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Vermont Medicaid (ACS-19)

CHL: Chlamydia Screening in Women - Age 21-24 (ACS-19)

Current Value

59.7%

2019

Definition

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Notes on Methodology

  • The annual reported rate captures activity during the previous calendar year. 
  • This is a Healthcare Effectiveness & Data Information Set (HEDIS) administrative measure.
  • As of 2014, DVHA’s rates only include only Medicaid Primary beneficiaries in HEDIS administrative measures.
  • The target trend line is the 50th percentile national benchmark for Medicaid programs. 

Story Behind the Curve

This measure assesses the percentage of sexually active women 16-24 years of age who were screened for chlamydia during the measurement year. The Adult Core Set asks states to report the rate for the subset of women 21-24 years of age (shown above).

Screening is essential because the majority of women who have the condition do not experience symptoms. The main objective of chlamydia screening is to prevent pelvic inflammatory disease (PID), infertility and ectopic pregnancy, all of which have very high rates of occurrence among women with untreated chlamydia infection.

Chlamydia trachomatis is the most common sexually transmitted disease (STD) in the U.S. Risk factors associated with becoming infected with chlamydia are the same risks for contracting other STD’s (e.g., multiple sex partners). Chlamydia is more prevalent among adolescent and young adult women.

During Medicaid’s annual performance measure analysis in 2018, the Quality Committee, Managed Care Medical Committee and Clinical Utilization Review Board (CURB) chose the CHL measure for a quality improvement project as Vermont is currently performing below the Medicaid national 50th percentile.  The project team includes DVHA Quality Unit, Data Unit & Blueprint staff as well as VDH staff from Maternal and Child Health and Health Surveillance Divisions. The team is planning a learning collaborative offered through the Blueprint’s Women’s Health Initiative. The collaborative will include 6 monthly webinars, running from April-September 2019.

 Last updated:  February 2020

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