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