Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Adult Acute Conditions Composite Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services Smoothed Rates Prevention Quality Indicators (PQI91) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk 676 Lower Average Higher No admissions Nassau 531 Long Island 606 Upstate 566 Statewide 555 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 2,196 1,586 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Adult Chronic Conditions Composite Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services Smoothed Rates Prevention Quality Indicators (PQI92) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk 1416 Lower Average Higher No admissions Nassau 1116 Statewide 1294 Long Island 1269 Upstate 1213 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 4,102 3,116 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Adult Overall Composite Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services Smoothed Rates Prevention Quality Indicators (PQI90) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk 2098 Lower Average Higher No admissions Nassau 1649 Long Island 1879 Statewide 1848 Upstate 1783 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 6,298 4,702 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Visits per 100 Recipients Long Island Medicaid Avoidable Hospitalizations Emergency Department Visits for Ambulatory Sensitive Conditions Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services Smoothed Rates Potentially Preventable Visit (PPV) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk Lower 35 Average Higher No admissions Nassau 28 Upstate 39 Statewide 36 Long Island 32 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 169,584 107,487 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Pediatric Acute Conditions Composite Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services Smoothed Rates Pediatric Quality Indicators (PDI91) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Nassau Lower 66 Average Higher No admissions Suffolk 66 Statewide 75 Long Island 66 Upstate 54 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 59 45 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Pediatric Chronic Conditions Composite Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services Smoothed Rates Pediatric Quality Indicators (PDI92) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk Lower 217 Average Higher No admissions Nassau 180 Statewide 248 Long Island 201 Upstate 156 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 192 127 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Pediatric Overall Conditions Composite Delivery System Reform Incentive Payment Domain 2: System Transformation Metrics A. Create Integrated Delivery System Potentially Avoidable Services Smoothed Rates Pediatric Quality Indicators (PDI90) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk Lower 283 Average Higher No admissions Nassau 245 Statewide 323 Long Island 266 Upstate 210 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 251 172 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Adult Angina Without Procedure Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics B. Cardiovascular Disease Smoothed Rates Prevention Quality Indicators (PQI13) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk 33 Lower Average Higher No admissions Nassau 18 Statewide 27 Long Island 25 Upstate 22 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 91 46 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Adult Hypertension Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics B. Cardiovascular Disease Smoothed Rates Prevention Quality Indicators (PQI07) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Nassau 121 Lower Average Higher No admissions Suffolk 103 Long Island 113 Statewide 104 Upstate 80 SUFFOLK NASSAU Number of avoidable visits Nassau Suffolk 340 274 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations All Adult Circulatory Conditions Composite Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics B. Cardiovascular Disease Smoothed Rates Prevention Quality Indicators (PQI07 PQI08) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk 405 Lower Average Higher No admissions Nassau 349 Statewide 422 Long Island 376 Upstate 366 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 1,143 1,020 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Adult Diabetes Long-term Complications Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics C. Diabetes Smoothed Rates Prevention Quality Indicators (PQI03) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk 241 Lower Average Higher No admissions Nassau 190 Long Island 216 Statewide 203 Upstate 182 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 679 517 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations All Adult Diabetes Composite Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics C. Diabetes Smoothed Rates Prevention Quality Indicators (PQI01 PQI03 PQI16) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk 429 Lower Average Higher No admissions Nassau 340 Long Island 386 Statewide 372 Upstate 364 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 1,232 910 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations All Adult Respiratory Conditions Composite Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics D. Asthma Smoothed Rates Prevention Quality Indicators (PQI05 PQI15) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk 580 Lower Average Higher No admissions Nassau 428 Long Island 507 Statewide 500 Upstate 481 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 1,727 1,186 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Asthma in Younger Adults Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics D. Asthma Smoothed Rates Prevention Quality Indicators (PQI15) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk Lower 125 Average Higher No admissions Nassau 111 Statewide 135 Long Island 118 Upstate 110 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 182 138 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Chronic Obstructive Pulmonary Disease and Asthma in Older Adults Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics D. Asthma Smoothed Rates Prevention Quality Indicators (PQI05) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk 974 Lower Average Higher No admissions Nassau 701 Long Island 842 Statewide 814 Upstate 800 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 1,545 1,048 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Pediatric Asthma Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics D. Asthma Smoothed Rates Pediatric Quality Indicators (PDI14) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Nassau Lower 257 Average Higher No admissions Suffolk 201 Statewide 319 Long Island 226 Upstate 186 SUFFOLK NASSAU Number of avoidable visits Nassau Suffolk 303 294 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Adult Bacterial Pneumonia Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Prevention Quality Indicators (PQI11) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk 305 Lower Average Higher No admissions Nassau 207 Upstate 276 Long Island 258 Statewide 258 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 987 608 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Adult Dehydration Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Prevention Quality Indicators (PQI10) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Nassau 125 Lower Average Higher No admissions Suffolk 123 Long Island 124 Upstate 110 Statewide 106 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 386 366 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Adult Diabetes Short-term Complications Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Prevention Quality Indicators (PQI01) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk 120 Lower Average Higher No admissions Nassau 80 Upstate 128 Statewide 113 Long Island 102 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 363 205 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Adult Heart Failure Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Prevention Quality Indicators (PQI08) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk Lower 269 Average Higher No admissions Nassau 212 Statewide 292 Upstate 264 Long Island 240 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 778 634 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Adult Uncontrolled Diabetes Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Prevention Quality Indicators (PQI14) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Nassau 63 Lower Average Higher No admissions Suffolk 61 Long Island 62 Statewide 46 Upstate 42 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 168 167 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Adult Urinary Tract Infection Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Prevention Quality Indicators (PQI12) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk 249 Lower Average Higher No admissions Nassau 197 Long Island 224 Statewide 192 Upstate 179 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 823 612 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Lower Extremity Amputation among Adults with Diabetes Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Prevention Quality Indicators (PQI16) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk Lower 17 Average Higher No admissions Nassau 14 Upstate 18 Statewide 18 Long Island 16 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 49 40 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Pediatric Diabetes Short-term Complications Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Pediatric Quality Indicators (PDI15) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Suffolk 53 Lower Average Higher No admissions Nassau 19 Long Island 39 Statewide 33 Upstate 31 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 44 12 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Pediatric Gastroenteritis Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Pediatric Quality Indicators (PDI16) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Nassau 121 Lower Average Higher No admissions Suffolk 99 Statewide 120 Long Island 108 Upstate 94 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 190 176 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Admission Rate per 100,000 Recipients Long Island Medicaid Avoidable Hospitalizations Pediatric Urinary Tract Infection Delivery System Reform Incentive Payment Other Potentially Avoidable Hospitalizations Smoothed Rates Pediatric Quality Indicators (PDI18) Medicaid Recipients 2011-2012 Countywide Rates Ratio of Observed to Expected Admissions Nassau 86 Lower Average Higher No admissions Suffolk 69 Long Island 77 Statewide 52 Upstate 49 SUFFOLK NASSAU Number of avoidable visits Suffolk Nassau 137 126 Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH
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