Percent of Patients with recommended care Counties by Quintile Mid-Hudson Adherence to Antipsychotic Medications for People Living With Schizophrenia Smoothed Percent Countywide Percent Ulster Rockland 81 Putnam 71 Dutchess 70 Orange 68 Westchester 68 Sullivan Number of recipients included in these data Ulster Sullivan Putnam Lower Average Higher No data Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics A. Behavioral Health Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 63 880 396 325 317 Percent of Patients with recommended care WESTCHESTER 65 Statewide PUTNAM ROCKLAND 71 Upstate DUTCHESS SULLIVAN ORANGE 66 Mid-Hudson Westchester Rockland Orange Dutchess ULSTER 83 151 134 41 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 Mid-Hudson Antidepressant Medication Management - Effective Treatment for Acute Phase Smoothed Percent Countywide Percent ULSTER Rockland 63 DUTCHESS SULLIVAN Dutchess 55 Ulster 54 Westchester 50 Orange PUTNAM ORANGE Percent of Patients with recommended care 48 ROCKLAND Sullivan 33 WESTCHESTER Mid-Hudson 51 Upstate 51 Statewide Lower Average Higher No data Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics A. Behavioral Health Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 49 The percentage of recipients who remained on antidepressant medication during the entire 12-week acute treatment phase. Number of recipients included in these data Westchester Dutchess Orange Ulster 440 164 150 96 Rockland Sullivan Putnam 90 39 <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 Mid-Hudson Diabetes Monitoring for People Living With Diabetes and Schizophrenia Smoothed Percent Countywide Percent ULSTER Sullivan 78 DUTCHESS SULLIVAN Westchester 66 Orange 62 Dutchess 59 Rockland PUTNAM ORANGE Percent of Patients with recommended care 50 ROCKLAND Ulster 39 WESTCHESTER Statewide 68 Upstate Average Higher No data Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics A. Behavioral Health 66 Mid-Hudson Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 61 Number of recipients included in these data Westchester Rockland Dutchess Orange Lower 208 101 88 76 Ulster Sullivan Putnam 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. 36 32 <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 Mid-Hudson Diabetes Screening for People Living With Schizophrenia or Bipolar Disorder Who Are Smoothed Percent Countywide Percent Sullivan Rockland 84 Ulster 84 Orange 83 Dutchess 82 Westchester 76 Putnam 80 Statewide 79 Upstate 77 Number of recipients included in these data 659 290 240 212 Ulster Sullivan Putnam DUTCHESS SULLIVAN PUTNAM ORANGE Percent of Patients with recommended care ROCKLAND WESTCHESTER 74 Mid-Hudson Westchester Dutchess Rockland Orange ULSTER 86 150 85 31 Lower Average Higher No data 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 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 Mid-Hudson Follow-up After Hospitalization for Mental Illness within 30 Days Smoothed Percent Countywide Percent Putnam Orange 61 Ulster DUTCHESS SULLIVAN 60 Westchester 59 Dutchess 58 Sullivan 56 Rockland 59 Mid-Hudson 57 Statewide 55 Number of recipients included in these data 1,632 568 501 436 Ulster Sullivan Putnam PUTNAM ORANGE Percent of Patients with recommended care ROCKLAND WESTCHESTER 42 Upstate Westchester Orange Dutchess Rockland ULSTER 65 389 218 98 Lower Average Higher No data 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 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 Mid-Hudson Follow-Up Care for Children Prescribed ADHD MedicationInitiation Phase Smoothed Percent Countywide Percent ULSTER Westchester 70 DUTCHESS SULLIVAN Ulster 62 Rockland 61 Orange 56 Sullivan PUTNAM ORANGE Percent of Patients with recommended care 52 ROCKLAND Dutchess 47 WESTCHESTER Mid-Hudson 60 Statewide Average Higher No data Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics A. Behavioral Health 57 Upstate Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 51 Number of recipients included in these data Westchester Orange Rockland Dutchess Lower 415 243 168 167 Ulster Sullivan Putnam 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. 156 93 <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 Mid-Hudson Initiation of Alcohol and Other Drug Dependence Treatment Smoothed Percent Countywide Percent Sullivan Ulster 81 Orange 78 Westchester 78 Dutchess 77 Putnam 76 Rockland 74 Mid-Hudson 78 Statewide 78 Upstate 78 Number of recipients included in these data Westchester Orange Ulster Dutchess ULSTER 84 2,649 1,251 901 897 Rockland Sullivan Putnam DUTCHESS SULLIVAN PUTNAM ORANGE Percent of Patients with recommended care ROCKLAND WESTCHESTER Lower Average Higher No data 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, . 494 489 163 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 Mid-Hudson Comprehensive Diabetes Care HbA1c Testing Smoothed Percent Countywide Percent Sullivan ULSTER 83 Orange 80 Rockland 80 Westchester 79 Putnam 76 Dutchess 70 Ulster DUTCHESS SULLIVAN PUTNAM ORANGE Percent of Patients with recommended care ROCKLAND WESTCHESTER 65 Statewide 80 Mid-Hudson 77 Upstate 76 Lower Average Higher No data 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 Westchester Orange Rockland Dutchess 5,133 2,067 1,790 1,120 Ulster Sullivan Putnam 1,000 554 136 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 Mid-Hudson Cervical Cancer Screening Smoothed Percent Countywide Percent Rockland Orange 68 Sullivan 67 Putnam DUTCHESS SULLIVAN 62 Westchester 57 Dutchess WESTCHESTER Statewide 67 Mid-Hudson 63 Upstate 63 Number of recipients included in these data Ulster Sullivan Putnam Percent of Patients with recommended care ROCKLAND 52 22,817 10,617 9,527 5,580 PUTNAM ORANGE 62 Ulster Westchester Orange Rockland Dutchess ULSTER 72 5,351 2,616 805 Lower Average Higher No data 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 Mid-Hudson Chlamydia Screening Among Young Women Smoothed Percent Countywide Percent Sullivan 66 Westchester 65 Orange DUTCHESS SULLIVAN 62 Putnam 56 Dutchess 53 Ulster WESTCHESTER Statewide 66 Mid-Hudson 59 Upstate 58 Number of recipients included in these data Ulster Sullivan Putnam Percent of Patients with recommended care ROCKLAND 47 4,675 2,494 2,020 1,219 PUTNAM ORANGE 54 Rockland Westchester Orange Rockland Dutchess ULSTER Lower Average Higher No data 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 sexually active young women, ages 16 to 24 years, who had at least one test for chlamydia during the measurement year. 1,179 603 135 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 Mid-Hudson Comprehensive Care for People Living with HIV or AIDS - Engagement in Care Smoothed Percent Countywide Percent ULSTER Sullivan 96 DUTCHESS SULLIVAN Orange 92 Dutchess 91 Westchester 90 Ulster PUTNAM ORANGE Percent of Patients with recommended care 88 ROCKLAND Rockland 79 WESTCHESTER Mid-Hudson 90 Upstate 90 Statewide 89 Number of recipients included in these data Westchester Orange Dutchess Rockland 492 157 93 78 Ulster Sullivan Putnam Lower Average Higher No data 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 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. 75 50 <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 Mid-Hudson Comprehensive Care for People Living with HIV or AIDS - Syphilis Screening Smoothed Percent Countywide Percent ULSTER Orange 66 DUTCHESS SULLIVAN Westchester 66 Dutchess 61 Sullivan 57 Ulster PUTNAM ORANGE Percent of Patients with recommended care 41 ROCKLAND Rockland 23 WESTCHESTER Statewide 69 Mid-Hudson Lower Average Higher No data Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics E. HIV/AIDS 60 Upstate 59 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 Westchester Orange Dutchess Ulster 483 151 87 73 Rockland Sullivan Putnam 70 47 <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 Mid-Hudson Comprehensive Care for People Living with HIV or AIDS - Viral Load Monitoring Smoothed Percent Countywide Percent ULSTER Sullivan 76 DUTCHESS SULLIVAN Orange 65 Dutchess 59 Westchester 59 Ulster PUTNAM ORANGE Percent of Patients with recommended care 41 ROCKLAND Rockland 29 WESTCHESTER Statewide 66 Upstate Average Higher No data Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics E. HIV/AIDS 64 Mid-Hudson Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 57 Number of recipients included in these data Westchester Orange Dutchess Rockland Lower 492 157 93 78 Ulster Sullivan Putnam 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. 75 50 <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 Mid-Hudson Well-Child Visits in the First 15 Months of Life Smoothed Percent Countywide Percent Putnam ULSTER 92 Dutchess 90 Ulster 89 Westchester 89 Sullivan 85 Rockland 83 Orange PUTNAM ORANGE Percent of Patients with recommended care ROCKLAND WESTCHESTER 80 Upstate DUTCHESS SULLIVAN 87 Mid-Hudson 85 Statewide 85 Lower Average Higher No data 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 Westchester Rockland Orange Dutchess 3,535 2,729 2,262 854 Ulster Sullivan Putnam 680 393 158 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 Mid-Hudson Breast Cancer Screening Among Women Smoothed Percent Countywide Percent Westchester ULSTER 63 Rockland 57 Dutchess DUTCHESS SULLIVAN 56 Orange 53 Putnam 51 Sullivan 51 Ulster PUTNAM ORANGE Percent of Patients with recommended care ROCKLAND Lower WESTCHESTER 49 Average Higher No data Delivery System Reform Incentive Payment Other Clinical Improvement Process Metrics Statewide 63 Mid-Hudson 58 Upstate 55 Number of recipients included in these data Westchester Orange Rockland Dutchess 9,326 3,280 3,036 1,885 Ulster Sullivan Putnam 1,883 880 288 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 Mid-Hudson Colorectal Cancer Screening Smoothed Percent Countywide Percent Putnam ULSTER 45 Orange 43 Westchester 43 Dutchess DUTCHESS SULLIVAN 42 Rockland 42 Ulster 37 Sullivan PUTNAM ORANGE Percent of Patients with recommended care ROCKLAND WESTCHESTER 36 Lower Average Higher No data Delivery System Reform Incentive Payment Other Clinical Improvement Process Metrics Statewide 49 Mid-Hudson 42 Upstate 41 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 Westchester Orange Rockland Ulster 8,474 3,010 3,010 1,750 Dutchess Sullivan Putnam 1,683 873 255 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
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