About ACO Quality
These visualizations show quality measures reported by the Centers for Medicare and Medicaid Services (CMS) for ACOs participating in the Medicare Shared Savings Program. The Shared Savings Program is a voluntary initiative that encourages groups of doctors, hospitals, and other health care providers to come together as an Accountable Care Organization (ACO) to provide coordinated, high-quality care to their Medicare beneficiaries. Participating ACOs must report quality data to CMS after the close of every performance period and performance is measured using standard methods.
Procedures Descriptions
Getting Timely Care, Appointments, and Information: The percentage of patients reporting they were usually or always able to get care, appointments, and information when it was needed.
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease: The percentage of patients considered at high risk of cardiovascular events who were prescribed or were on statin therapy during the measurement period.
Depression Remission at Twelve Months: The percentage of adolescent patients 12 to 17 years of age and adult patients 18 years of age or older with major depression or dysthymia who reached remission 12 months (+/- 60 days) after an index event.
Breast Cancer Screening: The percentage of women 50 to 74 years of age who had a mammogram to screen for breast cancer in the 27 months prior to the end of the measurement period.
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%), WI: The percentage of patients 18 to 75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period. Note that a lower rate is indicative of better quality.
Controlling High Blood Pressure, WI: The percentage of patients 18 to 85 years of age who had a diagnosis of hypertension overlapping the measurement period and whose most recent blood pressure was adequately controlled (< 140/90 mmHg) during the measurement period.
Patients’ Rating of Provider: Average patient rating of provider on a scale of 0 to 10 expressed as a percentage.
Hospital-Wide 30-Day Readmission Rate: Risk-adjusted percentage of ACO assigned beneficiaries who were hospitalized and readmitted to a hospital within 30 days of discharge from the index hospital admission. Note that a lower performance rate is indicative of better quality.
Screening for Depression and Follow-up Plan: The percentage of patients aged 12 years and older screened for depression on the date of the encounter or 14 days prior using an age-appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the eligible encounter.
Colorectal Cancer Screening: The percentage of adults 50 to 75 years of age who had appropriate screening for colorectal cancer.
Featured Reports
More About Outpatient Services
See the Cost of Inpatient Services
Other Reports
Top procedures by number of claims and total spending.
See publicly available quality measures for Accountable Care Organizations (ACOs) in Delaware.
See publicly available quality information for hospitals in Delaware.
