One or more ambulatory or preventive care visits (Appendix A 214 and Appendix A S1-10) during the measurement year. Denominator: Of the attributable New Jersey Low Income population, those patients ages 20 years or older as of December 31 of the measurement year. Result: The result is expressed as a percentage. Improvement Direction: Higher Measure Qualifications: The following link(s) may be used to obtain additional information regarding the original measure specification. This is provided without assurances: Measure Collection Description Setting of Care: Reporting Period: Outpatient Annual; April Experience Period: Baseline Period: Calendar Year CY 2014 01 Inpatient Hospital Claim Type(s): – Supplies, DME Lab 09 16 – – 02 Long Term Care – 10 Podiatry 17 Prosthetic and Orthotics – – 03 Outpatient Hospital 04, 18 – 11 Dental 18 Independent Clinic – – 04 Physician – 12 Pharmacy 19 Psychologists – – 05 Chiropractor – 13 EPDST/Healthstart 21 Optometrists – – 06 Home Health – 14 Institutional Crossover 22 Mid Level Practitioner – – Transportation 07 – 15 Professional Crossover 23 Hearing Aid – – 08 Vision – Yes No No Continuous Eligibility Period: Risk Adjustment: Sampling: Continuous Eligibility/ Risk Adjustment/ Sampling Methodology: The patient is to be continuously enrolled for the measurement year with no more than a 45 day gap during the year. DSRIP Incentive Impact Project Title: Project Code: Payment Method: NA NA NA Universal Measure: Universal Code: Payment Method: NA NA NA Stage 1 Measure: Code: Payment Method: Yes NA P4R Measure: DSRIP #: 106 Annual Dental Visit
One or more ambulatory or preventive care visits (Appendix A 214 and Appendix A S1-10) during the measurement year. Denominator: Of the attributable New Jersey Low Income population, those patients ages 20 years or older as of December 31 of the measurement year. Result: The result is expressed as a percentage. Improvement Direction: Higher Measure Qualifications: The following link(s) may be used to obtain additional information regarding the original measure specification. This is provided without assurances: Measure Collection Description Setting of Care: Outpatient Reporting Period: Annual; April Experience Period: Calendar Year Baseline Period: CY 2014 Claim Type(s): 04, 18 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: Yes Risk Adjustment: No Sampling: No Continuous Eligibility/ Risk Adjustment/ Sampling Methodology: The patient is to be continuously enrolled for the measurement year with no more than a 45 day gap during the year. DSRIP Incentive Impact Project Title: NA Project Code: NA Payment Method: NA Universal Measure: NA Universal Code: NA Payment Method: NA Stage 1 Measure: Yes Code: NA Payment Method: P4R Measure: Annual Dental Visit DSRIP #: 106
Addendum%20to%20Databook%20-%20DY7%20-%20DY8%20Stage%201%20System%20Transformation%20Measure%20Update.docx