Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Adult Acute Conditions Composite Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services Prevention Quality Indicators (PQI91) Medicaid Recipients 2011-2012 Countywide Rates Delaware 678 Broome Ratio of Observed to Expected Admissions 621 Lower Tompkins 270 Chenango 268 Upstate 566 Statewide Average Higher No admissions 527 Tioga CHENANGO TOMPKINS 555 Southern Tier 524 TIOGA Number of avoidable visits Broome Delaware Tompkins Smoothed Rates 412 108 99 Chenango Tioga BROOME DELAWARE 56 39 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Adult Chronic Conditions Composite Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services Prevention Quality Indicators (PQI92) Medicaid Recipients 2011-2012 Countywide Rates Broome 1165 Delaware Ratio of Observed to Expected Admissions 1039 Lower Tompkins Average 660 494 Statewide 1294 Upstate CHENANGO TOMPKINS 1213 Southern Tier 952 TIOGA Number of avoidable visits Broome Delaware Tompkins Higher No admissions 791 Tioga Chenango Smoothed Rates 627 123 120 Chenango Tioga BROOME DELAWARE 76 68 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Adult Overall Composite Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services Prevention Quality Indicators (PQI90) Medicaid Recipients 2011-2012 Countywide Rates Broome 1805 Delaware Ratio of Observed to Expected Admissions 1768 Lower Tompkins Average 927 774 Statewide 1848 Upstate CHENANGO TOMPKINS 1783 Southern Tier 1497 TIOGA Number of avoidable visits Broome Delaware Tompkins Higher No admissions 1347 Tioga Chenango Smoothed Rates 1,039 231 219 Chenango Tioga BROOME DELAWARE 132 107 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Visits per 100 Recipients Southern Tier Medicaid Avoidable Hospitalizations Emergency Department Visits for Ambulatory Sensitive Conditions Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services Potentially Preventable Visit (PPV) Medicaid Recipients 2011-2012 Countywide Rates Delaware 57 Chenango Ratio of Observed to Expected Admissions 55 Lower Tioga 34 Broome 33 Tompkins Average Higher No admissions 32 Upstate 39 Southern Tier 38 Statewide CHENANGO TOMPKINS 36 TIOGA Number of avoidable visits Broome Chenango Delaware Smoothed Rates 34,328 14,923 11,404 Tompkins Tioga BROOME DELAWARE 9,451 7,062 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Pediatric Acute Conditions Composite Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services Smoothed Rates Pediatric Quality Indicators (PDI91) Medicaid Recipients 2011-2012 Countywide Rates Delaware 75 Tioga Ratio of Observed to Expected Admissions Lower 62 Average Higher No admissions Broome 57 Tompkins 46 Statewide 75 CHENANGO TOMPKINS Upstate 54 Southern Tier 51 TIOGA Number of avoidable visits Broome Tompkins Tioga 9 2 2 Delaware BROOME DELAWARE 2 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Pediatric Chronic Conditions Composite Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services Smoothed Rates Pediatric Quality Indicators (PDI92) Medicaid Recipients 2011-2012 Countywide Rates Delaware 318 Broome Ratio of Observed to Expected Admissions 287 Lower Chenango 243 Tioga Average Higher No admissions 193 Tompkins 28 Statewide Southern Tier Upstate 238 156 TIOGA Number of avoidable visits Broome Chenango Delaware CHENANGO TOMPKINS 248 40 6 6 Tioga Tompkins BROOME DELAWARE 4 1 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Pediatric Overall Conditions Composite Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services Smoothed Rates Pediatric Quality Indicators (PDI90) Medicaid Recipients 2011-2012 Countywide Rates Delaware 386 Broome Ratio of Observed to Expected Admissions 342 Lower Tioga 256 Chenango Average Higher No admissions 217 Tompkins 79 Statewide Southern Tier 285 Upstate 210 TIOGA Number of avoidable visits Broome Delaware Chenango CHENANGO TOMPKINS 323 49 8 6 Tioga Tompkins BROOME DELAWARE 6 3 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Adult Angina Without Procedure Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics B. Cardiovascular Disease Smoothed Rates Prevention Quality Indicators (PQI13) Medicaid Recipients 2011-2012 Countywide Rates Tompkins 43 Delaware Ratio of Observed to Expected Admissions 41 Lower Average Higher No admissions Tioga 22 Broome 16 Chenango 8 CHENANGO TOMPKINS Statewide 27 Southern Tier 22 Upstate 22 TIOGA Number of avoidable visits Broome Tompkins Delaware 8 6 4 Tioga Chenango BROOME DELAWARE 2 1 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Adult Hypertension Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics B. Cardiovascular Disease Smoothed Rates Prevention Quality Indicators (PQI07) Medicaid Recipients 2011-2012 Countywide Rates Broome 68 Delaware Ratio of Observed to Expected Admissions 48 Lower Average Higher No admissions Tompkins 35 Tioga 14 Chenango 10 Statewide 104 Upstate 80 Southern Tier 49 TIOGA Number of avoidable visits Broome Tompkins Delaware CHENANGO TOMPKINS 28 4 4 Chenango Tioga BROOME DELAWARE 1 1 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations All Adult Circulatory Conditions Composite Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics B. Cardiovascular Disease Smoothed Rates Prevention Quality Indicators (PQI07 PQI08) Medicaid Recipients 2011-2012 Countywide Rates Broome 316 Delaware Ratio of Observed to Expected Admissions 304 Lower Tompkins Tioga Average Higher No admissions 262 142 Chenango 116 Statewide 422 Upstate 366 Southern Tier 261 TIOGA Number of avoidable visits Broome Tompkins Delaware CHENANGO TOMPKINS 152 35 33 Chenango Tioga BROOME DELAWARE 16 13 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Adult Diabetes Long-term Complications Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics C. Diabetes Smoothed Rates Prevention Quality Indicators (PQI03) Medicaid Recipients 2011-2012 Countywide Rates Broome 157 Tompkins Ratio of Observed to Expected Admissions 99 Lower Tioga Average Higher No admissions 77 Chenango 71 Delaware 65 Statewide Upstate Southern Tier 182 119 TIOGA Number of avoidable visits Broome Tompkins Chenango CHENANGO TOMPKINS 203 80 14 10 Delaware Tioga BROOME DELAWARE 7 7 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations All Adult Diabetes Composite Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics C. Diabetes Smoothed Rates Prevention Quality Indicators (PQI01 PQI03 PQI16) Medicaid Recipients 2011-2012 Countywide Rates Broome 355 Tompkins Ratio of Observed to Expected Admissions 285 Lower Tioga 247 Chenango Average Higher No admissions 190 Delaware 115 Statewide 372 Upstate 364 Southern Tier 287 TIOGA Number of avoidable visits Broome Tompkins Chenango CHENANGO TOMPKINS 198 45 28 Tioga Delaware BROOME DELAWARE 25 13 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations All Adult Respiratory Conditions Composite Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics D. Asthma Smoothed Rates Prevention Quality Indicators (PQI05 PQI15) Medicaid Recipients 2011-2012 Countywide Rates Delaware 589 Broome Ratio of Observed to Expected Admissions 485 Lower Tioga Tompkins Average Higher No admissions 261 248 Chenango 187 Statewide 500 Upstate 481 Southern Tier 397 TIOGA Number of avoidable visits Broome Delaware Tompkins CHENANGO TOMPKINS 277 77 40 Chenango Tioga BROOME DELAWARE 32 30 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Asthma in Younger Adults Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics D. Asthma Smoothed Rates Prevention Quality Indicators (PQI15) Medicaid Recipients 2011-2012 Countywide Rates Broome 124 Delaware Ratio of Observed to Expected Admissions 80 Lower Average Higher No admissions Chenango 40 Tioga 25 Tompkins 14 Statewide 135 Upstate 110 Southern Tier 85 TIOGA Number of avoidable visits Broome Delaware Chenango CHENANGO TOMPKINS 31 3 2 Tompkins Tioga BROOME DELAWARE 1 1 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Chronic Obstructive Pulmonary Disease and Asthma in Older Adults Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics D. Asthma Smoothed Rates Prevention Quality Indicators (PQI05) Medicaid Recipients 2011-2012 Countywide Rates Delaware 998 Broome Ratio of Observed to Expected Admissions 794 Lower Tioga 453 Tompkins 449 Average Higher No admissions Chenango 311 Statewide 814 Upstate 800 Southern Tier 662 TIOGA Number of avoidable visits Broome Delaware Tompkins CHENANGO TOMPKINS 246 74 39 Chenango Tioga BROOME DELAWARE 30 29 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Pediatric Asthma Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics D. Asthma Smoothed Rates Pediatric Quality Indicators (PDI14) Medicaid Recipients 2011-2012 Countywide Rates Delaware 413 Chenango Ratio of Observed to Expected Admissions 245 Lower Broome Tioga Tompkins 240 189 CHENANGO TOMPKINS 319 Southern Tier 244 186 TIOGA Number of avoidable visits Broome Delaware Tompkins Higher 205 Statewide Upstate Average No admissions 45 10 9 Chenango Tioga BROOME DELAWARE 7 5 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Adult Bacterial Pneumonia Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Prevention Quality Indicators (PQI11) Medicaid Recipients 2011-2012 Countywide Rates Delaware 344 Broome Ratio of Observed to Expected Admissions 315 Lower Tompkins Average Higher No admissions 265 Tioga 118 Chenango 107 Upstate Southern Tier 259 Statewide 258 TIOGA Number of avoidable visits Broome Delaware Tompkins 220 58 51 Chenango Tioga CHENANGO TOMPKINS 276 BROOME DELAWARE 24 18 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Adult Dehydration Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Prevention Quality Indicators (PQI10) Medicaid Recipients 2011-2012 Countywide Rates Delaware 145 Tompkins Ratio of Observed to Expected Admissions 102 Lower Broome Tioga Average Higher No admissions 69 58 Chenango 45 Upstate Statewide 106 Southern Tier 77 TIOGA Number of avoidable visits Broome Delaware Tompkins CHENANGO TOMPKINS 110 45 22 19 Chenango Tioga BROOME DELAWARE 9 8 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Adult Diabetes Short-term Complications Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Prevention Quality Indicators (PQI01) Medicaid Recipients 2011-2012 Countywide Rates Tompkins 151 Broome Ratio of Observed to Expected Admissions 130 Lower Tioga 119 Chenango Average Higher No admissions 100 Delaware 32 Upstate 128 Southern Tier 118 Statewide 113 TIOGA Number of avoidable visits Broome Tompkins Chenango CHENANGO TOMPKINS 88 29 17 Tioga Delaware BROOME DELAWARE 15 4 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Adult Heart Failure Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Prevention Quality Indicators (PQI08) Medicaid Recipients 2011-2012 Countywide Rates Broome 230 Delaware Ratio of Observed to Expected Admissions 211 Lower Tompkins Tioga Average Higher No admissions 179 101 Chenango 92 Statewide 292 Upstate 264 Southern Tier 188 TIOGA Number of avoidable visits Broome Tompkins Delaware CHENANGO TOMPKINS 116 25 25 Chenango Tioga BROOME DELAWARE 14 10 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Adult Uncontrolled Diabetes Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Prevention Quality Indicators (PQI14) Medicaid Recipients 2011-2012 Countywide Rates Broome 51 Ratio of Observed to Expected Admissions Tioga 27 Lower Average Higher No admissions Delaware 12 Chenango 9 Tompkins 8 Statewide Upstate 42 Southern Tier 33 TIOGA Number of avoidable visits Broome Tioga Tompkins CHENANGO TOMPKINS 46 24 2 1 Chenango Delaware BROOME DELAWARE 1 1 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Adult Urinary Tract Infection Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Prevention Quality Indicators (PQI12) Medicaid Recipients 2011-2012 Countywide Rates Broome 235 Delaware Ratio of Observed to Expected Admissions 186 Lower Tompkins 160 Chenango Tioga Average 118 94 Statewide CHENANGO TOMPKINS 192 Southern Tier 186 Upstate 179 TIOGA Number of avoidable visits Broome Tompkins Delaware Higher No admissions 147 29 28 Chenango Tioga BROOME DELAWARE 23 13 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Lower Extremity Amputation among Adults with Diabetes Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Prevention Quality Indicators (PQI16) Medicaid Recipients 2011-2012 Countywide Rates Broome 19 Tompkins 19 Ratio of Observed to Expected Admissions Lower Average Higher No admissions Tioga 18 Delaware 8 Upstate 18 CHENANGO TOMPKINS Statewide 18 Southern Tier 15 TIOGA Number of avoidable visits Broome Tompkins Tioga 11 3 2 Delaware BROOME DELAWARE 1 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Pediatric Diabetes Short-term Complications Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Pediatric Quality Indicators (PDI15) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Broome 123 Lower Average Higher No admissions Tioga 22 Chenango 19 Southern Tier 67 Upstate CHENANGO TOMPKINS Statewide 33 31 TIOGA BROOME DELAWARE Number of avoidable visits Broome Chenango Tioga 25 1 1 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Pediatric Gastroenteritis Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Pediatric Quality Indicators (PDI16) Medicaid Recipients 2011-2012 Countywide Rates Tompkins 153 Delaware Ratio of Observed to Expected Admissions 138 Lower Average Higher No admissions Broome 84 Chenango 73 Tioga 21 Statewide CHENANGO TOMPKINS 120 Upstate 94 Southern Tier 92 TIOGA Number of avoidable visits Broome Tompkins Delaware 21 11 6 Chenango Tioga BROOME DELAWARE 4 1 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Southern Tier Medicaid Avoidable Hospitalizations Pediatric Urinary Tract Infection Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Pediatric Quality Indicators (PDI18) Medicaid Recipients 2011-2012 Countywide Rates Broome 84 Tioga Ratio of Observed to Expected Admissions Lower 41 Average Higher No admissions Chenango 35 Tompkins 28 Southern Tier 57 CHENANGO TOMPKINS Statewide 52 Upstate 49 TIOGA Number of avoidable visits Broome Tompkins Chenango 20 2 2 Tioga BROOME DELAWARE 2 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH
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