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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
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