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Pioneer ACO Quality Outcomes

Atrius Health Pioneer Accountable Care Organization (ACO) Performance

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 2014

Pioneer ACO Mean

 

Domain: Patient and Caregiver Experience

 ACO-1

Getting Timely Care, Appointments, and Information

89.06%

81.95%

 ACO-2

How Well Your Doctors Communicate

95.45%

92.99%

 ACO-3

Patients' Rating of Doctor

94.18%

92.41%

 ACO-4

Access to Specialists

84.06%

83.93%

 ACO-5

Health Promotion and Education

62.96%

60.15%

 ACO-6

Shared Decision Making

76.31%

74.63%

 ACO-7

Health Status/Functional Status

74.52%

72.32%

 

Domain: Care Coordination/Patient Safety

 ACO-8

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

15.81

15.3

 ACO-9

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

1.08

1.06

 ACO-10

ASC Admissions: Heart Failure (lower scores are better)

1.23

1.11

 ACO-11

Percent of PCPs who Qualified for EHR Incentive Payment

98.16%

86.13%

 ACO-12

Medication Reconciliation

84.30%

83.56%

 ACO-13

Falls: Screening for Fall Risk

94.60%

64.61%

 

Domain: Preventive Health

 ACO-14

Influenza Immunization

85.51%

70.56%

 ACO-15

Pneumococcal Vaccination

91.49%

77.00%

 ACO-16

Adult Weight Screening and Follow-up

73.19%

67.90%

 ACO-17

Tobacco Use Assessment and Cessation Intervention

98.53%

93.70%

 ACO-18

Depression Screening

90.75%

59.67%

 ACO-19

Colorectal Cancer Screening

86.60%

74.46%

 ACO-20

Mammography Screening

92.82%

76.02%

 ACO-21

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

45.18%

56.23%

 

Domain: At Risk Population - Diabetes

Diabetes
Composite

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

54.52%

36.77%

 ACO-22

Hemoglobin A1c Control (HbA1c) (<8 percent)

79.97%

75.23%

 ACO-23

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

83.74%

67.22%

 ACO-24

Blood Pressure (BP) <140/90

86.21%

78.58%

 ACO-25

Tobacco Non-Use

89.00%

82.30%

 ACO-26

Aspirin Use

91.52%

88.22%

 ACO-27

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

9.52%

14.11%

 

Domain: At Risk Population - Hypertension

 ACO-28

Percent of patients with hypertension whose BP < 140/90

79.28%

74.98%

 

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

 ACO-29

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

74.88%

65.40%

 ACO-30

Percent of patients who use Aspirin or other antithrombotic

88.10%

87.68%

 

Domain: At Risk Population - Heart Failure

 ACO-31

Beta-Blocker Therapy for LVSD

97.83%

88.82%

 

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

CAD
Composite

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

88.41%

73.59%

 ACO-32

Drug Therapy for Lowering LDL-Cholesterol

94.59%

78.74%

 ACO-33

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

88.50%

81.01%

Looking for data from previous years? Click here for 2013 data or click here for 2012 data