Performance Measures and Conditions
- HMO Reports (New York)
- HMO Reports (New Jersey)
- Hospital Reports (New York)
- Hospital Reports (New Jersey)
HMO Reports (New York)
- Customer Satisfaction
- Medical Care
- Mental Health
- Monthly Premiums
- Provider Network
- Staying Healthy
- Youth Care
- Youth Wellness
Customer Satisfaction
- Customer service
- Getting care quickly
- Getting needed care
- Health plan rating
Medical Care
- Appropriate medications for adults with asthma
- Beta blocker after a heart attack
- Persistence of beta blocker use
- Testing for chlamydia in young adults
- Use of imaging studies for low back pain
Mental Health
- Antidepressant medication management: acute phase treatment
- Antidepressant medication management: ongoing phase treatment
- Antidepressant medication management: visits to providers
- Follow-up after hospitalization for mental illness (within 30 days)
- Follow-up after hospitalization for mental illness (within one week)
Monthly Premiums
- HMO Standard Premium individual
- HMO Standard Premium family
Provider Network
- Board certified ob/gyns
- Board certified pediatric specialists
- Board certified physicians
- Rating of your personal doctor or nurse
Staying Healthy
- Advising smokers to quit
- Testing for breast cancer
- Testing for colorectal cancer
Youth Care
- Appropriate medications for children with asthma
- Appropriate testing for children with sore throats
- Appropriate use of antibiotics for children with colds
Youth Wellness
- Immunizations for children
- Lead testing
- Testing for chlamydia in adolescents
HMO Reports (New Jersey)
- Customer Satisfaction
- Medical Care
- Mental Health
- Monthly Premiums
- Provider Network
- Staying Healthy
- Youth Care
- Youth Wellness
Customer Satisfaction
- Customer service
- Getting care quickly
- Getting needed care
- Health plan rating
Medical Care
- Appropriate medications for adults with asthma
- Beta blocker after a heart attack
- Control of blood sugar for people with diabetes
- Control of high blood pressure
- Eye exam for people with diabetes
Mental Health
- Antidepressant medication management: acute phase
- Antidepressant medication management: ongoing
- Antidepressant medication management: provider visits
- Follow-up after hospitalization for mental illness (within 7 days)
- Follow-up after hospitalization for mental illness (within 30 days)
Monthly Premiums
- HMO Standard Premium individual
- HMO Standard Premium family
Provider Network
- Claims processing
- Rating of personal doctor
Staying Healthy
- Control of heart patient's cholesterol levels
- Postpartum care
- Testing for breast cancer
- Testing for cervical cancer
Youth Care
- Appropriate medications for children with asthma
Youth Wellness
- Immunizations for children
Hospital Reports (New York)
Appropriate Care
Appropriate Care
| Overall appropriate care | |
|---|---|
| Overall Heart Attack Care (composite score) Overall Heart Failure (composite score) Overall Pneumonia Care (composite score) Overall Surgical Infection Prevention (composite score) |
AMI-1, AMI-2, AMI-3, AMI-5 and AMI-6 HF-1, HF-2 and HF-3 PN-1, PN-2 and PN-5b SCIP-Inf-1 and SCIP-Inf-3 |
Heart Care
Angioplasty
| Mortality | Hospital stays |
|---|---|
| DOH Inpatient Mortality | Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Chest Pain
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Coronary Artery Bypass Graft
| Mortality | Hospital stays |
|---|---|
| DOH Inpatient Mortality | Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Heart Attack
| Mortality | Appropriate care | Hospital stays |
|---|---|---|
| AHRQ Inpatient Mortality Medicare 30-Day Mortality |
Aspirin given on arrival Beta blocker given on arrival Smokers advised to quit Medications for LVSD prescribed at discharge Aspirin prescribed at discharge Beta blocker prescribed at discharge |
Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Heart Failure
| Mortality | Appropriate care | Hospital stays |
|---|---|---|
| AHRQ Inpatient Mortality Medicare 30-Day Mortality |
HQA Left Ventricular Function Assessed HQA Medications for LVSD Prescribed at Discharge HQA Smokers Advised to Quit HQA Written Instructions Given at Discharge |
Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Mother/Baby
Cesarean Section
| Utilization | Hospital stays |
|---|---|
| Utilization Utilization (primary cesarean) |
Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Normal Neonatal Care
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Vaginal Delivery
| Utilization | Hospital stays |
|---|---|
| Utilization (all) Utilization (uncomplicated) |
Number of Patients Average Stay Average Charges DOH Medicaid Reimbursement |
Other Conditions
Asthma
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Chronic Obstructive Pulmonary Disease
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Depressive Neuroses
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Diabetes
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Pneumonia
| Mortality | Appropriate care | Hospital stays |
|---|---|---|
| AHRQ Inpatient Mortality | Appropriate initial antibiotic selected Initial antibiotic given quickly Blood oxygen level assessed Blood culture performed Smokers advised to quit Pneumonia Patients Assessed and Given Influenza Vaccination Pneumococcal vaccine given at discharge |
Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Stroke
| Mortality | Hospital Stays |
|---|---|
| AHRQ Inpatient Mortality | Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Other Procedures
Appendectomy
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Gall Bladder Surgery
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Hip Replacement
| Mortality | Hospital stays |
|---|---|
| AHRQ Inpatient Mortality | Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Hysterectomy
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Patient Safety
Leapfrog Survey
| Safety Measures |
|---|
| Computerized Order Entry ICU Staffing Safe Practices |
Surgical Infection Prevention
| Appropriate care |
|---|
| Appropriate antibiotic Pre-surgery antibiotics Post-surgery antibiotics |
Hospital Reports (New Jersey)
Appropriate Care
Appropriate Care
| Overall appropriate care |
|---|
| Overall Heart Attack Care (composite score) Overall Heart Failure (composite score) Overall Pneumonia Care (composite score) Overall Surgical Infection Prevention (composite score) |
Heart Care
Angioplasty
| Mortality | Hospital stays |
|---|---|
| DOH Inpatient Mortality | Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Chest Pain
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Coronary Artery Bypass Graft
| Mortality | Hospital stays |
|---|---|
| DOH Inpatient Mortality | Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Heart Attack
| Mortality | Appropriate care |
|---|---|
| AHRQ Inpatient Mortality Medicare 30-Day Mortality |
Aspirin given on arrival Beta blocker given on arrival Smokers advised to quit Medications for LVSD prescribed at discharge Aspirin prescribed at discharge Beta blocker prescribed at discharge |
Heart Failure
| Mortality | Appropriate care | Hospital stays |
|---|---|---|
| AHRQ Inpatient Mortality Medicare 30-Day Mortality |
HQA Left Ventricular Function Assessed HQA Medications for LVSD Prescribed at Discharge HQA Smokers Advised to Quit HQA Written Instructions Given at Discharge |
Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Mother/Baby
Cesarean Section
| Utilization | Hospital stays |
|---|---|
| Utilization Utilization (primary cesarean) |
Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Normal Neonatal Care
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Vaginal Delivery
| Utilization | Hospital stays |
|---|---|
| Utilization (all) Utilization (uncomplicated) |
Number of Patients Average Stay Average Charges DOH Medicaid Reimbursement |
Other Conditions
Asthma
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Chronic Obstructive Pulmonary Disease
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Depressive Neuroses
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Diabetes
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Pneumonia
| Mortality | Appropriate care | Hospital stays |
|---|---|---|
| AHRQ Inpatient Mortality | Appropriate initial antibiotic selected Initial antibiotic given quickly Blood oxygen level assessed Blood culture performed Smokers advised to quit Pneumonia Patients Assessed and Given Influenza Vaccination Pneumococcal vaccine given at discharge |
Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Stroke
| Mortality |
|---|
| AHRQ Inpatient Mortality |
Other Procedures
Appendectomy
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Gall Bladder Surgery
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Hip Replacement
| Mortality | Hospital stays |
|---|---|
| AHRQ Inpatient Mortality | Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Hysterectomy
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Obesity Procedures
| Hospital stays |
|---|
| Number of Patients Average Stay Average Charges Medicaid Reimbursement |
Patient Safety
Leapfrog Survey
| Safety Measures |
|---|
| Computerized Order Entry ICU Staffing Safe Practices |
Surgical Infection Prevention
| Appropriate care |
|---|
| Appropriate antibiotic Pre-surgery antibiotics Post-surgery antibiotics |
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