Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Adult Acute Conditions Composite Smoothed Rates Countywide Rates Ulster Orange 587 Westchester DUTCHESS SULLIVAN 549 Dutchess 538 Putnam 431 Rockland 422 PUTNAM ORANGE Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 231 Upstate 566 Statewide Lower Average Higher No admissions Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services 555 Mid-Hudson Prevention Quality Indicators (PQI91) Medicaid Recipients 2011-2012 524 Number of avoidable visits Westchester Orange Rockland Ulster ULSTER 627 1,336 506 360 330 Dutchess Sullivan Putnam 327 63 48 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Adult Chronic Conditions Composite Smoothed Rates Countywide Rates Orange Ulster 1259 Westchester DUTCHESS SULLIVAN 1180 Dutchess 1154 Putnam PUTNAM ORANGE 1111 Rockland 842 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 380 Statewide 1294 Upstate Lower Average Higher No admissions Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services 1213 Mid-Hudson 1114 Number of avoidable visits Westchester Orange Rockland Dutchess ULSTER 1302 2,893 989 656 614 Ulster Sullivan Putnam Prevention Quality Indicators (PQI92) Medicaid Recipients 2011-2012 552 93 93 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Adult Overall Composite Smoothed Rates Countywide Rates Ulster 1897 Orange 1891 Westchester DUTCHESS SULLIVAN 1729 Dutchess 1696 Putnam PUTNAM ORANGE 1532 Rockland 1268 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 616 Statewide 1848 Upstate Lower Average Higher No admissions Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services 1783 Mid-Hudson 1640 Number of avoidable visits Westchester Orange Rockland Dutchess ULSTER 4,229 1,494 1,016 941 Ulster Sullivan Putnam Prevention Quality Indicators (PQI90) Medicaid Recipients 2011-2012 882 156 141 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Visits per 100 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Emergency Department Visits for Ambulatory Sensitive Conditions Smoothed Rates Countywide Rates Ulster 46 Dutchess 46 Sullivan DUTCHESS SULLIVAN 44 Westchester 37 Orange 34 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER 19 Upstate 39 Statewide 36 Mid-Hudson 36 Number of avoidable visits Westchester 130,978 Orange 55,691 Dutchess 40,476 Ulster 33,788 PUTNAM ORANGE 35 Putnam Rockland ULSTER Rockland Sullivan Putnam Lower Average Higher No admissions 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 29,665 18,698 4,657 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Pediatric Acute Conditions Composite Smoothed Rates Countywide Rates ULSTER Ulster 80 DUTCHESS SULLIVAN Dutchess 51 Westchester 44 Rockland 40 PUTNAM ORANGE Ratio of Observed to Expected Admissions Orange 35 ROCKLAND Sullivan 13 WESTCHESTER Statewide 75 Upstate 54 Mid-Hudson 43 Average Higher No admissions 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 Westchester Rockland Orange Lower 34 13 12 Ulster Dutchess Sullivan 9 8 1 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Pediatric Chronic Conditions Composite Smoothed Rates Countywide Rates Dutchess ULSTER 215 Ulster 196 Putnam DUTCHESS SULLIVAN 172 Orange 111 Westchester 88 Sullivan 72 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Rockland 69 Statewide 248 Upstate Lower Average Higher No admissions Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services 156 Pediatric Quality Indicators (PDI92) Medicaid Recipients 2011-2012 Mid-Hudson 107 Number of avoidable visits Westchester Orange Dutchess Rockland PUTNAM ORANGE 71 34 34 19 Ulster Sullivan Putnam 19 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 Mid-Hudson Medicaid Avoidable Hospitalizations Pediatric Overall Conditions Composite Smoothed Rates Countywide Rates Ulster ULSTER 279 Dutchess 267 Putnam DUTCHESS SULLIVAN 163 Orange 146 Westchester 131 Rockland 112 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 84 Statewide 323 Upstate Lower Average Higher No admissions Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services 210 Pediatric Quality Indicators (PDI90) Medicaid Recipients 2011-2012 Mid-Hudson 150 Number of avoidable visits Westchester Orange Dutchess Rockland PUTNAM ORANGE 105 46 42 32 Ulster Sullivan Putnam 28 6 3 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Adult Angina Without Procedure Smoothed Rates Countywide Rates Ulster ULSTER 33 Westchester 31 DUTCHESS SULLIVAN Orange 20 Rockland 19 PUTNAM ORANGE Putnam 14 Sullivan 9 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Dutchess 6 Lower Average Higher No admissions Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics B. Cardiovascular Disease Statewide 27 Mid-Hudson 24 Prevention Quality Indicators (PQI13) Medicaid Recipients 2011-2012 Upstate 22 Number of avoidable visits Westchester Rockland Orange Ulster 70 14 14 14 Dutchess Sullivan Putnam 3 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 Mid-Hudson Medicaid Avoidable Hospitalizations Adult Hypertension Smoothed Rates Countywide Rates Orange Ulster 94 Rockland 78 Westchester PUTNAM ORANGE 77 Putnam 58 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER 40 Statewide 104 Mid-Hudson Lower Average Higher No admissions Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics B. Cardiovascular Disease 82 Upstate Prevention Quality Indicators (PQI07) Medicaid Recipients 2011-2012 80 Number of avoidable visits Westchester Orange Rockland Dutchess DUTCHESS SULLIVAN 80 Dutchess Sullivan ULSTER 117 194 77 59 37 Ulster Sullivan Putnam 33 8 4 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations All Adult Circulatory Conditions Composite Smoothed Rates Countywide Rates Orange Ulster 382 Westchester DUTCHESS SULLIVAN 372 Putnam 365 Dutchess PUTNAM ORANGE 335 Rockland 277 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 129 Statewide 422 Upstate Lower Average Higher No admissions Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics B. Cardiovascular Disease 366 Mid-Hudson Prevention Quality Indicators (PQI07 PQI08) Medicaid Recipients 2011-2012 347 Number of avoidable visits Westchester Orange Rockland Dutchess ULSTER 389 945 276 215 175 Ulster Putnam Sullivan 156 31 29 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Adult Diabetes Long-term Complications Smoothed Rates Countywide Rates Orange Westchester 178 Dutchess Rockland 144 PUTNAM ORANGE 131 124 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 56 Statewide Lower Average Higher No admissions Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics C. Diabetes 203 Upstate 182 Mid-Hudson Prevention Quality Indicators (PQI03) Medicaid Recipients 2011-2012 161 Number of avoidable visits Westchester Orange Rockland Dutchess DUTCHESS SULLIVAN 155 Ulster Putnam ULSTER 194 427 141 95 78 Ulster Sullivan Putnam 60 13 10 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations All Adult Diabetes Composite Smoothed Rates Countywide Rates Orange Dutchess 331 Westchester 330 Ulster DUTCHESS SULLIVAN 276 Rockland 211 Putnam 208 PUTNAM ORANGE Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 93 Statewide 372 Upstate Lower Average Higher No admissions Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics C. Diabetes 364 Mid-Hudson Prevention Quality Indicators (PQI01 PQI03 PQI16) Medicaid Recipients 2011-2012 298 Number of avoidable visits Westchester Orange Dutchess Rockland ULSTER 351 784 274 173 169 Ulster Sullivan Putnam 119 23 16 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations All Adult Respiratory Conditions Composite Smoothed Rates Countywide Rates Ulster Orange 559 Putnam DUTCHESS SULLIVAN 524 Dutchess 485 Westchester 478 Rockland 354 PUTNAM ORANGE Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 158 Statewide 500 Upstate Lower Average Higher No admissions Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics D. Asthma 481 Mid-Hudson 468 Number of avoidable visits Westchester Orange Ulster Rockland ULSTER 591 1,164 439 277 272 Dutchess Putnam Sullivan Prevention Quality Indicators (PQI05 PQI15) Medicaid Recipients 2011-2012 266 46 41 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Asthma in Younger Adults Smoothed Rates Countywide Rates Dutchess Westchester 102 Ulster 99 Orange PUTNAM ORANGE 91 66 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 19 Statewide 135 Upstate Lower Average Higher No admissions Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics D. Asthma 110 Mid-Hudson Prevention Quality Indicators (PQI15) Medicaid Recipients 2011-2012 100 Number of avoidable visits Westchester Orange Dutchess Rockland DUTCHESS SULLIVAN 97 Rockland Putnam ULSTER 155 119 40 37 36 Ulster Sullivan Putnam 17 2 2 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Chronic Obstructive Pulmonary Disease and Asthma in Older Adults Smoothed Rates Countywide Rates Ulster 1003 Orange 965 Putnam DUTCHESS SULLIVAN 899 Westchester 801 Dutchess PUTNAM ORANGE 771 Rockland 580 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 273 Statewide 814 Upstate 800 Mid-Hudson 1,045 399 260 236 Dutchess Putnam Sullivan Lower Average Higher No admissions Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics D. Asthma Prevention Quality Indicators (PQI05) Medicaid Recipients 2011-2012 784 Number of avoidable visits Westchester Orange Ulster Rockland ULSTER 229 44 39 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Pediatric Asthma Smoothed Rates Countywide Rates Dutchess ULSTER 318 Ulster 212 DUTCHESS SULLIVAN Putnam 161 Orange 149 Westchester 146 Rockland 99 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 70 Statewide 319 Upstate Lower Average Higher No admissions Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics D. Asthma 186 Pediatric Quality Indicators (PDI14) Medicaid Recipients 2011-2012 Mid-Hudson 155 Number of avoidable visits Westchester Dutchess Orange Rockland PUTNAM ORANGE 184 75 69 44 Ulster Sullivan Putnam 29 7 5 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Adult Bacterial Pneumonia Smoothed Rates Countywide Rates Orange 324 Ulster 320 Dutchess DUTCHESS SULLIVAN 292 Westchester 270 Rockland Putnam ULSTER PUTNAM ORANGE 196 167 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 87 Lower Average Higher No admissions Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Upstate 276 Mid-Hudson 263 Statewide 258 Number of avoidable visits Westchester Orange Dutchess Ulster 637 279 181 175 Rockland Sullivan Putnam Prevention Quality Indicators (PQI11) Medicaid Recipients 2011-2012 166 25 19 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Adult Dehydration Smoothed Rates Countywide Rates Putnam ULSTER 125 Dutchess 119 Ulster DUTCHESS SULLIVAN 112 Orange 110 Westchester 107 Sullivan 88 Rockland PUTNAM ORANGE Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER 70 Lower Average Higher No admissions Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Upstate 110 Statewide 106 Mid-Hudson 103 Number of avoidable visits Westchester Orange Dutchess Rockland 257 94 70 59 Ulster Sullivan Putnam Prevention Quality Indicators (PQI10) Medicaid Recipients 2011-2012 58 24 13 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Adult Diabetes Short-term Complications Smoothed Rates Countywide Rates Dutchess ULSTER 122 Orange 118 Westchester DUTCHESS SULLIVAN 92 Ulster 67 PUTNAM ORANGE Putnam 51 Rockland 45 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 15 Lower Average Higher No admissions Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Upstate 128 Statewide 113 Mid-Hudson Number of avoidable visits Westchester Orange Dutchess Rockland Prevention Quality Indicators (PQI01) Medicaid Recipients 2011-2012 85 209 107 70 40 Ulster Sullivan Putnam 32 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 Mid-Hudson Medicaid Avoidable Hospitalizations Adult Heart Failure Smoothed Rates Countywide Rates Putnam ULSTER 284 Westchester 265 Ulster 255 Orange 254 Dutchess PUTNAM ORANGE 249 Rockland DUTCHESS SULLIVAN 179 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 81 Lower Average Higher No admissions Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Statewide 292 Upstate 264 Mid-Hudson 241 Number of avoidable visits Westchester Orange Rockland Dutchess 681 185 142 135 Ulster Putnam Sullivan Prevention Quality Indicators (PQI08) Medicaid Recipients 2011-2012 109 26 19 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Adult Uncontrolled Diabetes Smoothed Rates Countywide Rates Ulster ULSTER 59 Westchester 51 Rockland DUTCHESS SULLIVAN 42 Dutchess 36 Putnam 29 Orange 29 PUTNAM ORANGE Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 4 Lower Average Higher No admissions Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Statewide 46 Mid-Hudson 43 Upstate Number of avoidable visits Westchester Rockland Ulster Orange Prevention Quality Indicators (PQI14) Medicaid Recipients 2011-2012 42 124 31 22 20 Dutchess Putnam Sullivan 17 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 Mid-Hudson Medicaid Avoidable Hospitalizations Adult Urinary Tract Infection Smoothed Rates Countywide Rates Ulster ULSTER 193 Westchester 174 Rockland 157 Orange 154 Putnam PUTNAM ORANGE 141 Dutchess DUTCHESS SULLIVAN 126 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 55 Lower Average Higher No admissions Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Statewide 192 Upstate 179 Mid-Hudson 159 Number of avoidable visits Westchester Rockland Orange Ulster 442 135 133 97 Dutchess Putnam Sullivan Prevention Quality Indicators (PQI12) Medicaid Recipients 2011-2012 76 16 14 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Lower Extremity Amputation among Adults with Diabetes Smoothed Rates Countywide Rates ULSTER Sullivan 18 DUTCHESS SULLIVAN Westchester 18 Dutchess 16 Ulster 15 Orange 14 PUTNAM ORANGE Ratio of Observed to Expected Admissions ROCKLAND Rockland 6 WESTCHESTER Upstate 18 Statewide 18 Mid-Hudson 15 Number of avoidable visits Westchester Orange Dutchess 43 11 9 Ulster Rockland Sullivan Lower Average Higher No admissions Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Prevention Quality Indicators (PQI16) Medicaid Recipients 2011-2012 7 5 5 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Mid-Hudson Medicaid Avoidable Hospitalizations Pediatric Diabetes Short-term Complications Smoothed Rates Countywide Rates ULSTER Sullivan 34 DUTCHESS SULLIVAN Dutchess 18 Ulster 15 Orange 14 PUTNAM ORANGE Ratio of Observed to Expected Admissions Rockland 12 ROCKLAND Westchester 9 WESTCHESTER Statewide 33 Upstate Average Higher No admissions Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations 31 Mid-Hudson 13 Pediatric Quality Indicators (PDI15) Medicaid Recipients 2011-2012 Number of avoidable visits Westchester Orange Rockland Lower 6 5 4 Dutchess Sullivan Ulster 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 Mid-Hudson Medicaid Avoidable Hospitalizations Pediatric Gastroenteritis Smoothed Rates Countywide Rates ULSTER Rockland 94 Orange 75 DUTCHESS SULLIVAN Westchester 74 Dutchess 60 PUTNAM ORANGE Ulster 58 Putnam 20 Ratio of Observed to Expected Admissions ROCKLAND WESTCHESTER Sullivan 15 Lower Average Higher No admissions Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Statewide 120 Upstate 94 Pediatric Quality Indicators (PDI16) Medicaid Recipients 2011-2012 Mid-Hudson 73 Number of avoidable visits Westchester Rockland Orange Dutchess 109 63 48 17 Ulster Sullivan Putnam 11 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 Mid-Hudson Medicaid Avoidable Hospitalizations Pediatric Urinary Tract Infection Smoothed Rates Countywide Rates ULSTER Rockland 37 DUTCHESS SULLIVAN Westchester 34 Ulster 33 Dutchess 28 PUTNAM ORANGE Ratio of Observed to Expected Admissions Orange 22 ROCKLAND Sullivan 15 WESTCHESTER Statewide 52 Upstate Average Higher No admissions Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations 49 Mid-Hudson 31 Pediatric Quality Indicators (PDI18) Medicaid Recipients 2011-2012 Number of avoidable visits Westchester Rockland Orange Lower 52 26 14 Dutchess Ulster Sullivan 8 7 2 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH
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