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Quality Performance Results

2017 Performance Summary Statistics

ACO # Measure
Name
Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 88.18 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 93.85 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 92.06 92.45
ACO-4 CAHPS: Access to Specialists 85.05 81.50
ACO-5 CAHPS: Health Promotion and Education 63.78 59.26
ACO-6 CAHPS: Shared Decision Making 63.96 61.96
ACO-7 CAHPS: Health Status/Functional Status 72.00 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 28.18 26.26
ACO-8 Risk Standardized, All Condition Readmission 14.51 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.53 18.59
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 75.07 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 55.98 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.91 1.98
ACO-11 Use of Certified EHR Technology 99.11 98.20
ACO-12 Medication Reconciliation 90.31 85.91
ACO-13 Falls: Screening for Future Fall Risk 89.17 79.73
ACO-44 Imaging Studies for Low Back Pain 57.89 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 90.58 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults

88.53

75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 85.77 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation

90.00

72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

81.91

66.74
ACO-19 Colorectal Cancer Screening

74.72

68.27
ACO-20 Breast Cancer Screening

75.89

71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

80.87

81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control

11.96

15.51
ACO-41 Diabetes: Eye Exam

57.48

52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure

80.78

73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

85.66

88.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

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.