Department Medicaid of Health Redesign Team
PPS Performance PAOP MEETING
November 2018
wvoRK Department TEOF l h ORTUNITY. of Hea t
2November 29, 2018
Top Performing Measures
( All PPS
Community Care of Brooklyn
Millennium Collaborative Care
Leath erstockin g Co ll ab orative
Bronx Health Access
NY and Presbyte ri an Hosp ital
Advocate Commun ity Providers
Suffolk Care Collaborative
OneC ity Hea lth
Montefi ore Hu dson Va lley Co llaborative
Refu ah Co mmunity Hea lth Co ll aborative
WMCHea lth
Mount Sin ai
Ce ntral NY Care Collaborative
Bronx Partn ers for Hea lthy Communities
Staten Island
Nassa u Queens
Brooklyn Bridges
Ad ironda ck Hea lth Institute
Community Partn ers of Western NY
Ca re Compass Network
Alli ance for Better Health Care
Better Hea lth for North east NY
North Co untry Initi ative
Finger Lakes
NY-Presbyteri an/Q ueens
• 50
• • • I • + • I
+ • 0
• 0
• 0 0
0 60
• •
+ •
• 70
+
Performance Goa1=88.2
80 90
_) Department of Health
3November 29, 2018
Follow Up After Hospitalization for Mental Illness – within 30 Days
MY3 data Number of PPS that improved: 20 Number of PPS achieving target: 19 All PPS rate change since baseline: 10.6%
Improving
Not Improving
Refuah Community Hea lth Co llaborative
Better Hea lth for Northeast NY
NY-Presbyte ri an/Q uee ns
Brooklyn Bridges
Staten Island
Millennium Collaborative Ca re
Mount Sin ai
Central NY Care Collaborative
Fin ger Lakes
Leath erstocking Collaborative
WMCHealth
Community Partn ers of Western NY
Ad iro ndack Hea lth Institute
Ca re Compass Network
Montefiore Hudson Va lley Co llaborative
Alliance for Better Hea lth Ca re
One City Hea lth
• • • • • ••
Performance Goa1=93.4
• ••
• • - - - - - - ------------------------------------ --- --------------
Bronx Partn ers for Hea lthy Co mmuniti es
Suffolk Care Collaborative
- ----------------------------------------------. . ---------------------- - - ---------------------------------------------------------------------
\
Bronx Hea lth Access
Community Ca re of Brooklyn
Nassau Quee ns
North Country Initiative 0 NY and Presbyterian Hospital
SOM OS Community Ca re
• 50 60
• • • • •
70 80 90
_) WYORK TEOF ORTUNITY.
Department of Health
4November 29, 2018
Follow Up After Hospitalization for Mental Illness – within 30 DaysPercentage of hospital discharges where the patient had a follow-up visit with a mental health provider within 30 days. Does not include visits that occurred on the date of discharge.
Un-adjudicated MY4 Month 9 data Number of PPS that improved: 17 Number of PPS achieving target: 10
Improving
Not Improving
Bronx Pariners for Healthy Communities Performance Goal=6.6
Bronx Health Access
Suffolk Care Collaborative • Alliance for Better Health Care
Better Health for Noriheast NY
SOMOS Community Care
V\IMCHealth
Brooklyn Bridges
Community Care of Brooklyn
Leatherstocking Collaborative
Montefiore Hudson Valley Collaborative
OneCity Health
NY -Presbyterian/Queens
0
0
• CD
• CD
· -
50
•
100 150
•
200
Department of Health
5November 29, 2018
Prevention Quality Indicator #15 – Younger Adult Asthma (18-39 years) ± + A lower rate is desirable.
Un-adjudicated MY4 Month 9 data Number of PPS that improved: 9 Number of PPS achieving target: 8
Improving
Not Improving
( OneCity Health
Performance Goal=19.8
Bronx Pariners for Healthy Communities
NY -Presbyterian/Queens
Bronx Health Access
Brooklyn Bridges • Suffolk Care Collaborative
WMCHealth
Montefiore Hudson Valley Collaborative
Leatherstocking Collaborative
A lliance for Better Health Care
SOMOS Community Care
---------------------------------------------------------------- -----------------------------------------------------------------
Community Care of Brooklyn
Better Health for Noriheast NY
0 200
• e
• 0
• e
•
--------------------------------------------------------------------------------------------------
400 oOO
Department of Health
Pediatric Quality Indicator #14 Pediatric Asthma ± + A lower rate is desirable.
Un-adjudicated MY4 Month 9 data Number of PPS that improved: 11 Number of PPS achieving target: 8
6November 29, 2018
Improving
Not Improving
wvoRK Department TEOF l h ORTUNITY. of Hea t
7November 29, 2018
Average Performing Measures
( All PP S
Bronx Hea lth Access
Va ll ey Co llaborative Montefi ore Hudson
Staten Is land
One City Hea lth
I Ny Ca re Co llaborative ce ntra
Nassau Queens
WMCHealth
Mount Sinai
th Co mmunities Bro nx Partn ers for Hea l Y .
North Country Initiative
n·11y Ca re ofBro oklyn commu
ti Health Care Alliance for Be- =~ -----------------------~~~~-~~ify~~-~~;~s of Western NY
Ad1ro n . dack Hea lth Institute
t Community Provide rs Advoca e
Millennium Co llaborative Ca re
NY and Presbyte ri an Hosp ital
Fin ger Lakes
Better Hea lth for North east NY
Suffolk Ca re Co llaborative
Leath erstocking Co llaborative
Brooklyn Bridges
·1y Hea lth Co llaborative Refu ah Communi
NY-Presbyte ri an/Q ueens
Care Compas s Network
30
G
•• •• l + • • +
···+ •• •• • ---• ---------------.. --. -• • •• I • 0
•
• • I •
0 • 0
35 40
Performance Goal=43.5
•• 45 50
J _./
WYORK TEOF ORTUNITY.
Department of Health
8November 29, 2018
Antidepressant Medication Management – Continuation Phase Treatment
MY3 data Number of PPS that improved: 12 Number of PPS achieving target: 8 All PPS rate change since baseline: 1.9%
Improving
Not Improving
( ·ty Hea lth Co llaborative Refu ah Commum
Brooklyn Bri dges
NY and Presbyte ri an Hospital
NY-Presbyterian/Q uee ns
Ad iro ndack Hea lth Institute
Mill ennium Co llaborative Care
Care Compass Netwo rk
Suffolk Care Co llaborative
Fin ger Lakes
Nassau Quee ns
·ty Partn ers of Western NY Commum
Mount Sin ai
Central NY Care Co llaborative
SO MOS Community Care
Community Care of Brooklyn
Bro nx Hea lth ~===~~--- ________ M_o-~t~fi~~;-H~d~-0-~ i;,;11-;,y-C~ll; -borative
lthy Communities Bro nx Partn ers for Hea
Staten Island
Alliance for Better Hea lth Care
WMCHealth
Leath erstocking Co llaborative
Better Hea lth for North east NY
OneCity Hea lth
North Country Initiative
G
• • • e +
e I o •
G
G
+
G
CD Performance r '=43.5
0 +
i + • +
+ 0
. . . -------------------------------------------------------------------- - --------
I e • 0 • • CD G • • • • •
35 40
• • PPS Res ul t
• = MY4 resul t met t he All
4WVORK Department 50
TEOF
of Health ORTUNITY.
45
9November 29, 2018
Antidepressant Medication Management – Continuation Phase TreatmentPercentage of Medicaid members who remained on antidepressant medication for at least six months
Un-adjudicated MY4 Month 9 data Number of PPS that improved: 16 Number of PPS achieving target: 12
Improving
Not Improving
( All PPS
Brooklyn Brid ges
NY-Presbyte ri an/Q ueens
Bronx Partn ers for Hea lthy Communiti es
OneCity Hea lth
Ce ntral NY Care Co llaborative
Mount Sin ai
Staten Island
Nassau Queens
Bronx Hea lth Access
Better Hea ltl1 for North east NY
OG
G
GO G G
Ad irondac k Hea lth Institute G Cl)
+
+ •• • Suffolk Care Co llaborative G)
Leatl1 erstockin g Co llaborative C, Advocate Com mun ity Providers CD
Community Care of Brooklyn G G Montefi ore Hu ds on Vall ey Co llaborative •• • Fin ger Lakes GO
WMCHea lth 0 • Alli ance for Better Hea lth Care CD Mill ennium Collaborative Care G • Ca re Compass Network • G NY and Presbyte ri an Hospital • 0
North Co untry Initi ative I I • Co mmun ity Partn ers of Western NY
Refuah Community Hea lth Co llaborative • • 30 35 40 45 50
Performance Goal=57 .1
•
55 60
J Department of Health
10November 29, 2018
Initiation of Alcohol and Other Drug Dependence Treatment (1 visit within 14 days) MY3 data Number of PPS that improved: 12 Number of PPS achieving target: 8 All PPS rate change since baseline: -6.3%
Improving
Not Improving
( ·ty Hea lth Co llaborative Refuah Co mmuni
NY and Presbyterian Hosp ital
Co mmunity Care ofBrooklyn
Nassau Queens
·ty Partn ers of Western NY communi
H dson Va lley Co llaborative Montefiore u
lthy comm unities Bronx Pa,tners for Hea
WMCHea ltl1
Fin ger Lakes
Staten Island
Suffolk Ca re Co_l'.~~~~~~~~ ---- _________________ Alli~-~~;f~; 8-;tt;~ Hea lth Care
Millenn iu m Collaborative Care
t I Ny Ca re Collaborative Cen ra
SOMOS Community Care
Better Hea lth for Northeast NY
Ad iro nd ack Hea lth Institute
Care Com pass Network
Leath erstocking Collaborative
Mount Sin ai
North Co untry Initi ative
OneCity Hea ltl1
Bronx Hea lth Access
Brooklyn Bridges
NY-Presbyterian/Q ueens
30
t + •••• GG
OG GO
---------------------------------------------------- ------
CD
• 0 G
CD 0
35 40
• • •
G GO
G G
• 0
G
G 45
Pelformance GoaI=57.1
• i • •
• • • • • • • PPSRes ul t • • = MY4 resul t met t he All
60 4WVORK Department 55
) TEOF
of Health
50
ORTUNITY.
11November 29, 2018
Initiation of Alcohol and Other Drug Dependence Treatment (1 visit within 14 days)Percentage of Medicaid members who initiated treatment through an inpatient AOD admission, outpatient visit, intensive outpatient encounter, or partial hospitalization within14 days of the index episode.
Un-adjudicated MY4 Month 9 data Number of PPS that improved: 11 Number of PPS achieving target: 7
Improving
Not Improving
( Better Health for N011heast NY
Performance Goal=6.8
Care Compass Network
Suffolk Care Collaborative
Millennium Collaborative Care
____________ CoJmnuoil\f_E'aLtners.otWestem.NY _______________ ------------------------------------ - --------------------------------------------------------------------------------------------------------------------------------·
SOMOS Community Care
Central NY Care Collaborative
OneCity Health
North Country Initiative
Mount Sinai
Bronx Partners for Healthy Communities
Nassau Queens
Montefiore Hudson Valley Collaborative
Community Care of Brooklyn
NY -Presbyterian/Queens 0 0 200 400 600
WYORK TEOF ORTUNITY.
Department of Health
12November 29, 2018
Prevention Quality Indicator #8 – Heart Failure ±* + A lower rate is desirable .
Un-adjudicated MY4 Month 9 data Number of PPS that improved: 5 Number of PPS achieving target: 3
Improving
Not Improving
North Country Initiative
Suffolk Care Collaborative
Care Compass Netw ork
Millennium Collaborative Care
SOMOS Community Care CD Montefiore Hudson Valley Collaborative
Community Pa11ners of W estern NY
Nassau Queens
Central NY Care Collaborative
Mount Sinai
OneClty Health
Better Health for No11heast NY
Bronx Pa11ners for Healthy Communities
Community Care of Brooklyn
fD
+
+ -+ fD fl ----
+ + + --
Performance Goal=100
------------------------------------- . --------------------------------------------------------------. ---------------------------------------------------------------------------------------- -----------------NY-Presbyterian/Queens V W'
70 80 90 100
• • PPSResult
• = MY4 result met t he AIT
Department of Health
13November 29, 2018
Statin Therapy for Patients with Cardiovascular Disease - Received Statin TherapyNumber of people who were dispensed at least one high or moderate-intensity statin medication
Un-adjudicated MY4 Month 9 data Number of PPS that improved: 14 Number of PPS achieving target: 11
Improving
Not Improving
wvoRK Department TEOF l h ORTUNITY. of Hea t
14November 29, 2018
Challenging Measures
r Va ll ey Co ll aborative Montefiore Hudson . .
Mou~t-~1~-a~ -------~~~~ -~ountiy Initiative
NY and Pre sbyterian Hosp ital
Millenn ium Co ll aborative Care
Ad irondack Hea lth Institute
Leath erstocking Co ll aborative
Alliance for Better Hea lth Care
·ty Hea lth Co ll aborative Refu ah Communi .
Central NY Care Co ll aborative
Fin ger La kes
One City Hea lth
n·i ty Ca re of Brooklyn Commu
Nassau Queens
Bronx Hea lth Access
·1y Partn ers of Western NY communi
Better Hea lth for Northeast NY
Partners for Hea lthy Communities Bronx
Care Compass Network
WMCHea lth
Brooklyn Bridges
t Community Providers Advoca e
NY-Presbyterian/Queens
Suffolk Care Co ll aborative
Staten Island
All PPS
75
• •
G •
• -- ------• •
• • • • •
• • 80
• A. • • • -------------------------------v ' :,y __ I ---------------------------------------
Performance Goal=91.1
I • • • • I
• • • • • • • • • • • • I • •
85
• •
•
•
• • • •
•
90 WYORK TEOF ORTUNITY_
Department of Health
15November 29, 2018
Adult Access to Preventive or Ambulatory Care - 20 to 44 years
Improving
Not Improving
MY3 data Number of PPS that improved: 2 Number of PPS achieving target: 2 All PPS rate change since baseline: -3.2%
( ·1y Partn ers of Western NY co mmuni
Ca re Comp ass Network
One City Hea lth
Ith for Northeast NY Better Hea
Na ssau Quee ns
Valley Co ll aborative Montefi ore Hudson
. m Co llaborative Ca re Millenniu
NY-Presbyterian/Q ueens
I NY Care Co ll aborative centra
f ah CODJO'J.l!OLIILH~L ______ _ . Ith Co ll abQ~<).t!'{.~ ---.R.~ _u______ Hea lth Care
Alliance for Better
Co mmuniti es Partners for Hea lthy
Bronx . ll aborative Leatherstockmg Co
Fin ger Lakes
Ad1ron . dack Hea lth Institute
·1y Care of Brooklyn communi
Staten Island
Brooklyn Bridges
Mount Sinai
Bro nx Hea lth Access
WMCHealth
North Country Initiative
Suffolk Care Co ll aborative
SOM OS Community Ca re
NY and Presbyterian Hospital
• • • • • • • • • • •
• • • • • • • • • • • •
75 80
+ Performance Goal=91.1
• + G
• • • G - ---------------------------------- ---
• G • • • G • G • • G
• • PPS Res ul t
• ttheAIT . = MY4 resul t me • • 85 90 4WVORK Department ) TEOF
of Health ORTUNITY. /
16November 29, 2018
Adult Access to Preventive or Ambulatory Care - 20 to 44 yearsPercentage of adults who had an ambulatory or preventive care visit during the MY.
Un-adjudicated MY4 Month 9 data Number of PPS that improved: 10 Number of PPS achieving target: 4
Improving
Not Improving
( All PP S
Montefi ore Hudson Va ll ey Co llaborative
Mount Sin ai
Mill ennium Co ll aborative Care
OneCity Hea lth
Leath erstockin g Co llaborative
Centra l NY Care Co llaborative
A W'
• A W'
• •
* I + • • Fin ger Lakes G
Performance Goal-94.4
i • +
- - - - - - - - - - - - - - - - - - Ad iro::::~:~::: I1~i: it~t~~: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - G ---------I-----------------------------------------------------------------------------------------NY-Presbyterian/Q ueens
Community Ca re of Brooklyn
Alliance for Better Hea lth Care
Refu al1 Community Hea lth Co llaborative
NY and Presbyte ri an Hosp ital
Bronx Hea lth Access
Community Partn ers of Western NY
Care Compass Netwo rk
Nassau Queens
Advocate Community Providers
Bronx Partn ers for Hea lthy Communities
Brooklyn Bri dges
WMCHea lth
Better Hea lth for Northeast NY
Staten Island
Suffolk Ca re Co llaborative CD 85
• • •
• • 88
• A W'
• •
• • •
• • •
90 93
• •
•
95
__./ J
Department of Health
17November 29, 2018
Adult Access to Preventive or Ambulatory Care - 45 to 64 years MY3 data Number of PPS that improved: 8 Number of PPS achieving target: 4 All PPS rate change since baseline: -0.8%
Improving
Not Improving
Community Partn ers of Western NY
North co untry Initi ative
Refu ah Community Hea lth Collaborative
oneCity Hea lth
Nassau Quee ns
Care compass Network
NY and Presbyterian Hospital • • • G
- Performance Goal=94.4
• 0 •
" '"'"''" H,dsoo v,11., c,11,born, .a O .......................................... . Ad"'"a"" "' '"' ,,s,,1, ................................................................. o .................... · o.......... GI
---- Better Hea lth for North east NY ... ···········"l'.0<0/Q!~<l!ocH"'°·'"'··············· •
Bronx Partn ers for Healthy Communiti es
Fin ger Lakes
Community care of Brooklyn
Leath erstockin g Collaborative
Centra l NY Care Collaborative
Mount Sinai
Mill ennium Collaborative Ca re
Bronx Hea lth Access
SOMOS Community Ca re
WMCHea lth
NY-Presbyteri an/Q uee ns
Brooklyn Bri dges
Suffolk c are Collaborative 0 Staten Island
83
• •
• '
• • •
85 88
• • • • • 0 • • • • • • • • • • 90 93 95
)
• • PPS Res ul t
• = MY4 resul t met t he All
WYORK TEOF ORTUNITY.
Department of Health
18November 29, 2018
Adult Access to Preventive or Ambulatory Care - 45 to 64 years Percentage of adults who had an ambulatory or preventive care visit during the MY.
Un-adjudicated MY4 Month 9 data Number of PPS that improved: 10 Number of PPS achieving target: 4
Improving
Not Improving