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Percent of Patients with recommended care Counties by Quintile Finger Lakes Adherence to Antipsychotic Medications for People Living With Schizophrenia Smoothed Percent WAYNE MONROE Countywide Percent Ontario 80 LIVINGSTON Wayne ONTARIO 76 Steuben YATES 69 Chemung SENECA 61 Monroe Percent of Patients with recommended care 58 SCHUYLER Lower Average Higher No data Upstate 65 Statewide 63 Finger Lakes 61 910 94 74 54 Ontario Seneca Yates Livingston Schuyler CHEMUNG 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 Monroe Chemung Steuben Wayne STEUBEN 54 <30 <30 <30 <30 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 Finger Lakes Antidepressant Medication Management - Effective Treatment for Acute Phase Smoothed Percent WAYNE MONROE Countywide Percent Ontario 66 LIVINGSTON Steuben ONTARIO 63 Chemung 43 Monroe 43 Wayne SENECA YATES Percent of Patients with recommended care 42 SCHUYLER Lower Average Higher No data Upstate STEUBEN 51 Statewide 49 Finger Lakes CHEMUNG 46 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 Monroe Chemung Wayne Ontario 665 79 57 44 Steuben Livingston Yates Seneca Schuyler 41 <30 <30 <30 <30 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 Finger Lakes Diabetes Monitoring for People Living With Diabetes and Schizophrenia Smoothed Percent WAYNE MONROE Countywide Percent LIVINGSTON Monroe ONTARIO SENECA YATES 65 Percent of Patients with recommended care Statewide 68 Upstate SCHUYLER 66 Lower Average Higher No data Finger Lakes 65 STEUBEN CHEMUNG 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 Monroe Chemung Steuben Wayne 216 <30 <30 <30 Ontario Yates Seneca Livingston <30 <30 <30 <30 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. 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 Finger Lakes Diabetes Screening for People Living With Schizophrenia or Bipolar Disorder Who Are Smoothed Percent WAYNE MONROE Countywide Percent Wayne 88 LIVINGSTON Ontario ONTARIO 87 Monroe YATES 77 Chemung SENECA 75 Steuben Percent of Patients with recommended care 67 SCHUYLER Lower Average Higher No data Statewide 79 Finger Lakes 77 Upstate 77 Number of recipients included in these data Monroe Chemung Ontario Wayne 762 72 47 43 Steuben Livingston Seneca Yates Schuyler 43 <30 <30 <30 <30 STEUBEN CHEMUNG 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 Finger Lakes Follow-up After Hospitalization for Mental Illness within 30 Days Smoothed Percent WAYNE MONROE Countywide Percent Steuben 72 Wayne 72 Livingston 68 Yates 67 Monroe 66 Schuyler 66 LIVINGSTON ONTARIO SENECA YATES Seneca Percent of Patients with recommended care 57 Chemung 55 Ontario 55 SCHUYLER Average Higher No data STEUBEN CHEMUNG Finger Lakes Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics A. Behavioral Health 65 Upstate Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 59 Statewide 55 Number of recipients included in these data Monroe Chemung Steuben Ontario Lower 1,382 315 259 145 Wayne Livingston Seneca Schuyler Yates 115 65 56 32 30 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 Finger Lakes Follow-Up Care for Children Prescribed ADHD MedicationInitiation Phase Smoothed Percent WAYNE MONROE Countywide Percent Steuben 59 Seneca 54 Livingston 49 Yates 49 Chemung LIVINGSTON ONTARIO SENECA YATES 48 Percent of Patients with recommended care Wayne 43 Ontario SCHUYLER 42 39 Statewide 57 Upstate 51 Finger Lakes 43 Number of recipients included in these data Monroe Wayne Chemung Ontario 1,235 141 139 137 Steuben Livingston Yates Seneca Schuyler Average Higher No data STEUBEN Monroe Lower 118 69 41 35 <30 CHEMUNG 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 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. 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 Finger Lakes Initiation of Alcohol and Other Drug Dependence Treatment Smoothed Percent WAYNE MONROE Countywide Percent Schuyler 84 Livingston 82 Wayne 81 Monroe 80 Chemung 79 LIVINGSTON ONTARIO SENECA YATES Ontario 76 Seneca 75 Steuben SCHUYLER STEUBEN 68 CHEMUNG Finger Lakes Average Higher Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics A. Behavioral Health 80 Statewide 78 Upstate 78 Number of recipients included in these data Monroe Chemung Steuben Wayne Lower No data 73 Yates Percent of Patients with recommended care 5,304 617 509 412 Ontario Livingston Seneca Yates Schuyler 372 221 138 117 93 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, . 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 Finger Lakes Comprehensive Diabetes Care HbA1c Testing Smoothed Percent WAYNE MONROE Countywide Percent Livingston 81 Seneca 81 Ontario 78 Steuben 78 Monroe 77 Schuyler 77 Yates 76 Wayne 75 LIVINGSTON ONTARIO SENECA YATES Chemung Percent of Patients with recommended care SCHUYLER Average Higher No data STEUBEN 73 CHEMUNG Statewide Lower Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics C. Diabetes 80 Finger Lakes 77 Upstate 76 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 Monroe Chemung Steuben Wayne 5,499 690 597 428 Ontario Livingston Seneca Yates Schuyler 404 287 164 133 106 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 Finger Lakes Cervical Cancer Screening Smoothed Percent WAYNE MONROE Countywide Percent Seneca 68 Monroe 66 Ontario 66 Yates LIVINGSTON ONTARIO SENECA 65 YATES Livingston 64 Chemung 62 Steuben 62 Wayne 62 Schuyler Percent of Patients with recommended care SCHUYLER CHEMUNG Higher Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics E. HIV/AIDS 67 Finger Lakes 65 Upstate 63 Number of recipients included in these data Monroe Chemung Steuben Wayne Average No data STEUBEN 60 Statewide Lower 27,232 3,336 3,068 2,621 Ontario Livingston Seneca Yates Schuyler 2,594 1,597 905 823 660 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 Finger Lakes Chlamydia Screening Among Young Women Smoothed Percent WAYNE MONROE Countywide Percent Monroe 70 Chemung 54 Seneca 53 Ontario LIVINGSTON ONTARIO SENECA 50 YATES Schuyler 46 Wayne Percent of Patients with recommended care 45 Yates 43 Steuben SCHUYLER Average Higher No data 38 STEUBEN Livingston 18 CHEMUNG Statewide Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics E. HIV/AIDS 66 Finger Lakes 60 Upstate 58 Number of recipients included in these data Monroe Chemung Steuben Wayne Lower 7,839 987 975 692 Ontario Livingston Yates Seneca Schuyler 673 573 261 239 176 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. 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 Finger Lakes Comprehensive Care for People Living with HIV or AIDS - Engagement in Care Smoothed Percent WAYNE MONROE Countywide Percent LIVINGSTON Monroe 95 Finger Lakes 94 ONTARIO SENECA YATES Percent of Patients with recommended care Upstate SCHUYLER 90 Lower Average Higher No data Statewide 89 STEUBEN CHEMUNG Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics E. HIV/AIDS Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 Number of recipients included in these data Monroe Chemung Ontario Wayne 547 <30 <30 <30 Steuben Livingston Seneca 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. <30 <30 <30 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 Finger Lakes Comprehensive Care for People Living with HIV or AIDS - Syphilis Screening Smoothed Percent WAYNE MONROE Countywide Percent LIVINGSTON Monroe ONTARIO SENECA YATES 65 Percent of Patients with recommended care Statewide 69 Finger Lakes SCHUYLER 65 Lower Average Higher No data Upstate 59 STEUBEN CHEMUNG 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 Monroe Chemung Ontario Wayne 539 <30 <30 <30 Steuben Livingston Seneca <30 <30 <30 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 Finger Lakes Comprehensive Care for People Living with HIV or AIDS - Viral Load Monitoring Smoothed Percent WAYNE MONROE Countywide Percent LIVINGSTON Monroe 76 Finger Lakes 75 ONTARIO SENECA YATES Percent of Patients with recommended care Statewide SCHUYLER 66 Lower Average Higher No data Upstate 64 STEUBEN CHEMUNG Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics E. HIV/AIDS Healthcare Effectiveness Data & Information Set (HEDIS), Medicaid Recipients, 2012 Number of recipients included in these data Monroe Chemung Ontario Wayne 547 <30 <30 <30 Steuben Livingston Seneca 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. <30 <30 <30 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 Finger Lakes Well-Child Visits in the First 15 Months of Life Smoothed Percent WAYNE MONROE Countywide Percent Schuyler 94 Monroe 90 Seneca 90 Wayne 89 Yates 89 LIVINGSTON ONTARIO SENECA YATES Ontario Steuben 83 Livingston Chemung Percent of Patients with recommended care 86 SCHUYLER Average Higher No data 81 STEUBEN 32 CHEMUNG Upstate Lower Delivery System Reform Incentive Payment Domain 3: Clinical Improvement Metrics F. Perinatal Care 87 Statewide 85 Finger Lakes 84 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 Monroe Chemung Steuben Wayne 3,598 519 429 403 Ontario Livingston Yates Seneca Schuyler 358 232 140 126 70 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 Finger Lakes Breast Cancer Screening Among Women Smoothed Percent WAYNE MONROE Countywide Percent Ontario 60 Seneca 58 Monroe 57 Chemung LIVINGSTON ONTARIO SENECA 56 YATES Yates 54 Livingston Percent of Patients with recommended care 50 Schuyler 49 Steuben 49 Wayne Lower SCHUYLER Average Higher No data STEUBEN Delivery System Reform Incentive Payment Other Clinical Improvement Process Metrics 47 CHEMUNG Statewide 63 Finger Lakes 56 Upstate 55 Number of recipients included in these data Monroe Chemung Steuben Ontario 9,044 1,097 1,070 804 Wayne Livingston Seneca Yates Schuyler 775 498 267 242 213 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 Finger Lakes Colorectal Cancer Screening Smoothed Percent WAYNE MONROE Countywide Percent Seneca 49 Ontario 46 Monroe 43 Yates LIVINGSTON ONTARIO SENECA 43 YATES Chemung 42 Livingston 38 Steuben 38 Wayne Percent of Patients with recommended care SCHUYLER Average Higher No data 37 Schuyler Lower STEUBEN Delivery System Reform Incentive Payment Other Clinical Improvement Process Metrics 36 CHEMUNG Statewide 49 Finger Lakes 42 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 Monroe Steuben Chemung Wayne 7,931 1,002 995 642 Ontario Livingston Yates Schuyler Seneca 609 357 195 195 187 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