Admission Rate per 100,000 Recipients
North Country
Medicaid Avoidable Hospitalizations
Adult Acute Conditions Composite
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Clinton
779
Franklin
ESSEX
739
Essex
670
Hamilton
455
Ratio of Observed to Expected Admissions
Washington 68
Lower
HAMILTON
Warren 46
Upstate
Statewide
555
North Country
Number of avoidable visits
Clinton
Franklin
Essex
WASHINGTON
486
213
138
88
Washington
Warren
Hamilton
Higher
No admissions
WARREN
566
Average
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
11
9
6
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
North Country
Medicaid Avoidable Hospitalizations
Adult Chronic Conditions Composite
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Franklin
2181
Clinton
Essex
ESSEX
1808
1082
Hamilton 781
Ratio of Observed to Expected Admissions
Washington 182
Lower
HAMILTON
Warren 66
Statewide
Upstate
1213
WASHINGTON
North Country 1162
367
308
103
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
Clinton
Franklin
Essex
Higher
No admissions
WARREN
1294
Average
Washington
Warren
Hamilton
21
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
North Country
Medicaid Avoidable Hospitalizations
Adult Overall Composite
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Franklin
2881
Clinton
Essex
Hamilton
ESSEX
2587
1802
1257
Ratio of Observed to Expected Admissions
Washington 247
Lower
HAMILTON
Warren 117
Statewide
Upstate
1783
North Country
Number of avoidable visits
Clinton
Franklin
Essex
WASHINGTON
1645
580
446
191
Washington
Warren
Hamilton
Higher
No admissions
WARREN
1848
Average
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
32
18
14
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Visits per 100 Recipients
North Country
Medicaid Avoidable Hospitalizations
Emergency Department Visits for
Ambulatory Sensitive Conditions
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Essex
60
Clinton
60
Franklin
ESSEX
52
Warren
37
Ratio of Observed to Expected Admissions
Washington
33
Lower
Hamilton
HAMILTON
20
North Country
Upstate
39
Statewide
Number of avoidable visits
Clinton
Franklin
Essex
WASHINGTON
36
22,656
12,831
9,369
Warren
Washington
Hamilton
Higher
No admissions
WARREN
49
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
9,159
7,585
274
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
North Country
Medicaid Avoidable Hospitalizations
Pediatric Acute Conditions
Composite
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
ESSEX
Franklin
166
Warren 31
Ratio of Observed to Expected Admissions
Clinton 23
Statewide
Upstate
75
Lower
HAMILTON
Average
Higher
No admissions
54
WARREN
North Country 44
WASHINGTON
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
Franklin
Clinton
Warren
5
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
North Country
Medicaid Avoidable Hospitalizations
Pediatric Chronic Conditions
Composite
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
ESSEX
Clinton
263
Franklin
192
Ratio of Observed to Expected Admissions
Essex 85
Statewide
248
Upstate
Lower
HAMILTON
Average
Higher
No admissions
156
WARREN
North Country 120
WASHINGTON
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
Clinton
Franklin
Essex
8
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
North Country
Medicaid Avoidable Hospitalizations
Pediatric Overall Conditions
Composite
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Franklin
391
Clinton
ESSEX
267
Essex 75
Ratio of Observed to Expected Admissions
Washington 41
Warren 41
Lower
HAMILTON
Statewide
WARREN
North Country
210
WASHINGTON
175
Higher
No admissions
323
Upstate
Average
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
Clinton
Franklin
Warren
9
9
1
Washington
Essex
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
North Country
Medicaid Avoidable Hospitalizations
Adult Angina Without Procedure
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
ESSEX
Franklin
53
Essex 26
Ratio of Observed to Expected Admissions
Clinton 18
Lower
Statewide 27
HAMILTON
Average
Higher
No admissions
Upstate 22
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
WARREN
North Country 20
WASHINGTON
Prevention Quality Indicators (PQI13)
Medicaid Recipients
2011-2012
Number of avoidable visits
Franklin
Clinton
Essex
7
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
North Country
Medicaid Avoidable Hospitalizations
Adult Hypertension
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
ESSEX
Franklin
150
Clinton
Essex
79
Ratio of Observed to Expected Admissions
61
Statewide
104
Upstate
Lower
HAMILTON
Higher
No admissions
80
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
WARREN
North Country
Average
62
WASHINGTON
Prevention Quality Indicators (PQI07)
Medicaid Recipients
2011-2012
Number of avoidable visits
Franklin
Clinton
Essex
15
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
North Country
Medicaid Avoidable Hospitalizations
All Adult Circulatory Conditions
Composite
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Franklin
691
Clinton
Essex
ESSEX
544
292
Hamilton 200
Ratio of Observed to Expected Admissions
Washington 39
Lower
HAMILTON
Warren 24
Statewide
Upstate
366
North Country
98
89
26
Washington
Warren
Hamilton
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
WASHINGTON
349
Number of avoidable visits
Clinton
Franklin
Essex
Higher
No admissions
WARREN
422
Average
Prevention Quality Indicators (PQI07 PQI08)
Medicaid Recipients
2011-2012
4
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
North Country
Medicaid Avoidable Hospitalizations
Adult Diabetes Long-term
Complications
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Hamilton
309
Clinton
Franklin
Essex
ESSEX
251
195
165
Ratio of Observed to Expected Admissions
Washington 28
Lower
HAMILTON
Warren 8
Statewide
Upstate
182
Prevention Quality Indicators (PQI03)
Medicaid Recipients
2011-2012
Number of avoidable visits
46
26
14
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
C. Diabetes
WASHINGTON
North Country 145
Clinton
Franklin
Essex
Higher
No admissions
WARREN
203
Average
Washington
Hamilton
Warren
3
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
North Country
Medicaid Avoidable Hospitalizations
All Adult Diabetes Composite
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Clinton
480
Franklin
ESSEX
444
Essex
338
Hamilton
323
Ratio of Observed to Expected Admissions
Washington 44
Lower
HAMILTON
Warren 15
Statewide
Upstate
364
North Country
97
62
30
Washington
Hamilton
Warren
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
C. Diabetes
WASHINGTON
290
Number of avoidable visits
Clinton
Franklin
Essex
Higher
No admissions
WARREN
372
Average
Prevention Quality Indicators (PQI01 PQI03 PQI16)
Medicaid Recipients
2011-2012
5
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
North Country
Medicaid Avoidable Hospitalizations
All Adult Respiratory Conditions
Composite
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Franklin
1026
Clinton
Essex
ESSEX
770
446
Hamilton 273
Ratio of Observed to Expected Admissions
Washington 95
Lower
HAMILTON
Warren 27
North Country
512
Statewide
500
Upstate
172
157
47
Higher
No admissions
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
WARREN
WASHINGTON
481
Prevention Quality Indicators (PQI05 PQI15)
Medicaid Recipients
2011-2012
Number of avoidable visits
Clinton
Franklin
Essex
Average
Washington
Warren
Hamilton
12
4
3
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
North Country
Medicaid Avoidable Hospitalizations
Asthma in Younger Adults
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Franklin
215
Essex
213
Clinton
ESSEX
181
Ratio of Observed to Expected Admissions
Washington 45
Lower
Statewide
135
North Country
131
Upstate
HAMILTON
Higher
No admissions
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
WARREN
110
Average
WASHINGTON
Prevention Quality Indicators (PQI15)
Medicaid Recipients
2011-2012
Number of avoidable visits
Clinton
Franklin
Essex
14
11
6
Washington
2
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
North Country
Medicaid Avoidable Hospitalizations
Chronic Obstructive Pulmonary
Disease and Asthma in Older Adults
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Franklin
1706
Clinton
Essex
ESSEX
1269
680
Hamilton 472
Ratio of Observed to Expected Admissions
Washington 142
Lower
HAMILTON
Warren 49
North Country
Statewide
814
Upstate
800
158
146
41
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
WASHINGTON
Prevention Quality Indicators (PQI05)
Medicaid Recipients
2011-2012
Number of avoidable visits
Clinton
Franklin
Essex
Higher
No admissions
WARREN
837
Average
Washington
Warren
Hamilton
10
4
3
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
North Country
Medicaid Avoidable Hospitalizations
Pediatric Asthma
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
ESSEX
Clinton
398
Franklin
297
Essex
Ratio of Observed to Expected Admissions
215
Statewide
319
North Country
Lower
HAMILTON
Higher
No admissions
191
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
WARREN
Upstate
Average
186
WASHINGTON
Pediatric Quality Indicators (PDI14)
Medicaid Recipients
2011-2012
Number of avoidable visits
Clinton
Franklin
Essex
15
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
North Country
Medicaid Avoidable Hospitalizations
Adult Bacterial Pneumonia
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Clinton
449
Essex
Franklin
Hamilton
ESSEX
402
337
217
Ratio of Observed to Expected Admissions
Warren 25
Lower
HAMILTON
Washington 23
Upstate
North Country
262
Statewide
258
Number of avoidable visits
Clinton
Franklin
Essex
129
67
56
Warren
Washington
Hamilton
Higher
No admissions
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
WARREN
276
Average
WASHINGTON
Prevention Quality Indicators (PQI11)
Medicaid Recipients
2011-2012
5
4
3
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
North Country
Medicaid Avoidable Hospitalizations
Adult Dehydration
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Hamilton
156
Essex
ESSEX
146
Clinton
129
Franklin
110
Ratio of Observed to Expected Admissions
Washington 20
Lower
HAMILTON
Warren 5
Upstate
Statewide
106
North Country
34
20
18
Washington
Hamilton
Warren
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
WASHINGTON
85
Number of avoidable visits
Clinton
Franklin
Essex
Higher
No admissions
WARREN
110
Average
Prevention Quality Indicators (PQI10)
Medicaid Recipients
2011-2012
3
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
North Country
Medicaid Avoidable Hospitalizations
Adult Diabetes Short-term
Complications
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Franklin
ESSEX
180
Clinton
173
Essex
112
Ratio of Observed to Expected Admissions
Washington 14
Lower
Upstate
HAMILTON
128
Statewide
North Country
105
Higher
No admissions
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
WARREN
113
Average
WASHINGTON
Prevention Quality Indicators (PQI01)
Medicaid Recipients
2011-2012
Number of avoidable visits
Clinton
Franklin
Essex
43
29
11
Washington
2
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
North Country
Medicaid Avoidable Hospitalizations
Adult Heart Failure
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Franklin
482
Clinton
Essex
Hamilton
ESSEX
432
203
181
Ratio of Observed to Expected Admissions
Washington 36
Lower
HAMILTON
Warren 22
Statewide
Upstate
264
North Country
260
Number of avoidable visits
Clinton
Franklin
Essex
84
67
20
Washington
Warren
Hamilton
Higher
No admissions
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
WARREN
292
Average
WASHINGTON
Prevention Quality Indicators (PQI08)
Medicaid Recipients
2011-2012
4
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
North Country
Medicaid Avoidable Hospitalizations
Adult Uncontrolled Diabetes
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Franklin
ESSEX
54
Essex
28
Clinton 12
Ratio of Observed to Expected Admissions
Warren 9
Lower
Statewide
HAMILTON
46
Upstate
North Country 20
Higher
No admissions
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
WARREN
42
Average
WASHINGTON
Prevention Quality Indicators (PQI14)
Medicaid Recipients
2011-2012
Number of avoidable visits
Franklin
Clinton
Essex
6
2
2
Warren
1
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
North Country
Medicaid Avoidable Hospitalizations
Adult Urinary Tract Infection
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Franklin
296
Clinton
Essex
Hamilton
ESSEX
192
111
82
Ratio of Observed to Expected Admissions
Washington 25
Lower
HAMILTON
Warren 16
Statewide
Upstate
179
North Country
51
50
14
Washington
Warren
Hamilton
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
WASHINGTON
135
Number of avoidable visits
Franklin
Clinton
Essex
Higher
No admissions
WARREN
192
Average
Prevention Quality Indicators (PQI12)
Medicaid Recipients
2011-2012
4
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
North Country
Medicaid Avoidable Hospitalizations
Lower Extremity Amputation among
Adults with Diabetes
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Essex
ESSEX
47
Clinton
36
Franklin
31
Ratio of Observed to Expected Admissions
Washington 8
Lower
North Country
HAMILTON
24
Upstate
18
Statewide
18
Average
Higher
No admissions
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
WARREN
WASHINGTON
Prevention Quality Indicators (PQI16)
Medicaid Recipients
2011-2012
Number of avoidable visits
Clinton
Franklin
Essex
8
5
5
Washington
1
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
North Country
Medicaid Avoidable Hospitalizations
Pediatric Diabetes Short-term
Complications
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
ESSEX
Washington 20
Clinton 15
Ratio of Observed to Expected Admissions
Statewide
33
Upstate
31
Lower
HAMILTON
Higher
No admissions
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
WARREN
North Country 8
Average
WASHINGTON
Pediatric Quality Indicators (PDI15)
Medicaid Recipients
2011-2012
Number of avoidable visits
Clinton
Washington
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
North Country
Medicaid Avoidable Hospitalizations
Pediatric Gastroenteritis
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
Franklin
ESSEX
165
Essex
137
Clinton 85
Ratio of Observed to Expected Admissions
Warren 57
Lower
Statewide
HAMILTON
120
North Country 82
Higher
No admissions
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
WARREN
Upstate 94
Average
WASHINGTON
Pediatric Quality Indicators (PDI16)
Medicaid Recipients
2011-2012
Number of avoidable visits
Franklin
Clinton
Essex
8
6
4
Warren
3
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
North Country
Medicaid Avoidable Hospitalizations
Pediatric Urinary Tract Infection
CLINTON
Smoothed Rates
FRANKLIN
Countywide Rates
ESSEX
Clinton
68
Franklin
41
Ratio of Observed to Expected Admissions
Statewide
52
Upstate
49
Lower
HAMILTON
Higher
No admissions
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
WARREN
North Country 27
Average
WASHINGTON
Pediatric Quality Indicators (PDI18)
Medicaid Recipients
2011-2012
Number of avoidable visits
Clinton
Franklin
5
2
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH