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Thurston Medical Clinic Full Report

You should be given care that medical research has shown works best to catch health problems early, find out what's wrong, and help the most with the fewest side effects. These quality and cost scores show how this doctor's office rated at providing quality standards of care and provided care at a reasonable cost.

Thurston Medical Clinic

147 S 52nd Pl

Springfield, OR 97478

541-393-1600

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Women's Health	Score	Clinic Score	Statewide Average
Mammogram Testing for breast cancer using mammograms ? What is being measured? A mammogram is an x-ray of the inside of the breast to check for signs of breast cancer. When breast cancer starts, it is a very small lump and there are usually no symptoms. Mammograms can find breast cancer at an early stage when the lump is still too small for a woman or her doctor to feel it. This quality score is based on the percentage of women patients (ages 50-74) who had a mammogram during a recent two-year period. For this test, what is meant by better, average, and below? For each doctor's office, the percentage of patients who got a mammogram is turned into a quality score by comparing the percentage for that doctor's office to the statewide average of 67.7%. 'Better' means 79.40% or more women patients got a mammogram 'Average' means between 56.2% and 79.3% of women patients got a mammogram 'Below' means 56.10% or fewer women patients got a mammogram How can you use this information? If you are between the ages of 50-74, or there is a history of breast cancer in your family, talk with your doctor about whether a mammogram is right for you.		78.5%
Pap Test Testing for cervical cancer using a Pap smear test ? What is being measured? A Pap test checks for signs of cancer in the cervix (the cervix is the lower part of the uterus that opens into the vagina). For this test, a sample of cells from the cervix is checked under a microscope for signs of cervical cancer. Staying up-to-date on Pap tests is important because cervical cancer usually does not cause pain or symptoms until the cancer is at a late stage. This quality score is based on the percentage of women patients (ages 21 to 64) who got one or more Pap tests for cervical cancer during a recent 3-year period. For this test, what is meant by better, average, and below? For each doctor's office, the percentage of patients who got a Pap test is turned into a quality score by comparing the percentage for that doctor's office to the statewide average of 61.60%. 'Better' means 72.20% or more women patients got a Pap test 'Average' means between 51.2% and 72.1% of women patients got a Pap test 'Below' means 51.10% or fewer women patients got a Pap test How can you use this information? If you are between the ages of 21 to 64, or if there is a history of cervical cancer in your family, talk with your doctor about whether a Pap test is right for you		57.3%
Chlamydia Screening Testing for chlamydia infection which can lead to infertility ? What is being measured? Chlamydia is an infection that is spread by sexual contact. Since there are usually no symptoms, Chlamydia is sometimes called a 'silent' disease. If a person is tested and Chlamydia is found, the infection can be treated and cured with antibiotics. If a woman has Chlamydia and it is not found and treated, it can lead to pelvic inflammatory disease, which can cause infertility. A test for Chlamydia in women involves swabbing the vagina when doing a pelvic exam and can be done at the same time a woman receives a Pap test. Because Chlamydia is most common among young women, this website's quality information looks at what percentage of young women patients at each doctor's office got this test. The quality score is based on young women patients who made at least one visit to a doctor's office during a recent 1-year period. 'Young women patients' mean sexually active women ages 16–24. For this test, what is meant by better, average, and below? For each doctor's office, the percentage of patients who got a Chlamydia test is turned into a quality score by comparing the percentage for that doctor's office to the statewide average of 43.3%. 'Better' means 53.50% or more women patients got a Chlamydia test 'Average' means between 33.3% and 53.4% of women patients got a Chlamydia test Below' means 33.20% or fewer women patients got a Chlamydia test How can you use this information? Both in Oregon and nationwide, the low percentages for Chlamydia testing show that this type of testing is not done nearly as often as it should be. If you are a sexually active woman between the ages of 16 and 24, talk with your doctor about whether a Chlamydia test is right for you.		45.7%

Children's Health	Score	Clinic Score	Statewide Average
Developmental Screenings Children 1, 2 or 3 years old should have a developmental screening ? What is being measured? Providers use developmental screening to check if children are learning basic skills when they should, or if they might have problems. Your child's doctor may ask you questions or talk and play with your child during an exam to see how he or she learns, speaks, behaves, and moves. Since there is no lab or blood test to tell if your child might have a delay, the developmental screening will help identify if your child needs to see a specialist. This quality score shows whether children who turned ages 1, 2 or 3 during the measurement year had a developmental screening in the year before their birthday. For this test, what is meant by better, average, and below? For each doctor's office, the percentage of children who had a developmental screening in the year before their first, second or third birthday is turned into a quality score by comparing the percentage for that doctor's office to the statewide average of 68.70%. 'Better' means 88.90% or more of children had a developmental screening before their first, second or third birthday 'Average' means between 48.6% and 88.8% of children had a developmental screening before their first, second or third birthday 'Below' means 48.50% or fewer of children had a developmental screening before their first, second or third birthday
Well Child: 0-15 Months Children should have at least six visits from birth to 15 months old ? What is being measured? Routine well child visits are important for the health of your child. These visits are not the same as visits to a doctor when your child is sick. At well child visits, doctors check your child's height, weight, hearing, and vision to see how your child is developing. Your child's doctor will also ask questions about how your child is eating and behaving, and provide important preventive care, such as immunizations (shots to protect against childhood diseases). Well child visits are an opportunity for you to discuss questions and concerns that you may not be able to talk about during your child's sick visits. This quality score shows whether children up to 15 months old had at least six of the eight recommended well child visits at the doctors' office. For this test, what is meant by better, average, and below? For each doctor's office, the percentage of well child visits for children 0-15 months old is turned into a quality score by comparing the percentage for that doctor's office to the statewide average of 70.80% . 'Better' means 82.70% or more of children had six or more well child visits 'Average' means between 59.0% and 82.6% of children had six or more well child visits 'Below' means 58.90% or fewer of children had six or more well child visits
Well Child: 3-6 Years Children 3-6 years old should have at least one visit each year ? What is being measured? Routine well child visits are important for the health of your child. These visits are not the same as visits to a doctor when your child is sick. At well child visits, doctors check your child's height, weight, hearing, and vision to see how your child is developing. Your child's doctor will also ask questions about how your child is eating and behaving, and provide important preventive care, such as immunizations (shots to protect against childhood diseases). Well child visits are an opportunity for you to discuss questions and concerns that you may not be able to talk about during your child's sick visits. This quality score shows whether children ages 3, 4, 5, and 6 had at least one well child visit at this doctors' office during the measurement year. For this test, what is meant by better, average, and below? For each doctor's office, the percentage of well child visits for children 3-6 years old is turned into a quality score by comparing the percentage for that doctor's office to the statewide average of 62.00% . 'Better' means 76.00% or more of children ages 3-6 had a well child visit 'Average' means between 48.1% and 75.9% of children ages 3-6 had a well child visit 'Below' means 48.00% or fewer of children ages 3-6 had a well child visit

Using Antibiotics	Score	Clinic Score	Statewide Average
Avoiding Antibiotics for Acute Bronchitis You or your child do not need an antibiotic for acute bronchitis ? What is being measured? Patients do not usually need an antibiotic for acute bronchitis. The quality scores show patients (ages 3 months and older) with acute bronchitis who were NOT given an antibiotic. The less often an antibiotic is given, the higher the quality score. For this test, what is meant by better, average, and below? For each doctor's office, the percentage of patients with acute bronchitis who were not given an antibiotic is turned into a quality score by comparing the percentage for that doctor's office to the statewide average of 62.80%. 'Better' means 83.40% or more of patients with acute bronchitis were not given an antibiotic 'Average' means between 42.2% and 83.3% of patients with acute bronchitis infection were not given an antibiotic 'Below' means 42.10% or fewer of patients with acute bronchitis infection were not given an antibiotic		43.1%
Strep Tests Tells a doctor whether you or your child needs an antibiotic ? What is being measured? A strep test is test for a type of bacterial infection. A strep test is usually done at a doctor's office. If strep is present, a prescription for antibiotics is appropriate. If no strep infection is present, antibiotics should not be used. The quality scores show whether patients (ages 3 years and older) with a sore throat were given a strep test before getting an antibiotic. The more strep tests that were given, the higher the quality score. For this test, what is meant by better, average, and below? For each doctor's office, the percentage of patients with sore throats who received a strep test before getting an antibiotic is turned into a quality score by comparing the percentage for that doctor's office to the statewide average of 82.10%. 'Better' means 92.40% or more of patients received a strep test before an antibiotic was prescribed 'Average' means between 72.0% and 92.3% of patients received a strep test before an antibiotic was prescribed 'Below' means 71.90% or fewer of patients received a strep test before an antibiotic was prescribed
Avoiding Antibiotics for Upper Respiratory Infections You or your child does not usually need an antibiotic for an upper respiratory infection ? What is being measured? Patients do not usually need an antibiotic for upper respiratory infections, including sinus infections. The quality scores show patients (ages 3 months and older) with an upper respiratory infection who were NOT given an antibiotic. The less often an antibiotic is given, the higher the quality score. For this test, what is meant by better, average, and below? For each doctor's office, the percentage of patients with upper respiratory infections who were not given an antibiotic is turned into a quality score by comparing the percentage for that doctor's office to the statewide average of 92.30%. 'Better' means 98.90% of children with an upper respiratory infection were not given an antibiotic 'Average' means between 85.9% and 98.8% of children with an upper respiratory infection were not given an antibiotic 'Below' means 85.80% or fewer of children with an upper respiratory infection were not given an antibiotic		90.1%

Adolescent Health	Score	Clinic Score	Statewide Average
Adolescent Well Care Adolescents 12 to 21 should have one visit per year ? What is being measured? Well care visits give health care providers an opportunity to help teenagers who are at risk for preventable health problems. Counseling and treatment can help youngsters avoid or recover from problems like addictive behaviors towards alcohol, smoking and drug use; eating or mental disorders; sexually transmitted diseases and pregnancy. This quality score shows whether adolescents ages 12 to 21 had at least one well child visit at this doctors' office during the measurement year. For this test, what is meant by better, average, and below? For each doctor's office, the percentage of well visits for adolescents 12-21 years old is turned into a quality score by comparing the percentage for that doctor's office to the statewide average of 32.3%. 'Better' means46.40% or more of adolescents age 12-21 had a well child visit 'Average' means between 18.3% and 46.3% of adolescents age 12-21 had a well child visit 'Below' means 18.20% or fewer of adolescents age 12-21 had a well child visit		19.1%

Chronic Conditions	Score	Clinic Score	Statewide Average
Blood Sugar Test Measures level of blood sugar during past 3 months ? What is being measured? The 'A-1-C' test is a blood test that measures the average level of blood sugar during the past 2 or 3 months. If you have diabetes, the A-1-C test is different from blood testing you might do yourself. When you test your blood, you find out what your blood sugar is at the moment you do the test. But when you have the A-1-C laboratory blood test, you find out how well your blood sugar has been controlled, on average, over a period of time. Often, there are no symptoms to warn people when their blood sugar has been staying too high. To know for sure whether blood sugar is staying at a healthy level or not, people with diabetes need to have an A-1-C test at least twice a year. Keeping blood sugar close to normal helps prevent or delay the health problems that can happen when people have diabetes. The quality score is based on the percentage of adult patients (ages 18-75) with diabetes who got the A-1-C blood sugar test at least once during a recent one-year period. For this test, what is meant by better, average, and below? For each doctor's office, the percentage of patients with diabetes who got an A-1-C test is turned into a quality score by comparing the percentage for that doctor's office to the statewide average of 87.00%. 'Better' means 94.10% of patients got the A-1-C test 'Average' means between 80.0% and 94.0% of patients got the A-1-C test 'Below means 79.90% or fewer of patients got the A-1-C test How can you use this information? If you have diabetes, talk with your doctor about whether it is time for your next A-1-C blood sugar test.		93.9%

Adult Cost & Quality	Score	Clinic Score	Statewide Average
Adult Total Cost Index Provides care at a reasonable cost ? What is being measured? The cost index measures the price of services and the number and type of services that a patient uses. These services can be received at a primary care doctor’s office, or another location like a hospital or specialist office. Primary care doctors’ offices provide their patients with basic and preventive care, and often manage referrals to other services. This measure includes all the services a patient gets across settings to show how primary care doctors are managing costs associated with their patients. For this score – what is meant by Lower than Average Cost, Average Cost, and Higher than Average Cost? This score shows whether a doctor’s patients are getting care that is: Lower than Average Cost – cost is below the state average Average Cost – cost is equivalent to the state average Higher than Average Cost – cost is above the state average		101.1%	100.0%
Adult Quality of Care Composite Measure Uses treatments proven to be effective ? What is being measured? We calculate the scores for “Quality Composite Index” for each doctor’s office by measuring and combining two components: the quality of preventive care and chronic illness services the doctor provides, and how often their patients use the emergency department or are hospitalized when it could have been avoided. For this score – what is meant by better, average or below? This score shows whether doctor’s offices are providing care that is: Better – quality is above the average of doctors’ offices in the state Average – quality scored close to the middle of doctors’ offices in the state Below – quality is below average of doctors’ offices in the state		79.2%	100.0%

Pediatric Cost & Quality	Score	Clinic Score	Statewide Average
Pediatric Total Cost Index Provides care at a reasonable cost ? What is being measured? The cost index measures the price of services and the number and type of services that a patient uses. These services can be received at a primary care doctor’s office, or another location like a hospital or specialist office. Primary care doctors’ offices provide their patients with basic and preventive care, and often manage referrals to other services. This measure includes all the services a patient gets across settings to show how primary care doctors are managing costs associated with their patients. For this score – what is meant by Lower than Average Cost, Average Cost, and Higher than Average Cost? This score shows whether a doctor’s patients are getting care that is: Lower than Average Cost – cost is below the state average Average Cost – cost is equivalent to the state average Higher than Average Cost – cost is above the state average			100.0%
Pediatric Quality of Care Composite Measure Uses treatments proven to be effective ? What is being measured? We calculate the scores for “Quality Composite Index” for each doctor’s office by measuring and combining two components: the quality of preventive care and chronic illness services the doctor provides, and how often their patients use the emergency department or are hospitalized when it could have been avoided. For this score – what is meant by better, average or below? This score shows whether doctor’s offices are providing care that is: Better – quality is above the average of doctors’ offices in the state Average – quality scored close to the middle of doctors’ offices in the state Below – quality is below average of doctors’ offices in the state			100.0%

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Thurston Medical Clinic Full Report

Mammogram

Pap Test

Chlamydia Screening

Developmental Screenings

Well Child: 0-15 Months

Well Child: 3-6 Years

Avoiding Antibiotics for Acute Bronchitis

Strep Tests

Avoiding Antibiotics for Upper Respiratory Infections

Adolescent Well Care

Blood Sugar Test

Adult Total Cost Index

Adult Quality of Care Composite Measure

Pediatric Total Cost Index

Pediatric Quality of Care Composite Measure