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Percent of Patients with recommended care Counties by Quintile New York City Adherence to Antipsychotic Medications for People Living With Schizophrenia Smoothed Percent BRONX Countywide Percent NEW YORK Richmond 71 Queens 70 New York 61 Kings 60 Bronx 59 KINGS QUEENS Percent of Patients with recommended care Lower Average Higher No data Upstate 65 Statewide 63 NYC 62 Number of recipients included in these data Kings Bronx New York 6,463 4,915 4,350 Queens Richmond 4,271 780 RICHMOND Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics A. Behavioral Health Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 The percentage of recipients living with schizophrenia, ages 19 to 64 years, during the measurement year who were dispensed and remained on an antipsychotic medication for at least 80% of their treatment period. ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Percent of Patients with recommended care Counties by Quintile New York City Antidepressant Medication Management - Effective Treatment for Acute Phase Smoothed Percent BRONX Countywide Percent NEW YORK Queens 49 New York 48 Kings 47 Bronx 46 Richmond 46 KINGS QUEENS Percent of Patients with recommended care Lower Average Higher No data Upstate 51 Statewide 49 NYC 47 RICHMOND Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics A. Behavioral Health Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 The percentage of recipients who remained on antidepressant medication during the entire 12-week acute treatment phase. Number of recipients included in these data Bronx Kings New York 2,565 2,469 1,759 Queens Richmond 1,640 297 ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Percent of Patients with recommended care Counties by Quintile New York City Diabetes Monitoring for People Living With Diabetes and Schizophrenia Smoothed Percent BRONX Countywide Percent NEW YORK New York 73 Kings 71 Bronx 69 Queens KINGS 67 Richmond QUEENS Percent of Patients with recommended care 60 Lower Average Higher No data NYC 70 Statewide 68 Upstate 66 Number of recipients included in these data Kings Bronx New York 1,623 1,343 1,162 Queens Richmond RICHMOND Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics A. Behavioral Health Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 The percentage of recipients living with schizophrenia and diabetes, ages 18 to 64 years, who had both an LDL-C test and an HbA1c test during the measurement year. 1,065 201 ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Percent of Patients with recommended care Counties by Quintile New York City Diabetes Screening for People Living With Schizophrenia or Bipolar Disorder Who Are Smoothed Percent BRONX Countywide Percent NEW YORK Bronx 83 New York 80 Queens 80 Kings 78 Richmond 78 KINGS QUEENS Percent of Patients with recommended care Lower Average Higher No data NYC 80 Statewide 79 Upstate 77 Number of recipients included in these data Kings Bronx Queens 3,968 3,246 2,695 New York Richmond 2,662 635 RICHMOND Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics A. Behavioral Health Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 The percentage of recipients living with schizophrenia or bipolar disorder, ages 18 to 64 years, who were dispensed an antipsychotic medication and had a diabetes screening test during the measurement year. ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Percent of Patients with recommended care Counties by Quintile New York City Follow-up After Hospitalization for Mental Illness within 30 Days Smoothed Percent BRONX Countywide Percent NEW YORK Richmond 59 Bronx 56 Kings 50 Queens 50 New York KINGS QUEENS Percent of Patients with recommended care 48 Lower Average Higher No data Upstate 59 Statewide 55 NYC 51 Number of recipients included in these data Kings Bronx New York 6,904 5,177 4,906 Queens Richmond 4,184 1,016 RICHMOND Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics A. Behavioral Health Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 The percentage of recipients who were seen on an ambulatory basis or who were in intermediate treatment with a mental health provider within 30 days of discharge following a mental health related admission. ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Percent of Patients with recommended care Counties by Quintile New York City Follow-Up Care for Children Prescribed ADHD MedicationInitiation Phase Smoothed Percent BRONX Countywide Percent NEW YORK New York 67 Kings 66 Bronx 64 Queens KINGS 62 Richmond QUEENS Percent of Patients with recommended care 58 Lower Average Higher No data NYC 64 Statewide 57 Upstate 51 2,191 1,964 1,500 New York Richmond Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics A. Behavioral Health Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 Number of recipients included in these data Bronx Kings Queens RICHMOND The percentage of children with a new prescription for ADHD medication and who had one follow-up visit with a practitioner within the 30 days after starting the medication. 802 266 ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Percent of Patients with recommended care Counties by Quintile New York City Initiation of Alcohol and Other Drug Dependence Treatment Smoothed Percent BRONX Countywide Percent NEW YORK Bronx 82 New York 79 Kings 75 Richmond 75 Queens 74 KINGS QUEENS Percent of Patients with recommended care Lower Average Higher No data NYC 78 Statewide 78 Upstate 78 Number of recipients included in these data Kings Bronx New York 14,031 13,504 9,390 Queens Richmond RICHMOND Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics A. Behavioral Health Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 The percentage of recipients who initiated treatment within 14 days of the diagnosis after the first new episode of alcohol or drug dependence, . 7,176 2,186 ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Percent of Patients with recommended care Counties by Quintile New York City Comprehensive Diabetes Care HbA1c Testing Smoothed Percent BRONX Countywide Percent NEW YORK Queens 85 Kings 82 New York 82 Bronx KINGS 80 Richmond QUEENS Percent of Patients with recommended care 75 Lower Average Higher No data NYC 82 Statewide 80 Upstate 76 RICHMOND Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics C. Diabetes Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 The percentage of recipients living with diabetes who received at least one Hemoglobin A1c (HbA1c) test within the past year. Number of recipients included in these data Kings Queens Bronx 48,697 44,135 36,158 New York Richmond 21,877 4,748 ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Percent of Patients with recommended care Counties by Quintile New York City Cervical Cancer Screening Smoothed Percent BRONX Countywide Percent NEW YORK Queens 71 Kings 70 Bronx 67 New York 66 Richmond KINGS QUEENS Percent of Patients with recommended care 63 Lower Average Higher No data NYC 69 Statewide 67 Upstate 63 Number of recipients included in these data Kings Queens Bronx 193,709 150,291 134,636 New York Richmond 77,913 19,771 RICHMOND Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics E. HIV/AIDS Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 The percentage of women, ages 24 to 64 years, who had had cervical cytology performed every 3 years or women, ages 30 to 64 years, who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years. ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Percent of Patients with recommended care Counties by Quintile New York City Chlamydia Screening Among Young Women Smoothed Percent BRONX Countywide Percent NEW YORK New York 74 Bronx 71 Kings 70 Queens 69 Richmond KINGS QUEENS Percent of Patients with recommended care 66 Lower Average Higher No data NYC 70 Statewide 66 Upstate 58 Number of recipients included in these data Kings Bronx Queens 38,503 31,375 23,832 New York Richmond RICHMOND Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics E. HIV/AIDS Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 The percentage of sexually active young women, ages 16 to 24 years, who had at least one test for chlamydia during the measurement year. 15,321 3,514 ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Percent of Patients with recommended care Counties by Quintile New York City Comprehensive Care for People Living with HIV or AIDS - Engagement in Care Smoothed Percent BRONX Countywide Percent NEW YORK Bronx 91 Kings 89 Richmond 89 New York 88 Queens 88 KINGS QUEENS Percent of Patients with recommended care Lower Average Higher No data Upstate 90 NYC 89 Statewide 89 Number of recipients included in these data Bronx Kings New York 10,438 8,592 4,947 Queens Richmond RICHMOND Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics E. HIV/AIDS Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 The percentage of recipients living with HIV/AIDS, ages 2 years and older, who had two visits for primary care or HIV related care with at least one visit during each half of the past year. 3,056 679 ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Percent of Patients with recommended care Counties by Quintile New York City Comprehensive Care for People Living with HIV or AIDS - Syphilis Screening Smoothed Percent BRONX Countywide Percent NEW YORK Kings 74 Bronx 70 New York 69 Richmond 69 Queens KINGS QUEENS Percent of Patients with recommended care 68 Lower Average Higher No data NYC 71 Statewide 69 Upstate 59 RICHMOND Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics E. HIV/AIDS Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 The percentage of recipients living with HIV/AIDS, ages 19 years and older, who were screened for syphilis in the past year. Number of recipients included in these data Bronx Kings New York 10,193 8,424 4,873 Queens Richmond 2,982 668 ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Percent of Patients with recommended care Counties by Quintile New York City Comprehensive Care for People Living with HIV or AIDS - Viral Load Monitoring Smoothed Percent BRONX Countywide Percent NEW YORK Richmond 70 Bronx 69 Kings 66 Queens 66 New York KINGS QUEENS Percent of Patients with recommended care 64 Lower Average Higher No data NYC 67 Statewide 66 Upstate 64 Number of recipients included in these data Bronx Kings New York 10,438 8,592 4,947 Queens Richmond RICHMOND Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics E. HIV/AIDS Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 The percentage of recipients living with HIV/AIDS, ages 2 years and older, who had two viral load tests performed with at least one test during each half of the past year. 3,056 679 ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Percent of Patients with recommended care Counties by Quintile New York City Well-Child Visits in the First 15 Months of Life Smoothed Percent BRONX Countywide Percent NEW YORK Queens 87 Bronx 83 New York 82 Richmond 82 Kings KINGS QUEENS Percent of Patients with recommended care 79 Lower Average Higher No data Upstate 87 Statewide 85 NYC 83 RICHMOND Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics F. Perinatal Care Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 The percentage of children who had five or more well-child visits with a primary care provider in their first 15 months of life. Number of recipients included in these data Kings Queens Bronx 24,650 15,900 13,968 New York Richmond 6,086 2,185 ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Percent of Patients with recommended care Counties by Quintile New York City Breast Cancer Screening Among Women Smoothed Percent BRONX Countywide Percent NEW YORK Queens 70 New York 67 Bronx 66 Kings 65 Richmond KINGS QUEENS Percent of Patients with recommended care 59 Lower Average Higher No data NYC 67 Statewide Delivery System Reform Incentive Payment Other Clinical Improvement Process Metrics 63 Upstate 55 Number of recipients included in these data Kings Queens Bronx RICHMOND 88,355 74,267 60,787 New York Richmond 42,930 8,526 Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 The percentage of women, ages 50 to 74 years, who had a mammogram anytime on or between October 1 two years prior to the measurement year and December 31 of the measurement year. ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH Percent of Patients with recommended care Counties by Quintile New York City Colorectal Cancer Screening Smoothed Percent BRONX Countywide Percent NEW YORK Queens 55 New York 54 Bronx 53 Kings KINGS 50 Richmond QUEENS Percent of Patients with recommended care 44 Lower Average Higher No data NYC 52 Statewide RICHMOND Delivery System Reform Incentive Payment Other Clinical Improvement Process Metrics 49 Upstate 41 Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 The percentage of adults, ages 50 to 75 years, who had appropriate screening for colorectal cancer. Number of recipients included in these data Kings Queens Bronx 90,511 77,597 57,034 New York Richmond 46,451 8,737 ZIP Codes combined so at least 30 recipients are included in areas. Data Source Office of Quality and Patient Safety, 2014 Created by Office of Health Systems Management, NYSDOH