Oregon's Health System Transformation: CCO Metrics 2015 Final Report. June 2016

Transcription

1 Oregon's Health System Transformation: CCO Metrics 2015 Final Report June 2016 MEASUREMENT PERIOD: Calendar Year 2015 Version 1.2

2 DENTAL SEALANTS ON PERMANENT MOLARS FOR CHILDREN (all ages) Dental sealants on permanent molars for children (all ages) Percentage of children ages 6-14 who received a dental sealant during the measurement year. Statewide, dental sealants for children ages 6-14 have increased. Data source: Administrative (billing) claims Benchmark source: Metrics and Scoring Committee consensus 2015 data (n=132,569) Statewide change since 2014: +65% Number of CCOs that improved: all 16 Number of CCOs achieving benchmark or improvement target: all 16 Dental sealants is a new incentive measure beginning in A benchmark of 100 percent for this measure is not realistic, due to the limitations of administrative data in identifying teeth that are not candidates for sealants (e.g., those already sealed, not yet erupted, or with active decay). 11.2% 18.5% 2015 benchmark: 20.0% See pages 161 and 168 for results stratified by members with disability and mental health diagnoses. Back to table of contents Dental sealants for children ages 6-14 increased across all racial and ethnic groups between 2014 & Race and ethnicity data missing for 20.2% of respondents / Each race category excludes Hispanic/Latino Hispanic/Latino 13.3% 21.2% Hawaiian/Pacific Islander 9.4% 17.0% White 9.8% 16.8% African American/Black 12.8% 19.0% Asian American 15.0% 21.0% American Indian/Alaska Native 8.6% 14.2% 81

3 DENTAL SEALANTS ON PERMANENT MOLARS FOR CHILDREN (all ages) All 16 CCOs achieved benchmark or improvement target for dental sealants between 2014 & indicates CCO met benchmark or improvement target Yamhill CCO 6.0% 19.5% Western Oregon Advanced Health 5.2% 17.8% Umpqua Health Alliance 17.3% Jackson Care Connect 11.7% 23.8% PrimaryHealth of Josephine County 14.1% 24.3% Cascade Health Alliance 3.3% 13.3% Columbia Pacific 6.6% 16.1% Eastern Oregon 4.9% 14.4% AllCare Health Plan 12.0% 21.1% Trillium 10.8% 18.9% Intercommunity Health Network 9.9% 16.8% PacificSource - Gorge 5.6% 12.6% PacificSource - Central 11.3% Willamette Valley Community Health 12.5% 18.8% FamilyCare 12.4% 18.3% Health Share of Oregon 15.3% 20.9% 82

4 DENTAL SEALANTS ON PERMANENT MOLARS FOR CHILDREN (ages 6-9) Dental sealants on permanent molars for children (ages 6-9) Percentage of children ages 6-9 who received a dental sealant during the measurement year. Dental sealants for children ages 6-9, statewide. Data source: Administrative (billing) claims Benchmark source: Metrics and Scoring Committee consensus 2015 data (n=63,329) Statewide change since 2014: +58% Number of CCOs that improved: all 16 Dental sealants is a new incentive measure beginning in Results are stratified by age group for reporting and monitoring purposes only; incentive payments are based on all ages combined (see page 81). 13.1% 20.7% 2015 benchmark: 20.0% See pages 161 and 168 for results stratified by members with disability and mental health diagnoses. Back to table of contents Dental sealants for children ages 6-9 between 2014 & 2015, by race and ethnicity. Race and ethnicity data missing for 20.3% of respondents / Each race category excludes Hispanic/Latino Hispanic/Latino 15.6% 23.8% White 11.4% 18.9% Hawaiian/Pacific Islander 10.8% 17.9% African American/Black 15.4% 22.1% American Indian/Alaska Native 10.0% 15.6% Asian American 19.5% 23.7% 83

5 DENTAL SEALANTS ON PERMANENT MOLARS FOR CHILDREN (ages 6-9) Dental sealants for children ages 6-9 between 2014 & 2015, by CCO. Yamhill CCO 6.5% 23.1% Jackson Care Connect 13.5% 27.6% Western Oregon Advanced Health 6.3% 20.3% Umpqua Health Alliance 18.2% Columbia Pacific 7.4% 19.8% Cascade Health Alliance 3.9% 15.3% Eastern Oregon 5.3% 15.9% AllCare Health Plan 13.4% 22.5% Trillium 11.9% 20.4% PrimaryHealth of Josephine County 14.1% 22.4% PacificSource - Gorge 6.7% 14.5% PacificSource - Central 5.1% 11.7% Intercommunity Health Network 12.1% 18.6% FamilyCare 14.5% 20.8% Willamette Valley Community Health 15.1% 21.1% Health Share of Oregon 18.3% 23.8% 84

6 DENTAL SEALANTS ON PERMANENT MOLARS FOR CHILDREN (ages 10-14) Dental sealants on permanent molars for children (ages 10-14) Percentage of children ages who received a dental sealant during the measurement year. Dental sealants for children ages 10-14, statewide. Data source: Administrative (billing) claims Benchmark source: Metrics and Scoring Committee consensus 2015 data (n=69,240) Statewide change since 2014: +76% Number of CCOs that improved: all benchmark: 20.0% Dental sealants is a new incentive measure beginning in Results are stratified by age group for reporting and monitoring purposes only; incentive payments are based on all ages combined (see page 81). 9.4% 16.5% See pages 161 and 168 for results stratified by members with disability and mental health diagnoses. Back to table of contents Dental sealants for children ages between 2014 & 2015, by race and ethnicity. Race and ethnicity data missing for 20.1% of respondents / Each race category excludes Hispanic/Latino Hawaiian/Pacific Islander 7.8% 16.1% Hispanic/Latino 11.1% 18.8% Asian American 11.4% 18.8% White 8.4% 14.9% African American/Black 10.5% 16.2% American Indian/Alaska Native 7.5% 13.0% 85

7 DENTAL SEALANTS ON PERMANENT MOLARS FOR CHILDREN (ages 10-14) Dental sealants for children ages between 2014 & 2015, by CCO. Umpqua Health Alliance 16.5% PrimaryHealth of Josephine County 14.1% 25.9% Western Oregon Advanced Health 4.1% 15.4% Yamhill CCO 5.6% 16.1% Jackson Care Connect 10.1% 20.5% AllCare Health Plan 10.7% 19.7% Cascade Health Alliance 2.8% 11.4% Eastern Oregon 4.5% 13.1% Trillium 9.8% 17.5% Intercommunity Health Network 7.8% 15.2% Columbia Pacific 5.8% 12.8% Willamette Valley Community Health 9.9% 16.6% PacificSource - Central 4.3% 10.9% PacificSource - Gorge 10.9% Health Share of Oregon 12.6% 18.4% FamilyCare 10.2% 15.7% 86