Here are our most recent quality measures. In the past, it was hard to compare health care providers. Our physicians and their staff know that their quality measures will be reported to Medicare and publicly reported here at this site. By taking this challenge, we expect to demonstrate our value to our Medicare Fee-for-Service patients.
Quality Performance Results
2020 Quality Performance Results:
ACO# |
Measure Name |
Rate |
ACO Mean |
ACO-1 |
CAHPS: Getting Timely Care, Appointments, and Information |
N/A |
N/A |
ACO-2 |
CAHPS: How Well Your Providers Communicate |
N/A |
N/A |
ACO-3 |
CAHPS: Patients’ Rating of Provider |
N/A |
N/A |
ACO-4 |
CAHPS: Access to Specialists |
N/A |
N/A |
ACO-5 |
CAHPS: Health Promotion and Education |
N/A |
N/A |
ACO-6 |
CAHPS: Shared Decision Making |
N/A |
N/A |
ACO-7 |
CAHPS: Health Status/Functional Status |
N/A |
N/A |
ACO-34 |
CAHPS: Stewardship of Patient Resources |
N/A |
N/A |
ACO-45 |
Courteous and Helpful Office Staff |
N/A |
N/A |
ACO-46 |
Care Coordination |
N/A |
N/A |
ACO-8 |
Risk Standardized, All Condition Readmission |
N/A |
N/A |
ACO-38 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions |
N/A |
N/A |
ACO-43 |
Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) |
1.28 |
0.95 |
ACO-13 |
Falls: Screening for Future Fall Risk |
79.22 |
84.97 |
ACO-14 |
Preventive Care and Screening: Influenza Immunization |
74.62 |
76.03 |
ACO-17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
66.00 |
81.67 |
ACO-18 |
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan |
81.97 |
71.46 |
ACO-19 |
Colorectal Cancer Screening |
75.73 |
72.59 |
ACO-20 |
Breast Cancer Screening |
75.20 |
74.05 |
ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
81.79 |
83.37 |
ACO-49 |
Depression Remission at Twelve Months |
N/A |
N/A |
ACO-27 |
Diabetes Mellitus: Hemoglobin A1c Poor Control (>9%) |
10.57 |
14.70 |
ACO-28 |
Controlling High Blood Pressure |
69.76 |
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 Years’ Financial and Quality Performance Results, Please Visit data.cms.gov