 months) 91% 89%
Access to primary care (ages 20–44) 82% 71%
Access to primary care (ages 2–6 years) 75% 75%
Access to primary care (ages 45–64) 82% 75%
Access to primary care (ages 65+) 84% 84%
Access to primary care (ages 7–11 years) 86% 86%
ADHD medication generic prescriptions 83% 78%
Adolescent well-care visits 39% 41%
Antidepressant medication generic prescriptions 99% 100%
Appropriate testing for children with sore throat 80% 66%
Avoiding antibiotics for children with upper respiratory infection 92% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 84% 77%
Blood sugar (HbA1c) testing for people with diabetes 56% 63%
Breast cancer screening 20% 27%
Cervical cancer screening 62% 55%
Chlamydia screening 56% 51%
Cholesterol-lowering medication generic prescriptions 91% 96%
Colon cancer screening 51% 43%
Eye exam for people with diabetes 78% 63%
High-blood pressure medication generic prescriptions 97% 99%
Kidney disease screening for people with diabetes 69% 71%
Managing medications for people with asthma 65% 60%
Medication safety: monitoring patients on high-blood pressure medications 74% 82%
136
WHATCOM COUNTYMedicaid Insurance
Measure Rate Score State Average
Mental health services for adults 51% 46%
Mental health services for children 67% 63%
Potentially avoidable ER visits* 15% 19%
Spirometry testing to assess and diagnose COPD 26% 22%
Statin therapy for patients with cardiovascular disease 16% 20%
Staying on antidepressant medication (12 weeks) 62% 58%
Staying on antidepressant medication (6 months) 44% 42%
Stomach acid medication generic prescriptions 92% 89%
Substance use disorder services for adults (Medicaid insured) 38% 28%
Substance use disorder services for children (Medicaid insured) 52% 36%
Taking cholesterol-lowering medications as directed 54% 57%
Taking diabetes medications as directed 37% 45%
Taking hypertension medications as directed 55% 59%
Well-child visits (ages 3-6 years) 59% 58%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
137
WHITMAN COUNTYCommercial Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 95% 90%
Access to primary care (ages 12–24 months) 99% 98%
Access to primary care (ages 20–44) 92% 92%
Access to primary care (ages 2–6 years) 89% 89%
Access to primary care (ages 45–64) 97% 96%
Access to primary care (ages 65+) 99% 98%
Access to primary care (ages 7–11 years) 91% 90%
ADHD medication generic prescriptions 84% 70%
Adolescent well-care visits 46% 44%
Antidepressant medication generic prescriptions 99% 98%
Appropriate testing for children with sore throat 69% 77%
Avoiding antibiotics for adults with acute bronchitis 43% 34%
Avoiding antibiotics for children with upper respiratory infection 89% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 84% 80%
Blood sugar (HbA1c) testing for people with diabetes 87% 90%
Breast cancer screening 74% 75%
Cervical cancer screening 72% 75%
Chlamydia screening 34% 39%
Cholesterol-lowering medication generic prescriptions 93% 92%
Colon cancer screening 56% 63%
Eye exam for people with diabetes 79% 75%
High-blood pressure medication generic prescriptions 97% 97%
Hospital readmissions within 30 days (commercially insured)*,** 1.2 1
Kidney disease screening for people with diabetes 80% 86%
138
WHITMAN COUNTYCommercial Insurance
Measure Rate Score State Average
Managing medications for people with asthma 63% 67%
Medication safety: monitoring patients on high-blood pressure medications 82% 82%
Mental health services for adults 23% 29%
Mental health services for children 26% 35%
Potentially avoidable ER visits* 8% 10%
Spirometry testing to assess and diagnose COPD 35% 40%
Statin therapy for patients with cardiovascular disease 78% 82%
Staying on antidepressant medication (12 weeks) 67% 72%
Staying on antidepressant medication (6 months) 55% 56%
Stomach acid medication generic prescriptions 86% 92%
Taking cholesterol-lowering medications as directed 82% 76%
Taking diabetes medications as directed 67% 65%
Taking hypertension medications as directed 83% 79%
Well-child visits (ages 3-6 years) 74% 73%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
139
WHITMAN COUNTYMedicaid Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 90% 86%
Access to primary care (ages 12–24 months) 87% 89%
Access to primary care (ages 20–44) 73% 71%
Access to primary care (ages 2–6 years) 79% 75%
Access to primary care (ages 45–64) 79% 75%
Access to primary care (ages 65+) 83% 84%
Access to primary care (ages 7–11 years) 90% 86%
ADHD medication generic prescriptions 84% 78%
Adolescent well-care visits 49% 41%
Antidepressant medication generic prescriptions 97% 100%
Appropriate testing for children with sore throat 51% 66%
Avoiding antibiotics for children with upper respiratory infection 86% 93%
Blood sugar (HbA1c) testing for people with diabetes 56% 63%
Cervical cancer screening 50% 55%
Chlamydia screening 45% 51%
Cholesterol-lowering medication generic prescriptions 100% 96%
Colon cancer screening 33% 43%
Eye exam for people with diabetes 67% 63%
High-blood pressure medication generic prescriptions 100% 99%
Kidney disease screening for people with diabetes 67% 71%
Mental health services for adults 48% 46%
Mental health services for children 67% 63%
Potentially avoidable ER visits* 16% 19%
Stomach acid medication generic prescriptions 85% 89%
140
WHITMAN COUNTYMedicaid Insurance
Measure Rate Score State Average
Substance use disorder services for adults (Medicaid insured) 21% 28%
Well-child visits (ages 3-6 years) 60% 58%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
141
YAKIMA COUNTYCommercial Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 90% 90%
Access to primary care (ages 12–24 months) 99% 98%
Access to primary care (ages 20–44) 91% 92%
Access to primary care (ages 2–6 years) 87% 89%
Access to primary care (ages 45–64) 96% 96%
Access to primary care (ages 65+) 99% 98%
Access to primary care (ages 7–11 years) 88% 90%
ADHD medication generic prescriptions 65% 70%
Adolescent well-care visits 38% 44%
Antidepressant medication generic prescriptions 98% 98%
Appropriate testing for children with sore throat 66% 77%
Avoiding antibiotics for adults with acute bronchitis 25% 34%Avoiding antibiotics for children with upper respiratory infection 88% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 76% 80%
Blood sugar (HbA1c) testing for people with diabetes 89% 90%
Breast cancer screening 71% 75%
Cervical cancer screening 68% 75%
Chlamydia screening 35% 39%
Cholesterol-lowering medication generic prescriptions 89% 92%
Colon cancer screening 62% 63%
Eye exam for people with diabetes 66% 75%
High-blood pressure medication generic prescriptions 97% 97%Hospital readmissions within 30 days (commercially insured)*,** 1.2 1
142
YAKIMA COUNTYCommercial Insurance
Measure Rate Score State Average
Hospitalization for COPD or asthma*,*** 85.1 52
Kidney disease screening for people with diabetes 86% 86%
Managing medications for people with asthma 68% 67%Medication safety: monitoring patients on high-blood pressure medications 82% 82%
Mental health services for adults 25% 29%
Mental health services for children 30% 35%
Potentially avoidable ER visits* 11% 10%
Spirometry testing to assess and diagnose COPD 45% 40%
Statin therapy for patients with cardiovascular disease 81% 82%
Staying on antidepressant medication (12 weeks) 68% 72%
Staying on antidepressant medication (6 months) 53% 56%
Stomach acid medication generic prescriptions 91% 92%
Taking cholesterol-lowering medications as directed 72% 76%
Taking diabetes medications as directed 59% 65%
Taking hypertension medications as directed 75% 79%
Well-child visits (ages 3-6 years) 65% 73%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
143
YAKIMA COUNTYMedicaid Insurance
Measure Rate Score State Average
Access to primary care (ages 12–19 years) 87% 86%
Access to primary care (ages 12–24 months) 95% 89%
Access to primary care (ages 20–44) 74% 71%
Access to primary care (ages 2–6 years) 79% 75%
Access to primary care (ages 45–64) 74% 75%
Access to primary care (ages 65+) 85% 84%
Access to primary care (ages 7–11 years) 87% 86%
ADHD medication generic prescriptions 89% 78%
Adolescent well-care visits 39% 41%
Antidepressant medication generic prescriptions 100% 100%
Appropriate testing for children with sore throat 73% 66%
Avoiding antibiotics for adults with acute bronchitis 33% 30%Avoiding antibiotics for children with upper respiratory infection 93% 93%
Avoiding X-ray, MRI and CT scan for low-back pain 78% 77%
Blood sugar (HbA1c) testing for people with diabetes 58% 63%
Breast cancer screening 25% 27%
Cervical cancer screening 62% 55%
Chlamydia screening 56% 51%
Cholesterol-lowering medication generic prescriptions 95% 96%
Colon cancer screening 42% 43%
Eye exam for people with diabetes 66% 63%
High-blood pressure medication generic prescriptions 99% 99%
Hospitalization for COPD or asthma*,*** 833.9 484.6
Kidney disease screening for people with diabetes 70% 71%
144
YAKIMA COUNTYMedicaid Insurance
Measure Rate Score State Average
Managing medications for people with asthma 51% 60%Medication safety: monitoring patients on high-blood pressure medications 83% 82%
Mental health services for adults 40% 46%
Mental health services for children 62% 63%
Potentially avoidable ER visits* 23% 19%
Spirometry testing to assess and diagnose COPD 24% 22%
Statin therapy for patients with cardiovascular disease 11% 20%
Staying on antidepressant medication (12 weeks) 52% 58%
Staying on antidepressant medication (6 months) 35% 42%
Stomach acid medication generic prescriptions 92% 89%
Substance use disorder services for adults (Medicaid insured) 29% 28%Substance use disorder services for children (Medicaid insured) 24% 36%
Taking cholesterol-lowering medications as directed 53% 57%
Taking diabetes medications as directed 48% 45%
Taking hypertension medications as directed 57% 59%
Well-child visits (ages 3-6 years) 59% 58%
Footnotes
* A lower rate is better for this measure.
** This measure is an observed to expected ratio.
*** This measure reports per 1,000.
**** This measure reports per 100,000.
