Quality Performance Results

Quality Performance Results Table

Measure Number

Performance measure

2012 reporting period

2013 reporting period

2014 reporting period

ACO
performance rate

Mean performance rate for all ACOs

ACO
performance rate

Mean performance rate for all ACOs

ACO
performance rate

Mean performance rate for all ACOs

ACO #1

Getting Timely Care, Appointments, and Information

85.35

81.69

83.36

81.48

81.61

80.13

ACO #2

How Well Your Doctors Communicate

94.24

92.84

94.42

92.96

91.86

92.39

ACO #3

Patients’ Rating of Doctor

93.30

91.86

92.88

92.06

92.05

91.58

ACO #4

Access to Specialists

87.62

85.11

88.36

85.12

82.97

83.97

ACO #5

Health Promotion and Education

63.48

56.61

65.09

58.38

63.43

52.29

ACO #6

Shared Decision Making

76.41

73.99

77.66

74.53

73.83

74.60

ACO #7

Health Status/Functional Status

73.51

70.35

72.41

71.12

73.65

71.10

ACO #8

Risk Standardized, All Condition Readmissions

15.84

15.42

15.04

14.90

16.72

15.15

ACO #9

ASC Admissions: COPD or Asthma in Older Adults

1.29

1.13

1.41

1.17

1.47

1.08

 

 

 

 

 

 

 

 

ACO
#10

ASC Admission: Heart Failure

1.43

1.09

1.64

1.20

1.54

1.19

ACO
#11

Percent of PCPs who Qualified for EHR Incentive Payment

73.58

63.37

58.46

66.21

84.38

76.71

ACO
#12

Medication Reconciliation

71.37

72.37

77.47

73.56

94.01

82.61

ACO
#13

Falls: Screening for Fall Risk

19.15

28.27

60.08

39.57

65.84

45.60

ACO
#14

Influenza Immunization

56.13

50.58

65.36

56.93

60.98

57.51

ACO
#15

Pneumococcal Vaccination

59.66

48.62

69.23

54.76

68.02

55.03

ACO
#16

Adult Weight Screening and Follow-up

79.07

53.91

78.53

61.61

74.37

66.75

ACO
#17

Tobacco Use Assessment and Cessation Intervention

90.85

80.12

92.49

84.01

94.37

86.79

ACO
#18

Depression Screening

16.84

22.48

50.36

31.19

52.88

39.27

ACO
#19

Colorectal Cancer Screening

62.92

50.21

68.50

59.30

63.51

56.14

ACO
#20

Mammography Screening

70.85

62.23

74.85

62.05

76.40

61.41

ACO
#21

Proportion of Adults who had blood pressure screened in past 2 years

89.25

71.56

86.07

74.25

44.86

60.24

ACO
#22

Hemoglobin A1c Control (HbA1c) (<8 percent)

68.46

N/A

71.37

N/A

71.06

N/A

ACO
#23

Low Density Lipoprotein (LDL) (<100 mg/dL)

59.73

N/A

61.55

N/A

N/A

N/A

ACO
#24

Blood Pressure (BP)
<140/90

73.15

N/A

77.30

N/A

81.88

N/A

ACO
#25

Tobacco Non Use

73.83

N/A

77.51

N/A

78.12

N/A

ACO
#26

Aspirin Use

82.61

N/A

97.35

N/A

96.61

N/A

ACO
#27

Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent)

18.79

25.94

15.95

 

15.53

20.35

ACO
#28

Percent of beneficiaries with hypertension whose BP <140/90

72.25

63.22

77.80

 

78.95

68.02

ACO
#29

Percent of beneficiaries with IVD with complete lipid profile and LDL control <100mg/dl

69.47

52.02

76.78

 

N/A

N/A

ACO
#30

Percent of beneficiaries with IVD who use Aspirin or other antithrombotic

81.84

72.60

90.31

 

88.68

80.79

ACO
#31

Beta-Blocker Therapy for LVSD

73.33

79.60

93.59

 

88.89

82.71

ACO #32

Drug Therapy for Lowering LDL Cholesterol

88.11

N/A

88.43

N/A

N/A

N/A

ACO
#33

ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD

77.88

N/A

85.77

N/A

84.31

N/A

Note: ASC = ambulatory sensitive conditions, COPD = chronic obstructive pulmonary disease, PCP = primary care physician, EHR = electronic health record, IVD = ischemic vascular disease, LVSD = left ventricular systolic dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.

For more information on how to interpret scores on the above quality performance measures, see https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/MSSP-QM-Benchmarks.pdf