Members Quality

BlueCare Tennessee knows your health care is important. We want you to know about events and information that can improve your health and well-being. Each month, we choose special health topics and use National Health Observances. We send health care messages and reminders about your individual needs. The information is based on things like:

  • Your health
  • Your age
  • The ages and health of your children
  • Where you live
Preventive and Wellness Campaigns

Each campaign is in an effort to help you with the following:

  • Preventive Care (helping you stay well)
  • Up-to-date Treatments for Acute Episodes of Illness (when you are injured or have pneumonia or cancer)
  • Chronic Disease Care (when you have a disease that doesn't go away)

Health Campaigns for Members include:

We also want health information easy for you to find. Click the statement below for additional information on the subjects listed.

I would like to know more about Asthma…

We have pages designed to help understand asthma.
Asthma
Asthma and Children
Asthma and Teens or Adolescents

I would like to know more about the prevention of COPD Flare-Ups…

When shortness of breath and other COPD symptoms get worse over a short period of time, it is called a flare-up.

It can take a long time to recover from a COPD flare-up. Sometimes flare-ups cause a lasting drop in lung function.

You can help prevent flare-ups and maintain your lung health. Here are some simple steps you can take:

  1. Many flare-ups are caused by respiratory infections.
    • Get a pneumococcal vaccine and yearly flu vaccinations.
    • Wash your hands often, use hand sanitizer and practice good hygiene to lower your chance of catching a respiratory infection.
  2. Other flare-ups are caused by air pollution.
    • Stop smoking. Stay away from secondhand smoke.
    • Stay indoors and close windows on bad air pollution days.
  3. Take your medicines according to the doctor’s instructions. Make sure you understand how to use your inhaler.
  4. Keep your body strong. Walk, exercise regularly and eat healthy foods.
  5. Know what to do if your breathing gets worse. If a flare-up does develop, get treatment immediately to help minimize its effects.

For more information visit the website: Global Initiative for Chronic Obstructive Lung Disease

I would like to know more about Prevention and Wellness...

It is good to have a Primary Care Physician (PCP) so a trust can be built with him or her.

Your PCP's role is to:

  • Give preventive care and to teach healthy lifestyle choices
  • Identify and treat common health conditions
  • Assess the urgency of your health problems and send you to the best place for that care
  • Make referrals to health care experts when needed

Find health information for you and your family refer to the Wellness page of our website.

I would like to know more about Depression…

Everyone feels sad sometimes. These feelings normally go away in a couple of days. Depression is different. It is a common, but serious illness.

Depression in New-Moms
New mothers need special care. Schedule a follow-up visit with your doctor four to six weeks after you baby is born. The doctor will check your physical health. He or she will also talk to you about your feelings and look for signs of postpartum depression. Once you have had your baby, you need to call your doctor and schedule a follow-up visit.
See: Postpartum Depression

Depression in Teens or Adolescents
Many of us think, “What does a teen have to be that unhappy about?” But teens can suffer from depression. Depression can have many causes. Many people are simply born with it, no matter what happens in their lives.
For more information, refer to this page: Depression and Suicide

I would like to know more about ADHD…

ADHD is short for Attention-Deficit/Hyperactivity Disorder. ADHD is one of the most common behavior disorders in children. As much as five percent of children in school may have ADHD. Boys are more likely than girls to have ADHD.

More information about ADHD in Children

More information about Teen and Adolescent / ADHD

BlueCare Tennessee Parent Guide to ADHD

I want to know more about Heart Health…

You have the power to lower your blood pressure and live a healthy, full life. High blood pressure, also called hypertension, raises your risk for heart disease, stroke, kidney disease, and damage to your eyes.

Visit our Heart Health page for more information.

I want to know more about Quitting Smoking...

Smoking is harmful to your health. It may also hurt those around you who might get ill from second hand smoke. Quitting can be hard, but help is available.

Visit our Smoking Cessation page or see our Smoking Cessation Postcard or the Smoking Cessation brochure for the help you need.

I want to know more about Diabetes…

Diabetes affects many parts of your life. Visit our Diabetes page of this website for helpful information.

I want to know more about when to take and when not to take Antibiotics…

How do you treat a cold or flu in adults and children? Antibiotics are not the answer and may be dangerous to you or your child’s long-term health.

More information on When to Take Antibiotics

Each year, BlueCare Tennessee’s Quality Improvement Program (QIP) reviews:

  • The quality of care our members get.
  • The suitability of care our members get.
  • The ease of getting care.

Our QIP works to prevent or improve certain health conditions. Every year, we check how many of our members get preventive care. This may include tests like breast cancer screenings or eye exams for members with diabetes. Getting these tests can show if you have a health problem and what treatment you need.  If caught early, many problems can be treated before they affect your long-term health.

Here’s how many members are getting preventive care:


Recommended Preventive Care

Percentage of members

What this means. . .

Breast Cancer Screening (Mammography)

61.22%

Only 6 out of 10 female members ages 52-74 had a mammogram in the past 3 years

Childhood Immunizations (Vaccines)

73.32%

Only 7 of 10 child members had the vaccines they needed by the time they were 2 years old

Eye Exam for members that have diabetes

54.23%

Only about half of diabetic members had a dilated eye exam last year

Follow-up Care for Children  who were prescribed medication for Attention Deficit Hyperactivity Disorder (ADHD)

45.81%

Less than half of children given this medication had a 30 day follow-up visit with their doctor

Controlling High Blood Pressure

60.71%

Only 6 out of 10 of members diagnosed with high blood pressure had this condition under control last year

Prenatal  (before birth) Care

81.77%

Only 8 in 10 pregnant members saw their doctor early in their pregnancy

Postpartum (after birth) Care

64.36%

Only 6 out of 10 of members who were new mothers saw their doctor within 3 to 8 weeks after delivery

We also want to make sure you can get care when you need it. In a recent survey, 90 percent of you said you were “Getting Care Quickly.”  This means that you were able to get an appointment at your doctor’s office as soon as you thought you needed one.  In addition, you said you were happy with your doctor, your health plan and your overall health care.

The National Committee for Quality Assurance (NCQA) scored our QIP and recognized our efforts. Our scores from them show that we are:

  • Committed to quality
  • Showing how we provide quality of care and services
  • Measuring care you receive (like the screenings mentioned above)
  • Finding out how you feel about your care
  • Meeting guidelines for protecting and improving your health

For more details, please send requests to:

BlueCare Tennessee Quality Improvement
Attn: Clinical Improvement 4.4
1 Cameron Hill Circle, Chattanooga, TN 37402