Population Health Metrics

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.

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.

We share some of these measures with you below.

Breast Cancer Screening*

Breast Cancer screening

What is being done to improve breast cancer screening rates?

  • Preventive Health letters remind women about getting mammograms at least once every 2 years.
  • Wait times for mammograms are dependent on location, but are generally booking  anywhere from 1 to 4 months out.
  • Welcome letters are being sent to new OBGYN patients reminding them about preventive health screenings and requesting their outside medical records.
*Included in Health Expectations Program for unionized employees

 

Cervical Cancer Screening*

cervical cancer screening

What is being done to improve screening rates?

  • Preventive Health letters remind women about getting screened for cervical cancer screening. 
  • Welcome letters are being sent to new OBGYN patients reminding them about preventive health screenings and requesting their outside medical records.
  • Exploring other types of beneficial outreach to patients.
  • Interdepartmental collaboration to improve screening rates.
*Included in Health Expectations Program for unionized employees

 

Colorectal Cancer Screening*

colorectal cancer screening

What is being done to improve screening rates?

  • Preventive Health letters remind people between the ages of 45 and 75 that they are due for screening. 
  • Monthly mailing of FIT tests to those due for annual FIT testing. 
  • Monthly reminder letters sent to those who have not returned their FIT.
  • Panel Management meetings for those due for screening.
  • Monthly reminders to those due for screening.  These letters are sent 6 months after the Preventive Health letters.
*Included in Health Expectations Program for unionized employees

 

Cholesterol-Lowering Medication* Use Among People with Diabetes

our goal is 68% based on national targets. 2016=62.6%, 2017=65.4%, 2018=75.0%, 2019=75.6%

What is being done to improve screening rates?

  • Panel management meetings review the use of statins.
  • Provider-based outreach to those patients who should be taking statins but are not.
*Common statin medications include atorvastatin or simvastatin
 

Cholesterol-Lowering Medication Use Among People with Heart Disease

Cholesterol-Lowering Medication Use Among People with Heart Disease. Our goal is 84% based on national targets, 2016=85.0%, 2017=86.6%, 2018=86.5%, 2019=87.5%

What is being done to improve statin use among our patients?

  • Panel management meetings review the use of statins.  
  • Provider-based outreach to those patients who should be taking statins but are not.