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Quality and Access by Metric


The state is tracking 17 CCO incentive metrics and 16 additional state performance metrics that will help track progress towards Oregon’s goal of better health, better care and lower costs.

In this mid-year report for Oregon's Medicaid Transformation you will find how well coordinated care organizations did on key metrics between July 2013 - June 2014 such as the rate of emergency department visits, patient-centered primary care home enrollment, and more. This is the first report to include data on some key measures for the more than 380,000 additional Oregonians who have enrolled in the Oregon Health Plan since the Affordable Care Act (ACA) took effect January 1, 2014.

 

Metrics by measures

Click on a measure below to view data.


  
Measure Type
  
Focus Area
  
Access to care (CAHPS)Incentive, Performance, CoreImproving access to effective and timely care
Adolescent Well-care VisitsIncentive, PerformanceEnsuring appropriate care is delivered in appropriate settings, Improving primary care for all populations
Alcohol or Other Drug Treatment (engagement phase)CoreEnsuring appropriate care is delivered in appropriate settings, Improving access to effective and timely care, Improving behavioral and physical health coordination
Alcohol or Other Drug Treatment (initiation phase)CoreImproving access to effective and timely care, Improving behavioral and physical health coordination
Alcohol or Other Substance Misuse (SBIRT)Incentive, Performance, CoreImproving access to effective and timely care, Improving behavioral and physical health coordination
All-cause ReadmissionPerformanceReducing preventable re-hospitalizations
Ambulatory Care: Avoidable Emergency Department UtilizationCoreEnsuring appropriate care is delivered in appropriate settings, Helping improve primary care for all populations, Reducing preventable and unnecessarily costly utilization by super-users
Ambulatory Care: ED UtilizationIncentive, Performance, CoreEnsuring appropriate care is delivered in appropriate settings, Reducing preventable and unnecessarily costly utilization by super-users, Reducing preventable re-hospitalizations
Ambulatory Care: Outpatient UtilizationPerformance, CoreEnsuring appropriate care is delivered in appropriate settings, Reducing preventable and unnecessarily costly utilization by super-users, Reducing preventable re-hospitalizations
Appropriate Testing for Children with PharyngitisPerformanceEnsuring appropriate care is delivered in appropriate settings, Improving primary care for all populations
Cervical Cancer ScreeningPerformanceImproving access to effective and timely care
Child and Adolescent Access to Primary Care Providers (All Ages)PerformanceImproving access to effective and timely care, Improving primary care for all populations
Childhood Immunization StatusPerformanceEnsuring appropriate care is delivered in appropriate settings, Improving primary care for all populations
Chlamydia Screening in Women ages 16-24PerformanceImproving access to effective and timely care
Colorectal Cancer ScreeningIncentive, PerformanceEnsuring appropriate care is delivered in appropriate settings, Improving access to effective and timely care, Improving primary care for all populations
Comprehensive Diabetes Care: Hemoglobin A1c TestingPerformanceAddressing discrete health issues
Comprehensive Diabetes Care: LDL-C ScreeningPerformanceAddressing discrete health issues
Controlling High Blood PressureIncentive, PerformanceAddressing discrete health issues
Developmental Screening in the First 36 Months of LifeIncentive, Performance, CoreEnsuring appropriate care is delivered in appropriate settings, Helping improve primary care for all populations, Improving access to effective and timely care
Diabetes: HbA1c Poor ControlIncentive, PerformanceAddressing discrete health issues
Early Elective DeliveryIncentive, PerformanceImproving overall perinatal and maternity care
Electronic Health Record (EHR) AdoptionIncentive, PerformanceElectronic Health Record Adoption
Follow-up after Hospitalization for Mental IllnessIncentive, Performance, CoreImproving behavioral and physical health coordination, Reducing preventable re-hospitalizations
Follow-up Care for Children Prescribed ADHD MedicationIncentiveImproving access to effective and timely care, Improving behavioral and physical health coordination
Health Status (CAHPS)CoreAddressing discrete health issues, Helping improve primary care for all populations
Immunization for AdolescentsPerformanceEnsuring appropriate care is delivered in appropriate settings, Improving primary care for all populations
Low Birth WeightCoreImproving overall perinatal and maternity care
Medical Assistance with Smoking and Tobacco Use Cessation (3 components)PerformanceEnsuring appropriate care is delivered in appropriate settings, Improving primary care for all populations
Mental and Physical Health Assessment within 60 Days for Children in DHS CustodyIncentive, CoreImproving access to effective and timely care, Improving behavioral and physical health coordination
Obesity PrevalenceCoreAddressing discrete health issues, Helping improve primary care for all populations
Patient-centered Primary Care Home EnrollmentIncentive, PerformanceEnsuring appropriate care is delivered in appropriate settings, Improving access to effective and timely care, Improving primary care for all populations
PQI 01: Diabetes, Short term Complication Admission RatePerformanceAddressing discrete health issues
PQI 05: Chronic Obstructive Pulmonary Disease or Asthma AdmissionPerformanceAddressing discrete health issues
PQI 08: Congestive Heart Failure Admission RatePerformanceAddressing discrete health issues
PQI 15: Adult Asthma Admission RatePerformanceAddressing discrete health issues
Prenatal and Postpartum Care: Postpartum Care RatePerformanceImproving overall perinatal and maternity care
Provider Access Questions from the Physician Workforce SurveyPerformanceImproving access to effective and timely care
Satisfaction with Care (CAHPS)Incentive, Performance, CoreAddressing patient satisfaction with health care
Screening for Clinical Depression and follow-up PlanIncentive, PerformanceImproving access to effective and timely care, Improving behavioral and physical health coordination
Timeliness of Prenatal CareIncentive, PerformanceImproving access to effective and timely care, Improving overall perinatal and maternity care
Tobacco Use PrevalenceCoreAddressing discrete health issues, Helping improve primary care for all populations, Improving behavioral and physical health coordination
Well-child Visits in the First 15 Months of LifePerformanceEnsuring appropriate care is delivered in appropriate settings, Improving access to effective and timely care, Improving primary care for all populations