Measure Collection Description Setting of Care: Reporting Period: N/A Annual; April Experience Period: Baseline Period: 12 month period CY 2018 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 #: 108 Potentially Avoidable Emergency Room Visits Measure Description: This measure is used to assess the number of emergency room visits that were potentially avoidable, defined as ER visits that could have been prevented or managed with better ambulatory care, per 1,000. Data Source: NQF #: MMIS N/A Measure Steward: Measure Steward Version: 3M TBD Measure Calculation Description Numerator: All emergency room visits that were potentially avoidable and could been prevented or managed with better ambulatory care. These specifications were developed by 3M and are proprietary. Further details are forthcoming. Denominator: Of the attributable New Jersey Low Income population, those patients who visited the hospital’s Emergency Room 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.
Measure Collection Description Setting of Care: N/A Reporting Period: Annual; April Experience Period: 12 month period Baseline Period: CY 2018 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 Emergency Room Visits DSRIP #: 108 Measure Description: This measure is used to assess the number of emergency room visits that were potentially avoidable, defined as ER visits that could have been prevented or managed with better ambulatory care, per 1,000. Data Source: MMIS NQF #: N/A Measure Steward: 3M Measure Steward Version: TBD Measure Calculation Description Numerator: All emergency room visits that were potentially avoidable and could been prevented or managed with better ambulatory care. These specifications were developed by 3M and are proprietary. Further details are forthcoming. Denominator: Of the hospital’s attributable New Jersey Low Income population, those patients who visited the Emergency Room 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.
Addendum%20to%20Databook%20-%20DY7%20-%20DY8%20Stage%201%20System%20Transformation%20Measure%20Update.docx