Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Adult Acute Conditions Composite
Smoothed Rates
HERKIMER
Countywide Rates
Fulton
948
Herkimer
855
Otsego
FULTON
711
Montgomery
Ratio of Observed to Expected Admissions
577
MONTGOMERY
Schoharie
381
Lower
Average
Higher
No admissions
Mohawk Valley
746
Upstate
566
Statewide
555
OTSEGO
SCHOHARIE
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
Fulton
Herkimer
Otsego
243
187
132
Montgomery
Schoharie
118
37
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Adult Chronic Conditions Composite
Smoothed Rates
HERKIMER
Countywide Rates
Otsego
1483
Fulton
1454
Herkimer
FULTON
1162
Schoharie
Ratio of Observed to Expected Admissions
1109
MONTGOMERY
Montgomery
1070
Lower
Average
Higher
No admissions
Statewide
1294
Mohawk Valley
1276
Upstate
OTSEGO
SCHOHARIE
Delivery System Reform Incentive Payment
Domain 2: System Transformation Metrics
A. Create Integrated Delivery System
Potentially Avoidable Services
1213
Prevention Quality Indicators (PQI92)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Otsego
Herkimer
276
203
180
Montgomery
Schoharie
171
78
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Adult Overall Composite
Smoothed Rates
HERKIMER
Countywide Rates
Fulton
2474
Otsego
2211
Herkimer
FULTON
2108
Montgomery
Ratio of Observed to Expected Admissions
1669
MONTGOMERY
Schoharie
1469
Lower
Average
Higher
No admissions
Mohawk Valley
2066
Statewide
1848
Upstate
OTSEGO
SCHOHARIE
Delivery System Reform Incentive Payment
Domain 2: System Transformation Metrics
A. Create Integrated Delivery System
Potentially Avoidable Services
1783
Prevention Quality Indicators (PQI90)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Herkimer
Otsego
519
367
335
Montgomery
Schoharie
289
115
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Visits per 100 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Emergency Department Visits for
Ambulatory Sensitive Conditions
Smoothed Rates
HERKIMER
Countywide Rates
Fulton
54
Schoharie
48
Montgomery
48
Otsego
FULTON
Ratio of Observed to Expected Admissions
38
MONTGOMERY
Herkimer
37
Lower
Average
Higher
No admissions
Mohawk Valley
45
Upstate
39
Statewide
OTSEGO
SCHOHARIE
Delivery System Reform Incentive Payment
Domain 2: System Transformation Metrics
A. Create Integrated Delivery System
Potentially Avoidable Services
36
Potentially Preventable Visit (PPV)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Montgomery
Herkimer
18,413
14,785
10,506
Otsego
Schoharie
9,039
6,044
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Pediatric Acute Conditions
Composite
Smoothed Rates
HERKIMER
Countywide Rates
Fulton
81
Otsego
FULTON
67
Herkimer 50
Ratio of Observed to Expected Admissions
MONTGOMERY
Montgomery 18
Lower
Statewide
54
OTSEGO
Mohawk Valley 46
Higher
No admissions
75
Upstate
Average
SCHOHARIE
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
Fulton
Herkimer
Otsego
4
2
2
Montgomery
1
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Pediatric Chronic Conditions
Composite
Smoothed Rates
HERKIMER
Countywide Rates
Fulton
716
Otsego
FULTON
328
Montgomery
171
Ratio of Observed to Expected Admissions
MONTGOMERY
Herkimer 74
Lower
Higher
No admissions
Mohawk Valley 293
Statewide
Average
248
OTSEGO
Upstate
156
SCHOHARIE
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
Fulton
Montgomery
Otsego
24
8
7
Herkimer
2
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Pediatric Overall Conditions
Composite
Smoothed Rates
HERKIMER
Countywide Rates
Fulton
757
Otsego
FULTON
385
Montgomery
182
Ratio of Observed to Expected Admissions
MONTGOMERY
Herkimer 134
Lower
Mohawk Valley
329
Statewide
323
Average
Higher
No admissions
OTSEGO
Upstate 210
SCHOHARIE
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
Fulton
Montgomery
Otsego
28
9
9
Herkimer
4
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Adult Angina Without Procedure
Smoothed Rates
HERKIMER
Countywide Rates
Fulton
30
FULTON
Schoharie 17
Otsego 8
Ratio of Observed to Expected Admissions
MONTGOMERY
Montgomery 6
Lower
Average
Higher
No admissions
Statewide 27
Upstate 22
OTSEGO
Mohawk Valley 13
SCHOHARIE
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
Prevention Quality Indicators (PQI13)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Montgomery
Otsego
5
1
1
Schoharie
1
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Adult Hypertension
Smoothed Rates
HERKIMER
Countywide Rates
Otsego
104
Montgomery
91
Schoharie
61
Fulton
60
FULTON
Ratio of Observed to Expected Admissions
MONTGOMERY
Herkimer
47
Lower
Average
Higher
No admissions
Statewide
104
Upstate
80
Mohawk Valley
OTSEGO
SCHOHARIE
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
73
Prevention Quality Indicators (PQI07)
Medicaid Recipients
2011-2012
Number of avoidable visits
Montgomery
Otsego
Fulton
11
10
8
Herkimer
Schoharie
5
3
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
All Adult Circulatory Conditions
Composite
Smoothed Rates
HERKIMER
Countywide Rates
Otsego
441
Fulton
391
Montgomery
FULTON
380
Schoharie
Ratio of Observed to Expected Admissions
364
MONTGOMERY
Herkimer
340
Lower
Average
Higher
No admissions
Statewide
422
Mohawk Valley
385
Upstate
OTSEGO
SCHOHARIE
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
366
Prevention Quality Indicators (PQI07 PQI08)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Otsego
Montgomery
68
56
55
Herkimer
Schoharie
49
23
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Adult Diabetes Long-term
Complications
Smoothed Rates
HERKIMER
Countywide Rates
Herkimer
246
Otsego
201
Fulton
FULTON
148
Montgomery
Ratio of Observed to Expected Admissions
115
MONTGOMERY
Schoharie
95
Lower
Average
Higher
No admissions
Statewide
203
Upstate
182
Mohawk Valley
OTSEGO
SCHOHARIE
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
C. Diabetes
166
Prevention Quality Indicators (PQI03)
Medicaid Recipients
2011-2012
Number of avoidable visits
Herkimer
Fulton
Otsego
34
26
25
Montgomery
Schoharie
17
6
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
All Adult Diabetes Composite
Smoothed Rates
HERKIMER
Countywide Rates
Fulton
386
Herkimer
378
Otsego
FULTON
350
Schoharie
Ratio of Observed to Expected Admissions
281
MONTGOMERY
Montgomery
237
Lower
Average
Higher
No admissions
Statewide
372
Upstate
364
Mohawk Valley
OTSEGO
SCHOHARIE
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
C. Diabetes
333
Prevention Quality Indicators (PQI01 PQI03 PQI16)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Herkimer
Otsego
71
56
46
Montgomery
Schoharie
38
19
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
All Adult Respiratory Conditions
Composite
Smoothed Rates
HERKIMER
Countywide Rates
Otsego
676
Fulton
658
Schoharie
460
Montgomery
453
FULTON
Ratio of Observed to Expected Admissions
MONTGOMERY
Herkimer
443
Lower
Average
Higher
No admissions
Mohawk Valley
549
Statewide
500
Upstate
OTSEGO
SCHOHARIE
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
481
Prevention Quality Indicators (PQI05 PQI15)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Otsego
Montgomery
137
101
78
Herkimer
Schoharie
75
36
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Asthma in Younger Adults
Smoothed Rates
HERKIMER
Countywide Rates
Fulton
248
Montgomery
Otsego
173
FULTON
87
Ratio of Observed to Expected Admissions
Herkimer
56
MONTGOMERY
Schoharie 42
Lower
Average
Higher
No admissions
Mohawk Valley
143
Statewide
Upstate
135
OTSEGO
SCHOHARIE
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
110
Prevention Quality Indicators (PQI15)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Montgomery
Otsego
17
14
4
Herkimer
Schoharie
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
Mohawk Valley
Medicaid Avoidable Hospitalizations
Chronic Obstructive Pulmonary
Disease and Asthma in Older Adults
Smoothed Rates
HERKIMER
Countywide Rates
Otsego
1153
Fulton
1028
Schoharie
FULTON
795
Herkimer
Ratio of Observed to Expected Admissions
760
MONTGOMERY
Montgomery
695
Lower
Average
Higher
No admissions
Mohawk Valley
898
Statewide
814
Upstate
800
OTSEGO
SCHOHARIE
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
Prevention Quality Indicators (PQI05)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Otsego
Herkimer
120
97
72
Montgomery
Schoharie
64
35
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Pediatric Asthma
Smoothed Rates
HERKIMER
Countywide Rates
Fulton
906
Otsego 223
FULTON
Montgomery 155
Ratio of Observed to Expected Admissions
Schoharie 152
MONTGOMERY
Herkimer 127
Lower
Average
Higher
No admissions
Mohawk Valley
330
Statewide
319
OTSEGO
SCHOHARIE
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
Upstate
186
Pediatric Quality Indicators (PDI14)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Montgomery
Otsego
36
10
6
Herkimer
Schoharie
4
2
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Adult Bacterial Pneumonia
Smoothed Rates
HERKIMER
Countywide Rates
Otsego
475
Fulton
466
Herkimer
463
Montgomery
FULTON
Ratio of Observed to Expected Admissions
277
MONTGOMERY
Schoharie
234
Lower
Average
Higher
No admissions
Mohawk Valley
405
Upstate
276
Statewide
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
OTSEGO
SCHOHARIE
258
Prevention Quality Indicators (PQI11)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Herkimer
Otsego
126
106
93
Montgomery
Schoharie
58
24
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Adult Dehydration
Smoothed Rates
HERKIMER
Countywide Rates
Herkimer
165
Fulton
125
Montgomery
FULTON
118
Otsego
Ratio of Observed to Expected Admissions
101
MONTGOMERY
Schoharie
54
Lower
Average
Higher
No admissions
Mohawk Valley
121
Upstate
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
110
Statewide
OTSEGO
SCHOHARIE
106
Prevention Quality Indicators (PQI10)
Medicaid Recipients
2011-2012
Number of avoidable visits
Herkimer
Fulton
Montgomery
34
31
23
Otsego
Schoharie
18
5
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Adult Diabetes Short-term
Complications
Smoothed Rates
HERKIMER
Countywide Rates
Fulton
191
Otsego
117
Schoharie
114
Herkimer
FULTON
Ratio of Observed to Expected Admissions
107
MONTGOMERY
Montgomery 75
Lower
Average
Higher
No admissions
Upstate
128
Mohawk Valley
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
125
Statewide
OTSEGO
SCHOHARIE
113
Prevention Quality Indicators (PQI01)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Herkimer
Otsego
42
19
18
Montgomery
Schoharie
14
9
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Adult Heart Failure
Smoothed Rates
HERKIMER
Countywide Rates
Otsego
324
Fulton
292
Montgomery
281
Herkimer
278
FULTON
Ratio of Observed to Expected Admissions
MONTGOMERY
Schoharie
278
Lower
Average
Higher
No admissions
Statewide
292
Mohawk Valley
292
Upstate
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
OTSEGO
SCHOHARIE
264
Prevention Quality Indicators (PQI08)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Otsego
Herkimer
55
45
44
Montgomery
Schoharie
43
19
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Adult Uncontrolled Diabetes
Smoothed Rates
HERKIMER
Countywide Rates
Schoharie
58
Montgomery
FULTON
29
Fulton 22
Ratio of Observed to Expected Admissions
MONTGOMERY
Otsego 9
Lower
Statewide
Higher
No admissions
46
Upstate
Average
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
42
OTSEGO
Mohawk Valley 20
SCHOHARIE
Prevention Quality Indicators (PQI14)
Medicaid Recipients
2011-2012
Number of avoidable visits
Montgomery
Fulton
Schoharie
4
3
3
Otsego
1
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Adult Urinary Tract Infection
Smoothed Rates
HERKIMER
Countywide Rates
Fulton
354
Herkimer
222
Montgomery
Otsego
FULTON
181
Ratio of Observed to Expected Admissions
119
MONTGOMERY
Schoharie87
Lower
Average
Higher
No admissions
Mohawk Valley
215
Statewide
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
192
Upstate
OTSEGO
SCHOHARIE
179
Prevention Quality Indicators (PQI12)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Herkimer
Montgomery
86
47
37
Otsego
Schoharie
21
8
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Mohawk Valley
Medicaid Avoidable Hospitalizations
Lower Extremity Amputation among
Adults with Diabetes
Smoothed Rates
HERKIMER
Countywide Rates
Otsego
46
Herkimer
30
Montgomery
FULTON
25
Ratio of Observed to Expected Admissions
Schoharie 13
MONTGOMERY
Fulton 5
Lower
Average
Higher
No admissions
Mohawk Valley
23
Upstate
18
Statewide
18
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
OTSEGO
SCHOHARIE
Prevention Quality Indicators (PQI16)
Medicaid Recipients
2011-2012
Number of avoidable visits
Otsego
Herkimer
Montgomery
7
5
4
Fulton
Schoharie
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
Mohawk Valley
Medicaid Avoidable Hospitalizations
Pediatric Diabetes Short-term
Complications
Smoothed Rates
HERKIMER
Countywide Rates
Otsego
91
Montgomery
FULTON
46
Ratio of Observed to Expected Admissions
Fulton 15
MONTGOMERY
Statewide
Lower
33
Average
Higher
No admissions
Upstate
31
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Mohawk Valley
31
OTSEGO
SCHOHARIE
Pediatric Quality Indicators (PDI15)
Medicaid Recipients
2011-2012
Number of avoidable visits
Otsego
Montgomery
Fulton
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
Mohawk Valley
Medicaid Avoidable Hospitalizations
Pediatric Gastroenteritis
Smoothed Rates
HERKIMER
Countywide Rates
Fulton
250
Herkimer 84
FULTON
Schoharie 79
Ratio of Observed to Expected Admissions
Montgomery 54
MONTGOMERY
Otsego 21
Lower
Average
Higher
No admissions
Statewide
120
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Mohawk Valley 104
OTSEGO
SCHOHARIE
Upstate 94
Pediatric Quality Indicators (PDI16)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Montgomery
Herkimer
18
5
5
Schoharie
Otsego
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
Mohawk Valley
Medicaid Avoidable Hospitalizations
Pediatric Urinary Tract Infection
Smoothed Rates
HERKIMER
Countywide Rates
Fulton
91
Otsego
FULTON
81
Herkimer
61
Ratio of Observed to Expected Admissions
Montgomery
MONTGOMERY
41
Lower
Mohawk Valley
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
52
OTSEGO
Upstate
Higher
No admissions
60
Statewide
Average
49
SCHOHARIE
Pediatric Quality Indicators (PDI18)
Medicaid Recipients
2011-2012
Number of avoidable visits
Fulton
Montgomery
Herkimer
7
4
4
Otsego
4
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH