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Quality Performance Results

2019 Performance Summary Statistics

ACO # Measure
Name
Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 88.44% 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 95.00% 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 92.74% 92.69
ACO-4 CAHPS: Access to Specialists 85.74% 81.54
ACO-5 CAHPS: Health Promotion and Education 64.86% 60.44
ACO-6 CAHPS: Shared Decision Making 64.12% 62.78
ACO-7 CAHPS: Health Status/Functional Status 73.57% 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 27.54% 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 92.98% 92.84
ACO-46 CAHPS: Care Coordination 89.79% 86.89
ACO-8 Risk Standardized, All Condition Readmission 14.58% 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 60.52% 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.80 1.87
ACO-13 Falls: Screening for Future Fall Risk 92.74% 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 92.89% 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation

90.00%

78.04
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

90.46%

70.40
ACO-19 Colorectal Cancer Screening

74.91%

70.76
ACO-20 Mammography Screening

75.73%

73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

81.03%

82.17
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control

8.43%

13.88
ACO-28 Hypertension (HTN): Controlling High Blood Pressure

83.14%

75.04
ACO-40 Depression Readmission at Twelve Months

11.11%

13.58

For previous years' Financial and Quality Performance Results, visit data.cms.gov.

Texas law prohibits hospitals from practicing medicine. The physicians on the Methodist Health System medical staff are independent practitioners who are not employees or agents of Methodist Health System, or any of its affiliated hospitals.