About This Report CONTENTS About This Report .................................................................................. 1 Survey Overview .................................................................................... 2 WHAT DO THE BAR GRAPHS TELL YOU? This report includes the results of CAHPS® 3.0H survey questions about members’ experiences with their health plan and medical care during the last six months. The bar graphs show member’s answers to different survey topics. Key Findings and Recommendations .................................................... 3 A Quick Look at How Plans Compare.................................................... 4 The least positive answers (worse survey results) are always at the left end of the bar in dark blue. In-between answers are always white. The positive answers (better survey results) are always at the right end of the bar in light blue. Overall Ratings ....................................................................................... 5 Access and Service at the Plan Level.................................................... 8 Access and Service at the Provider Level.............................................. 10 In the bar graphs, plans that are performing well have bigger light blue sections and smaller dark blue sections; plans that are not performing as well have smaller light blue sections and bigger dark blue sections. First Doctor’s Visit Among Child Members............................................. 15 Dental Care Among Child Members....................................................... 16 General Health of Members ................................................................... 18 Where applicable results have been compared to data from the 2006 CAHPS® Health Plan Survey Chartbook published by the National CAHPS® Benchmarking Database (NCBD). The NCBD is the national repository for CAHPS® survey data. The NCBD data presented includes summary-level distributions of 2006 health plan survey results for the Adult and Child Medicaid population. WHO DID THE SURVEY? This survey, part of the Consumer Assessment of Healthcare Providers and Systems program (CAHPS®), was sponsored by the Arizona Health Care Cost Containment System (AHCCCS). The purpose of this survey was to determine members’ ratings of and experiences with the medical care they received. WB&A Market Research, an independent survey research firm, was hired to conduct this survey in order to ensure members’ privacy. 1 Survey Overview HOW WAS THE SURVEY CONDUCTED? CHARACTERISTICS OF SURVEY RESPONDENTS The survey was conducted by mail with telephone follow-up during the months of May to August 2006. Each respondent was mailed a survey followed by a reminder postcard. Those not responding to the first survey received a second survey followed by another reminder postcard. Finally, those who did not respond to either survey were contacted by telephone to complete the survey. Adult Members Surveyed: • Average age is 44 years old. • 72% are female. • 58% are White/Caucasian, 39% are Hispanic or Latino*. • Of those with a history of smoking, 46% currently smoke everyday. WHO WAS SURVEYED? • 63% have a high school education or less. Adult and child Medicaid members from each of Arizona’s eight acute care health plans participated in the survey. From each health plan, 1,350 adult members and 1,650 child members were randomly selected to participate in this survey. The child surveys were completed by proxy, that is, with the parent/guardian who knows the most about the sampled child’s health care. • 77% speak mainly English at home. • 58% have been a member for two or more years. Parents/Guardians Surveyed (responding for their child): • Average age of parents/guardians is 40 years old. • 70% of parents/guardians have a high school education or less. WHO RESPONDED TO THE SURVEY? • 66% of parents/guardians speak mainly English at home. A total of 3,113 adult members and 3,749 child members responded to this survey. The number of completed surveys by each acute care health plan is: Child Members: • The average age is 13 years. • 51% are females. Adult Child Arizona Physicians IPA (APIPA) 371 537 Health Choice Arizona (Health Choice) 383 428 Maricopa Health Plan (Maricopa) 401 478 Mercy Care Plan (MCP) 417 514 Phoenix Health Plan (PHP) 357 450 Pima Health System (Pima) 410 481 University Family Care (UFC) 427 447 Care 1st Health Plan Arizona (Care 1st) 347 414 • 63% are Hispanic or Latino, 41% are White/Caucasian*. • 74% speak mainly English at home. • 65% have been a member for two or more years. Note: Demographics differed significantly for some AHCCCS health plans. *Respondents could identify more than one racial/ethnic group. 2 Key Findings and Recommendations Key Findings • Overall survey results show that AHCCCS members give high ratings to their doctors, their health plan and their overall health care. • Notably, over 90% of respondents to both the adult and child surveys indicate that they would recommend their doctor or nurse and their health plan to a family member or friend. In addition, 91% of respondents to the child survey would recommend their child’s dentist. • Customer service ratings of AHCCCS health plans compare favorably to national Medicaid averages. • AHCCCS members report experiencing far fewer delays obtaining health plan approval for care than did the national Medicaid average. • Although, when compared to the national Medicaid average, AHCCCS members appear to be somewhat less satisfied with aspects related to getting care quickly, findings indicate that, on average, appointments for routine care are available within 8 days for adults and 5 days for children. This is well within contractual expectations. • On average, appointments for an illness/injury/condition are available within 3.6 days for adults and 1.5 days for children. It is important to recognize that members’ perception of urgency has the potential to affect emergency department utilization. • When compared to the national Medicaid average, AHCCCS members (specifically child members) appear somewhat less satisfied with some aspects of provider communication. These aspects of communication include the amount of time providers spend with members, the understandability of provider explanations, and the attention and respect given by providers to members. However, ratings of communication may also reflect language/translation factors. • Relatively few adult members, as well as, child members (8% each) report needing an interpreter. However, approximately one third of the adult members and one quarter of the child members needing an interpreter reported that interpreter services were never or only sometimes provided. 3 • The vast majority of parents/guardians (81%) indicate that their child’s doctor always or usually included them in the decision-making regarding their child’s health care, whereas 19% report that their child’s doctor never or only sometimes included them in these decisions. • Approximately eight in ten parents/guardians (79%) indicate that their doctor always or usually provided them with needed information about their child, whereas 21% of parents/guardians are not provided with needed information. • Of the 44% of respondents who reported a history of smoking, 46% currently smoke every day and 16% currently smoke some days. • Of those who currently smoke or have quit in the past six months, 39% report that, during doctor visits, they were not advised to quit, 78% report that medication to assist with smoking cessation was not recommended, and 73% reported that other methods or strategies to assist with smoking cessation were not discussed. Recommendations • Based on survey findings, it is recommended that AHCCCS health plans: • Identify demographic differences in their population that may be useful in tailoring more effective member outreach messages. • Ensure availability of translation services and educate members of the availability of these services. Physicians should be discouraged from using family members to translate. • Ensure that urgent medical care is available on a timely basis. • Encourage physicians to include patients in health care decisions and ensure that patient questions are answered. Physicians should check for patient understanding by asking open-ended questions or asking the member to repeat instructions. • Encourage physicians to address smoking cessation with patients and ensure that appropriate referral is made to available community resources. • Identify those areas where their individual plan performance is below average and target those areas for improvement. A Quick Look At How Plans Compare The stars show how well each plan compares to the survey average:  BETTER than AHCCCS Average for all plans  SIMILAR to AHCCCS Average for all plans  BELOW the AHCCCS Average for all plans Health Care Received1 Health Plan1 Getting Needed Care2 Customer Service2 Getting Care Quickly3 How Well Doctors Communicate3 Courteous and Helpful Office Staff3 Plans See page 6 See page 7 See page 7 See page 5 See page 8 See page 8 See page 13 See page 10 See page 10 APIPA          Health Choice                   MCP          PHP          PIMA          UFC                   See page 6 See page 7 See page 7 See page 5 See page 8 See page 8 See page 13 See page 10 See page 10 APIPA          Health Choice                   MCP          PHP          PIMA          UFC                   Maricopa Care 1st Maricopa Care 1st 1 Comparisons are based on the percent of members surveyed who gave a rating of 9 or 10 on a scale of 0-10 with 10 being the best 2 Comparisons are based on the percent of members surveyed who responded “no problem” 3 Comparisons are based on the percent of members surveyed who responded “always” Child Specialist Seen Most Often1 Adult Personal Doctor or Nurse1 4 Overall Ratings Rating of Health Plan Would Recommend Health Plan Members were asked to rate their health plan on a scale of 0-10: 0 = “worst health plan possible” to 10 = “best health plan possible” Members were asked whether they would recommend their health plan to a family member or friend. (% Yes) Adult NCBD 2006 91 13 27 60 APIPA 90 APIPA 14 23 63 Health Choice 90 Health Choice 17 Maricopa 90 Maricopa 16 MCP 12 UFC 10 NCBD 2006 62 23 54 36 62 26 40 60 In Percent 80 Child AHCCCS Average 9 24 67 APIPA 9 27 64 Health Choice 9 25 66 Maricopa 6 MCP 10 PHP 7 Pima 8 UFC 5 64 26 19 21 23 Care 1st 10 0 76 18 Rating of 0-6 Pima 92 90 0 20 40 60 In P ercent 80 100 Child AHCCCS Average 95 APIPA 94 Health Choice 94 Maricopa 93 MCP 94 PHP 71 Pima 94 71 UFC 95 Care 1st 94 40 60 In Percent Rating of 7 or 8 94 75 67 23 20 92 100 62 27 11 PHP Care 1st 53 31 20 93 UFC 63 26 15 MCP 60 29 PHP 10 Pima 57 25 11 0 Child Adult AHCCCS Average Adult AHCCCS Average Care 1st 5 53 29 18 80 98 100 0 Rating of 9 or 10 20 40 60 In P ercent 80 100 Overall Ratings Rating of Personal Doctor or Nurse Would Recommend Personal Doctor or Nurse Members were asked to rate their personal doctor or nurse on a scale of 0-10: 0 = “worst personal doctor or nurse possible” to 10 = “best personal doctor or nurse possible” Members were asked whether they would recommend their personal doctor or nurse to a family member or friend. (% Yes) NCBD 2006 14 27 59 Adult AHCCCS Average 92 Adult AHCCCS Average 13 26 61 APIPA 92 APIPA 12 Health Choice 93 Health Choice 15 Maricopa 93 11 MCP 14 PHP 11 Pima 10 UFC 9 Care 1st 71 19 NCBD 2006 8 Child AHCCCS Average 10 APIPA 11 Health Choice 9 Maricopa 6 8 Pima 5 69 21 6 Care 1st 9 0 PHP 92 Pima 92 UFC 93 Care 1st 58 30 40 60 In Percent 25 80 100 0 20 40 60 In P ercent 80 93 65 APIPA 92 Health Choice 93 Maricopa 94 MCP 94 PHP 93 62 67 75 64 26 70 23 71 74 20 59 32 20 Rating of 0-6 40 60 In Percent Rating of 7 or 8 100 Child AHCCCS Average 27 24 88 66 25 25 UFC 91 Pima 96 UFC 96 Care 1st 80 Rating of 9 or 10 100 Child PHP 63 26 19 MCP 10 52 36 20 MCP 60 26 12 0 59 26 Adult Maricopa 63 24 92 0 20 40 60 In P ercent 80 100 6 Adult Overall Ratings Rating of Health Care Received Rating of Specialist Seen Most Often Members were asked to rate their health care received on a scale of 0-10: 0 = “worst health care possible” to 10 = “best health care possible” Members were asked to rate their specialist on a scale of 0-10: 0 = “worst specialist possible” to 10 = “best specialist possible” NCBD 2006 17 29 55 NCBD 2006 16 Adult AHCCCS Average 16 28 56 Adult AHCCCS Average 14 23 62 APIPA 16 APIPA 15 22 63 Health Choice 17 31 52 Health Choice 18 Maricopa 19 26 56 Maricopa 15 32 54 MCP 12 50 PHP 14 24 63 63 22 15 PHP 17 Pima 14 30 56 Pima 14 25 61 UFC 15 28 57 UFC 16 24 60 Care 1st 16 28 56 Care 1st 14 25 61 Child AHCCCS Average Maricopa 20 40 60 In P ercent 80 0 100 20 40 60 In Percent 25 66 NCBD 2006 12 25 63 10 25 65 Child AHCCCS Average 13 25 61 8 29 64 APIPA 12 27 60 10 25 65 Health Choice APIPA Health Choice 33 66 22 9 NCBD 2006 Child 55 28 MCP 0 MCP 13 PHP 10 Maricopa 69 25 6 62 25 MCP 16 70 PHP 13 19 68 9 23 68 Pima 11 23 66 UFC 9 25 66 UFC 12 19 69 Care 1st 9 26 65 Care 1st 10 23 67 Rating of 0-6 40 60 In Percent 80 Rating of 7 or 8 Rating of 9 or 10 100 0 80 100 56 28 20 20 100 74 20 7 80 65 18 16 Pima 0 7 61 23 59 25 20 Rating of 0-6 40 60 In Percent Rating of 7 or 8 Rating of 9 or 10 Access and Service at the Plan Level Getting Needed Care Members were asked how much of a problem, during the last 6 months, they had: • Getting a personal doctor or nurse they were happy with; • Getting to see a specialist that they needed to see; • Getting the care, tests, or treatment they or their doctor believed necessary; and • With delays in health care while they waited for approval from their health plan. NCBD 2006 14 Adult AHCCCS Average 12 APIPA 67 19 Customer Service Members were asked how much of a problem, during the last 6 months, they had: • Finding or understanding the information in the written materials or on the Internet; and • Getting the help needed when calling their health plan’s customer service. NCBD 2006 10 21 69 10 19 71 73 Adult AHCCCS Average 11 14 75 APIPA 14 17 69 71 Health Choice 13 19 68 Maricopa 13 22 65 Health Choice 15 14 Maricopa 10 15 75 MCP 11 15 74 PHP 13 Pima 9 UFC 12 Care 1st 12 9 23 68 74 Pima 10 23 67 16 72 UFC 8 17 71 Care 1st 10 17 20 40 60 In Percent 80 74 NCBD 2006 Child AHCCCS Average 9 14 77 Child AHCCCS Average APIPA 8 15 77 APIPA Health Choice 10 13 77 Health Choice Maricopa 11 14 PHP 7 13 79 Pima 5 16 80 11 13 Care 1st 8 13 0 20 A big problem 75 20 75 7 16 77 11 7 16 10 80 A small problem No problem 100 PHP 5 15 80 0 80 100 73 17 86 73 21 Care 1st 5 15 40 60 In Percent 100 77 79 6 80 73 16 MCP 6 16 UFC 79 40 60 In P ercent 18 7 Pima 3 11 77 64 26 Child MCP UFC Maricopa 84 6 10 72 20 0 100 17 9 78 PHP 68 19 0 NCBD 2006 MCP 5 16 Adult 15 80 20 A big problem 40 60 In Percent A small problem No problem 8 Adult Access and Service at the Plan Level Complaints by Members Able to Get Prescription Medicine Members were asked whether they had called or written to their health plan about a complaint or problem. Members who got a prescription filled were asked how much of a problem, if any, it was to get their prescription filled. Adult AHCCCS Average 8 92 Adult AHCCCS Average APIPA 8 92 APIPA Health Choice 9 91 Health Choice Maricopa 6 94 Maricopa MCP 6 PHP 6 14 73 8 13 79 94 MCP 6 15 79 94 PHP 10 69 21 8 92 Pima 8 19 73 UFC 7 93 UFC 8 16 76 90 Care 1st 9 0 Child 78 6 16 13 76 Pima Care 1st 10 20 40 60 In P ercent 80 100 70 21 0 20 40 60 In P ercent Child AHCCCS Average 3 97 Child AHCCCS Average 7 9 84 APIPA 2 98 APIPA 8 7 85 Health Choice 4 96 Health Choice Maricopa 3 97 Maricopa MCP 4 96 MCP 5 8 PHP 3 97 PHP Pima 2 98 UFC 3 97 UFC Care 1st 5 95 Care 1st 0 9 16 8 20 40 60 In P ercent Yes No 80 100 6 14 80 8 8 85 100 80 100 87 6 13 81 Pima 4 15 81 84 6 9 82 9 9 0 80 20 A big problem 40 60 In P ercent A small problem No problem Access and Service at the Provider Level Courteous and Helpful Office Staff How Well Doctors Communicate Members were asked how often, during the last 6 months, doctors or other health providers: • Listened carefully to them; • Explained things in a way they could understand; • Showed respect for what they had to say; and • Spent enough time with them. Members were asked how often, during the last 6 months, office staff at the doctor’s office or clinic: • Treated them with courtesy and respect; and • Were as helpful as they thought the staff should be. NCBD 2006 14 24 62 NCBD 2006 12 21 67 Adult AHCCCS Average 13 25 62 Adult AHCCCS Average 12 22 66 APIPA 13 22 65 APIPA 11 Health Choice 16 25 60 Health Choice 14 23 63 Maricopa 17 22 61 Maricopa 15 20 65 62 MCP 11 59 PHP 14 60 Pima 10 23 67 12 PHP 15 27 26 65 24 64 22 Pima 11 UFC 13 28 59 UFC 11 21 68 Care 1st 14 24 62 Care 1st 10 25 64 0 28 20 NCBD 2006 9 40 60 In Percent 20 80 100 0 20 NCBD 2006 71 8 18 40 60 In Percent 12 22 66 Child AHCCCS Average 11 20 68 APIPA 11 24 65 APIPA 12 21 67 Health Choice 10 Health Choice 70 9 19 15 24 60 Maricopa MCP 14 22 65 MCP 11 21 68 10 20 69 PHP 12 17 71 Pima 10 19 70 Pima 11 20 69 UFC 12 16 72 UFC 11 18 71 Care 1st 14 Care 1st 11 21 68 0 20 Sometimes or never 63 40 60 In P ercent Usually 80 Always 100 0 80 100 61 20 Sometimes or never 40 60 In Percent Usually Child 23 PHP 23 100 72 Maricopa 15 80 74 Child AHCCCS Average 20 Adult MCP 70 20 Always 10 Access and Service at the Provider Level Called During Regular Office Hours Received Help or Advice Needed Members were asked whether they called their doctor’s office during regular office hours to get help or advice. (% Yes) Members who called their doctor’s office during regular office hours were asked how often they received the help or advice needed. Adult AHCCCS Average 52 Adult AHCCCS Average 20 28 52 APIPA 53 APIPA 22 25 54 Health Choice Adult Maricopa MCP 54 MCP PHP 53 PHP Pima 50 53 Care 1st 50 0 20 40 60 In P ercent Child AHCCCS Average APIPA 47 Health Choice 45 43 PHP 46 Pima UFC 43 Care 1st 44 20 0 40 60 In P ercent 57 26 20 40 60 In P ercent 80 21 64 APIPA 15 20 65 Health Choice 15 23 62 21 MCP 16 PHP 17 13 34 13 0 65 21 62 19 68 22 61 21 20 Sometimes or never 100 45 19 17 Care 1st 100 54 26 16 UFC 80 47 32 Child AHCCCS Average Pima 41 0 17 Maricopa 25 MCP Care 1st 100 44 Maricopa Child 80 21 47 28 26 UFC 52 30 18 21 45 30 25 Pima 52 32 16 Maricopa 43 UFC 11 Health Choice 51 66 40 60 In P ercent Usually 80 Always 100 Access and Service at the Provider Level Called After Regular Office Hours Wait Time for Return Call After Hours Members were asked whether they called their doctor’s office after regular office hours to get help or advice. (% Yes) Members who called after regular hours were asked how long they waited for their call to be returned. (% Yes) Adult AHCCCS Average 16 Adult AHCCCS Average 14 15 7 64 APIPA 16 APIPA 16 14 7 63 Health Choice 16 Health Choice 18 13 7 62 Maricopa 14 Maricopa MCP 19 PHP 10 15 6 PHP 5 12 12 10 69 20 2 73 Pima 17 Pima 17 17 11 UFC 16 UFC 17 17 6 Care 1st 16 19 Care 1st 18 0 Child AHCCCS Average 20 40 60 In P ercent 80 100 19 APIPA 17 Health Choice 20 60 9 57 40 60 In P ercent 10 7 9 73 APIPA 12 12 77 12 12 3 73 73 72 Maricopa 12 56 Child AHCCCS Average Health Choice 22 Maricopa 0 57 17 20 MCP 9 10 9 72 PHP 20 PHP 8 7 16 69 Pima 23 UFC Care 1st Care 1st 18 0 20 40 60 In P ercent 80 100 7 14 5 74 82 73 16 0 25 or more hrs 20 100 80 100 78 7 7 7 UFC 21 80 Child MCP Pima Adult MCP 22 40 60 In P ercent 8-24 hrs 4-7 hrs 1-3 hrs 12 Access and Service at the Provider Level Getting Care Quickly Members were asked how often, during the last 6 months, they: • Received the help or advice needed when calling during regular office hours; • Received the care needed for an illness, injury, or condition as soon as wanted; • Received an appointment for health care as soon as they wanted; and • Were taken to the exam room within 15 minutes of their appointment. NCBD 2006 28 27 45 Adult AHCCCS Average 7.9 Adult AHCCCS Average 28 29 43 APIPA 8.0 APIPA 27 27 46 Health Choice 29 Adult Maricopa 23 Health Choice 40 7.1 PHP 7.0 PHP 30 30 39 Pima 31 30 39 UFC 32 26 42 UFC 45 Care 1st NCBD 2006 20 Child AHCCCS Average 25 APIPA 27 Health Choice 24 40 60 In P ercent 24 20 Maricopa 42 32 29 23 80 6.2 0 4 8 5.4 51 APIPA 5.3 40 30 PHP 26 21 53 Pima 27 22 51 UFC 26 23 52 Care 1st 24 Health Choice 6.0 Maricopa 6.0 MCP 5.7 12 16 20 53 23 PHP 40 60 In P ercent Usually 4.5 Pima 6.6 UFC 6.1 Care 1st 55 21 Sometimes or never 10.8 Child AHCCCS Average 23 20 10.1 57 MCP 0 100 53 22 30 Pima 49 25 10.0 MCP 27 26 8.5 Maricopa 41 MCP 0 Child 30 35 Care 1st 13 Wait Time for Routine Care Members were asked how many days they usually wait between making appointment and seeing a doctor for routine health care. (Mean number of days) 80 Always 100 4.2 0 4 8 12 16 20 Access and Service at the Provider Level Wait Time for Care Needed Right Away Wait Time for Specialty Care Members were asked how many days they usually wait between making appointment and seeing a doctor when they need care right away. (Mean number of days) Members were asked how many days they usually wait between making appointment and seeing a specialist for health care. (Mean number of days) Adult AHCCCS Average 3.6 Adult AHCCCS Average 12.9 APIPA 3.4 APIPA 12.8 Health Choice 3.3 Health Choice Maricopa 4.4 MCP MCP 3.6 PHP Child AHCCCS Average 4 8 12 16 2.2 Health Choice 1.3 Maricopa 10.5 0 20 1.5 APIPA 14.9 Care 1st 3.8 0 15.4 UFC 4.8 Care 1st 13.1 Pima 3.7 UFC 12.7 PHP 4.4 Pima 12.1 4 8 12 Child AHCCCS Average 9.8 APIPA 9.8 Health Choice 9.8 Maricopa 2.8 MCP PHP 1.1 PHP Pima 0.8 Pima 11.4 UFC 11.4 Care 1st 0 4 8 12 16 20 16 20 10.8 8.5 Care 1st 0.5 20 Child 1.0 1.6 16 7.5 MCP UFC Adult Maricopa 13.6 7.1 0 4 8 12 14 First Doctor’s Visit Among Child Members Went to Doctor’s Office Received Appointment for Child’s First Visit Parents/Guardians whose child is 2 years old or younger were asked whether their child has gone to a doctor’s office for a check-up to see how he/she was doing or for shots or drops. (% Yes) Parents/Guardians whose child is 2 years old or younger and went to a doctor for their first visit were asked whether they got an appointment for a check-up, or for shots or drops, as soon as they wanted. (% Yes) Child AHCCCS Average APIPA* 90 Health Choice Child Child AHCCCS Average 85 APIPA* 89 Health Choice 83 99 Maricopa 81 Maricopa 93 MCP* 80 MCP* 92 PHP PHP 84 Pima 93 86 UFC Care 1st 86 Care 1st 20 40 60 In P ercent 80 100 *Caution should be taken when evaluating this data. Due to the small base (n=<35) there is a high level of sampling error around this data. 95 Pima UFC 0 15 95 92 100 96 0 20 40 60 In P ercent 80 100 Dental Care Among Child Members Wait Time for Dental Care Needed Right Away Parents/Guardians were asked how long they waited between trying to get dental care and actually seeing a dentist when their child needed care right away. (Mean number of days) Child AHCCCS Average APIPA Received Dental Care in Past Six Months Parents/Guardians were asked whether their child got care from a dentist’s office or dental clinic. (% Yes) Child AHCCCS Average 5.2 Maricopa 5.3 6 Child AHCCCS Average 32 40 60 In P ercent 4 8 10 Parents/Guardians were asked how long their child usually waited between making an appointment for routine dental care and actually seeing a dentist. (Mean number of days) 48 20 2 Wait Time for Routine Dental Care 41 0 5.1 0 43 Care 1st 6.0 Child 49 UFC 5.6 Care 1st MCP Pima 4.6 UFC 38 PHP 5.5 Pima 42 Maricopa Health Choice PHP 48 Health Choice 6.4 MCP 45 APIPA 5.6 80 100 10.0 APIPA 10.7 9.8 Health Choice Maricopa 8.7 MCP 9.8 PHP 9.2 Pima 10.4 UFC 9.4 Care 1st 8.2 0 4 8 12 16 20 16 Dental Care Among Child Members Number of Child Visits to Dentist in Past Six Months Would Recommend Dentist Parents/Guardians were asked whether they would recommend their child’s dentist to a family member or friend. (% Yes) Parents/Guardians were asked how many times their child went to a dentist’s office or dental clinic. (Mean number of days) Child AHCCCS Average APIPA Child Child AHCCCS Average 91 APIPA 91 Health Choice 90 1.9 2.1 Health Choice 1.6 Maricopa Maricopa 1.9 MCP 2.0 PHP 1.9 Pima 2.0 93 MCP 89 PHP UFC 1.7 Care 1st 1.7 96 Pima 89 UFC 89 Care 1st 92 0 0 17 2 4 6 8 10 20 40 60 In P ercent 80 100 General Health of Members Smoking Cessation (Adult Members) Overall Health Status Members were asked to describe their health status as excellent, very good, good, fair or poor. • 44% have smoked 100 cigarettes in their lifetime • Of these respondents: Adult AHCCCS Average 32 31 36 APIPA 32 32 35 • 46% currently smoke everyday Health Choice 32 34 34 • 16% currently smoke some days Maricopa 32 37 31 MCP 33 PHP 30 UFC 38 Care 1st 0 20 41 40 60 In Percent 80 Child AHCCCS Average 7 23 70 APIPA 7 24 69 100 • 25% currently need or use prescription medicine 29 62 MCP 9 27 64 PHP 6 18 76 Pima 4 20 75 UFC 5 20 75 Care 1st 6 19 74 Fair/Poor 40 60 In P ercent Good • 12% need or use more medical care, mental health or educational services than is usual for most children their age • 10% are limited or prevented in any way in their ability to do things most children their age can do • 5% need or get special therapy, such as physical, occupational or speech therapy Child 9 20 • 73% said that methods/strategies to assist with quitting smoking were not discussed during doctor visits Potential Chronic Conditions (Child Members) 78 Maricopa 0 • 78% said medication to assist with quitting smoking was not recommended during doctor visits 34 28 Health Choice 4 18 • 39% have not been advised to quit smoking during doctor visits 36 31 28 31 • Of those who currently smoke or have quit within the last 6 months: 39 31 34 • 86% of those who do not currently smoke quit more than 6 months ago 38 29 Adult Pima • 38% do not currently smoke at all • 12% have any kind of emotional, developmental or behavioral problem for which they need or get treatment or counseling. 80 Excellent/ Very good 100 18