Clinical Quality

Measuring the success of efforts to improve the overall health of the Medicare Fee-for-Service patients we serve is the most critical component of Physicians Healthcare Collaborative's mission. Without the use of real and timely data, we could not provide to you, our patients, the information that you need to understand the impact we can have in working together toward a healthier population and improved healthcare delivery system. We will be measuring ourselves against standards set and utilized by hundreds of other ACOs around the country. This will allow us to not only report data back to you about us but also compare ourselves to other participating ACOs throughout the U.S.

Clinical Quality

For a full description of each of the items measured, you can review the Medicare web site's detailed report.

2015 Reporting Period - Physician's Healthcare Collaborative Quality Measure Results and Comparisons

For additional historical data, see our 2013 and 2014 results.

Measure Number Measure Name ACO Performance Rate Mean Performance Rate (SSP ACOs)
ACO-1 2 CAHPS: Getting Timely Care, Appointments, and Information  79.00 80.61
ACO-2 2 CAHPS: How Well Your Providers Communicate  93.81 92.65
ACO-3 2 CAHPS: Patients’ Rating of Provider  92.88 91.94
ACO-4 2 CAHPS: Access to Specialists  85.18 83.61
ACO-5 2 CAHPS: Health Promotion and Education 63.67 59.06
ACO-6 2 CAHPS: Shared Decision Making  73.31 75.17
ACO-7 2 CAHPS: Health Status/Functional Status  73.42 72.3
ACO-34 2 CAHPS: Stewardship of Patient Resources  27.56 26.87
ACO-8 1 Risk Standardized, All Condition Readmission 14.34 14.86
ACO-35 1 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.48 18.07
ACO-36 1 All-Cause Unplanned Admissions for Patients with Diabetes 49.88 54.60
ACO-37 1 All-Cause Unplanned Admissions for Patients with Heart Failure 71.81 76.95
ACO-38 1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 59.27 62.91
ACO-9 1 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 0.89 1.11
ACO-10 1 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 0.98 1.04
ACO-11 2 Percent of PCPs who Successfully Meet Meaningful Use Requirements 95.12% 76.22%
ACO-39 2 Documentation of Current Medications in the Medical Record 91.95% 84.07%
ACO-13 2 Falls: Screening for Future Fall Risk  75.89% 56.46%
ACO-14 2 Preventive Care and Screening: Influenza Immunization 72.41% 62.03%
ACO-15 2 Pneumonia Vaccination Status for Older Adults 85.77% 63.73%
ACO-16 2 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 92.36% 71.15%
ACO-17 2 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99.31% 90.16%
ACO-18 2 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 62.3% 45.25%
ACO-19 2 Colorectal Cancer Screening 83.33% 60.06%
ACO-20 2 Breast Cancer Screening 83.61% 65.67%
ACO-21 2 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented  86% 70.04%
ACO-40 1 Depression Remission at Twelve Months 0% 6.11%
ACO-27 1 Diabetes Mellitus: Hemoglobin A1c Poor Control  35.92% 20.38%
ACO-41 2 Diabetes: Eye Exam 37.68% 41.05%
ACO-28 2 Hypertension: Controlling High Blood Pressure  70.07% 69.62%
ACO-30 2 Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic 84.68% 83.82%
ACO-31 2 Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 93.08% 87.22%
ACO-33 2 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 76.38% 77.73%

CAHPS = Consumer Assessment of Healthcare Providers and Systems
PQI = Prevention Quality Indicator
LVSD = left ventricular systolic dysfunction
ACE = angiotensen-converting enyzme
ARB = angiotensin receptor blocker
CAD = coronary artery disease.

* = Measure required beginning Reporting Year 2015.
N/A = Reporting on the depression remission measure is not required for 2015, as indicated by N/A

1 The lower the percentage the better the performance.
2 The higher the percentage the better the performance.