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Child and Adolescent Well-Care Visits

These HEDIS Measures

Well-Child Visits in the First 15 Months of Life: Assesses children who turned 15 months old during the measurement year and had from no well-child visits to six well-child visits with a primary care physician during their first 15 months of life.

Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life: Assesses children 3–6 years of age who received one or more well-child visits with a primary care practitioner during the measurement year.

Adolescent Well-Care Visits: Assesses adolescents and young adults 12–21 years of age who had at least one comprehensive well-care visit with a primary care practitioner or an OB/GYN practitioner during the measurement year.

So What?

Assessing physical, emotional and social development is important at every stage of life, particularly with children and adolescents.1 Behaviors established during childhood or adolescence, such as eating habits and physical activity, often extend into adulthood.2  Well-care visits provide an opportunity for providers to influence health and development and they are a critical opportunity for scre

 

References

  1. Child Trends. 2012. “Well-child visits.” http://www.childtrends.org/?indicators=well-child-visits;
  2. Centers for Disease Control and Prevention (CDC). 2014. “Youth Risk Behavior Surveillance—United States, 2013.” http://www.cdc.gov/mmwr/pdf/ss/ss6304.pdf
tables
Well-Child Visits (Ages 0–15 Months): Six or More Well-Child Visits
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016  79.2 77.7  61.7 -- --
2015 78.3 77.3 59.3
2014 78.1 76.5 58.9
2013 79.0 77.0 61.6
2012 78.2 76.4 63.6
2011 78.0 76.1 61.8
2010 76.3 72.8 60.2
2009 74.5 71.9 59.4
2008 75.2 69.0 58.8
2007 72.8 63.1 52.9
2006 72.9 65.4 55.6
2005 71.1 59.7 49.1
2004 68.7 47.4
2003 66.6 45.2
2002 64.4 43.0
2001 59.6 37.3
2000 55.2
1999 50.7
Well-Child Visits (Ages 3–6 Years): One or More Well-Child Visits
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016  76.8 74.2  72.2 -- --
2015 76.2 72.3 71.3
2014 75.6 71.7 71.9
2013 74.3 70.4 71.5
2012 72.9 69.9 72.0
2011 72.5 69.8 72.0
2010 71.6 67.8 71.9
2009 70.3 66.0 71.6
2008 69.8 63.6 69.7
2007 67.8 60.7 65.3
2006 66.7 61.6 66.8
2005 65.6 54.5 63.6
2004 64.4 62.4
2003 62.7 60.7
2002 60.4 58.2
2001 57.5 56.0
2000 54.2
1999 51.3
Adolescent Well-Care Visits: At Least One Comprehensive Well-Care Visit
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016  47.7 44.7 50.6 -- --
2015 46.6 42.4 48.9
2014 45.8 41.4 50.0
2013 44.5 40.7 50.0
2012 43.3 40.1 49.7
2011 43.2 40.6 49.7
2010 42.7 39.2 48.1
2009 42.5 38.3 47.7
2008 42.9 36.2 45.9
2007 41.8 34.7 42.1
2006 40.3 34.6 43.6
2005 38.8 29.3 40.7
2004 38.2 40.0
2003 37.1 37.5
2002 35.8 37.1
2001 33.1 32.6
2000 30.9
1999 28.9