Clinical Performance Reports

Clinical Performance Reports

Brentwood Pediatric & Adolescent Associates, P.C.

IMMUNIZATION MEASURES – 6A1

Immunization Measure 1:

Patients Overdue for Meningococcal Vaccinations

Reporting Period

NUM

DEN

%

1/1/15 – 12/31/15

100

352

28.41%

4/5/15 – 4/5/16

40

330

12.12%

Immunization Measure 2:

Patients Overdue for MMR Vaccination

Reporting Period

NUM

DEN

%

1/1/15 – 12/10/15

50

556

8.99%

1/1/15 – 4/7/16

32

574

5.57%

PREVENTIVE MEASURES – 6A2

Preventive Measure 1:

Patients Overdue for 5 Year Old Well Exam

Reporting Period

NUM

DEN

%

12/15/14 – 12/15/15

32

578

5.54%

4/5/15 – 4/5/16

45

578

7.79%

Preventive Measure 2:

Patients Overdue for Lead Screening

Reporting Period

NUM

DEN

%

1/1/15 – 12/9/15

100

512

19.53%

4/7/15 – 4/7/16

92

574

16.03%

CHRONIC/ACUTE CARE MEASURES – 6A3

Chronic/Acute Care Measure 1:

Anemia Patients Overdue for Hemoglobin Exam

Reporting Period

NUM

DEN

%

6/1/15 – 9/1/15

39

83

46.99%

10/12/15 – 4/12/16

63

171

36.84%

Chronic/Acute Care Measure 2:

Asthma Patients Overdue for Follow Up with Provider

Reporting Period

NUM

DEN

%

7/1/15 – 7/31/15

20

64

31.25%

10/18/15 – 4/18/16

41

499

8.22%

Chronic/Acute Care Measure 3:

Obesity Patients Overdue for Lipid Panel

Reporting Period

NUM

DEN

%

7/1/15 – 7/31/15

36

190

18.95%

10/12/15 – 4/12/16

63

171

36.84%

MEASURE STRATIFIED BY VULNERABLE POPULATION – 6A4

Vulnerable Population Measure 1:

Hispanic Patients Ages 13-24 Months Overdue for Lead screening

Reporting Period

NUM

DEN

%

4/7/15 – 4/7/16

36

574

6.27%

4/8/16 – 5/20/16

62

253

24.51%

CARE COORDINATION MEASURES – 6B1

Care Coordination Measure 1:

Patients with Emergency Room Visits

Reporting Period

NUM

DEN

%

1/1/16 – 3/31/16

421

5237

8.04%

4/1/16 – 5/23/16

251

3810

6.59%

Care Coordination Measure 2:

Patient Discharge Summary Received by

Date of Follow Up Appointment

Reporting Period

NUM

DEN

%

1/1/16 – 3/31/16

76

421

18.05%

4/1/16 – 5/23/16

15

251

5.98%

UTILIZATION MEASURES – 6B2

Utilization Measure 1:

Specialist Referral Utilization

Reporting Period

NUM

DEN

%

10/1/15 – 12/31/15

1468

5066

28.98%

1/1/16 – 3/31/16

1486

5237

28.38%

Utilization Measure 2:

Patients with Multiple ER Visits within timeframe specified

Reporting Period

NUM

DEN

%

1/1/16 – 3/31/16

20

5237

0.38%

4/1/16 – 5/23/16

12

3810

0.31%

PATIENT SATISFACTION MEASURES – 6C

Patient Satisfaction Measure 1:

Providers NOT Addressing the Patient’s Emotional Well-Being

Reporting Period

NUM

DEN

%

2/1/16 – 2/6/16

13

101

12.87%

4/4/16 – 4/9/16

3

103

2.91%

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