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Results for Washington’s Medicare Population

How can improvements be made?

Start with these resources.

Key findings include:

  • In our analysis of just six measures, we identified thousands of Washington's Medicare beneficiaries who are receiving low-value medical services, and determined that half of the beneficiaries with solid tumor cancer who died during the measurement year did not receive hospice, palliative care, or advance planning services in the last 90 days of life.
     
  • Across Washington, some healthcare providers follow the six selected Choosing Wisely recommendations every time, while others mostly do the opposite. Such broad variability presents an opportunity for improvement.
     

The full results, by beneficiary and by healthcare professional, are provided in the tables and charts below.
 

Rates, by Beneficiary

Condition
Treatment
Statewide
Statistically Significant Differences,
by Beneficiary's Race/Ethnicity
Rate
Beneficiaries

July 2016 - June 2017

Solid tumor cancer; died

Chemotherapy or radiation during the last 30 days of life

11.0%

1,312

 

None

Solid tumor cancer; died

Did not receive hospice, palliative care, or advance planning services during the last 90 days of life

50.6%

6,054

 

Rate for Blacks is worse than that for Asians or Whites

October 2016 - September 2017

Simple syncope (fainting)

Imaging
(CT scan or MRI)

29.3%

4,458

 

None

Uncomplicated headache

Imaging
(CT scan or MRI)

24.8%

4.380

 

None

Upper respiratory infection

Antibiotics
*Rate calculation updated for Jan-Dec 2017

44.9%

6,684

 

Blacks' rate is lower than all others.
Native Americans' rate is most variable.
Whites' rate is higher than all except Native American.

Dementia

Antipsychotics for behavioral symptoms of dementia

16.5%

2,130

 

None


Download detailed tables that display the beneficiary rates, by race/ethnicity and by county:

thumbnail
 

 

Rates, by Healthcare Provider

Condition
Treatment
Individual Provider Rates
Low
High

July 2016 - June 2017

Solid tumor cancer; died

Chemotherapy or radiation during the last 30 days of life

0.0%

55.6%

Solid tumor cancer; died

Did not receive hospice, palliative care, or advance planning services during the last 90 days of life

12.5%

95.8%

October 2016 - September 2017

Simple syncope (fainting)

Imaging
(CT scan or MRI)

0.0%

88%

Uncomplicated headache

Imaging
(CT scan or MRI)

0.0%

86%

Upper respiratory infection

Antibiotics
*Rate calculation updated for Jan-Dec 2017

0.0%

100%

Dementia

Antipsychotics for behavioral symptoms of dementia

 

 

 

Inpatient setting

0.0%

58%

 

Nursing homes

0.0%

75%

 

Outpatient setting

0.0%

74%

 

Assisted living / adult family home

0.0%

50%

See all providers' rates for the two end-of-life cancer measures (July 2016 - June 2017)

funnel plots for cancer measures

Open a larger, annotated version of the charts.

See all providers' rates for the other four measures (time period varies by measure)

funnel plots

Open a larger, annotated version of these charts.

 

Review the methodology used to select the data set and calculate the results.