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CCO incentive metrics

Monday, January 01, 0001

OHA uses quality health metrics to show how well publicly funded programs are improving care, making quality care accessible, eliminating health disparities, and curbing the rising cost of health care. OHA tracks a set of incentive metrics, in addition to state performance metrics, to monitor progress. For CCOs, outcome and quality measures have been developed by OHA. Funds from a quality pool are awarded to CCOs based on their annual performance on these incentive measures. The Transformation Center may provide TA to support improvement of incentive measures. Current (2019) incentive metrics include:
  • Adolescent well-care visits
  • Ambulatory care: emergency department utilization
  • Assessments within 60 days for children in DHS custody​
  • CAHPS composite: access to care
  • Childhood immunization status
  • Cigarette smoking prevalence
  • Colorectal cancer screening
  • Controlling high blood pressure
  • Dental sealants on permanent molars for children
  • Depression screening and follow-up plan
  • Developmental screening in the first 36 months of life
  • Diabetes: HbA1c poor control
  • Disparity measure: emergency department utilization among members with mental illness
  • Drug and alcohol screening (EHR-based SBIRT)
  • Effective contraceptive use among women at risk of unintended pregnancy
  • Oral evaluation for adults with diabetes
  • Patient-Centered Primary Care Home enrollment
  • Timeliness of postpartum care
  • Weight assessment and counseling in children and adolescents
Metrics are subject to change each year.​

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