6 In State Network: Open and Closed Panels SpecialtiesNumber of Providers2012As of Sept 2014Open PanelsPercent of Open PanelsPCP2,9143,5133,42397.4%OB/GYN5061,01697195.5%Cardiology44149245492.9%General Surgery44040236590.7%Orthopedics31440033082.5%Gastroenterology5326920977.6%Oncology3216315997.5%Urology13516013785.6%Dermatology1121648853.6%Neurology25223588.9%Otolaryngology (ENT)13815612982.6%Endocrinology3712810178.9%Rheumatology21826478%
11 Mystery Shopper StudyThe Mystery Shopper survey included the following areas for investigation:Appointment availabilityAppointment flexibilityEffects of insurance coverage on appointment settingCourteousness of office personnelStudy approach was to target high volume providers (FQHCs, PCMH, Community providers and Clinics).
12 Mystery Shopper StudyGreatBlue® conducted 500 completed telephone appointment attempts.The split was 70% Primary Care /30% Specialty calls for appointments.The breakdown of appointments:125 Urgent Care-not an emergency condition-within 48 hours142 Non Urgent Care (sick) conditions - 48 to 72 hours133 Routine Preventive Primary Care conditions - 6 weeks100 Initial Obstetrics and Gynecology/Prenatal conditions-within 1 week to 6 weeks
13 Mystery Shopper Survey Type of AppointmentConditionTimeliness TargetsUrgent Care(non-emergency)High fever, coughWithin 48 hoursNon-Urgent sick visitSinus infection,sore throat48 to 72 hoursRoutine Preventative Primary CareWell child visit,adult physical6 weeksPre-natal visitPrenatalOBGYNRoutine OBGYN complaintWithin 1 WeekInitial or well visit6 Weeks
14 Mystery Shopper Results Available appointment times…2013 Composite2014 CompositeSomething available33.6%63.8%Nothing available at this time66.3%36.2%
15 Mystery Shopper Results Told your insurance affected availability of appointment times?2013Composite2014Yes35.2%14.6%No47.1%68.2%Don’t know/unable to determine17.7%17.2%Felt unwelcomed/discouraged from setting appointment7.5%7.0%92.5%93.0%
16 Mystery Shopper StudyResearchers were most likely offered an appointment within 2 weeks of the time of the call regardless of the condition about which they were calling.The largest areas of improvement exist regarding non-urgent appointments. Approximately one-quarter of researchers were unable to receive an appointment for this type of condition until 2-3 weeks from the call.
17 Improving the Oral Health of HUSKY Members Donna:Introduction.
18 Participating Dental Practitioners as of August 29, 2014 CountyEndoGeneral DentistsOral SurgeonsOrthoPediatric DentistsPerioHygienistsTotalsFAIRFIELD, CT234620293839447HARTFORD, CT1249644405511687LITCHFIELD, CT455156MIDDLESEX, CT6753NEW HAVEN, CT8329542533459NEW LONDON, CT6997TOLLAND, CT3442WINDHAM, CT3135Out of State647526145213411615615521951
19 Participating Dental Service Locations as of August 29, 2014
20 Participating Dental Practitioners as of August 29, 2014
21 Building Dental Access, Results Contract Standard: one PCD in <=20 milesResults: all Clients have access to one PCD in <= 15 miles at minimumGreen = Two Providers in 10 MilesBlue = Two Providers in 15 MilesYellow = One Provider in 10 MilesLee:Distribution of accessibility by zip code – another portrayal of the robustness of the CTDHP provider network.Zip codes with less than 2 providers in 10 miles due to lack of dentists located in those communities. Driven by population density/opportunity cost for dentists.