Denominator: Of the attributable New Jersey Low Income population, those patients who had a hospital’s hospitalization in the measurement year. Result: The result is expressed as a rate. The rate will be expressed as the number of admits per 1,000 in each attributable population per hospital. Improvement Direction: Lower Measure Collection Description Setting of Care: Reporting Period: Inpatient Annual; April Experience Period: Baseline Period: 12 month period CY 2017 01 Inpatient Hospital Claim Type(s): – 09 Supplies, DME 16 Lab – – 02 Long Term Care – 10 Podiatry 17 Prosthetic and Orthotics – – 03 Outpatient Hospital – 11 Dental 18 Independent Clinic – – TBD 04 Physician – 12 Pharmacy 19 Psychologists – – 05 Chiropractor – EPDST/Healthstart Optometrists 13 21 – – 06 Home Health – 14 Institutional Crossover 22 Mid Level Practitioner – – 07 Transportation – 15 Professional Crossover 23 Hearing Aid – – Vision 08 – No No No Continuous Eligibility Period: Risk Adjustment: Sampling: Continuous Eligibility/ Risk Adjustment/ Sampling Methodology: N/A DSRIP Incentive Impact Project Title: Project Code: Payment Method: NA NA NA Universal Measure: Universal Code: Payment Method: No NA NA Stage 1 Measure: Code: Payment Method: Yes NA P4R
Denominator: Of the hospital’s attributable New Jersey Low Income population, those patients who had a hospitalization in the measurement year. Result: The result is expressed as a rate. The rate will be expressed as the number of admits per 1,000 in each attributable population per hospital. Improvement Direction: Lower Measure Collection Description Setting of Care: Inpatient Reporting Period: Annual; April Experience Period: 12 month period Baseline Period: CY 2017 Claim Type(s): TBD 01 – Inpatient Hospital 02 – Long Term Care 03 – Outpatient Hospital 04 – Physician 05 – Chiropractor 06 – Home Health 07 – Transportation 08 – Vision 09 – Supplies, DME 10 – Podiatry 11 – Dental 12 – Pharmacy 13 – EPDST/Healthstart 14 – Institutional Crossover 15 – Professional Crossover 16 – Lab 17 – Prosthetic and Orthotics 18 – Independent Clinic 19 – Psychologists 21 – Optometrists 22 – Mid Level Practitioner 23 – Hearing Aid Continuous Eligibility Period: No Risk Adjustment: No Sampling: No Continuous Eligibility/ Risk Adjustment/ Sampling Methodology: N/A DSRIP Incentive Impact Project Title: NA Project Code: NA Payment Method: NA Universal Measure: No Universal Code: NA Payment Method: NA Stage 1 Measure: Yes Code: NA Payment Method: P4R