Quality Performance Results

2017 Performance Summary Statistics

ACO # Measure
Name
Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 80.02 80.02
ACO-2 CAHPS: How Well Your Providers Communicate 91.70 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 90.96 92.31
ACO-4 CAHPS: Access to Specialists 83.80 83.32
ACO-5 CAHPS: Health Promotion and Education 64.37 62.30
ACO-6 CAHPS: Shared Decision Making 73.21 75.85
ACO-7 CAHPS: Health Status/Functional Status 73.44 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 32.54 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.92 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.20 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 51.88 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 68.18 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 54.08 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.74 1.93
ACO-11 Use of Certified EHR Technology 97.41 98.48
ACO-12 Medication Reconciliation 85.50 75.32
ACO-13 Falls: Screening for Future Fall Risk 81.97 74.38
ACO-44 Imaging Studies for Low Back Pain 62.79 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 90.77 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults

87.12

72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 80.61 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation

95.59

90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

82.53

61.98
ACO-19 Colorectal Cancer Screening

74.20

64.58
ACO-20 Breast Cancer Screening

76.09

70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

85.20

79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control

11.86

16.74
ACO-41 Diabetes: Eye Exam

58.01

50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure

77.14

71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

89.47

86.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

Note: In the Quality Performance Results file(s) above, search for “Methodist Patient Centered ACO” or “Methodist Alliance for Patients and Physicians” to view the quality performance results. This ACO can also be found by using the ACO ID A52780 in the public use files on data.cms.gov.