CCO Quality Metrics

There was an important improvement in quality metric achievement from 2016 to 2017, and this reflects a lot of very hard work within the clinical community. Quality pool dollars are used to fund clinical and community programs to improve health within the CCO region.

  • In 2016, CPCCO earned 80% of the quality pool payout by meeting 12.9 CCO Incentive measures (out of 18), plus an additional 16% by meeting the four challenge pool measures.
    • The 2016 measures missed include CAHPS access, CAHPS satisfaction, follow-up after hospitalization for mental illness, childhood immunization status and emergency department (ED) utilization.
  • In 2017, CPCCO is estimated to earn 100% of the quality pool payout by meeting at least 12.7 CCO incentive measures (out of 17; two still TBD). CPCCO is also meeting all challenge pool measures.
    • The 2017 measures missed include ED utilization and DHS Assessments (both CAHPS measures results to be released May 18, 2018).
  • Year-over-year, we saw considerable improvement in:
    • Adolescent well care– increased 8.6 percentage points
    • Effective contraceptive use – increased 6.7 percentage points
    • Childhood immunization status – increased 6.7 percentage points
    • Dental sealants – increased by 4.3 percentage points

2018 Measure Set (new measures are in blue text and challenge pool measures are bolded)

  • Adolescent well care visits
  • ED utilization
  • Assessments for children in DHS custody
  • CAHPS access (composite of child and adult measures)
  • Childhood immunization status
  • Cigarette smoking prevalence
  • Colorectal cancer screening
  • Controlling hypertension
  • Dental sealants
  • Depression screening and follow-up
  • Developmental screening
  • Diabetes HbA1c poor control
  • Disparity: ED utilization among members with mental illness
  • Effective contraceptive use (age 15-50)
  • Patient-centered primary care homes
  • Timeliness of prenatal care
  • Weight assessment and counseling in children and adolescents

2018 Highlights

    • New metrics in 2018:
      • Smoking cessation - decrease in prevalence
      • ED utilization for mental illness (disparity measure)
      • Childhood BMI and follow up plan
      • Follow up after hospitalization for mental illness will be retired
    • In 2018, CPCCO’s quality goals are to:
      • Earn 100 percent of the quality pool dollars  
        • Special focus on diabetes, hypertension, smoking cessation and ED utilization
      • Increase colorectal cancer screening by 3 percent or Medicare
      • Increase Diabetes Eye Exam by 3 percent for Medicare

 2017 Quality Pool Projections Slide image

We wanted to acknowledge the following clinics who have already met the developmental screening target! Congratulations!

      • Columbia Memorial Hospital
      • OHSU Scappoose
      • Tillamook County CHC

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