Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Adult Acute Conditions Composite
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
768
Lewis
632
Jefferson
JEFFERSON
521
Tug Hill Seaway
653
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Upstate
566
Statewide
555
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
St. Lawrence
Jefferson
Lewis
301
172
51
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Adult Chronic Conditions Composite
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
1691
Jefferson
1325
Lewis
JEFFERSON
1141
Tug Hill Seaway
1488
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Statewide
1294
Upstate
1213
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
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
493
321
64
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Adult Overall Composite
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
2468
Jefferson
1835
Lewis
1813
Tug Hill Seaway
JEFFERSON
2144
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Statewide
1848
Upstate
1783
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
St. Lawrence
Jefferson
Lewis
794
493
115
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Visits per 100 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Emergency Department Visits for
Ambulatory Sensitive Conditions
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
73
Jefferson
54
Lewis
JEFFERSON
45
Tug Hill Seaway
62
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Upstate
39
Statewide
36
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
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
39,359
26,490
4,646
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Pediatric Acute Conditions
Composite
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
116
Jefferson
75
Tug Hill Seaway
JEFFERSON
Ratio of Observed to Expected Admissions
86
LEWIS
Statewide
75
Upstate
54
Lower
Average
Higher
No admissions
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
Number of avoidable visits
St. Lawrence
Jefferson
8
5
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Pediatric Chronic Conditions
Composite
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
332
Lewis
206
JEFFERSON
Jefferson 104
Statewide
248
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Tug Hill Seaway
Upstate
214
156
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
St. Lawrence
Jefferson
Lewis
15
5
2
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Pediatric Overall Conditions
Composite
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
453
Jefferson
191
Lewis
184
JEFFERSON
Statewide
323
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Tug Hill Seaway
Upstate
307
210
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
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
23
10
2
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Adult Angina Without Procedure
Smoothed Rates
Countywide Rates
ST. LAWRENCE
Jefferson
41
St. Lawrence
30
Tug Hill Seaway
JEFFERSON
Ratio of Observed to Expected Admissions
32
LEWIS
Lower
Average
Higher
No admissions
Statewide 27
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
Upstate 22
Prevention Quality Indicators (PQI13)
Medicaid Recipients
2011-2012
Number of avoidable visits
Jefferson
St. Lawrence
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
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Adult Hypertension
Smoothed Rates
Countywide Rates
ST. LAWRENCE
Lewis
104
Jefferson
102
St. Lawrence
JEFFERSON
81
Statewide
104
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Tug Hill Seaway
92
Upstate
80
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
Prevention Quality Indicators (PQI07)
Medicaid Recipients
2011-2012
Number of avoidable visits
Jefferson
St. Lawrence
Lewis
17
16
4
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
All Adult Circulatory Conditions
Composite
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
494
Jefferson
434
Lewis
JEFFERSON
268
Tug Hill Seaway
447
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Statewide
422
Upstate
366
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
Prevention Quality Indicators (PQI07 PQI08)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
127
93
14
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Adult Diabetes Long-term
Complications
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
207
Jefferson
204
Lewis
JEFFERSON
121
Statewide
203
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Tug Hill Seaway
198
Upstate
182
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
C. Diabetes
Prevention Quality Indicators (PQI03)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
56
45
6
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
All Adult Diabetes Composite
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
502
Jefferson
378
Lewis
JEFFERSON
341
Tug Hill Seaway
436
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Statewide
372
Upstate
364
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
C. Diabetes
Prevention Quality Indicators (PQI01 PQI03 PQI16)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
145
92
18
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
All Adult Respiratory Conditions
Composite
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
685
Lewis
518
Jefferson
513
Tug Hill Seaway
JEFFERSON
599
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Statewide
500
Upstate
481
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
Prevention Quality Indicators (PQI05 PQI15)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
221
136
32
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Asthma in Younger Adults
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
59
Jefferson
59
Lewis
JEFFERSON
51
Statewide
135
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Upstate
Tug Hill Seaway
110
58
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
Prevention Quality Indicators (PQI15)
Medicaid Recipients
2011-2012
Number of avoidable visits
Jefferson
St. Lawrence
Lewis
6
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
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Chronic Obstructive Pulmonary
Disease and Asthma in Older Adults
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
1187
Jefferson
893
Lewis
892
Tug Hill Seaway
JEFFERSON
1040
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Statewide
814
Upstate
800
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
Prevention Quality Indicators (PQI05)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
215
130
31
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Pediatric Asthma
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
462
Lewis
Jefferson
260
JEFFERSON
190
Statewide
319
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Tug Hill Seaway
Upstate
313
186
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
Pediatric Quality Indicators (PDI14)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
26
12
3
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Adult Bacterial Pneumonia
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
369
Jefferson
263
Lewis
JEFFERSON
233
Tug Hill Seaway
312
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Upstate
276
Statewide
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
258
Prevention Quality Indicators (PQI11)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
153
90
20
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Adult Dehydration
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
176
Lewis
121
Jefferson
JEFFERSON
117
Tug Hill Seaway
146
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Upstate
110
Statewide
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
106
Prevention Quality Indicators (PQI10)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
67
37
9
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Adult Diabetes Short-term
Complications
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
207
Lewis
Jefferson
123
JEFFERSON
106
Tug Hill Seaway
157
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Upstate
Statewide
128
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
113
Prevention Quality Indicators (PQI01)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
72
32
8
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Adult Heart Failure
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
371
Jefferson
Lewis
291
JEFFERSON
175
Tug Hill Seaway
318
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Statewide
292
Upstate
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
264
Prevention Quality Indicators (PQI08)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
103
67
10
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Adult Uncontrolled Diabetes
Smoothed Rates
Countywide Rates
ST. LAWRENCE
Lewis
98
Jefferson
57
St. Lawrence
JEFFERSON
53
Tug Hill Seaway
59
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Statewide
Upstate
46
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
42
Prevention Quality Indicators (PQI14)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
12
11
4
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Adult Urinary Tract Infection
Smoothed Rates
Countywide Rates
ST. LAWRENCE
Lewis
281
St. Lawrence
221
Jefferson
JEFFERSON
140
Tug Hill Seaway
193
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Statewide
192
Upstate
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
179
Prevention Quality Indicators (PQI12)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
81
45
22
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Lower Extremity Amputation among
Adults with Diabetes
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
24
Jefferson
19
Tug Hill Seaway
JEFFERSON
Ratio of Observed to Expected Admissions
20
LEWIS
Upstate
18
Statewide
18
Lower
Average
Higher
No admissions
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Prevention Quality Indicators (PQI16)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Jefferson
8
5
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Pediatric Diabetes Short-term
Complications
Smoothed Rates
Countywide Rates
ST. LAWRENCE
Lewis
47
St. Lawrence 20
JEFFERSON
Statewide
Ratio of Observed to Expected Admissions
33
LEWIS
Upstate
31
Lower
Average
Higher
No admissions
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Tug Hill Seaway 14
Pediatric Quality Indicators (PDI15)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Lewis
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
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Pediatric Gastroenteritis
Smoothed Rates
Countywide Rates
ST. LAWRENCE
St. Lawrence
213
Lewis 86
JEFFERSON
Jefferson 53
Tug Hill Seaway
129
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Statewide
120
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Upstate 94
Pediatric Quality Indicators (PDI16)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
24
6
2
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Tug Hill Seaway
Medicaid Avoidable Hospitalizations
Pediatric Urinary Tract Infection
Smoothed Rates
Countywide Rates
ST. LAWRENCE
Lewis
86
St. Lawrence
76
Jefferson
JEFFERSON
45
Tug Hill Seaway
63
Ratio of Observed to Expected Admissions
LEWIS
Lower
Average
Higher
No admissions
Statewide
52
Upstate
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
49
Pediatric Quality Indicators (PDI18)
Medicaid Recipients
2011-2012
Number of avoidable visits
St. Lawrence
Jefferson
Lewis
8
5
2
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH