Avoidable Hospitalization

Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Adult Acute Conditions Composite
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
1257
Cayuga
ONEIDA
763
Onondaga
706
Oneida
ONONDAGA
CAYUGA
665
MADISON
Ratio of Observed to Expected Admissions
Oswego
566
Madison
559
Lower
701
Upstate
566
Statewide
555
898
587
209
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
Number of avoidable visits
Onondaga
Oneida
Oswego
Higher
No admissions
CORTLAND
Central NY
Average
Cortland
Cayuga
Madison
202
171
112
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Adult Chronic Conditions Composite
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
1974
Oneida
ONEIDA
1593
Cayuga
1429
Madison
ONONDAGA
CAYUGA
1307
MADISON
Ratio of Observed to Expected Admissions
Onondaga
1253
Lower
Oswego
1221
1390
Statewide
1294
Upstate
1213
Number of avoidable visits
Onondaga
Oneida
Oswego
1,467
1,129
341
Cayuga
Cortland
Madison
Higher
No admissions
CORTLAND
Central NY
Average
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
241
232
189
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Adult Overall Composite
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
3326
Oneida
2254
Cayuga
2224
Onondaga
ONEIDA
ONONDAGA
CAYUGA
1968
MADISON
Ratio of Observed to Expected Admissions
Madison
1866
Lower
Oswego
1796
Statewide
Upstate
2104
1848
1783
2,365
1,715
550
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
Number of avoidable visits
Onondaga
Oneida
Oswego
Higher
No admissions
CORTLAND
Central NY
Average
Cortland
Cayuga
Madison
434
412
301
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Visits per 100 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Emergency Department Visits for
Ambulatory Sensitive Conditions
Smoothed Rates
Countywide Rates
OSWEGO
Madison
48
Cayuga
ONEIDA
42
Oneida
41
Cortland
39
ONONDAGA
CAYUGA
MADISON
Ratio of Observed to Expected Admissions
Onondaga
36
Lower
Oswego
28
Upstate
39
37
Statewide
36
Number of avoidable visits
Onondaga
Oneida
Oswego
76,651
51,809
17,415
Cayuga
Madison
Cortland
Higher
No admissions
CORTLAND
Central NY
Average
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
14,002
13,809
9,370
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Pediatric Acute Conditions
Composite
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
88
Madison
ONEIDA
73
Oneida
61
Onondaga
ONONDAGA
CAYUGA
53
MADISON
Ratio of Observed to Expected Admissions
Cayuga 40
Lower
Oswego 32
Higher
No admissions
CORTLAND
Statewide
75
Central NY
54
Upstate
54
Number of avoidable visits
Onondaga
Oneida
Oswego
Average
20
13
3
Madison
Cortland
Cayuga
Delivery System Reform Incentive Payment
Domain 2: System Transformation Metrics
A. Create Integrated Delivery System
Potentially Avoidable Services
Pediatric Quality Indicators (PDI91)
Medicaid Recipients
2011-2012
3
3
2
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Pediatric Chronic Conditions
Composite
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
257
Cayuga
ONEIDA
181
Oswego
176
Oneida
ONONDAGA
CAYUGA
151
MADISON
Ratio of Observed to Expected Admissions
Onondaga 104
Lower
Madison 35
Higher
No admissions
CORTLAND
Statewide
248
Upstate
156
Central NY 127
Delivery System Reform Incentive Payment
Domain 2: System Transformation Metrics
A. Create Integrated Delivery System
Potentially Avoidable Services
Pediatric Quality Indicators (PDI92)
Medicaid Recipients
2011-2012
Number of avoidable visits
Onondaga
Oneida
Oswego
Average
44
29
11
Cayuga
Cortland
Madison
7
6
1
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Pediatric Overall Conditions
Composite
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
348
Cayuga
ONEIDA
219
Oneida
213
Oswego
ONONDAGA
CAYUGA
201
MADISON
Ratio of Observed to Expected Admissions
Onondaga
155
Lower
Madison 129
Higher
No admissions
CORTLAND
Statewide
323
Upstate
210
Central NY
182
Number of avoidable visits
Onondaga
Oneida
Oswego
Average
64
42
14
Cayuga
Cortland
Madison
Delivery System Reform Incentive Payment
Domain 2: System Transformation Metrics
A. Create Integrated Delivery System
Potentially Avoidable Services
Pediatric Quality Indicators (PDI90)
Medicaid Recipients
2011-2012
9
9
4
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Adult Angina Without Procedure
Smoothed Rates
Countywide Rates
OSWEGO
Cayuga
46
ONEIDA
Oswego 27
Cortland 19
ONONDAGA
CAYUGA
Onondaga 12
MADISON
Ratio of Observed to Expected Admissions
Oneida 10
Lower
Madison 8
Average
Higher
No admissions
CORTLAND
Statewide 27
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
Upstate 22
Central NY 15
Prevention Quality Indicators (PQI13)
Medicaid Recipients
2011-2012
Number of avoidable visits
Onondaga
Oswego
Cayuga
13
7
7
Oneida
Cortland
Madison
6
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
Central New York
Medicaid Avoidable Hospitalizations
Adult Hypertension
Smoothed Rates
Countywide Rates
OSWEGO
Oswego
141
Cortland
ONEIDA
88
Oneida
76
Madison
ONONDAGA
CAYUGA
70
MADISON
Ratio of Observed to Expected Admissions
Onondaga
63
Lower
Cayuga 33
Higher
No admissions
CORTLAND
Statewide
104
Upstate
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
80
Central NY
73
Number of avoidable visits
Onondaga
Oneida
Oswego
Average
66
43
26
Madison
Cortland
Cayuga
Prevention Quality Indicators (PQI07)
Medicaid Recipients
2011-2012
7
7
4
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
All Adult Circulatory Conditions
Composite
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
516
Cayuga
ONEIDA
470
Oneida
459
Onondaga
ONONDAGA
CAYUGA
396
MADISON
Ratio of Observed to Expected Admissions
Oswego
344
Madison
337
Lower
Statewide
422
Central NY
415
366
Number of avoidable visits
Onondaga
Oneida
Oswego
442
307
77
Cayuga
Cortland
Madison
Higher
No admissions
CORTLAND
Upstate
Average
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
Prevention Quality Indicators (PQI07 PQI08)
Medicaid Recipients
2011-2012
72
54
43
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Adult Diabetes Long-term
Complications
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
358
Oneida
212
Onondaga
211
Oswego
ONEIDA
ONONDAGA
CAYUGA
208
MADISON
Ratio of Observed to Expected Admissions
Cayuga
202
Lower
Madison
152
Central NY
214
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
C. Diabetes
203
Upstate
182
Number of avoidable visits
Onondaga
Oneida
Oswego
Higher
No admissions
CORTLAND
Statewide
Average
235
140
55
Cortland
Cayuga
Madison
Prevention Quality Indicators (PQI03)
Medicaid Recipients
2011-2012
39
31
20
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
All Adult Diabetes Composite
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
644
Oneida
ONEIDA
430
Oswego
412
Onondaga
ONONDAGA
CAYUGA
405
MADISON
Ratio of Observed to Expected Admissions
Cayuga
352
Lower
Madison
215
Higher
No admissions
CORTLAND
Central NY
409
Statewide
372
Upstate
364
Number of avoidable visits
Onondaga
Oneida
Oswego
Average
489
301
124
Cortland
Cayuga
Madison
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
C. Diabetes
Prevention Quality Indicators (PQI01 PQI03 PQI16)
Medicaid Recipients
2011-2012
77
59
31
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
All Adult Respiratory Conditions
Composite
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
794
Madison
ONEIDA
725
Oneida
697
Cayuga
ONONDAGA
CAYUGA
603
MADISON
Ratio of Observed to Expected Admissions
Oswego
452
Onondaga
451
Lower
561
Statewide
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
500
Upstate
481
Number of avoidable visits
Onondaga
Oneida
Oswego
Higher
No admissions
CORTLAND
Central NY
Average
536
522
140
Madison
Cayuga
Cortland
Prevention Quality Indicators (PQI05 PQI15)
Medicaid Recipients
2011-2012
115
110
101
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Asthma in Younger Adults
Smoothed Rates
Countywide Rates
OSWEGO
Madison
243
Oneida
ONEIDA
202
Oswego
196
Cortland
ONONDAGA
CAYUGA
145
MADISON
Ratio of Observed to Expected Admissions
Cayuga
86
Lower
Onondaga66
Statewide
Upstate
135
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
125
110
Prevention Quality Indicators (PQI15)
Medicaid Recipients
2011-2012
Number of avoidable visits
Oneida
Onondaga
Oswego
Higher
No admissions
CORTLAND
Central NY
Average
61
41
25
Madison
Cortland
Cayuga
14
7
6
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Chronic Obstructive Pulmonary
Disease and Asthma in Older Adults
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
1344
Madison
ONEIDA
1151
Oneida
1127
Cayuga
ONONDAGA
CAYUGA
1034
MADISON
Ratio of Observed to Expected Admissions
Onondaga
789
Lower
Oswego
681
Central NY
936
Statewide
814
Upstate
800
Number of avoidable visits
495
461
115
Higher
No admissions
CORTLAND
Onondaga
Oneida
Oswego
Average
Cayuga
Madison
Cortland
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
Prevention Quality Indicators (PQI05)
Medicaid Recipients
2011-2012
104
101
94
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Pediatric Asthma
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
383
ONEIDA
Oneida 169
Cayuga 161
ONONDAGA
CAYUGA
Oswego 156
MADISON
Ratio of Observed to Expected Admissions
Onondaga 95
Lower
Madison 89
Higher
No admissions
CORTLAND
Statewide
319
Upstate
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
186
Central NY 129
Pediatric Quality Indicators (PDI14)
Medicaid Recipients
2011-2012
Number of avoidable visits
Onondaga
Oneida
Oswego
Average
58
45
12
Cortland
Cayuga
Madison
11
8
3
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Adult Bacterial Pneumonia
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
694
Cayuga
ONEIDA
458
Oneida
377
Onondaga
ONONDAGA
CAYUGA
356
MADISON
Ratio of Observed to Expected Admissions
Madison
321
Lower
Oswego
309
Upstate
Statewide
379
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
276
258
Prevention Quality Indicators (PQI11)
Medicaid Recipients
2011-2012
Number of avoidable visits
Onondaga
Oneida
Oswego
Higher
No admissions
CORTLAND
Central NY
Average
460
347
120
Cortland
Cayuga
Madison
118
106
67
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Adult Dehydration
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
222
Onondaga
Oneida
Madison
ONEIDA
133
127
ONONDAGA
CAYUGA
114
MADISON
Ratio of Observed to Expected Admissions
Cayuga
110
Lower
Oswego
101
Upstate
Statewide
129
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
110
106
Prevention Quality Indicators (PQI10)
Medicaid Recipients
2011-2012
Number of avoidable visits
Onondaga
Oneida
Oswego
Higher
No admissions
CORTLAND
Central NY
Average
169
108
37
Cortland
Cayuga
Madison
34
24
22
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Adult Diabetes Short-term
Complications
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
172
Oneida
ONEIDA
161
Onondaga
143
Oswego
ONONDAGA
CAYUGA
129
MADISON
Ratio of Observed to Expected Admissions
Cayuga
82
Lower
Madison 39
Higher
No admissions
CORTLAND
Central NY
137
Upstate
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
128
Statewide
113
Number of avoidable visits
Onondaga
Oneida
Oswego
Average
204
130
51
Cortland
Cayuga
Madison
Prevention Quality Indicators (PQI01)
Medicaid Recipients
2011-2012
26
17
7
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Adult Heart Failure
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
397
Cayuga
ONEIDA
371
Oneida
365
Onondaga
317
ONONDAGA
CAYUGA
MADISON
Ratio of Observed to Expected Admissions
Madison
255
Lower
Oswego
188
Higher
No admissions
CORTLAND
Central NY
322
Statewide
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
292
Upstate
264
Number of avoidable visits
Onondaga
Oneida
Cayuga
Average
363
258
61
Cortland
Oswego
Madison
Prevention Quality Indicators (PQI08)
Medicaid Recipients
2011-2012
45
44
35
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Adult Uncontrolled Diabetes
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
136
Oswego
Cayuga
Oneida
ONEIDA
71
52
ONONDAGA
CAYUGA
39
MADISON
Ratio of Observed to Expected Admissions
Onondaga
29
Lower
Madison28
46
Upstate
42
Central NY
42
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Prevention Quality Indicators (PQI14)
Medicaid Recipients
2011-2012
Number of avoidable visits
Onondaga
Oneida
Oswego
Higher
No admissions
CORTLAND
Statewide
Average
32
23
16
Cortland
Cayuga
Madison
12
7
3
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Adult Urinary Tract Infection
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
328
Onondaga
ONEIDA
217
Cayuga
189
Oneida
155
Oswego
150
ONONDAGA
CAYUGA
MADISON
Ratio of Observed to Expected Admissions
Lower
Madison
119
Higher
No admissions
CORTLAND
Statewide
192
Central NY
189
Upstate
179
Number of avoidable visits
Onondaga
Oneida
Oswego
Average
269
132
52
Cortland
Cayuga
Madison
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Prevention Quality Indicators (PQI12)
Medicaid Recipients
2011-2012
50
41
23
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Lower Extremity Amputation among
Adults with Diabetes
Smoothed Rates
Countywide Rates
OSWEGO
Cayuga
39
Onondaga
ONEIDA
26
Oneida
20
Oswego
20
Madison
19
ONONDAGA
CAYUGA
MADISON
Ratio of Observed to Expected Admissions
Lower
Cortland 8
Higher
No admissions
CORTLAND
Central NY
23
Upstate
18
Statewide
18
Number of avoidable visits
Onondaga
Oneida
Cayuga
Average
30
15
7
Oswego
Madison
Cortland
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Prevention Quality Indicators (PQI16)
Medicaid Recipients
2011-2012
6
3
1
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Pediatric Diabetes Short-term
Complications
Smoothed Rates
Countywide Rates
OSWEGO
Cayuga
72
Onondaga
45
Oswego
45
Oneida
ONEIDA
ONONDAGA
CAYUGA
MADISON
Ratio of Observed to Expected Admissions
43
Madison 17
Lower
Average
Higher
No admissions
Central NY
Statewide
Upstate
CORTLAND
43
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
33
31
Pediatric Quality Indicators (PDI15)
Medicaid Recipients
2011-2012
Number of avoidable visits
Onondaga
Oneida
Oswego
21
11
6
Cayuga
Madison
5
1
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Pediatric Gastroenteritis
Smoothed Rates
Countywide Rates
OSWEGO
Oneida
139
Cayuga
ONEIDA
128
Madison 111
ONONDAGA
CAYUGA
Oswego 83
MADISON
Ratio of Observed to Expected Admissions
Onondaga 73
Lower
Cortland 58
Average
Higher
No admissions
CORTLAND
Statewide
120
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Central NY 96
Upstate 94
Pediatric Quality Indicators (PDI16)
Medicaid Recipients
2011-2012
Number of avoidable visits
Oneida
Onondaga
Oswego
48
46
12
Cayuga
Madison
Cortland
10
7
3
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Central New York
Medicaid Avoidable Hospitalizations
Pediatric Urinary Tract Infection
Smoothed Rates
Countywide Rates
OSWEGO
Cortland
171
Oneida
Cayuga
Oswego
ONEIDA
68
52
ONONDAGA
CAYUGA
50
MADISON
Ratio of Observed to Expected Admissions
Onondaga
38
Lower
Madison 28
Central NY
53
Statewide
52
49
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Pediatric Quality Indicators (PDI18)
Medicaid Recipients
2011-2012
Number of avoidable visits
Oneida
Onondaga
Cortland
Higher
No admissions
CORTLAND
Upstate
Average
23
22
9
Oswego
Cayuga
Madison
8
4
2
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH