The Quality Improvement Program* describes how Vivida Health works to improve member health by providing high quality health care. We can achieve this through:
*You may call Member Services or talk to your case manager to request a printed copy of our Quality Improvement Program.
Vivida Health uses the Healthcare Effectiveness Data and Information Set (HEDIS®) scores to assess if members are getting the type of care they need. HEDIS is completed each year. The plan’s goal is to be better than the 75th percentile of Medicaid Health Plans in the nation. Vivida’s scores for 2020 are listed in the table below.
| Measure | Score | Goal |
|---|---|---|
| Adolescent Well-Care Visits | 50.850% | 62.77% |
| Adults’ Access to Preventive or Ambulatory Health Services: Total | 62.170% | 85.10% |
| Antidepressant Medication Management: Acute | NA | 56.58% |
| Measure | Score | Goal |
|---|---|---|
| Antidepressant Medication Management: Continuation | NA | 41.09% |
| Adult BMI Assessment | NA | 93.55% |
| Breast Cancer Screening | NA | 63.98% |
| Cervical Cancer Screening | 37.200% | 66.18% |
| Childhood Immunization Status: Combination 2 | 62.900% | 77.13% |
| Childhood Immunization Status: Combination 3 | 56.450% | 74.45% |
| Comprehensive Diabetes Care: HbA1c Testing | 91.800% | 90.51% |
| Comprehensive Diabetes Care: HbA1c Poor Control | 54.100% | 32.85% |
| Comprehensive Diabetes Care: HbA1c Control Less Than 8% | 39.340% | 55.96% |
| Comprehensive Diabetes Care: Eye Exam | 13.110% | 64.72% |
| Comprehensive Diabetes Care: Medical Attention for Nephropathy | 91.800% | 91.85% |
| Controlling High Blood Pressure | 60.360% | 66.91% |
| Follow-Up Care for Children Prescribed ADHD Medication: Initiation | NA | 49.86% |
| Follow-Up Care for Children Prescribed ADHD Medication: Continuation and Maintenance | NA | 62.69% |
| Immunizations for Adolescents: Combination 1 | 53.330% | 86.37% |
| Chlamydia Screening in Women: Total | 55.080% | 66.29% |
| Prenatal Care | 77.780% | 87.59% |
| Postpartum Care | 71.300% | 69.83% |
| Asthma Medication Ratio: Total | NA | 68.42% |
| Well-Child Visits in the First 15 Months of Life: 6 or More Visits | NA | 69.83% |
| Well-Child Visits: 3rd, 4th, 5th, and 6th Years of Life | 72.260% | 78.46% |
| Children and Adolescents Access to PCPs: 12-24 Months | 91.320% | 97.04% |
| Children and Adolescents Access to PCPs: 25 Months – 6 Years | 82.560% | 90.32% |
| Children and Adolescents Access to PCPs: 7-11 Years | NA | 93.41% |
| Children and Adolescents Access to PCPs: 12-19 Years | NA | 92.45% |
| Initiation and Engagement of Treatment for Alcohol and Other Drug Dependence: Initiation Total | 45.760% | 46.68% |
| Initiation and Engagement of Treatment for Alcohol and Other Drug Dependence: Engagement Total | 15.250% | 18.45% |
| Ambulatory Care: Outpatient Visits | 264.46 | 407.56% |
| Ambulatory Care: ED Visits | 62.74 | 67.49% |
| Lead Screening in Children | 56.450% | 81.02% |
| Adherence to Antipsychotic Meds for Individuals With Schizophrenia | NA | 67.47% |
| Metabolic Monitoring for Children and Adolescents on Antipsychotics: Blood Glucose and Cholesterol Testing Total |
28.570% | 40.90% |
| Measure | Score | Goal |
|---|---|---|
| Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Total | NA | 66.58% |
| Follow-Up After ED Visit for Mental Illness: 7-Day Follow-Up Total | 25.000% | 50.00% |
| Follow-Up After ED Visit for Mental Illness: 30-Day Follow-Up | 41.670% | 64.91% |
| Follow-Up After ED Visit for Alcohol and Other Drug Dependence: 7-Day Total |
18.520% | 17.01% |
| Follow-Up After ED Visit for Alcohol and Other Drug Dependence: 30-Day Total |
22.220% | 26.69% |
| Use of Opioids at High Dosage | NA | 2.27% |
| Use of Opioids from Multiple Providers: Multiple Prescribers and Multiple Pharmacies | 2.630% | 2.16% |
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
Vivida Health uses the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) to survey members and asses their satisfaction with care, providers, and the plan. Both the Child CAHPS and Adult CAHPS are completed each year. The plan’s goal is to be better than the 75th percentile of Medicaid Health Plans in the nation. Vivida’s scores for 2020 are listed in the tables below.
| Adult CAHPS | ||
| Category | Score | Goal |
| Getting Needed Care | 74.70% | 85.50% |
| Getting Care Quickly | 73.80% | 85.10% |
| How Well Doctors Communicate | 90.40% | 93.40% |
| Customer Service | 89.40% | 91.00% |
| Coordination of Care (Q17) | 84.60% | 86.40% |
| Rating of Health Care (Q8) | 81.30% | 78.10% |
| Rating of Personal Doctor (Q18) | 85.70% | 86.40% |
| Rating of Specialist (Q22) | 83.30% | 85.20% |
| Rating of Health Plan (Q28) | 75.40% | 80.90% |
| Child CAHPS | ||
| Category | Score | Goal |
| Getting Needed Care | 67.50% | 88.00% |
| Getting Care Quickly | 85.10% | 92.40% |
| How Well Doctors Communicate | 90.70% | 95.70% |
| Customer Service | 94.20% | 90.00% |
| Coordination of Care (Q20) | 78.90% | 87.20% |
| Rating of Health Care (Q8) | 82.50% | 90.10% |
| Rating of Personal Doctor (Q21) | 87.70% | 92.00% |
| Rating of Specialist (Q25) | 90.90% | 89.00% |
| Rating of Health Plan (Q31) | 80.40% | 89.40% |
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
To view how Vivida compares to other plans click here: AHCA Medicaid Quality Plan Comparison Rates
Vivida Health is focused on providing options for our members to achieve their health and wellness goals. Our healthy behaviors programs give members the tools they need to be successful. Check out our Health Behaviors Incentive Programs results here. Check out our Health Behaviors Incentive Programs results here.