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 percent of the Quality Pool payout by meeting 12.9 CCO Incentive measures (out of 18), plus an additional 16 percent by meeting the four Challenge Pool Measures.
- The 2016 measures that were missed include CAHPS Access, CAHPS Satisfaction, Follow-up after Hospitalization for Mental Illness, Childhood immunization Status and ED utilization.
- In 2017, CPCCO is estimated to earn 100 percent of the Quality Pool payout by meeting 14.7 CCO incentive measures (out of 17). CPCCO is also meeting all three Challenge Pool Measures.
- The 2017 measures missed include ED utilization and DHS Assessments.
- Year-over-year, the CCO saw considerable improvement in several measures:
- 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
Many of the 2018 CCO Incentive measures will look familiar, with just a few changes (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 Member with Mental Illness
- Effective Contraceptive Use (age 15-50)
- Timeliness of Prenatal Care
- Weight Assessment and Counseling in Children and Adolescents
In 2018, CPCCO’s Quality goals are to:
- Earn 100 percent of the quality pool dollars:
- Special focus on diabetes management, hypertension, smoking cessation and ED utilization.
- The CCO must reduce smoking prevalence to meet the Cigarette Smoking Prevalence in 2018. In prior years, a CCO could meet the measure by submitting EHR data and meeting cessation benefit standards.
- Increase colorectal cancer screening by 3 percent for Medicare members.
- Increase diabetes eye exam by 3 percent for Medicare members.
We wanted to acknowledge the following clinics who have already met the Developmental Screening target for 2018! Congratulations!
- Columbia Memorial Hospital
- OHSU Scappoose
- Tillamook County Community Health Center