Improvement Direction: Lower Measure Collection Description Setting of Care: Reporting Period: Emergency Department Annual; April Experience Period: Baseline Period: 12 month period CY 2017 01 Inpatient Hospital Claim Type(s): – Supplies, DME Lab 09 16 – – 02 Long Term Care – 10 Podiatry 17 Prosthetic and Orthotics – – 03 Outpatient Hospital – 11 Dental 18 Independent Clinic – – TBD Physician 04 – 12 Pharmacy 19 Psychologists – – 05 Chiropractor – 13 EPDST/Healthstart 21 Optometrists – – 06 Home Health – 14 Institutional Crossover 22 Mid Level Practitioner – – 07 Transportation – 15 Professional Crossover 23 Hearing Aid – – 08 Vision – 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 Measure: DSRIP #: 109 Potentially Avoidable Readmissions Measure Description: This measure is used to assess the number of potentially avoidable readmissions, defined as an inpatient admission that is clinically related to a hospitalization occurring in the prior 30 days, per 1,000. Data Source: NQF #: MMIS N/A Measure Steward: Measure Steward Version: 3M TBD Measure Calculation Description Numerator: Patients that had an inpatient admission that is clinically related to a hospitalization occurring in the prior 30 days. These specifications were developed by 3M and are proprietary. Further details are forthcoming.
Improvement Direction: Lower Measure Collection Description Setting of Care: Emergency Department 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 Measure: Potentially Avoidable Readmissions DSRIP #: 109 Measure Description: This measure is used to assess the number of potentially avoidable readmissions, defined as an inpatient admission that is clinically related to a hospitalization occurring in the prior 30 days, per 1,000. Data Source: MMIS NQF #: N/A Measure Steward: 3M Measure Steward Version: TBD Measure Calculation Description Numerator: Patients that had an inpatient admission that is clinically related to a hospitalization occurring in the prior 30 days. These specifications were developed by 3M and are proprietary. Further details are forthcoming.