Percent of Patients with recommended care
Counties by Quintile
Western New York
Adherence to Antipsychotic
Medications for People Living
With Schizophrenia
Smoothed Percent
Countywide Percent
NIAGARA
Allegany
GENESEE
72
Cattaraugus
ORLEANS
70
ERIE
Chautauqua
WYOMING
61
Genesee
59
Erie
58
Niagara
58
Percent of Patients with recommended care
CHAUTAUQUA
Upstate
Lower
Average
Higher
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
A. Behavioral Health
63
Western NY
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
59
Number of recipients included in these data
Erie
Niagara
Chautauqua
Cattaraugus
ALLEGANY
No data
65
Statewide
CATTARAUGUS
1,396
252
153
83
Allegany
Genesee
Wyoming
Orleans
36
32
<30
<30
The percentage of recipients living with schizophrenia, ages 19
to 64 years, during the measurement year who were dispensed
and remained on an antipsychotic medication for at least 80%
of their treatment period.
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Percent of Patients with recommended care
Counties by Quintile
Western New York
Antidepressant Medication
Management - Effective
Treatment for Acute Phase
Smoothed Percent
Countywide Percent
NIAGARA
ORLEANS
GENESEE
Allegany
59
Niagara
59
ERIE
WYOMING
Chautauqua
57
Cattaraugus
51
Erie
Percent of Patients with recommended care
CHAUTAUQUA
49
CATTARAUGUS
ALLEGANY
Lower
Average
Higher
No data
Western NY
52
Upstate
51
Statewide
49
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
A. Behavioral Health
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
The percentage of recipients who remained on antidepressant
medication during the entire 12-week acute treatment phase.
Number of recipients included in these data
Erie
Chautauqua
Niagara
Cattaraugus
576
183
160
74
Allegany
Genesee
Wyoming
Orleans
39
<30
<30
<30
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Percent of Patients with recommended care
Counties by Quintile
Western New York
Diabetes Monitoring for
People Living With Diabetes
and Schizophrenia
Smoothed Percent
Countywide Percent
NIAGARA
ORLEANS
GENESEE
Erie
74
Niagara
74
ERIE
WYOMING
Chautauqua
58
Percent of Patients with recommended care
Western NY
70
CHAUTAUQUA
CATTARAUGUS
ALLEGANY
Lower
Average
Higher
No data
Statewide
68
Upstate
66
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
A. Behavioral Health
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
Number of recipients included in these data
Erie
Niagara
Chautauqua
Cattaraugus
322
47
36
<30
Genesee
Allegany
Orleans
Wyoming
<30
<30
<30
<30
The percentage of recipients living with schizophrenia and
diabetes, ages 18 to 64 years, who had both an LDL-C test and
an HbA1c test during the measurement year.
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Percent of Patients with recommended care
Counties by Quintile
Western New York
Diabetes Screening for People
Living With Schizophrenia or
Bipolar Disorder Who Are
Smoothed Percent
Countywide Percent
NIAGARA
Chautauqua
79
Niagara
79
ORLEANS
GENESEE
ERIE
Orleans
WYOMING
76
Erie
70
Allegany
69
Percent of Patients with recommended care
CHAUTAUQUA
Cattaraugus
68
ALLEGANY
Lower
Average
Higher
No data
Statewide
79
Upstate
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
A. Behavioral Health
77
Western NY
72
Number of recipients included in these data
Erie
Niagara
Chautauqua
Cattaraugus
CATTARAUGUS
1,039
215
135
84
Allegany
Orleans
Genesee
Wyoming
52
38
<30
<30
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
The percentage of recipients living with schizophrenia or bipolar
disorder, ages 18 to 64 years, who were dispensed an
antipsychotic medication and had a diabetes screening test
during the measurement year.
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Percent of Patients with recommended care
Counties by Quintile
Western New York
Follow-up After
Hospitalization for Mental
Illness within 30 Days
Smoothed Percent
Countywide Percent
NIAGARA
Genesee
ORLEANS
75
Wyoming
GENESEE
70
Allegany
67
Chautauqua
67
Erie
ERIE
WYOMING
58
Percent of Patients with recommended care
Cattaraugus
56
Niagara
56
CHAUTAUQUA
Orleans
60
Upstate
59
Number of recipients included in these data
Allegany
Genesee
Wyoming
Orleans
Average
Higher
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
55
2,074
793
504
275
Lower
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
A. Behavioral Health
Western NY
Erie
Niagara
Chautauqua
Cattaraugus
ALLEGANY
No data
49
Statewide
CATTARAUGUS
130
121
76
67
The percentage of recipients who were seen on an ambulatory
basis or who were in intermediate treatment with a mental
health provider within 30 days of discharge following a mental
health related admission.
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Percent of Patients with recommended care
Counties by Quintile
Western New York
Follow-Up Care for Children
Prescribed ADHD MedicationInitiation Phase
Smoothed Percent
Countywide Percent
NIAGARA
Niagara
ORLEANS
67
Genesee
GENESEE
61
Wyoming
59
Cattaraugus
ERIE
WYOMING
54
Allegany
53
Chautauqua
53
Erie
53
Percent of Patients with recommended care
CHAUTAUQUA
Orleans
ALLEGANY
Lower
Average
Higher
No data
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
A. Behavioral Health
44
Statewide
57
Western NY
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
55
Upstate
51
Number of recipients included in these data
Erie
Niagara
Chautauqua
Cattaraugus
CATTARAUGUS
799
226
219
112
Allegany
Genesee
Orleans
Wyoming
80
71
50
44
The percentage of children with a new prescription for ADHD
medication and who had one follow-up visit with a practitioner
within the 30 days after starting the medication.
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Percent of Patients with recommended care
Counties by Quintile
Western New York
Initiation of Alcohol and Other
Drug Dependence Treatment
Smoothed Percent
Countywide Percent
NIAGARA
Wyoming
ORLEANS
90
Allegany
86
Genesee
86
Niagara
84
Erie
83
Orleans
83
GENESEE
ERIE
WYOMING
Percent of Patients with recommended care
CHAUTAUQUA
Chautauqua
78
Cattaraugus
77
Western NY
ALLEGANY
Lower
Average
Higher
No data
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
A. Behavioral Health
83
Statewide
78
Upstate
78
Number of recipients included in these data
Erie
Niagara
Chautauqua
Cattaraugus
CATTARAUGUS
6,389
1,534
856
405
Allegany
Genesee
Orleans
Wyoming
311
285
237
123
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
The percentage of recipients who initiated treatment within 14
days of the diagnosis after the first new episode of alcohol or
drug dependence, .
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Percent of Patients with recommended care
Counties by Quintile
Western New York
Comprehensive Diabetes Care
HbA1c Testing
Smoothed Percent
Countywide Percent
NIAGARA
Wyoming
ORLEANS
83
Erie
GENESEE
78
Niagara
73
Chautauqua
ERIE
WYOMING
68
Orleans
60
Percent of Patients with recommended care
Cattaraugus
58
CHAUTAUQUA
Genesee
52
Allegany
CATTARAUGUS
ALLEGANY
Lower
Average
Higher
No data
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
C. Diabetes
46
Statewide
80
Upstate
76
Western NY
73
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
The percentage of recipients living with diabetes who received
at least one Hemoglobin A1c (HbA1c) test within the past year.
Number of recipients included in these data
Erie
Niagara
Chautauqua
Cattaraugus
6,624
1,440
1,033
557
Allegany
Genesee
Orleans
Wyoming
348
290
254
142
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Percent of Patients with recommended care
Counties by Quintile
Western New York
Cervical Cancer Screening
Smoothed Percent
Countywide Percent
NIAGARA
Chautauqua
66
Erie
66
Niagara
65
Cattaraugus
GENESEE
ERIE
WYOMING
63
Allegany
62
Wyoming
62
ORLEANS
Percent of Patients with recommended care
CHAUTAUQUA
Genesee
59
Orleans
ALLEGANY
Lower
Average
Higher
No data
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
E. HIV/AIDS
57
Statewide
67
Western NY
65
Upstate
63
Number of recipients included in these data
Erie
Niagara
Chautauqua
Cattaraugus
CATTARAUGUS
32,584
7,526
5,335
2,811
Allegany
Genesee
Orleans
Wyoming
1,737
1,652
1,334
972
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
The percentage of women, ages 24 to 64 years, who had had
cervical cytology performed every 3 years or women, ages 30 to
64 years, who had cervical cytology/human papillomavirus
(HPV) co-testing performed every 5 years.
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Percent of Patients with recommended care
Counties by Quintile
Western New York
Chlamydia Screening Among
Young Women
Smoothed Percent
Countywide Percent
NIAGARA
Erie
ORLEANS
68
Niagara
GENESEE
62
Chautauqua
58
Orleans
ERIE
WYOMING
54
Genesee
53
Percent of Patients with recommended care
Wyoming
38
CHAUTAUQUA
Allegany
Cattaraugus
32
ALLEGANY
Lower
Average
Higher
No data
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
E. HIV/AIDS
28
Statewide
66
Western NY
62
Upstate
58
Number of recipients included in these data
Erie
Niagara
Chautauqua
Cattaraugus
CATTARAUGUS
8,138
1,774
1,542
705
Allegany
Genesee
Orleans
Wyoming
420
391
331
240
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
The percentage of sexually active young women, ages 16 to 24
years, who had at least one test for chlamydia during the
measurement year.
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Percent of Patients with recommended care
Counties by Quintile
Western New York
Comprehensive Care for
People Living with HIV or
AIDS - Engagement in Care
Smoothed Percent
Countywide Percent
NIAGARA
ORLEANS
GENESEE
Erie
87
Chautauqua
86
ERIE
WYOMING
Niagara
84
Upstate
Percent of Patients with recommended care
90
CHAUTAUQUA
CATTARAUGUS
ALLEGANY
Lower
Average
Higher
No data
Statewide
89
Western NY
87
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
E. HIV/AIDS
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
Number of recipients included in these data
Erie
Niagara
Chautauqua
Cattaraugus
509
44
44
<30
Allegany
Orleans
Genesee
Wyoming
<30
<30
<30
<30
The percentage of recipients living with HIV/AIDS, ages 2 years
and older, who had two visits for primary care or HIV related
care with at least one visit during each half of the past year.
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Percent of Patients with recommended care
Counties by Quintile
Western New York
Comprehensive Care for
People Living with HIV or
AIDS - Syphilis Screening
Smoothed Percent
Countywide Percent
NIAGARA
ORLEANS
GENESEE
Chautauqua
ERIE
76
WYOMING
Niagara
65
Erie
62
Statewide
Percent of Patients with recommended care
69
CHAUTAUQUA
CATTARAUGUS
ALLEGANY
Lower
Average
Higher
No data
Western NY
63
Upstate
59
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
E. HIV/AIDS
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
The percentage of recipients living with HIV/AIDS, ages 19 years
and older, who were screened for syphilis in the past year.
Number of recipients included in these data
Erie
Niagara
Chautauqua
Cattaraugus
499
43
42
<30
Allegany
Genesee
Orleans
Wyoming
<30
<30
<30
<30
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Percent of Patients with recommended care
Counties by Quintile
Western New York
Comprehensive Care for
People Living with HIV or
AIDS - Viral Load Monitoring
Smoothed Percent
Countywide Percent
NIAGARA
ORLEANS
GENESEE
Erie
76
Niagara
75
ERIE
WYOMING
Chautauqua
68
Western NY
Percent of Patients with recommended care
75
CHAUTAUQUA
CATTARAUGUS
ALLEGANY
Lower
Average
Higher
No data
Statewide
66
Upstate
64
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
E. HIV/AIDS
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
Number of recipients included in these data
Erie
Niagara
Chautauqua
Cattaraugus
509
44
44
<30
Allegany
Orleans
Genesee
Wyoming
<30
<30
<30
<30
The percentage of recipients living with HIV/AIDS, ages 2 years
and older, who had two viral load tests performed with at least
one test during each half of the past year.
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Percent of Patients with recommended care
Counties by Quintile
Western New York
Well-Child Visits in the First 15
Months of Life
Smoothed Percent
Countywide Percent
NIAGARA
Genesee
90
Orleans
89
Wyoming
89
Erie
88
Allegany
87
Cattaraugus
86
Niagara
86
Chautauqua
85
ORLEANS
GENESEE
ERIE
WYOMING
Percent of Patients with recommended care
CHAUTAUQUA
Western NY
88
Upstate
87
Statewide
85
CATTARAUGUS
ALLEGANY
Lower
Average
Higher
No data
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
F. Perinatal Care
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
The percentage of children who had five or more well-child visits
with a primary care provider in their first 15 months of life.
Number of recipients included in these data
Erie
Niagara
Chautauqua
Cattaraugus
3,949
960
719
392
Allegany
Genesee
Orleans
Wyoming
252
176
170
145
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Percent of Patients with recommended care
Counties by Quintile
Western New York
Breast Cancer Screening
Among Women
Smoothed Percent
Countywide Percent
NIAGARA
Chautauqua
ORLEANS
62
Erie
50
Niagara
50
Allegany
48
Cattaraugus
48
GENESEE
ERIE
WYOMING
Percent of Patients with recommended care
Genesee
46
Orleans
46
CHAUTAUQUA
Wyoming
Lower
ALLEGANY
Average
Higher
No data
Delivery System Reform Incentive Payment
Other Clinical Improvement Process Metrics
45
Statewide
63
Upstate
55
Western NY
50
Number of recipients included in these data
Erie
Niagara
Chautauqua
Cattaraugus
CATTARAUGUS
11,661
2,514
1,767
966
Allegany
Genesee
Orleans
Wyoming
609
505
401
301
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
The percentage of women, ages 50 to 74 years, who had a
mammogram anytime on or between October 1 two years prior
to the measurement year and December 31 of the measurement
year.
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Percent of Patients with recommended care
Counties by Quintile
Western New York
Colorectal Cancer Screening
Smoothed Percent
Countywide Percent
NIAGARA
Chautauqua
ORLEANS
52
Cattaraugus
42
Niagara
42
Erie
GENESEE
ERIE
WYOMING
38
Wyoming
35
Percent of Patients with recommended care
Allegany
34
CHAUTAUQUA
Genesee
33
Orleans
CATTARAUGUS
ALLEGANY
Lower
Average
Higher
No data
Delivery System Reform Incentive Payment
Other Clinical Improvement Process Metrics
26
Statewide
49
Upstate
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
41
Western NY
40
The percentage of adults, ages 50 to 75 years, who had
appropriate screening for colorectal cancer.
Number of recipients included in these data
Erie
Niagara
Chautauqua
Cattaraugus
10,655
2,255
1,515
836
Allegany
Genesee
Orleans
Wyoming
560
378
312
234
ZIP Codes combined so at least 30 recipients are included in areas.
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH