Investor Presentaiton
Appendix D: Provider Level Performance
On Quality
ACO Commercial Performance on the ACO Core Measure Set -
75th Percentile
Two ACOS (Coastal Medical [Coastal] and Lifespan) exceeded the 75th percentile for
commercial performance for all of the ACO Core Measure Set measures. Integra
Community Care Network (Integra) exceeded the 75th percentile for all but one
measure - Comprehensive Diabetes Care: HbA1c Control. PCHC, Prospect, and
Thundermist exceeded the 75th percentile for between one and four measures.
BVCHC did not exceed the commercial 75th percentile for any measures. Only one
ACO/AE (Integra) had a commercial denominator size large enough (> 30) to report
performance on Follow-Up After Hospitalization for Mental Illness.
Table D.1: ACO Commercial Performance on the ACO Core Measure Set - 75th Percentile
Measure
National
75th Pctl
Above 75th Pctl?
BVCHC
COASTAL INTEGRA
IHP
LIFESPAN
PCHC
PROSPECT THUNDERMIST
Breast Cancer Screening
73%
No
Yes
Yes
ΝΑ
Yes
Yes
Yes
No
64%
89%
82%
89%
75%
82%
72%
Colorectal Cancer
66%
No
Yes
Yes
NA
Yes
No
Yes
No
Screening
50%
85%
78%
81%
61%
77%
53%
Comprehensive Diabetes
54%
No
Yes
Yes
ΝΑ
Yes
Yes
Yes
No
Care: Eye Exam
40%
75%
64%
70%
57%
68%
53%
Comprehensive Diabetes
60%
No
Yes
No
ΝΑ
Yes
No
No
No
Care: HbA1c Control
40%
66%
51%
62%
48%
60%
23%
(<8.0%)
Follow-Up After
53%
ΝΑ
NR
Yes
ΝΑ
NR
NR
NR
NA
Hospitalization for
67%
Mental Illness (7Day)
Developmental Screening
57%
NR
NP
Yes
Yes
ΝΑ
Yes
Yes
Yes
Yes
in the First Three Years
95%
82%
85%
73%
67%
73%
of Life
Weight Assessment
77%
No
Yes
Yes
ΝΑ
Yes
No
No
No
and Counseling - BMI
64%
94%
91%
90%
13%
44%
37%
percentile
Weight Assessment and
72%
No
Yes
Yes
ΝΑ
Yes
No
No
No
Counseling - Counseling
8%
93%
90%
91%
9%
38%
26%
for Nutrition
Weight Assessment and
69%
No
Yes
Yes
ΝΑ
Yes
No
No
No
Counseling - Counseling
8%
92%
89%
84%
6%
27%
19%
for Physical Activity
Source: OHIC analysis of quality performance data submitted by commercial insurers in Rhode Island.
Note:
1. NA= Not Applicable. Insurers did not submit performance on this measure for the ACO/AE.
2. NR = Not Reported. The ACO/AE did not meet the minimum denominator size required for public reporting.
Annual Report: Health Care Spending and Quality in Rhode Island
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