Estimated Effect of Adjustment for Clinical and Social Complexity on Provider Quality Metrics
| Poor Glucose Control in Diabetics | ||
|---|---|---|
| OCHIN | HCN | |
| Number of Providers | 898 | 114 |
| Providers with improved performance assessment after adding adjustment for Charlson Index to adjustment for age and sex | ||
| 1 to 2 percentage point improvement | 227 (25.3%) | 66 (57.9%) |
| 2 to 5 percentage point improvement | 616 (68.6%) | 33 (28.9%) |
| Greater than 5 percentage point improvement | 13 (1.4%) | 1 (0.9%) |
| Providers with improved performance assessment after adding adjustment for Mental and Behavioral Health Score to adjustment for age, sex and Charlson Index | ||
| 1 to 2 percentage point improvement | 0 | 0 |
| 2 to 5 percentage point improvement | 0 | 0 |
| Greater than 5 percentage point improvement | 0 | 0 |
| Difference in provider metric due to adding adjustment for SDI score to age, sex, Charlson Index and MHBH Score | ||
| 1 to 2 percentage point improvement | 113 (12.6%) | 6 (5.3%) |
| 2 to 5 percentage point improvement | 25 (2.8%) | 2 (1.8%) |
| Greater than 5 percentage point improvement | 0 | 0 |
| Difference in provider metric due to adding adjustment to the median National SDI score to adjustment for age, sex, Charlson Index and MHBH Score | ||
| 1 to 2 percentage point improvement | 213 (23.7%) | 49 (43.0%) |
| 2 to 5 percentage point improvement | 421 (46.9%) | 34 (29.8%) |
| Greater than 5 percentage point improvement | 54 (6.0%) | 3 (2.6%) |
Following the CMS procedure for adjustment of Performance Metrics for panel clinical complexity, provider quality metrics were adjusted for providers with more than 20 patients with the outcome.
OCHIN, Oregon Community Health Information Network; HCN, Health Choice Network; MHBH, Mental/Behavioral Health Diagnoses; SDI, Social Deprivation Index.