Diabetes and hypertension are the two most common causes of end stage renal disease (ESRD). Estimates that for every person on renal dialysis, 20 to 30 patients have some lesser degree of kidney disease. Pubmed article by Malvinder Parmar, a director of dialysis in Canada, published in BMJ July 2002 outlines the five stages of chronic kidney disease that results in end-stage renal disease, or kidney failure.
Prevent and control high blood pressure; ACE inhibitors, high blood pressure as related to diabetes, kidney failure, pregnancy or stroke; normal blood pressure readings, prehypertension, salt in the diet, DASH diet, control without medications, blood pressure monitors and more. From MedlinePlus
Find and compare performance levels of nearly 1400 federally qualified community health centers (FQHCs) in each state. Ratings on clinical measures include diabetes, hypertension, prenatal care, low birth weight, asthma, childhood immunizations, depression screening, weight management, dental sealants, cervical cancer screening and more. See Clinical Data section for three-year trends. Altogether, the health centers have about 12,000 different sites across the US. They receive federal money to lower the price to low income patients. They are locally owned and managed. Services include primary medical care, dentist services, and mental health care. Excellent program if your community is lucky enough to have a community health center. UDS data from 2018
Data from the National Health Interview Survey, 2010, show that about one in three adults (32.4%) who had seen a physician or other health professional in the past 12 months had been advised to begin or continue to do exercise or physical activity. NCHS Data Brief 86, February 2012. This data brief is no longer updated.
Compare side-by-side (5 measures at a time) over 500 participating medical groups, hundreds of clinic locations and urgent care centers in Minnesota, Fargo, Grand Forks, Sioux Falls, and some Wisconsin communities for diabetes, knee replacement, vascular care, mental health (depression), cancer screening, controlling high blood pressure, heart (coronary artery) disease, asthma, vaccinations, appropriate care for children with colds and sore throats and more. Some clinics also have patient satisfaction scores. Medical groups include Allina, Altru, Apple Valley, Aspen, Avera, Brainerd, Children’s Physician Network, Dakota Clinic, Edina, Fairview, Fergus, Grand Itasca, Gundersen, HealthEast, HealthPartners, Lakewood, Mankato, Mayo Clinic, North Memorial, Northfield, Olmsted, Park Nicollet, Ridgeview, Sanford, St. Cloud CentraCare, St. Luke’s, St. Mary’s Duluth Clinic (Essentia), Stillwater, United, University of Minnesota, Winona Health Services, and more; OB-GYN clinics and Orthopedic clinics. Report by MN Community Measurement (founded by the MN Medical Association and seven non-profit health insurance plans). Annual data, but report doesn’t specify what year (unclear why that is a secret). Otherwise, the interactive format is easy-to-use.
Compare six New Jersey health insurance companies (HMO/POS and PPO/EPO health insurance plans. Performance reports from Aetna, AmeriHealth, CIGNA, Horizon, Oxford and United, on quality ratings related to asthma, COPD, cancer screening, heart care, hypertension, diabetes, new moms, immunizations, strep tests, mental health medication and followup; frequency of imaging tests for lower back pain, cardiac cath and tonsillectomies; well child care, more. Easy to read. Pub. by NJ Dept. of Banking and Insurance, June 2019
The Guide to Texas HMO Quality 2018-2019 shows detailed clinical quality comparisons of HMO health insurance plans. Compare HMOs Aetna, Christus, Cigna, Community First, FIRSTCARE, HMO Blue Texas, Humana, Memorial Hermann, Scott and White and United Healthcare of Texas. Indicators include asthma, childhood immunizations, cancer screening, heart care, high blood pressure, diabetes care, prenatal care, mental health care, flu shots, antibiotic utilization rates, rates of physician board certification, and more. Lengthy (211 pages) but valuable report. Pub. by TX Office of Public Insurance Council
Compare Utah HMOs and PPOs – health insurance plans Aetna, Altius, Cigna, Deseret, Educators Mutual EMI, Humana, PEHP, Regence Blue Cross Blue Shield, SelectHealth, United Health Care, and Medicaid plans (Health Choice, Healthy U, Molina, SelectHealth CHIP) on member satisfaction, antidepressant medications, back pain, cancer screening, and high blood pressure; diabetes, prenatal & maternity, preventive care, well-child visits & immunizations, and more. Shows actual performance rates. 2018 Performance Report published by utah.gov uses 2017 data
Compare Wisconsin physician clinics on 30 measures related to satisfaction with getting a timely doctor’s appointment, patient recommendations on clinics; scores for diabetes, heart care, high blood pressure, HPV vaccine, smoking & osteoporosis screening, pneumonia shot, screening for Breast Cancer, Cervical Cancer & Colorectal Cancer; Ischemic Vascular Disease care, BMI, Depression screening, well child visits and more. Includes Affinity, Aspirus, Aurora, Bellin, Ascension Columbia St. Mary’s and Wheaton, Associated Physicians, SSM Dean, Mayo Clinic Eau Claire and Franciscan La Crosse, Fort Healthcare, Froedert, Gundersen Clinic, Marshfield Clinic, Mercy, Meriter Unity Point, Monroe, Prairie Clinic, Prevea, Primary Care Associates Appleton, ProHealth, Reedsburg, ThedaCare, UW Health, Wildwood and others. Some medical groups report scores by individual clinic location. The Sort-by-Rank option helps you see better performers on the top of your list for some items. Easy to read reports by WI Collaborative for Healthcare Quality (WCHQ); 2017 and 2018 data