Percent of Patients with recommended care
Counties by Quintile
Mohawk Valley
Adherence to Antipsychotic
Medications for People Living
With Schizophrenia
Smoothed Percent
HERKIMER
Countywide Percent
Montgomery
FULTON
77
Fulton
63
Percent of Patients with recommended care
MONTGOMERY
Mohawk Valley
70
Upstate
Lower
Higher
No data
65
Statewide
Average
63
OTSEGO
SCHOHARIE
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
Fulton
Montgomery
Herkimer
65
53
<30
Otsego
Schoharie
<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
Mohawk Valley
Antidepressant Medication
Management - Effective
Treatment for Acute Phase
Smoothed Percent
HERKIMER
Countywide Percent
Fulton
FULTON
56
Montgomery
44
Percent of Patients with recommended care
MONTGOMERY
Mohawk Valley
53
Upstate
Lower
Higher
No data
51
Statewide
Average
49
OTSEGO
SCHOHARIE
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
Montgomery
Fulton
Herkimer
50
39
<30
Otsego
Schoharie
<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
Mohawk Valley
Diabetes Monitoring for
People Living With Diabetes
and Schizophrenia
Smoothed Percent
HERKIMER
Countywide Percent
FULTON
Mohawk Valley
68
Statewide
68
MONTGOMERY
Percent of Patients with recommended care
Lower
Upstate
66
Average
Higher
No data
OTSEGO
SCHOHARIE
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
Fulton
Montgomery
Herkimer
<30
<30
<30
Schoharie
Otsego
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.
<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
Mohawk Valley
Diabetes Screening for People
Living With Schizophrenia or
Bipolar Disorder Who Are
Smoothed Percent
HERKIMER
Countywide Percent
Herkimer
83
Montgomery
FULTON
81
Otsego
77
Fulton
76
Percent of Patients with recommended care
MONTGOMERY
Lower
Statewide
79
Mohawk Valley
78
77
Higher
No data
OTSEGO
Upstate
Average
SCHOHARIE
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
Fulton
Herkimer
Montgomery
58
41
31
Otsego
Schoharie
30
<30
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
Mohawk Valley
Follow-up After
Hospitalization for Mental
Illness within 30 Days
Smoothed Percent
HERKIMER
Countywide Percent
Schoharie
81
Fulton
74
Montgomery
73
Otsego
FULTON
69
Percent of Patients with recommended care
MONTGOMERY
Herkimer
64
Lower
Average
Higher
No data
Mohawk Valley
72
Upstate
59
Statewide
OTSEGO
55
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
Number of recipients included in these data
Fulton
Montgomery
Herkimer
240
176
151
Otsego
Schoharie
SCHOHARIE
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
A. Behavioral Health
102
78
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
Mohawk Valley
Follow-Up Care for Children
Prescribed ADHD MedicationInitiation Phase
Smoothed Percent
HERKIMER
Countywide Percent
Montgomery
52
Fulton
FULTON
49
Herkimer
45
Percent of Patients with recommended care
MONTGOMERY
Statewide
Lower
57
Average
Higher
No data
Upstate
51
Mohawk Valley
48
OTSEGO
SCHOHARIE
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
Fulton
Herkimer
Montgomery
105
80
69
Schoharie
Otsego
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.
<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
Mohawk Valley
Initiation of Alcohol and Other
Drug Dependence Treatment
Smoothed Percent
HERKIMER
Countywide Percent
Montgomery
84
Schoharie
84
Otsego
80
Herkimer
79
FULTON
Percent of Patients with recommended care
MONTGOMERY
Fulton
71
Lower
Average
Higher
No data
Mohawk Valley
79
Statewide
78
Upstate
78
Number of recipients included in these data
Fulton
Herkimer
Montgomery
378
358
292
Otsego
Schoharie
OTSEGO
SCHOHARIE
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 initiated treatment within 14
days of the diagnosis after the first new episode of alcohol or
drug dependence, .
224
130
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
Mohawk Valley
Comprehensive Diabetes Care
HbA1c Testing
Smoothed Percent
HERKIMER
Countywide Percent
Otsego
85
Herkimer
84
Montgomery
FULTON
76
Schoharie
74
Percent of Patients with recommended care
MONTGOMERY
Fulton
72
Lower
Average
Higher
No data
Statewide
80
Mohawk Valley
79
Upstate
76
OTSEGO
SCHOHARIE
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
C. Diabetes
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
Montgomery
Herkimer
Fulton
475
418
342
Otsego
Schoharie
270
176
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
Mohawk Valley
Cervical Cancer Screening
Smoothed Percent
HERKIMER
Countywide Percent
Herkimer
71
Otsego
68
Fulton
67
Montgomery
FULTON
60
Percent of Patients with recommended care
MONTGOMERY
Schoharie
58
Lower
Average
Higher
No data
Statewide
67
Mohawk Valley
66
Upstate
63
Number of recipients included in these data
Montgomery
Herkimer
Fulton
2,452
2,427
1,942
Otsego
Schoharie
1,618
1,016
OTSEGO
SCHOHARIE
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 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
Mohawk Valley
Chlamydia Screening Among
Young Women
Smoothed Percent
HERKIMER
Countywide Percent
Fulton
60
Herkimer
55
Schoharie
FULTON
49
Montgomery
46
Percent of Patients with recommended care
MONTGOMERY
Otsego
41
Lower
Average
Higher
No data
Statewide
66
Upstate
58
Mohawk Valley
51
658
630
601
Otsego
Schoharie
SCHOHARIE
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
Number of recipients included in these data
Herkimer
Montgomery
Fulton
OTSEGO
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
E. HIV/AIDS
The percentage of sexually active young women, ages 16 to 24
years, who had at least one test for chlamydia during the
measurement year.
407
301
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
Mohawk Valley
Comprehensive Care for
People Living with HIV or
AIDS - Engagement in Care
Smoothed Percent
HERKIMER
Countywide Percent
FULTON
Upstate
90
Statewide
89
MONTGOMERY
Percent of Patients with recommended care
Lower
Mohawk Valley
84
Average
Higher
No data
OTSEGO
SCHOHARIE
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
Montgomery
Otsego
Fulton
<30
<30
<30
Herkimer
Schoharie
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.
<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
Mohawk Valley
Comprehensive Care for
People Living with HIV or
AIDS - Syphilis Screening
Smoothed Percent
HERKIMER
Countywide Percent
FULTON
Statewide
MONTGOMERY
69
Upstate
Percent of Patients with recommended care
59
Lower
Mohawk Valley
52
Average
Higher
No data
OTSEGO
SCHOHARIE
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
Montgomery
Otsego
Fulton
<30
<30
<30
Herkimer
Schoharie
<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
Mohawk Valley
Comprehensive Care for
People Living with HIV or
AIDS - Viral Load Monitoring
Smoothed Percent
HERKIMER
Countywide Percent
FULTON
Statewide
MONTGOMERY
66
Upstate
Percent of Patients with recommended care
64
Lower
Mohawk Valley
58
Average
Higher
No data
OTSEGO
SCHOHARIE
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
Montgomery
Otsego
Fulton
<30
<30
<30
Herkimer
Schoharie
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.
<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
Mohawk Valley
Well-Child Visits in the First 15
Months of Life
Smoothed Percent
HERKIMER
Countywide Percent
Fulton
95
Herkimer
93
Otsego
93
Schoharie
93
FULTON
Percent of Patients with recommended care
MONTGOMERY
Montgomery
92
Lower
Average
Higher
No data
Mohawk Valley
93
Upstate
87
Statewide
85
OTSEGO
SCHOHARIE
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
Montgomery
Herkimer
Fulton
320
306
291
Otsego
Schoharie
228
122
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
Mohawk Valley
Breast Cancer Screening
Among Women
Smoothed Percent
HERKIMER
Countywide Percent
Fulton
61
Herkimer
61
Montgomery
FULTON
60
Schoharie
52
Percent of Patients with recommended care
MONTGOMERY
Otsego
51
Lower
Average
Higher
No data
Statewide
63
Mohawk Valley
58
Upstate
55
Number of recipients included in these data
Herkimer
Montgomery
Fulton
799
780
635
Otsego
Schoharie
529
352
Delivery System Reform Incentive Payment
Other Clinical Improvement Process Metrics
OTSEGO
SCHOHARIE
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
Mohawk Valley
Colorectal Cancer Screening
Smoothed Percent
HERKIMER
Countywide Percent
Montgomery
47
Fulton
45
Herkimer
45
Schoharie
FULTON
39
Percent of Patients with recommended care
MONTGOMERY
Otsego
37
Lower
Average
Higher
No data
Statewide
49
Mohawk Valley
43
Upstate
41
Delivery System Reform Incentive Payment
Other Clinical Improvement Process Metrics
OTSEGO
SCHOHARIE
Healthcare Effectiveness Data & Information Set
(HEDIS), Medicaid Recipients, 2012
The percentage of adults, ages 50 to 75 years, who had
appropriate screening for colorectal cancer.
Number of recipients included in these data
Herkimer
Montgomery
Fulton
700
638
510
Otsego
Schoharie
477
299
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