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Quality Performance Results

2024 Quality Performance Results:

ACO Quality Measure Number Measure
Name
Performance Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1] 10.17 9.44
110 Preventative Care and Screening: Influenza Immunization 71.98 68.60
112 Breast Cancer Screening 83.83 80.93
113 Colorectal Cancer Screening 84.15 77.81
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 91.84 81.46
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention

75.00

79.98
236 Controlling High Blood Pressure

88.14

79.49
318 Falls: Screening for Future Fall Risk

92.95

88.99
321 CAHPS for MIPS [2]

8.03

6.67
370 Depression Remission at Twelve Months

10.94

17.35
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82.21

86.50

479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]

0.1518

0.1517

[1] A lower performance rate corresponds to higher quality.
[2] For PY 2023, the CMS Web Interface measures Quality ID #438 and Quality ID #370 do not have benchmarks, and therefore, were not scored.
[3] CAHPS for MIPS is a composite measure, so numerator, denominator, and performance rate values are not applicable (N/A).

For previous years' Financial and Quality Performance Results, visit data.cms.gov.