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Technical Specifications and Guidance Documents for CCO Incentive Measures

Questions?


Email:
Metrics.Questions@state.or.us

Media Inquiries:


Alissa Robbins
Alissa.Robbins@state.or.us​
503-490-6590


For more information

  
Metrics and Scoring Committee
Metrics Performance Reports
Metrics Technical Advisory Group
Oregon’s Measurement Strategy
Oregon’s Medicaid Demonstration

Overview

The Oregon Health Authority is using quality health metrics to show how well Coordinated Care Organizations (CCOs) are improving care, making quality care accessible, eliminating health disparities, and curbing the rising cost of health care.

Seventeen outcome and quality measures have been developed by the Metrics and Scoring Committee. Funds from a quality pool will be awarded to CCOs based on their annual performance on these 17 CCO Incentive Measures.

Data & Reporting

OHA regularly provides CCOs with progress reports on the CCO Incentive and State Performance Measures for their review and feedback.

Metrics are publically reported in the Health System Transformation Progress Reports​.

  
2015 Benchmarks
2015 Measures

Guidance Documents

Technology plans and measure specific guidance documents from previous measurement years are available upon request. These documents have been removed from the webpage to minimize confusion between the measurement years.

  
2015 Chart Review Guidance Document
Adolescent Well Care Visits Overview -- revised Dec 2014
Assessments for Children in DHS Custody Guidance Document - revised Dec 2014
Colorectal Cancer Screening Overview -- revised Jan 2015
Dental Sealants Guidance Document -- revised July 2015
Depression Screening Guidance Document -- revised Dec 2014
Developmental Screening Guidance Document -- revised Dec 2014
Effective Contraceptive Use Guidance Document
Prenatal Care Guidance Document -- revised July 2014
SBIRT Guidance Document -- revised Dec 2014
SBIRT Technical Assistance Webinar (Dec 2013)
SBIRT Technical Assistance Webinar (October 2013)
SBIRT Technical Assistance Webinar QandA (October 2013)
Year Three Data Proposal Template
Year Three EHR-Based Measure Reporting Guidance Documentation
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For More Information

  
2014 Final Quality Pool by CCO
2014 Metrics Timeline
EHR Adoption FAQ
Improvement Targets -- Revised September 2013
One Percent Estimates by CCO
One Percent Withhold Methodology


Technical Specifications

The specifications used to produce the measures are available below. Measures were produced using national and standardized specifications. Variations are noted in the documents.

2013 and 2014 specification sheets and methodology documents are available upon request. These documents have been removed from the webpage to minimize confusion between the measurement years.

OHA ICD-9 to ICD-10 crosswalk​

CCO Incentive Measure Specification Sheets

  
Adolescent Well Care Visits - 2015
Alcohol and Drug Misuse (SBIRT) - 2015
Ambulatory Care - Outpatient and Emergency Dept Utilization - 2015
Assessments for Children in DHS Custody - 2015
CAHPS Composite - Access to Care - 2015
CAHPS Composite - Satisfaction with Care - 2015
Colorectal Cancer Screening - 2015
Controlling Hypertension - 2015
Dental Sealants – 2015 (revised July 2015)
Depression Screening - 2015
Developmental Screening - 2015
Diabetes HbA1c Poor Control - 2015
Effective Contraceptive Use – 2015 (revised July 2015)
Electronic Health Record (EHR) Adoption - 2015
Follow Up After Hospitalization for Mental Illness - 2015
Patient Centered Primary Care Home (PCPCH) Enrollment - 2015
Timeliness of Prenatal and Postpartum Care - 2015

State Performance Measure Specification Sheets

  
Adolescent Well Care Visits - 2015
Alcohol and Drug Misuse (SBIRT) - 2015
Ambulatory Care - Outpatient and Emergency Dept Utilization - 2015
Appropriate Testing for Children with Pharyngitis - 2015
CAHPS Composite - Access to Care - 2015
CAHPS Composite - Satisfaction with Care - 2015
CAHPS Composite - Smoking Cessation - 2015
Cervical Cancer Screening - 2015
Child and Adolescent Access to Primary Care Practitioners - 2015
Childhood Immunization Status - 2015
Chlamydia Screening - 2015
Colorectal Cancer Screening - 2015
Controlling Hypertension - 2015
Depression Screening - 2015
Developmental Screening - 2015
Diabetes Care -- HbA1c and LDL-C Screenings - 2015
Diabetes HbA1c Poor Control - 2015
Early Elective Delivery - 2015
Electronic Health Record (EHR) Adoption - 2015
Follow Up After Hospitalization for Mental Illness - 2015
Follow Up Care for Children Prescribed ADHD Medication - 2015
Immunizations for Adolescents - 2015
Patient Centered Primary Care Home (PCPCH) Enrollment - 2015
Physician Workforce Survey – 2015
Plan All-Cause Readmission - 2015
Prevention Quality Indicators (PQIs 1,5,8,15) – 2015
Timeliness of Prenatal and Postpartum Care - 2015
Well-Child Visits - 2015
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