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Atrius Health Pioneer Accountable Care Organization (ACO) Performance 2012

Each of the organizations that was competitively selected by the Centers for Medicare and Medicaid Services (CMS) to participate in the Pioneer Accountable Care Organization (ACO) is required to demonstrate it has met the quality standards each year it participates. Each specific outcome can be seen in the table below:

Measure
Number
 

Measure

Atrius Health 2012

Pioneer ACO Mean

 

Domain: Patient and Caregiver Experience

 ACO-1

Getting Timely Care, Appointments, and Information

84.97%

80.96%

 ACO-2

How Well Your Doctors Communicate

93.29%

92.64%

 ACO-3

Patients' Rating of Doctor

91.51%

91.67%

 ACO-4

Access to Specialists

87.50%

84.66%

 ACO-5

Health Promotion and Education

60.45%

57.07%

 ACO-6

Shared Decision Making

72.04%

74.36%

 ACO-7

Health Status/Functional Status

74.81%

70.34%

 

Domain: Care Coordination/Patient Safety

 ACO-8

Risk Standardized, All Condition Readmissions (lower scores are better)

15.78

15.48

 ACO-9

ASC Admissions: COPD or Asthma in Older Adults (lower scores are better)

1.23

1.07

 ACO-10

ASC Admissions: Heart Failure (lower scores are better)

1.07

1.03

 ACO-11

Percent of PCPs who Qualified for EHR Incentive Payment

86.87%

63.61%

 ACO-12

Medication Reconciliation

61.99%

70.55%

 ACO-13

Falls: Screening for Fall Risk

64.52%

35.64%

 

Domain: Preventive Health

 ACO-14

Influenza Immunization

71.19%

53.37%

 ACO-15

Pneumococcal Vaccination

83.42%

57.26%

 ACO-16

Adult Weight Screening and Follow-up

57.47%

53.12%

 ACO-17

Tobacco Use Assessment and Cessation Intervention

99.48%

77.82%

 ACO-18

Depression Screening

26.54%

23.62%

 ACO-19

Colorectal Cancer Screening

75.81%

58.10%

 ACO-20

Mammography Screening

83.10%

64.77%

 ACO-21

Proportion of Adults who had blood pressure screened in past 2 years

48.39%

63.19%

 

Domain: At Risk Population - Diabetes

Diabetes
Composite   

Percent of patients with diabetes who met all of the following criteria:

49.46%

25.52%

 ACO-22

Hemoglobin A1C Control (HbA1c <8 percent)

79.64%

64.73%

 ACO-23

Low Density Lipoprotein (LDL) (<100mg/dL)

82.32%

55.12%

 ACO-24

Blood Pressure Control (BP) <140/90

83.75%

67.08%

 ACO-25

Tobacco Non-Use

89.11%

66.61%

 ACO-26

Aspirin Use

83.40%

78.52%

 ACO-27

Percent of patients with diabetes whose HbA1c in poor control (>9 percent) (lower scores are better)

9.82%

27.08%

 

Domain: At Risk Population - Hypertension

 ACO-28

Percent of patients with hypertension whose BP < 140/90

77.24%

63.94%

 

Domain: At Risk Population - Ischemic Vascular Disease (IVD)

 ACO-29

Percent of patients with IVD with complete lipid profile and LDL control <100mg/dl

71.84%

54.01%

 ACO-30

Percent of patients who use Aspirin or other antithrombotic

89.26%

76.07%

 

Domain: At Risk Population - Heart Failure

 ACO-31

Beta-Blocker Therapy for LVSD

100%

82.05%

 

Domain: At Risk Population - Coronary Artery Disease (CAD)

CAD
Composite   

Percent of patients with CAD who met all of the following criteria:

85.14%

62.87%

 ACO-32

Drug Therapy for Lowering LDL-Cholesterol

90.21%

69.43%

 ACO-33

(ACE) Inhibitor or (ARB) Therapy for Patients with CAD and Diabetes and/or (LVSD)

86.05%

71.12%