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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: 

Patient/Caregiver Experience 
Measure Name Atrius Health
Performance 2016
Mean Performance Rate (SSP-ACOs)
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information
ACO-2 CAHPS: How Well Your Providers Communicate   94.17%
ACO-3  CAHPS: Patients' Rating of Provider
ACO-4  CAHPS: Access to Specialists
85.85%  83.41%
ACO-5 CAHPS: Health Promotion and Education  69.18%  63.14%
ACO-6  CAHPS: Shared Decision Making
ACO-7 CAHPS: Health Status/Functional Status  75.41%
ACO-34 CAHPS: Stewardship of Patient Resources   22.02%
Care Coordination/Patient Safety 
Measure Name   Atrius Health
Performance 2016

Mean Performance Rate (SSP-ACOs)
ACO-8 Risk Standardized, All Condition Readmission 15.71%   14.95%
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 19.00%  18.69%
ACO-36  All-Cause Unplanned Admissions for Patients with Diabetes
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure  79.05%   78.08%
ACO-38  All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
62.48%   62.23%
ACO-9  Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) [4]
10.32%  9.68%
Ambulatory Sensitive Condition Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) [4]
ACO-11  Percent of PCPs who Successfully Meet Meaningful Use Requirements
97.86%   78.22%
ACO-39 Documentation of Current Medications in the Medical Record  72.63%
ACO-13 Falls: Screening for Future Fall Risk  93.96%   74.59%
Preventative Health


Measure Name  Atrius Health
Performance 2016
Mean Performance Rate (SSP-ACOs)
ACO-14 Preventative Care and Screening: Influenza Immunization   83.39%
ACO-15 Pneumonia Vaccination Status for Older Adults   94.45%
ACO-16  Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention  97.39%   92.45%
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan   90.09%
ACO-19  Colorectal Cancer Screening
ACO-20 Breast Cancer Screening   94.23%
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented  67.03%   80.53%
 ACO-42 Statin therapy for the Prevention and Treatment of Cardiovascular Disease 83.87%  78.82 
At-Risk Population 
Measure Name   Atrius Health
Performance 2016
Mean Performance Rate (SSP-ACOs)
ACO-40  Depression Remission at Twelve Months
Diabetes Composite   Diabetes Composite (All or Nothing Scoring)   85.88%
ACO-27  Diabetes Mellitus: Hemoglobin A1c Poor Control
ACO-41 Diabetes: Eye Exam  91.36%  52.87%
ACO-28 Hypertension (HTN): Controlling High Blood Pressure   81.09%
ACO-30  Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)   96.11%
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)   80.79%

Looking for data from previous years? Click here for 2015 data, click here for 2014 data, click here for 2013 data or click here for 2012 data