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Quality Performance Results

2023 Quality Performance Results:

ACO Quality Measure Number Measure
Name
Rate All ACOs Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] 9.09 9.84
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 92.55 80.97
236 Controlling High Blood Pressure 83.27 77.80
318 Falls: Screening for Future Fall Risk 94.35 89.42
110 Preventative Care and Screening: Influenza Immunization 91.30 70.76
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention

100.0

79.29
113 Colorectal Cancer Screening

79.86

77.14
112 Breast Cancer Screening

82.55

80.36
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84.00

87.05
370 Depression Remission at Twelve Months

7.14

16.58

321 CAHPS for MIPS [3]

N/A

N/A

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

0.1397

0.1553
484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]

27.25

30.97
[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.