Avoidable Hospitalization

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