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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

Atrius Health 2014

Pioneer ACO Mean

Domain: Patient and Caregiver Experience

Getting Timely Care, Appointments, and Information

89.06%

81.95%

How Well Your Doctors Communicate

95.45%

92.99%

Patients' Rating of Doctor

94.18%

92.41%

Access to Specialists

84.06%

83.93%

Health Promotion and Education

62.96%

60.15%

Shared Decision Making

76.31%

74.63%

Health Status/Functional Status

74.52%

72.32%

Domain: Care Coordination/Patient Safety

All Condition Readmissions (lower scores are better)

15.81

15.3

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

1.08

1.06

Admissions: Heart Failure (lower scores are better)

1.23

1.11

Percent of PCPs who Qualified for EHR Incentive Payment

98.16%

86.13%

Medication Reconciliation

84.30%

83.56%

Falls: Screening for Fall Risk

94.60%

64.61%

Domain: Preventive Health

Influenza Immunization

85.51%

70.56%

Pneumococcal Vaccination

91.49%

77.00%

Adult Weight Screening and Follow-up

73.19%

67.90%

Tobacco Use Assessment and Cessation Intervention

98.53%

93.70%

Depression Screening

90.75%

59.67%

Colorectal Cancer Screening

86.60%

74.46%

Mammography Screening

92.82%

76.02%

Blood Pressure Screening

45.18%

56.23%

Domain: At Risk Population - Diabetes

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

54.52%

36.77%

Good Hemoglobin A1C Control (HbA1c <8 percent)

79.97%

75.23%

Good Cholesterol Control (LDL <100mg/dL)

83.74%

67.22%

Good Blood Pressure Control (BP <140/90)

86.21%

78.58%

Tobacco Non-Use

89.00%

82.30%

Aspirin Use

91.52%

88.22%

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

9.52%

14.11%

Domain: At Risk Population - Hypertension

% of patients with hypertension whose BP < 140/90

79.28%

74.98%

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

% of patients with IVD with complete lipid profile and LDL control <100mg

74.88%

65.40%

% of patients who use aspirin or other antithrombotic

88.10%

87.68%

Domain: At Risk Population - Heart Failure

% patients with Heart Failure on Beta-Blocker Therapy

97.83%

88.82%

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

% of patients with CAD who:

88.41%

73.59%

Drug Therapy for Lowering LDL-Cholesterol

94.59%

78.74%

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

88.50%

81.01%

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