PubMed Health⌕ Search

Biomedical subjects

C M Cutler

Publications and source records attributed to C M Cutler.

8 recordsLinked to original sources
PubMed1999

Prenatal care in the first trimester: misleading findings from HEDIS. Health Plan Employer Data and Information Set.

OBJECTIVE: To understand factors influencing Health Plan Employer Data and Information Set (HEDIS) rates for the measure 'Prenatal care in the first trimester'. DESIGN: Telephone survey of a retrospective cohort of women with a live birth. Medical record review of a sample of both responders and non-responders to the telephone survey. Detailed review of HEDIS data collection procedures. SETTING: A managed care plan in California. STUDY PARTICIPANTS: Women aged 18-49 years at date of delivery, who delivered a live birth from 1 October 1995 through 31 March 1996, and who were continuously enrolled in a California managed care plan for 12 months prior to delivery (telephone survey, n= 1,185; medical record review, n= 465). RESULTS: Of the women participating in the telephone survey, 95% indicated that their first prenatal visit occurred during the first 3 months of pregnancy. Using HEDIS 3.0 standards, a review of medical records for a sample of these women indicated that 94% of the women initiated care during the first trimester. These results contrasted sharply with 1995 and 1996 HEDIS rates of 64% and 75%, respectively. CONCLUSION: An investigation of the discrepancy between HEDIS rates and rates from both telephone survey and medical record review led to the finding that the low HEDIS rates were due not to a true low rate of early care, but to data collection problems, including difficulty obtaining medical records. Potential solutions involving health plan activities, revisions to the official HEDIS process and revised reporting of results are proposed.

Adolescent↗
PubMedDate not supplied

Maternity experiences in a managed care organization.

We conducted a telephone survey of female managed care enrollees who recently had a normal vaginal delivery to examine the relationship between hospital length-of-stay and maternal characteristics, pregnancy factors, length-of-stay preferences, and postdischarge experiences. Results indicated that length-of-stay varied by maternal characteristics and pregnancy factors. Length-of-stay and maternal or newborn readmissions were not statistically associated. Most respondents reported that they would be willing to go home within twenty-four hours after future deliveries if additional services were provided. Emphasis should be placed on which services can be provided to prepare and assist mothers through the perinatal period.

Adolescent↗