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 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)
  • PCPCH
  • 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

 

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