Avoidable Hospitalization

Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
Adult Acute Conditions Composite
Smoothed Rates
SARATOGA
Countywide Rates
Rensselaer
653
Albany
SCHENECTADY
621
Greene
RENSSELAER
557
ALBANY
Schenectady
532
Ratio of Observed to Expected Admissions
Columbia
479
Lower
Saratoga
468
566
Upstate
566
555
Number of avoidable visits
Albany
Rensselaer
Schenectady
457
266
238
Saratoga
Columbia
Greene
Higher
No admissions
Capital District
Statewide
Average
GREENE
COLUMBIA
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
201
87
85
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
Adult Chronic Conditions Composite
Smoothed Rates
SARATOGA
Countywide Rates
Rensselaer
1409
Columbia
SCHENECTADY
1344
Greene
RENSSELAER
1288
ALBANY
Albany
1276
Ratio of Observed to Expected Admissions
Schenectady
1252
Lower
Saratoga
879
Statewide
1238
Upstate
1213
Number of avoidable visits
Albany
Schenectady
Rensselaer
903
512
477
Saratoga
Columbia
Greene
Higher
No admissions
1294
Capital District
Average
GREENE
COLUMBIA
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
273
193
151
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
Adult Overall Composite
Smoothed Rates
SARATOGA
Countywide Rates
Rensselaer
SCHENECTADY
2069
Albany
1899
Greene
RENSSELAER
1846
ALBANY
Columbia
1808
Schenectady
1783
Ratio of Observed to Expected Admissions
Lower
Saratoga
1368
Statewide
GREENE
1848
1808
Upstate
1783
Number of avoidable visits
1,360
750
743
Higher
No admissions
Capital District
Albany
Schenectady
Rensselaer
Average
Saratoga
Columbia
Greene
COLUMBIA
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
474
280
236
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Visits per 100 Recipients
Capital District
Medicaid Avoidable Hospitalizations
Emergency Department Visits for
Ambulatory Sensitive Conditions
Smoothed Rates
SARATOGA
Countywide Rates
Rensselaer
68
Schenectady
59
Albany
58
SCHENECTADY
RENSSELAER
ALBANY
Columbia
55
Ratio of Observed to Expected Admissions
Saratoga
36
Lower
Greene
35
55
39
Statewide
36
Number of avoidable visits
Albany
Schenectady
Rensselaer
68,938
45,144
44,688
Higher
No admissions
Capital District
Upstate
Average
Saratoga
Columbia
Greene
GREENE
COLUMBIA
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
21,018
13,139
7,437
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
Pediatric Acute Conditions
Composite
Smoothed Rates
SARATOGA
Countywide Rates
SCHENECTADY
Albany
112
Saratoga
RENSSELAER
77
Columbia
56
Schenectady
56
ALBANY
Ratio of Observed to Expected Admissions
Rensselaer 35
Lower
Average
Higher
No admissions
Statewide
75
GREENE
Capital District
70
Upstate
COLUMBIA
Delivery System Reform Incentive Payment
Domain 2: System Transformation Metrics
A. Create Integrated Delivery System
Potentially Avoidable Services
54
Pediatric Quality Indicators (PDI91)
Medicaid Recipients
2011-2012
Number of avoidable visits
Albany
Schenectady
Saratoga
22
8
6
Rensselaer
Columbia
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
Capital District
Medicaid Avoidable Hospitalizations
Pediatric Chronic Conditions
Composite
Smoothed Rates
SARATOGA
Countywide Rates
Columbia
287
Albany
SCHENECTADY
165
RENSSELAER
Rensselaer 141
ALBANY
Schenectady 110
Ratio of Observed to Expected Admissions
Greene 89
Lower
Saratoga 54
Higher
No admissions
Statewide
248
Upstate
156
Capital District 141
38
16
16
GREENE
COLUMBIA
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
Albany
Schenectady
Rensselaer
Average
Columbia
Saratoga
Greene
9
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
Capital District
Medicaid Avoidable Hospitalizations
Pediatric Overall Conditions
Composite
Smoothed Rates
SARATOGA
Countywide Rates
Columbia
341
Albany
Rensselaer
SCHENECTADY
269
RENSSELAER
176
ALBANY
Schenectady
166
Ratio of Observed to Expected Admissions
Saratoga 149
Lower
Greene 83
Higher
No admissions
Statewide
323
Capital District
211
Upstate
210
Number of avoidable visits
Albany
Schenectady
Rensselaer
Average
60
24
20
Columbia
Saratoga
Greene
GREENE
COLUMBIA
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
11
9
2
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
Adult Angina Without Procedure
Smoothed Rates
SARATOGA
Countywide Rates
Greene
29
SCHENECTADY
Schenectady 25
RENSSELAER
Columbia 22
ALBANY
Saratoga 15
Ratio of Observed to Expected Admissions
Rensselaer 6
Lower
Albany 6
Average
Higher
No admissions
GREENE
Statewide 27
COLUMBIA
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
Upstate 22
Capital District 14
Prevention Quality Indicators (PQI13)
Medicaid Recipients
2011-2012
Number of avoidable visits
Schenectady
Albany
Saratoga
10
4
4
Columbia
Greene
Rensselaer
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
Capital District
Medicaid Avoidable Hospitalizations
Adult Hypertension
Smoothed Rates
SARATOGA
Countywide Rates
Albany
99
Rensselaer
SCHENECTADY
95
Greene
RENSSELAER
84
ALBANY
Schenectady
80
Ratio of Observed to Expected Admissions
Columbia
71
Lower
Saratoga 36
Higher
No admissions
Statewide
104
Capital District
GREENE
COLUMBIA
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
84
Upstate
80
Number of avoidable visits
Albany
Schenectady
Rensselaer
Average
65
29
26
Saratoga
Columbia
Greene
Prevention Quality Indicators (PQI07)
Medicaid Recipients
2011-2012
8
8
7
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
All Adult Circulatory Conditions
Composite
Smoothed Rates
SARATOGA
Countywide Rates
Schenectady
440
Greene
434
Columbia
SCHENECTADY
RENSSELAER
387
ALBANY
Albany
345
Ratio of Observed to Expected Admissions
Rensselaer
338
Lower
Saratoga
255
422
GREENE
COLUMBIA
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
B. Cardiovascular Disease
366
Capital District
357
Number of avoidable visits
Albany
Schenectady
Rensselaer
Higher
No admissions
Statewide
Upstate
Average
238
168
105
Saratoga
Columbia
Greene
Prevention Quality Indicators (PQI07 PQI08)
Medicaid Recipients
2011-2012
73
53
45
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
Adult Diabetes Long-term
Complications
Smoothed Rates
SARATOGA
Countywide Rates
Columbia
SCHENECTADY
313
Rensselaer
216
Greene
RENSSELAER
184
ALBANY
Albany
181
Ratio of Observed to Expected Admissions
Schenectady
146
Lower
Saratoga 113
Higher
No admissions
Statewide
GREENE
203
Upstate
182
Capital District
179
Number of avoidable visits
Albany
Rensselaer
Schenectady
Average
123
69
58
Columbia
Saratoga
Greene
COLUMBIA
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
C. Diabetes
Prevention Quality Indicators (PQI03)
Medicaid Recipients
2011-2012
41
32
20
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
All Adult Diabetes Composite
Smoothed Rates
SARATOGA
Countywide Rates
Rensselaer
449
Columbia
SCHENECTADY
424
Albany
RENSSELAER
388
ALBANY
Greene
346
Schenectady
345
Ratio of Observed to Expected Admissions
Lower
Saratoga
274
373
Statewide
372
GREENE
364
Number of avoidable visits
Albany
Rensselaer
Schenectady
282
156
147
Saratoga
Columbia
Greene
Higher
No admissions
Capital District
Upstate
Average
COLUMBIA
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
C. Diabetes
Prevention Quality Indicators (PQI01 PQI03 PQI16)
Medicaid Recipients
2011-2012
83
58
40
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
All Adult Respiratory Conditions
Composite
Smoothed Rates
SARATOGA
Countywide Rates
Rensselaer
608
Albany
SCHENECTADY
541
Columbia
RENSSELAER
531
ALBANY
Greene
509
Ratio of Observed to Expected Admissions
Schenectady
471
Lower
Saratoga
347
505
Statewide
500
GREENE
481
Number of avoidable visits
Albany
Rensselaer
Schenectady
383
216
197
Saratoga
Columbia
Greene
Higher
No admissions
Capital District
Upstate
Average
COLUMBIA
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
Prevention Quality Indicators (PQI05 PQI15)
Medicaid Recipients
2011-2012
117
82
66
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
Asthma in Younger Adults
Smoothed Rates
SARATOGA
Countywide Rates
Columbia
172
Albany
172
Rensselaer
SCHENECTADY
RENSSELAER
125
ALBANY
Greene
113
Ratio of Observed to Expected Admissions
Schenectady
83
Lower
Saratoga
67
Higher
No admissions
Statewide
GREENE
135
Capital District
COLUMBIA
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
128
Upstate
110
Number of avoidable visits
Albany
Rensselaer
Schenectady
Average
62
22
18
Columbia
Saratoga
Greene
Prevention Quality Indicators (PQI15)
Medicaid Recipients
2011-2012
9
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
Capital District
Medicaid Avoidable Hospitalizations
Chronic Obstructive Pulmonary
Disease and Asthma in Older Adults
Smoothed Rates
SARATOGA
Countywide Rates
Rensselaer
1027
Albany
856
Columbia
846
SCHENECTADY
RENSSELAER
ALBANY
Greene
844
Ratio of Observed to Expected Admissions
Schenectady
812
Lower
Saratoga
583
Capital District
GREENE
829
814
Upstate
800
Number of avoidable visits
321
194
179
Saratoga
Columbia
Greene
Higher
No admissions
Statewide
Albany
Rensselaer
Schenectady
Average
COLUMBIA
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
Prevention Quality Indicators (PQI05)
Medicaid Recipients
2011-2012
109
73
61
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
Pediatric Asthma
Smoothed Rates
SARATOGA
Countywide Rates
Albany
SCHENECTADY
187
Rensselaer 154
RENSSELAER
Schenectady 132
ALBANY
Columbia 90
Ratio of Observed to Expected Admissions
Saratoga 87
Lower
Greene 71
Higher
No admissions
Statewide
GREENE
319
Upstate
COLUMBIA
Delivery System Reform Incentive Payment
Domain 3: Clinical Improvement Metrics
D. Asthma
186
Capital District 150
Pediatric Quality Indicators (PDI14)
Medicaid Recipients
2011-2012
Number of avoidable visits
Albany
Schenectady
Rensselaer
Average
62
27
24
Saratoga
Columbia
Greene
6
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
Capital District
Medicaid Avoidable Hospitalizations
Adult Bacterial Pneumonia
Smoothed Rates
SARATOGA
Countywide Rates
Rensselaer
277
Schenectady
SCHENECTADY
264
Saratoga
RENSSELAER
252
ALBANY
Greene
243
Columbia
241
Albany
238
Ratio of Observed to Expected Admissions
Lower
Upstate
GREENE
COLUMBIA
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
258
Capital District
253
Number of avoidable visits
Albany
Schenectady
Rensselaer
Higher
No admissions
276
Statewide
Average
178
122
116
Saratoga
Columbia
Greene
Prevention Quality Indicators (PQI11)
Medicaid Recipients
2011-2012
112
46
39
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
Adult Dehydration
Smoothed Rates
SARATOGA
Countywide Rates
Rensselaer
163
Greene
129
Schenectady
128
SCHENECTADY
RENSSELAER
ALBANY
Albany
127
Ratio of Observed to Expected Admissions
Saratoga
92
Columbia
92
Lower
Higher
No admissions
Capital District
GREENE
125
Upstate
COLUMBIA
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
110
Statewide
106
Number of avoidable visits
Albany
Rensselaer
Schenectady
Average
94
65
57
Saratoga
Greene
Columbia
Prevention Quality Indicators (PQI10)
Medicaid Recipients
2011-2012
38
19
16
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
Adult Diabetes Short-term
Complications
Smoothed Rates
SARATOGA
Countywide Rates
Rensselaer
173
Albany
SCHENECTADY
151
Schenectady
RENSSELAER
146
ALBANY
Saratoga
111
Greene
109
Ratio of Observed to Expected Admissions
Lower
Columbia
85
Higher
No admissions
Capital District
GREENE
141
Upstate
COLUMBIA
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
128
Statewide
113
Number of avoidable visits
Albany
Rensselaer
Schenectady
Average
125
73
72
Saratoga
Greene
Columbia
Prevention Quality Indicators (PQI01)
Medicaid Recipients
2011-2012
41
15
13
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
Adult Heart Failure
Smoothed Rates
SARATOGA
Countywide Rates
Schenectady
334
Greene
SCHENECTADY
316
Columbia
RENSSELAER
287
ALBANY
Albany
240
Rensselaer
237
Ratio of Observed to Expected Admissions
Lower
Saratoga
197
GREENE
292
Upstate
264
Capital District
259
Number of avoidable visits
169
129
77
Higher
No admissions
Statewide
Albany
Schenectady
Rensselaer
Average
Saratoga
Columbia
Greene
COLUMBIA
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Prevention Quality Indicators (PQI08)
Medicaid Recipients
2011-2012
61
42
35
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
Adult Uncontrolled Diabetes
Smoothed Rates
SARATOGA
Countywide Rates
Rensselaer
45
Greene
SCHENECTADY
42
Saratoga
RENSSELAER
38
ALBANY
Albany
36
Ratio of Observed to Expected Admissions
Schenectady
35
Lower
Columbia
34
Higher
No admissions
Statewide
46
Upstate
GREENE
COLUMBIA
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
42
Capital District
38
Number of avoidable visits
Albany
Schenectady
Rensselaer
Average
25
14
13
Saratoga
Columbia
Greene
Prevention Quality Indicators (PQI14)
Medicaid Recipients
2011-2012
9
4
4
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
Adult Urinary Tract Infection
Smoothed Rates
SARATOGA
Countywide Rates
Albany
259
Rensselaer
SCHENECTADY
215
Greene
RENSSELAER
187
ALBANY
Columbia
143
Ratio of Observed to Expected Admissions
Schenectady
136
Lower
Saratoga
121
192
Capital District
189
GREENE
179
Number of avoidable visits
Albany
Rensselaer
Schenectady
185
85
59
Higher
No admissions
Statewide
Upstate
Average
Saratoga
Greene
Columbia
COLUMBIA
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Prevention Quality Indicators (PQI12)
Medicaid Recipients
2011-2012
51
27
25
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH
Admission Rate per 100,000 Recipients
Capital District
Medicaid Avoidable Hospitalizations
Lower Extremity Amputation among
Adults with Diabetes
Smoothed Rates
SARATOGA
Countywide Rates
Albany
SCHENECTADY
22
Schenectady
17
Greene
RENSSELAER
15
ALBANY
Saratoga
15
Ratio of Observed to Expected Admissions
Rensselaer
11
Lower
Columbia 6
Higher
No admissions
Upstate
18
Statewide
18
Capital District
GREENE
17
Number of avoidable visits
Albany
Schenectady
Saratoga
Average
16
7
5
Rensselaer
Greene
Columbia
COLUMBIA
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Prevention Quality Indicators (PQI16)
Medicaid Recipients
2011-2012
4
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
Capital District
Medicaid Avoidable Hospitalizations
Pediatric Diabetes Short-term
Complications
Smoothed Rates
SARATOGA
Countywide Rates
SCHENECTADY
Columbia
110
Albany
RENSSELAER
38
ALBANY
Rensselaer 28
Ratio of Observed to Expected Admissions
Greene 24
Schenectady 12
Lower
Average
Higher
No admissions
Statewide
33
GREENE
Upstate
31
COLUMBIA
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Capital District
28
Pediatric Quality Indicators (PDI15)
Medicaid Recipients
2011-2012
Number of avoidable visits
Albany
Columbia
Rensselaer
9
5
4
Schenectady
Greene
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
Capital District
Medicaid Avoidable Hospitalizations
Pediatric Gastroenteritis
Smoothed Rates
SARATOGA
Countywide Rates
SCHENECTADY
Albany
124
RENSSELAER
Rensselaer 98
ALBANY
Schenectady 83
Ratio of Observed to Expected Admissions
Saratoga 65
Columbia 49
Lower
Average
Higher
No admissions
Statewide
120
GREENE
Upstate 94
COLUMBIA
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
Capital District 91
Pediatric Quality Indicators (PDI16)
Medicaid Recipients
2011-2012
Number of avoidable visits
Albany
Schenectady
Rensselaer
41
19
18
Saratoga
Columbia
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
Capital District
Medicaid Avoidable Hospitalizations
Pediatric Urinary Tract Infection
Smoothed Rates
SARATOGA
Countywide Rates
SCHENECTADY
Albany
72
Columbia
RENSSELAER
64
Schenectady
ALBANY
44
Ratio of Observed to Expected Admissions
Rensselaer 29
Saratoga 7
Lower
Average
Higher
No admissions
Statewide
52
GREENE
Upstate
49
Capital District
COLUMBIA
Delivery System Reform Incentive Payment
Other Potentially Avoidable Hospitalizations
45
Pediatric Quality Indicators (PDI18)
Medicaid Recipients
2011-2012
Number of avoidable visits
Albany
Schenectady
Rensselaer
23
9
5
Columbia
Saratoga
4
1
Data Source Office of Quality and Patient Safety, 2014
Created by Office of Health Systems Management, NYSDOH