Aledade A4548 NC Legacy MSSP Enhanced

Alexander Mullineaux

ACO Primary Contact
202-803-7979
amullineaux@aledade.com
Location

Aledade Duwamish ACO, LLC

4550 Montgomery Ave, Ste 950N

Bethesda, MD 20814

2022 CMS WEB INTERFACE QUALITY PERFORMANCE RESULTS

Measure
#

Measure Name
Collection Type
Reported Performance Rate
Current Year Mean Performance Rate (SSP ACOs)
Quality ID# 001
Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]
CMS Web Interface
12.13
10.71
Quality ID# 134
Preventative Care and Screening: Screening for Depression and Follow-up Plan
CMS Web Interface
91.90
76.97
Quality ID# 236
Controlling High Blood Pressure
CMS Web Interface
58.59
76.16
Quality ID# 318
Falls: Screening for Future Fall Risk
CMS Web Interface
81.39
87.83
Quality ID# 110
Preventative Care and Screening: Influenza Immunization
CMS Web Interface
53.92
77.34
Quality ID# 226
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
CMS Web Interface
78.85
79.27
Quality ID# 113
Colorectal Cancer Screening
CMS Web Interface
62.46
75.32
Quality ID# 112
Breast Cancer Screening
CMS Web Interface
63.23
78.07
Quality ID# 438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
CMS Web Interface
89.57
86.37
Quality ID# 370
Depression Remission at Twelve Months
CMS Web Interface
21.62
16.03
Quality ID# 321
CAHPS for MIPS [3]
CAHPS for MIPS Survey
N/A
N/A
Measure# 479
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]
Administrative Claims
---
---
Measure# 484
Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]
Administrative Claims
---
---
CAHPS-1
Getting Timely Care, Appointments, and Information
CAHPS for MIPS Survey
87.50
83.96
CAHPS-2
How Well Providers Communicate
CAHPS for MIPS Survey
93.35
93.47
CAHPS-3
Patient’s Rating of Provider
CAHPS for MIPS Survey
92.73
92.06
CAHPS-4
Access to Specialists
CAHPS for MIPS Survey
88.70
77.00
CAHPS-5
Health Promotion and Education
CAHPS for MIPS Survey
62.95
62.68
CAHPS-6
Shared Decision Making
CAHPS for MIPS Survey
60.87
60.97
CAHPS-7
Health Status and Functional Status
CAHPS for MIPS Survey
70.82
73.06
CAHPS-8
Care Coordination
CAHPS for MIPS Survey
87.21
85.46
CAHPS-9
Courteous and Helpful Office Staff
CAHPS for MIPS Survey
94.48
91.97
CAHPS-11
Stewardship of Patient Resources
CAHPS for MIPS Survey
46.48
25.62

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

FRAUD AND ABUSE WAIVERS

ACO Pre-Participation Waiver:  N/A

ACO Participation Waiver: N/A