ACO Public Reporting 2

ACO PUBLIC REPORTING

2021 Quality Performance Results:

ACO Public Reporting

Quality ID#

Measure Name

Rate

ACO Mean

318

Falls: Screening for Future Fall Risk

63.84

74.87

110

Preventive Care and Screening: Influenza Immunization

62.87

80.52

226

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

90.48

80.97

134

Preventive Care and Screening: Screening for Depression and Follow-up Plan

91.49

74.38

113

Colorectal Cancer Screening

54.80

73.63

112

Breast Cancer Screening

62.98

75.11

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83.33

84.24

001

Diabetes Mellitus: Hemoglobin A1c Poor Control

19.26

12.46

236

Hypertension (HTN): Controlling High Blood Pressure

63.84

74.87

370 Depression Remission at Twelve Months 19.12 15.50

Please note, three of the quality measures (Statin Therapy for the Prevention and Treatment of Cardiovascular Disease (Quality ID# 438);  Depression Remission at Twelve Months (Quality ID# 370), and Preventive Care and Screening: Screening for Depression and Follow-up Plan (Quality ID# 134) do not have benchmarks, and therefore, were not scored. The extreme and uncontrollable circumstances policy was determined to apply to all counties in the United States during the quality reporting period for Performance Year 2021. Also, the Centers for Medicare & Medicaid Services (CMS) waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2021 through the Physician Fee Schedule Final Rule for Calendar Year 2021.

For Previous Years Financial and Quality Performance Results, please visit

data.cms.gov

Payment Rule Waivers No, our ACO does not use the SNF 3-Day Rule Waiver.