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Glossary of Terms

90th percentile

This refers to the national 90th percentile, based upon national benchmarks computed by that National Committee for Quality Assurance (NCQA).  This reflects the top 10 percent of best performance across the nation.  The Alliance goal is that the care provided in our state will meet the national 90th percentile.

Not all measures in the Community Checkup have this benchmark. The top 10 percent of performance is a relative number. If overall performance is low, the 90th percentile could mean that even at that level many patients are still not getting the care that they should. 

Accountable Community of Health 

Accountable Communities of Health (ACHs) bring together leaders from multiple health sectors around the state with a common interest in improving health and health equity. As ACHs better align resources and activities they improve whole person health and wellness.

There are nine ACHs that cover the entire state, with the boundaries of each aligned with the state’s Medicaid Regional Service Areas.

Confidence interval

The range of values calculated by a formula that determines the degree of confidence that the true value is contained within the range (typically 95 percent). In other words, a range of values that describes the uncertainty surrounding an estimate. The span of the confidence interval will be wider when the denominator is smaller and narrower when the denominator is larger.

Denominator

The total population that was eligible for a measure. The denominator typically represents actual people.  For example, for a diabetes measure, the denominator is the number of patients who met the criteria for having diabetes (as stated in the measure specifications).  In the access to care measures, the denominator is the total number of enrollees who live in a selected area, for example a county. However, the denominator can reflect other things such as total hospital stays or total prescriptions.  For example, in the generic prescribing measures the denominator is the total prescriptions of a certain type of medication.

Measure steward

The organization that is responsible for maintaining and providing the methodology for a particular measure, including the specifications (or detailed definitions).

Numerator

The number of elements (e.g. patients, visits, prescriptions) from the denominator that are considered compliant (or non-compliant in cases where lower rates are better) for the measure. For example, in the Blood sugar (HbA1c) testing for people with diabetes measure, the numerator is the total number of people who received a blood sugar (HbA1c) test among those who met the criteria for having diabetes (denominator).

State average

The overall rate for a measure across Washington state.

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