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Quality Measurements - 2021

Download the quality measurements table in a printable format >>

ACO Number Measure Name Rate ACO Mean
CAHPS-1 Get Timely Care, Appointments, and Information 83.63 84.67
CAHPS-2 How Well Providers Communicate 95.28 93.56
CAHPS-3 Patient's Rating of Provider 92.75 92.19
CAHPS-4 Access to Specialists 77.90 78.80
CAHPS-5 Health Promotion and Education 62.93 61.61
CAHPS-6 Shared Decision Making 63.99 60.89
CAHPS-7 Health Status and Functional Status 72.31 71.78
CAHPS-8 Care Coordination 86.76 85.66
CAHPS-9 Courteous and Helpful Staff 92.59 91.88
CAHPS-11 Stewardship of Patient Resources 24.81 24.71
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 8.78 12.46
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 88.24 74.38
236 Controlling High Blood Pressure 70.56 74.87
318 Falls: Screening for Future Fall Risk 100.00 87.03
110 Preventative Care and Screening: Influenza Immunization 82.11 80.52
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 94.44 80.97
113 Colorectal Cancer Screening 73.39 73.63
112 Breast Cancer Screening 77.42 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 88.57 84.24
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR)
Rate for MIPS Groups2		 0.1674 0.1540
MCC1 All-Cause Unplanned Admissions for Patients with
Multiple Chronic Conditions for ACOs (MCC)		 30.88 33.99

Please note, the Quality ID #370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.


2020 Quality Measurements

2019 Quality Measurements

2018 Quality Measurements

2017 Quality Measurements

2016 Quality Measurements

2015 Quality Measurements

2012-2014 Quality Measurements

Public Reporting Information


 
 
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Ascension Sacred Heart Consent Forms Quality Measurements Patient Portal Healthy Communities Public Reporting Information Gulf Coast Health Partners