Quality Performance Results 2020

2020 Quality Performance Results:

ACO #

Measure Name

Rate

ACO Mean

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)

0.78

0.95

ACO-13

Falls: Screening for Future Fall Risk

85.77

84.97

ACO-14

Preventive Care and Screening: Influenza Immunization

67.72

76.03

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

41.18

81.67

ACO-18

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

72.76

71.46

ACO-19

Colorectal Cancer Screening

76.26

71.58

ACO-20

Breast Cancer Screening

72.53

74.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83.68

82.17

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

12.65

14.70

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

72.22

72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS® for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

For Previous Year's Financial and Quality Performance Results, Please Visit data.cms.gov.  

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.