2017 ACO Quality Measures

We track your Clinical Quality Measure performance throughout the reporting period, compare your performance to peer benchmarks, and provide you with improvement resources.

CMS Web Interface Measures

ACO Measure #

Measure Title

NQF #

WI #

Domain: Care Coordination / Patient Safety

ACO-12

Medication Reconciliation Post Discharge

0097

CARE-1

ACO-13

Falls: Screening for Future Fall Risk

0101

CARE-2

Domain: Preventive Health

ACO-14

Preventive Care and Screening: Influenza Immunization

0041

PREV-7

ACO-15

Pneumonia Vaccination Status for Older Adults

0043

PREV-8

ACO-16

Preventive Care and Screening: Body Mass Index Screening and Follow-Up

0421

PREV-9

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

0028

PREV-10

ACO-18

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

0418

PREV-12

ACO-19

Colorectal Cancer Screening

0034

PREV-6

ACO-20

Breast Cancer Screening

N/A

PREV-5

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

N/A

PREV-13

Domain: Clinical Care for At-Risk Population

ACO-40

Depression Remission at 12 Months

0710

MH-1

ACO-27

Diabetes: Hemoglobin A1c Poor Control

0059

DM-2

ACO-41

Diabetes: Eye Exam

0055

DM-7

ACO-28

Controlling High Blood Pressure

0018

HTN-2

ACO-30

Ischemic Vascular Disease: Use of Aspirin of Another Antithrombotic

0068

IVD-2

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Claims-Based / Administrative Data Measures

For the claims-based measures, ACOs do not need to collect or submit additional data aside from normal billing activities. The CMS ACO Program Analysis Contractor (ACO PAC) will coordinate with CMS to obtain the necessary Medicare claims files and calculate the rates for these measures for each ACO.

For ACO-11 (Use of Certified EHR Technology), the CMS ACO PAC will calculate the measure using the Quality Payment Program's Advancing Care Information category.

ACO Measure #

Measure Title

NQF#

Domain: Care Coordination / Patient Safety

ACO-8

Risk-Standardized, All Condition Readmission

1789

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measures (SNFRM)

2510

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

N/A

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

N/A

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

N/A

ACO-43

Acute Composite (AHRQ Prevention Quality Indicator [PQI] #91)

N/A

ACO-44

Use of Imaging Studies for Low Back Pain

0052

CAHPS for ACOs Survey Measures

ACO Measure #

Measure Title

NQF #

Domain: Patient / Caregiver Experience

ACO-1

CAHPS: Getting Timely care, Appointments, and Information

005

ACO-2

CAHPS: How Well Your Providers Communicate

005

ACO-3

CAHPS: Patients’ Rating of Provider

005

ACO-4

CAHPS: Access to Specialists

N/A

ACO-5

CAHPS: Health Promotion and Education

N/A

ACO-6

CAHPS: Shared Decision Making

N/A

ACO-7

CAHPS: Health Status/Functional status

N/A

ACO-34

CAHPS: Stewardship of Patient Resources

N/A

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