Clinical Metrics

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