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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.

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​.

  
2014 Measures
2014 Quality Pool Estimates by CCO
2015 Benchmarks
2015 Measures
2016 Benchmarks
2016 Measures
CCO Incentive Measures 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.

  
2015 Chart Review Data Submission Template
2015 Chart Review Guidance Document
Adolescent Well Care Visits Guidance Document - Nov 2015
ALERT IIS Data Use Cases
Assessments for Children in DHS Custody Guidance Document (revised Dec 2014)
Childhood Immunizations Resource Guide
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)
SBIRT Technical Assistance Webinar Q and A (October 2013)
Strategies for Reducing Tobacco Use (revised Dec 2015)
Year Three Data Proposal Template
Year Three Data Submission Template (revised Jan 2016)
Year Three EHR-Based Measure Reporting Guidance Documentation
Year Three EHR-Based Measures Analysis Guide
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For More Information

  
2014 Final Quality Pool by CCO
2014 Metrics Timeline
2014 Reference Instructions
2015 Quality Pool Methodology
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)
OHA ICD-9 to ICD-10 crosswalk
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 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.

CCO Measure Specification Sheets

  
Measure Type
  
Adolescent Well Care Visits - 2015 (revised Sept 2015)Incentive, Performance
Adolescent Well Care Visits - 2016 (revised Jan 2016)Incentive, Performance
Alcohol and Drug Misuse (SBIRT) - 2015 (revised Jan 2016)Core, Incentive, Performance
Alcohol and Drug Misuse (SBIRT) - 2016 (revised Mar 2016)Core, Incentive, Performance
Ambulatory Care - Avoidable Emergency Dept Utilization - 2015Core
Ambulatory Care - Avoidable Emergency Dept Utilization - 2016Core
Ambulatory Care - Outpatient and Emergency Dept Utilization - 2015 (revised Jan 2016)Core, Incentive, Performance
Ambulatory Care - Outpatient and Emergency Dept Utilization - 2016 (revised Jan 2016)Core, Incentive, Performance
Appropriate Testing for Children with Pharyngitis - 2015 (revised Dec 2015)Performance
Appropriate Testing for Children with Pharyngitis - 2016Performance
Assessments for Children in DHS Custody - 2015 (revised Sept 2015)Core, Incentive
Assessments for Children in DHS Custody - 2016Core, Incentive
CAHPS Composite - Access to Care - 2015Core, Incentive, Performance
CAHPS Composite - Access to Care - 2016Core, Incentive, Performance
CAHPS Composite - Health Status - 2016Core
CAHPS Composite - Satisfaction with Care - 2015Core, Incentive, Performance
CAHPS Composite - Satisfaction with Care - 2016Core, Incentive, Performance
CAHPS Composite - Smoking Cessation - 2015Performance
CAHPS Composite - Smoking Cessation - 2016Performance
Cervical Cancer Screening - 2015 (revised Dec 2015)Performance
Cervical Cancer Screening - 2016Performance
Child and Adolescent Access to Primary Care Practitioner - 2015 (revised Dec 2015)Performance
Child and Adolescent Access to Primary Care Practitioner - 2016Performance
Childhood Immunization Status - 2015 (revised Dec 2015)Performance
Childhood Immunization Status - 2016Incentive, Performance
Chlamydia Screening - 2015Performance
Chlamydia Screening - 2016Performance
Cigarette Smoking Prevalence Bundle - 2016 (revised Feb 2016)Incentive
Cigarette Smoking Prevalence Bundle - Copy of Online Cessation Benefit SurveyIncentive
Colorectal cancer screening - 2015 (revised Jan 2016)Incentive, Performance
Colorectal cancer screening - 2016 (revised Jan 2016)Incentive, Performance
Controlling Hypertension - 2015Core, Incentive, Performance
Controlling Hypertension - 2016 (updated Jan 2016)Core, Incentive, Performance
Dental Sealants - 2015 (revised Mar 2016)Incentive
Dental Sealants - 2016 (revised Mar 2016)Incentive
Depression Screening - 2015Incentive, Performance
Depression Screening - 2016 (revised Jan 2016)Incentive, Performance
Developmental Screening - 2015 (revised Mar 2016)Core, Incentive, Performance
Developmental Screening - 2016 (revised Mar 2016)Core, Incentive, Performance
Diabetes Care - HbA1c and LDL-C Screening - 2015 (revised Dec 2015)Performance
Diabetes Care - HbA1c and LDL-C Screening - 2016Performance
Diabetes HbA1c Poor Control - 2015Incentive, Performance
Diabetes HbA1c Poor Control - 2016 (updated Jan 2016)Incentive, Performance
Early Elective Delivery - 2015Performance
Early Elective Delivery - 2016Performance
Effective contraceptive use - 2015 (revised Jan 2016)Incentive
Effective contraceptive use - 2015 Numerator Code Table (revised Mar 2016)Incentive
Effective contraceptive use - 2016 (revised Mar 2016)Incentive
Effective contraceptive use - 2016 Numerator Code Table -Incentive
Effective contraceptive use - NDC Code Table - 2015 and 2016 (revised Nov 2015)Incentive
Electronic Health Record (EHR) Adoption - 2015Incentive, Performance
Electronic Health Record (EHR) Adoption - 2016Performance
Follow Up After Hospitalization for Mental Illness - 2015 (revised Oct 2015)Core, Incentive, Performance
Follow Up After Hospitalization for Mental Illness - 2016Core, Incentive, Performance
Follow Up Care for Children Prescribed ADHD Medication - 2015 (revised Dec 2015)Performance
Follow Up Care for Children Prescribed ADHD Medication - 2016 (revised Mar 2016)Performance
Immunizations for Adolescents - 2015Performance
Immunizations for Adolescents - 2016Performance
Patient Centered Primary Care Home (PCPCH) Enrollment - 2015Incentive, Performance
Patient Centered Primary Care Home (PCPCH) Enrollment - 2016 (revised Nov 2015)Incentive, Performance
Physician Workforce Survey – 2015Performance
Physician Workforce Survey - 2016Performance
Plan All-Cause Readmissions - 2015 (revised Dec 2015)Performance
Plan All-Cause Readmissions - 2016Performance
Prevention Quality Indicators (PQIs 1,5,8,15) – 2015 (revised Jan 2016)Core
Timeliness of Prenatal and Postpartum Care - 2015Incentive, Performance
Timeliness of Prenatal and Postpartum Care - 2016Incentive, Performance
Well-Child Visits - 2015 (revised Dec 2015)Performance
Well-Child Visits - 2016Performance

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