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Technical Specifications and Guidance Documents for CCO Incentive Measures

Questions?


Email:
Metrics.Questions@state.or.us

Media Inquiries:


Courtney Crowell
Courtney.W.Crowell@state.or.us​
971-712-6503

For more information

  
Clinical Quality Metrics Registry
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.

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 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​.

  
2016 Benchmarks
2016 Measures
2016 Metrics Timeline and Due Dates
2017 CCO Incentive Measure Benchmarks
2017 Measures
CCO Incentive Measures and changes since 2013

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.

  
2016 Chart Review Guidance Document (updated Nov 2016)
2016 Chart Review Template (revised Feb 2017)New
2017 CCO Incentive Measure Specification QandA
2017 Specification Changes Summary
Adolescent Well Care Visits Guidance Document - Nov 2015
ALERT IIS Data Use Cases (revised May 2016)
Assessments for Children in DHS Custody Guidance Document (revised Dec 2014)
Childhood Immunizations Resource Guide
Cigarette Smoking Prevalence - Additional FAQ
Colorectal Cancer Screening Overview (revised Jan 2015)
Dental Sealant Guidance Document - Nov 2015
Depression Screening Guidance Document (revised Dec 2014)
Developmental Screening Guidance Document - Nov 2015
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)
Strategies for Reducing Tobacco Use (revised Dec 2015)
Year Four Data Proposal Review Form
Year Four Data Proposal Template
Year Four Data Submission Template (updated Oct 2016)
Year Four EHR-Based Measures Reporting Guidance Documentation
Year Four Patient-Level Data Submission Template (September 2016)
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For More Information

  
Cigarette Smoking Prevalence Metric FAQ
DHS Custody 834s Memo
EHR Adoption FAQ
Final 2015 Quality Pool Amounts by CCO
Future Enrollments Memo
Guidance_on_Grouping_Claim_Types
Improvement Targets (revised Sept 2013)
One Percent Withhold Methodology
Reference Instructions

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.

2013-2015 specification sheets and methodology documents are available upon request. These documents have been removed from the webpage to minimize confusion between the measurement years.

CCO Measure Specification Sheets

  
Measure Type
  
Adolescent Well Care Visits - 2016 (revised Jan 2016)Incentive, Performance
Adolescent Well Care Visits - 2017Incentive, Performance
Alcohol and Drug Misuse (SBIRT) - 2016 (revised Aug 2016)Core, Incentive, Performance
Ambulatory Care - Avoidable Emergency Dept Utilization - 2016Core
Ambulatory Care - Outpatient and Emergency Dept Utilization - 2016 (revised Aug 2016)Core, Incentive, Performance
Ambulatory Care Outpatient and Emergency Dept Utilization - 2017Core, Incentive, Performance
Appropriate Testing for Children with Pharyngitis - 2016Performance
Assessments for Children in DHS Custody - 2016 (revised Aug 2016)Incentive
Assessments for Children in DHS Custody - 2017Incentive
CAHPS Composite - Access to Care - 2016 (revised Oct 2016)Core, Incentive, Performance
CAHPS Composite - Access to Care - 2017Core, Incentive, Performance
CAHPS Composite - Health Status - 2016Core
CAHPS Composite - Satisfaction with Care - 2016Core, Incentive, Performance
CAHPS Composite - Satisfication with Care - 2017Core, Incentive, Performance
CAHPS Composite - Smoking Cessation - 2016Performance
Cervical Cancer Screening - 2016Performance
Child and Adolescent Access to Primary Care Practitioner - 2016Performance
Childhood Immunization Status - 2016 (revised Feb 2017)Incentive, Performance
Childhood Immunization Status - 2017Incentive, Performance
Chlamydia Screening - 2016Performance
Cigarette Smoking Prevalence Bundle - 2016 (revised May 2016)Incentive
Cigarette Smoking Prevalence Bundle - 2017Incentive
Cigarette Smoking Prevalence Bundle - Copy of Online Cessation Benefit SurveyIncentive
Colorectal Cancer Screening - 2016 (revised Feb 2017)Incentive, Performance
Colorectal Cancer Screening - 2017 (revised Feb 2017)Incentive, Performance
Controlling Hypertension - 2016 (updated Aug 2016)Core, Incentive, Performance
Controlling Hypertension - 2017 (revised Feb 2017)NewIncentive, Performance
Dental Sealants - 2016 (revised Mar 2016)Incentive
Dental Sealants - 2017Incentive
Depression Screening - 2016 (revised Aug 2016)Incentive, Performance
Depression Screening - 2017 (revised Feb 2017)Incentive, Performance
Developmental Screening - 2016 (revised Mar 2016)Core, Incentive, Performance
Developmental Screening - 2017Core, Incentive, Performance
Diabetes Care - HbA1c and LDL-C Screening - 2016Performance
Diabetes HbA1c Poor Control - 2016 (updated Aug 2016)Incentive, Performance
Diabetes HbA1c Poor Control - 2017 (revised Feb 2017)Incentive, Performance
Early Elective Delivery - 2016Performance
Effective Contraceptive Code Detail Table - 2017Incentive
Effective contraceptive use - 2016 (revised Aug 2016)Incentive
Effective contraceptive use - 2016 Numerator Code TableIncentive
Effective Contraceptive Use - 2017Incentive
Effective contraceptive use - NDC Code Table - 2015 and 2016 (revised Nov 2015)Incentive
Electronic Health Record (EHR) Adoption - 2016Performance
Follow Up After Hospitalization for Mental Illness - 2016 (revised Aug 2016)Core, Incentive, Performance
Follow Up Care for Children Prescribed ADHD Medication - 2016 (revised Mar 2016)Performance
Follow-Up After Hospitalization for Mental Illness - 2017Core, Incentive, Performance
Immunizations for Adolescents - 2016Performance
Patient Centered Primary Care Home (PCPCH) Enrollment - 2016 (revised Nov 2015)Incentive, Performance
Patient Centered Primary Care Home (PCPCH) Enrollment - 2017Incentive, Performance
Physician Workforce Survey - 2016Performance
Plan All-Cause Readmissions - 2016Performance
Timeliness of Prenatal and Postpartum Care - 2016Incentive, Performance
Timeliness of Prenatal and Postpartum Care - 2017Incentive, Performance
Well-Child Visits - 2016Performance

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