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ACO Results


The lower the percentage is the better the performance

Measure Name

Wilmington Health Rest of USA

Risk Standardized, All Condition Readmission

14.34% 14.86%

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

17.48% 18.07%

All-Cause Unplanned Admissions for Patients with Diabetes

49.88% 54.60%

All-Cause Unplanned Admissions for Patients with Heart Failure



All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions



Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

0.89% 1.11%

Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)

0.98%  1.04%

Depression Remission at Twelve Months 

0% 6.11%

Diabetes Mellitus: Hemoglobin A1c Poor Control

35.92% 20.38%

The higher percentage the better the performance

Measure Name

 Wilmington Health Rest of USA

CAHPS: Getting Timely Care, Appointments, and Information

79.00% 80.61%

CAHPS: How Well Your Providers Communicate

93.81% 92.65%

CAHPS: Patients’ Rating of Provider

92.88% 91.94%

CAHPS: Access to Specialists



AHPS: Health Promotion and Education 63.67% 59.06%
CAHPS: Shared Decision Making 73.31% 75.17%
CAHPS: Health Status/Functional Status 73.42% 72.3% 

CAHPS: Stewardship of Patient Resources  

27.56% 26.87%
Percent of PCPs who Successfully Meet Meaningful Use Requirements  95.12% 76.22%
Documentation of Current Medications in the Medical Record 91.95%  84.07%
Falls: Screening for Future Fall Risk 75.89% 56.46%
Preventive Care and Screening: Influenza Immunization 72.41% 62.03% 
Pneumonia Vaccination Status for Older Adults 85.77% 63.73%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 92.36% 71.15%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99.31% 90.16% 
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 62.3% 45.25%
Colorectal Cancer Screening 83.33% 60.06%
Breast Cancer Screening 83.61% 65.67% 
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 86%  70.04%
Diabetes: Eye Exam  37.68% 41.05% 
Hypertension: Controlling High Blood Pressure 70.07% 69.62
Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic 84.68%  83.82%
Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 93.08% 87.22%
Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 76.38% 77.73%


CAHPS = Consumer Assessment of Healthcare Providers and Systems
PQI = Prevention Quality Indicator
LVSD = left ventricular systolic dysfunction
ACE = angiotensen-converting enyzme
ARB = angiotensin receptor blocker
CAD = coronary artery disease.

* = Measure required beginning Reporting Year 2015.
N/A = Reporting on the depression remission measure is not required for 2015, as indicated by N/A