Table: public_hospital_redesign_and_incentives_in_medi_cal_pri_fbaa592b

dy	type	hospital	number	metric	numerator	numerator_annotation_code	denominator	denominator_annotation_code	achievement_value	achievement_rate	achievement_rate_annotation_code	baseline_rate	baseline_rate_annotation_code	target_rate	allocation
DY11	DPH	Alameda Health System	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	0	0	18543	0	1	0	0	N/A	3	N/A	$778,337.91
DY11	DPH	Alameda Health System	1.1.2	Care Coordinator Assignment	0	0	4537	0	1	0	0	N/A	3	N/A	$778,337.91
DY11	DPH	Alameda Health System	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	1726	0	4935	0	1	0.3497	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.1.4	Depression Remission at 12 Months (CMS159v4)	0	0	None	1	1	None	1	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.1.5.f	Screening for Clinical Depression and follow-up	130	0	16846	0	1	0.0077	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.1.6.t	Tobacco Assessment and Counseling	12903	0	14480	0	1	0.8911	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	0	0	18543	0	1	0	0	N/A	3	N/A	$778,337.91
DY11	DPH	Alameda Health System	1.2.11	REAL data completeness	24762	0	24767	0	1	0.9998	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.2.12.f	Screening for Clinical Depression and follow-up	130	0	16846	0	1	0.0077	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.2.14.t	Tobacco Assessment and Counseling	12903	0	14480	0	1	0.8911	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.2.2	CG-CAHPS: Provider Rating	1511	0	2282	0	1	0.6621	0	N/A	3	N/A	$778,337.91
DY11	DPH	Alameda Health System	1.2.3.c	Colorectal Cancer Screening	5187	0	9339	0	1	0.5554	0	N/A	3	N/A	$778,337.91
DY11	DPH	Alameda Health System	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	1726	0	4935	0	1	0.3497	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.2.5.b	Controlling Blood Pressure	4270	0	5975	0	1	0.7146	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	304	0	827	0	1	0.3676	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.2.8	Prevention Quality Overall Composite #90	261	0	40807	0	1	0.0064	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	3605	0	12747	0	1	0.2828	0	N/A	3	N/A	$778,337.91
DY11	DPH	Alameda Health System	1.3.2	DHCS All-Cause Readmissions	122	0	1055	0	1	0.1156	0	N/A	3	N/A	$778,337.91
DY11	DPH	Alameda Health System	1.3.3	Influenza Immunization	292	0	450	0	1	0.6489	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.3.4	Post Procedure ED Visits	179	0	8145	0	1	0.022	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.3.5	Request for Specialty Care Expertise Turnaround Time	2409	0	23237	0	1	0.1037	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	303	0	23237	0	1	0.013	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.3.7	Tobacco Assessment and Counseling	6211	0	7283	0	1	0.8528	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.4.1	Abnormal Results Follow-Up: Abnormal INR Follow-up	155	0	460	0	1	0.337	0	N/A	3	N/A	$259,445.97
DY11	DPH	Alameda Health System	1.4.1	Abnormal Results Follow-Up: Abnormal BIRADS Follow-up	1650	0	3468	0	1	0.4758	0	N/A	3	N/A	$259,445.97
DY11	DPH	Alameda Health System	1.4.1	Abnormal Results Follow-Up: Abnormal Potassium Follow-up	4715	0	9757	0	1	0.4832	0	N/A	3	N/A	$259,445.97
DY11	DPH	Alameda Health System	1.4.2	Annual Monitoring for Patients on Persistent Medications	6513	0	8647	0	1	0.7532	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.4.3	INR Monitoring for Individuals on Warfarin	28	0	222	0	1	0.1261	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.6.1	BIRADS to Biopsy	34	0	176	0	1	0.1932	0	N/A	3	N/A	$778,337.91
DY11	DPH	Alameda Health System	1.6.2	Breast Cancer Screening	3488	0	6109	0	1	0.571	0	N/A	3	N/A	$778,337.91
DY11	DPH	Alameda Health System	1.6.3	Cervical Cancer Screening	3127	0	12240	0	1	0.2555	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.6.4.c	Colorectal Cancer Screening	5187	0	9339	0	1	0.5554	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	1.6.5	Receipt of appropriate follow-up for abnormal CRC screening	80	0	152	0	1	0.5263	0	N/A	3	N/A	$778,337.90
DY11	DPH	Alameda Health System	2.1.1	Baby Friendly Hospital designation	Yes	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$839,251.31
DY11	DPH	Alameda Health System	2.1.2	Exclusive Breast Milk Feeding (PC-05)	168	0	196	0	1	0.8571	0	N/A	3	N/A	$839,251.31
DY11	DPH	Alameda Health System	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	1124	0	1	None	1	N/A	3	N/A	$839,251.31
DY11	DPH	Alameda Health System	2.1.4	OB Hemorrhage: Total Products Transfused	72	0	1124	0	1	0.0641	0	N/A	3	N/A	$839,251.31
DY11	DPH	Alameda Health System	2.1.5	PC-02 Cesarean Section	56	0	353	0	1	0.1586	0	N/A	3	N/A	$839,251.30
DY11	DPH	Alameda Health System	2.1.6	Prenatal and Postpartum Care: Prenatal Care	633	0	849	0	1	0.7456	0	N/A	3	N/A	$419,625.65
DY11	DPH	Alameda Health System	2.1.6	Prenatal and Postpartum Care: Postpartum Care	538	0	1063	0	1	0.5061	0	N/A	3	N/A	$419,625.65
DY11	DPH	Alameda Health System	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	21	0	106	0	1	0.1981	0	N/A	3	N/A	$839,251.30
DY11	DPH	Alameda Health System	2.1.8	Unexpected Newborn Complications (UNC)	88	0	883	0	1	0.0997	0	N/A	3	N/A	$839,251.30
DY11	DPH	Alameda Health System	2.1.9	OB Hemorrhage Safety Bundle	8	0	16	0	1	see specification	0	N/A	3	N/A	$839,251.30
DY11	DPH	Alameda Health System	2.2.1	DHCS All-Cause Readmissions	132	0	1362	0	1	0.0969	0	N/A	3	N/A	$839,251.31
DY11	DPH	Alameda Health System	2.2.2	H-CAHPS: Care Transition Metrics (3)	4090	0	10000	0	1	0.409	0	N/A	3	N/A	$839,251.31
DY11	DPH	Alameda Health System	2.2.3	Medication Reconciliation – 30 days	0	0	696	0	1	0	0	N/A	3	N/A	$839,251.30
DY11	DPH	Alameda Health System	2.2.4	Reconciled Medication List Received by Discharged Patients	0	0	2358	0	1	0	0	N/A	3	N/A	$839,251.30
DY11	DPH	Alameda Health System	2.2.5	Timely Transmission of Transition Record	0	0	1936	0	1	0	0	N/A	3	N/A	$839,251.30
DY11	DPH	Alameda Health System	2.3.1	Care Coordinator Assignment	300	0	2493	0	1	0.1203	0	N/A	3	N/A	$839,251.31
DY11	DPH	Alameda Health System	2.3.2	Medication Reconciliation – 30 days	0	0	354	0	1	0	0	N/A	3	N/A	$839,251.31
DY11	DPH	Alameda Health System	2.3.3	Prevention Quality Overall Composite #90	208	0	2493	0	1	0.0834	0	N/A	3	N/A	$839,251.30
DY11	DPH	Alameda Health System	2.3.4	Timely Transmission of Transition Record	0	0	2493	0	1	0	0	N/A	3	N/A	$839,251.30
DY11	DPH	Alameda Health System	2.6.1	Alcohol and Drug Misuse (SBIRT)	0	0	0	0	1	0	0	N/A	3	N/A	$839,251.31
DY11	DPH	Alameda Health System	2.6.2	Assessment and Management of Chronic Pain: Patients with chronic pain prescribed an opioid who have an opioid agreement form and an annual urine toxicology screen	0	0	0	0	1	0	0	N/A	3	N/A	$839,251.31
DY11	DPH	Alameda Health System	2.6.3	Patients with chronic pain on long term opioid therapy checked in PDMPs	0	0	0	0	1	0	0	N/A	3	N/A	$839,251.30
DY11	DPH	Alameda Health System	2.6.4	Screening for Clinical Depression and follow-up	0	0	0	0	1	0	0	N/A	3	N/A	$839,251.30
DY11	DPH	Alameda Health System	2.6.5	Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy	0	0	0	0	1	0	0	N/A	3	N/A	$839,251.30
DY11	DPH	Alameda Health System	3.1.1	Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis	83	0	138	0	1	0.6014	0	N/A	3	N/A	$965,139.00
DY11	DPH	Alameda Health System	3.1.2	Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures	191	0	1267	0	1	0.1507	0	N/A	3	N/A	$965,139.00
DY11	DPH	Alameda Health System	3.1.3	National Healthcare Safety Network (NHSN) Antimicrobial Use Measure	606	0	18146	0	1	0.0334	0	N/A	3	N/A	$965,139.00
DY11	DPH	Alameda Health System	3.1.4	Peri-operative Prophylactic Antibiotics Administered after Surgical Closure	56	0	118	0	1	0.4746	0	N/A	3	N/A	$965,139.00
DY11	DPH	Alameda Health System	3.1.5	Reduction in Hospital Acquired Clostridium Difficile Infections	5700	0	10000	0	1	0.57	0	N/A	3	N/A	$965,139.00
DY11	DPH	Arrowhead Regional Medical Center	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	0	0	16068	0	1	0	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.1.2	Care Coordinator Assignment	3891	0	5866	0	1	0.6633	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	2042	0	5866	0	1	0.3481	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.1.4	Depression Remission at 12 Months (CMS159v4)	0	0	79	0	1	0	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.1.5.f	Screening for Clinical Depression and follow-up	0	0	16068	0	1	0	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.1.6.t	Tobacco Assessment and Counseling	272	0	377	0	1	0.7215	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	0	0	16068	0	1	0	0	N/A	3	N/A	$1,242,230.76
DY11	DPH	Arrowhead Regional Medical Center	1.2.11	REAL data completeness	3754	0	24041	0	1	0.1561	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.2.12.f	Screening for Clinical Depression and follow-up	0	0	16068	0	1	0	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.2.14.t	Tobacco Assessment and Counseling	272	0	377	0	1	0.7215	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.2.2	CG-CAHPS: Provider Rating	1267	0	1799	0	1	0.7043	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.2.3.c	Colorectal Cancer Screening	3441	0	8430	0	1	0.4082	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	2042	0	5866	0	1	0.3481	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.2.5.b	Controlling Blood Pressure	4068	0	6715	0	1	0.6058	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	247	0	323	0	1	0.7647	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.2.8	Prevention Quality Overall Composite #90	714	0	34991	0	1	0.0204	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	0	0	0	0	1	0	0	N/A	3	N/A	$1,242,230.76
DY11	DPH	Arrowhead Regional Medical Center	1.3.2	DHCS All-Cause Readmissions	319	0	2172	0	1	0.1469	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.3.3	Influenza Immunization	0	0	8084	0	1	0	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.3.4	Post Procedure ED Visits	0	0	0	0	1	0	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.3.5	Request for Specialty Care Expertise Turnaround Time	0	0	0	0	1	0	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	0	0	0	0	1	0	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.3.7	Tobacco Assessment and Counseling	0	0	8756	0	1	0	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.7.1	BMI Screening and Follow-up	114	0	377	0	1	0.3024	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.7.2	Partnership for a Healthier Americas Hospital Health Food Initiative external food service verification	0	0	8	0	1	see specification	0	N/A	3	N/A	$1,242,230.77
DY11	DPH	Arrowhead Regional Medical Center	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Physical Activity	108	0	341	0	1	0.3167	0	N/A	3	N/A	$414,076.92
DY11	DPH	Arrowhead Regional Medical Center	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Nutrition	151	0	341	0	1	0.4428	0	N/A	3	N/A	$414,076.92
DY11	DPH	Arrowhead Regional Medical Center	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Weight Assessment - BMI	218	0	341	0	1	0.6393	0	N/A	3	N/A	$414,076.92
DY11	DPH	Arrowhead Regional Medical Center	2.1.1	Baby Friendly Hospital designation	Yes	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.1.2	Exclusive Breast Milk Feeding (PC-05)	105	0	210	0	1	0.5	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	633	0	1	None	1	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.1.4	OB Hemorrhage: Total Products Transfused	33	0	633	0	1	0.0521	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.1.5	PC-02 Cesarean Section	44	0	213	0	1	0.2066	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.1.6	Prenatal and Postpartum Care: Prenatal Care	102	0	235	0	1	0.434	0	N/A	3	N/A	$516,768.00
DY11	DPH	Arrowhead Regional Medical Center	2.1.6	Prenatal and Postpartum Care: Postpartum Care	118	0	235	0	1	0.5021	0	N/A	3	N/A	$516,768.00
DY11	DPH	Arrowhead Regional Medical Center	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	16	0	37	0	1	0.4324	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.1.8	Unexpected Newborn Complications (UNC)	11	0	402	0	1	0.0274	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.1.9	OB Hemorrhage Safety Bundle	6	0	16	0	1	see specification	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.2.1	DHCS All-Cause Readmissions	53	0	351	0	1	0.151	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.2.2	H-CAHPS: Care Transition Metrics (3)	49	0	100	0	1	0.49	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.2.3	Medication Reconciliation – 30 days	85	0	341	0	1	0.2493	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.2.4	Reconciled Medication List Received by Discharged Patients	0	0	357	0	1	0	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.2.5	Timely Transmission of Transition Record	0	0	4105	0	1	0	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.3.1	Care Coordinator Assignment	None	1	370	0	1	None	1	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.3.2	Medication Reconciliation – 30 days	95	0	323	0	1	0.2941	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.3.3	Prevention Quality Overall Composite #90	20	0	370	0	1	0.0541	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.3.4	Timely Transmission of Transition Record	0	0	1966	0	1	0	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.4.1	Adolescent Well-Care Visit	None	1	None	1	1	None	1	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.4.2	Developmental Screening in the First Three Years of Life	0	0	31	0	1	0	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.4.3	Documentation of Current Medications in the Medical Record (0-18 yo)	0	0	57	0	1	0	0	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.4.4	Screening for Clinical Depression and follow-up	0	0	None	1	1	None	1	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.4.5	Tobacco Assessment and Counseling (13 yo and older)	None	1	None	1	1	None	1	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.4.6	Well Child Visits - First 15 months of life	0	0	None	1	1	None	1	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	2.4.7	Well Child Visits - Third, Fourth, Fifth, and Sixth Years of life	None	1	None	1	1	None	1	N/A	3	N/A	$1,033,536.00
DY11	DPH	Arrowhead Regional Medical Center	3.1.1	Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis	0	0	163	0	1	0	0	N/A	3	N/A	$1,291,920.00
DY11	DPH	Arrowhead Regional Medical Center	3.1.2	Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures	271	0	662	0	1	0.4094	0	N/A	3	N/A	$1,291,920.00
DY11	DPH	Arrowhead Regional Medical Center	3.1.3	National Healthcare Safety Network (NHSN) Antimicrobial Use Measure	0	0	0	0	1	0	0	N/A	3	N/A	$1,291,920.00
DY11	DPH	Arrowhead Regional Medical Center	3.1.4	Peri-operative Prophylactic Antibiotics Administered after Surgical Closure	0	0	323	0	1	0	0	N/A	3	N/A	$1,291,920.00
DY11	DPH	Arrowhead Regional Medical Center	3.1.5	Reduction in Hospital Acquired Clostridium Difficile Infections	6590	0	10000	0	1	0.659	0	N/A	3	N/A	$1,291,920.00
DY11	DPH	Contra Costa Regional Medical Center	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	5386	0	44679	0	1	0.1205	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.1.2	Care Coordinator Assignment	9361	0	9465	0	1	0.989	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	2379	0	7594	0	1	0.3133	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.1.4	Depression Remission at 12 Months (CMS159v4)	None	1	724	0	1	None	1	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.1.5.f	Screening for Clinical Depression and follow-up	11337	0	30835	0	1	0.3677	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.1.6.t	Tobacco Assessment and Counseling	33427	0	40703	0	1	0.8212	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	5386	0	44679	0	1	0.1205	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.2.11	REAL data completeness	11991	0	52604	0	1	0.2279	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.2.12.f	Screening for Clinical Depression and follow-up	11337	0	30835	0	1	0.3677	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.2.14.t	Tobacco Assessment and Counseling	33427	0	40703	0	1	0.8212	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.2.2	CG-CAHPS: Provider Rating	83	0	136	0	1	0.6103	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.2.3.c	Colorectal Cancer Screening	9841	0	17312	0	1	0.5684	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	2379	0	7594	0	1	0.3133	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.2.5.b	Controlling Blood Pressure	5995	0	9764	0	1	0.614	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	1644	0	1969	0	1	0.8349	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.2.8	Prevention Quality Overall Composite #90	569	0	60048	0	1	0.0095	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	20366	0	20366	0	1	1	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.3.2	DHCS All-Cause Readmissions	179	0	1941	0	1	0.0922	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.3.3	Influenza Immunization	15472	0	25380	0	1	0.6096	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.3.4	Post Procedure ED Visits	233	0	16253	0	1	0.0143	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.3.5	Request for Specialty Care Expertise Turnaround Time	29943	0	49805	0	1	0.6012	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	31	0	52155	0	1	0.0006	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.3.7	Tobacco Assessment and Counseling	22399	0	26852	0	1	0.8342	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.6.1	BIRADS to Biopsy	50	0	82	0	1	0.6098	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.6.2	Breast Cancer Screening	8065	0	11817	0	1	0.6825	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.6.3	Cervical Cancer Screening	13024	0	25289	0	1	0.515	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.6.4.c	Colorectal Cancer Screening	9841	0	17312	0	1	0.5684	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	1.6.5	Receipt of appropriate follow-up for abnormal CRC screening	121	0	249	0	1	0.4859	0	N/A	3	N/A	$1,008,018.75
DY11	DPH	Contra Costa Regional Medical Center	2.1.1	Baby Friendly Hospital designation	Yes	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.1.2	Exclusive Breast Milk Feeding (PC-05)	723	0	1343	0	1	0.5383	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	1542	0	1	None	1	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.1.4	OB Hemorrhage: Total Products Transfused	53	0	1542	0	1	0.0344	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.1.5	PC-02 Cesarean Section	109	0	462	0	1	0.2359	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.1.6	Prenatal and Postpartum Care: Prenatal Care	1041	0	1114	0	1	0.9345	0	N/A	3	N/A	$376,327.00
DY11	DPH	Contra Costa Regional Medical Center	2.1.6	Prenatal and Postpartum Care: Postpartum Care	1172	0	1483	0	1	0.7903	0	N/A	3	N/A	$376,327.00
DY11	DPH	Contra Costa Regional Medical Center	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	20	0	158	0	1	0.1266	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.1.8	Unexpected Newborn Complications (UNC)	51	0	1150	0	1	0.0443	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.1.9	OB Hemorrhage Safety Bundle	15	0	16	0	1	see specification	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.2.1	DHCS All-Cause Readmissions	187	0	2112	0	1	0.0885	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.2.2	H-CAHPS: Care Transition Metrics (3)	296	0	673	0	1	0.4398	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.2.3	Medication Reconciliation – 30 days	3515	0	3585	0	1	0.9805	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.2.4	Reconciled Medication List Received by Discharged Patients	5288	0	5408	0	1	0.9778	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.2.5	Timely Transmission of Transition Record	121	0	4643	0	1	0.0261	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.3.1	Care Coordinator Assignment	6236	0	6304	0	1	0.9892	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.3.2	Medication Reconciliation – 30 days	1279	0	1317	0	1	0.9711	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.3.3	Prevention Quality Overall Composite #90	403	0	13896	0	1	0.029	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.3.4	Timely Transmission of Transition Record	95	0	1627	0	1	0.0584	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.4.1	Adolescent Well-Care Visit	41	0	52	0	1	0.7885	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.4.2	Developmental Screening in the First Three Years of Life	None	1	None	4	1	None	1	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.4.3	Documentation of Current Medications in the Medical Record (0-18 yo)	25	0	228	0	1	0.1096	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.4.4	Screening for Clinical Depression and follow-up	22	0	33	0	1	0.6667	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.4.5	Tobacco Assessment and Counseling (13 yo and older)	33	0	36	0	1	0.9167	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.4.6	Well Child Visits - First 15 months of life	None	1	None	1	1	None	1	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.4.7	Well Child Visits - Third, Fourth, Fifth, and Sixth Years of life	21	0	None	4	1	None	4	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.6.1	Alcohol and Drug Misuse (SBIRT)	393	0	4743	0	1	0.0829	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.6.2	Assessment and Management of Chronic Pain: Patients with chronic pain prescribed an opioid who have an opioid agreement form and an annual urine toxicology screen	970	0	3123	0	1	0.3106	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.6.3	Patients with chronic pain on long term opioid therapy checked in PDMPs	996	0	2250	0	1	0.4427	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.6.4	Screening for Clinical Depression and follow-up	1017	0	2688	0	1	0.3783	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	2.6.5	Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy	4176	0	5051	0	1	0.8268	0	N/A	3	N/A	$752,654.00
DY11	DPH	Contra Costa Regional Medical Center	3.2.1	Imaging for Routine Headaches (Choosing Wisely)	598	0	4346	0	1	0.1376	0	N/A	3	N/A	$1,411,226.25
DY11	DPH	Contra Costa Regional Medical Center	3.2.2	Appropriate Emergency Department Utilization of CT for Pulmonary Embolism	112	0	197	0	1	0.5685	0	N/A	3	N/A	$1,411,226.25
DY11	DPH	Contra Costa Regional Medical Center	3.2.3	Use of Imaging Studies for Low Back Pain	2364	0	2802	0	1	0.8437	0	N/A	3	N/A	$1,411,226.25
DY11	DPH	Contra Costa Regional Medical Center	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Optimal	330	0	7619	0	1	0.0433	0	N/A	3	N/A	$470,408.75
DY11	DPH	Contra Costa Regional Medical Center	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Borderline	433	0	7619	0	1	0.0568	0	N/A	3	N/A	$470,408.75
DY11	DPH	Contra Costa Regional Medical Center	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Suboptimal	801	0	7619	0	1	0.1051	0	N/A	3	N/A	$470,408.75
DY11	DPH	Kern Medical Center	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	2295	0	8104	0	1	0.2832	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.1.2	Care Coordinator Assignment	83	0	2071	0	1	0.0401	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	604	0	1925	0	1	0.3138	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.1.4	Depression Remission at 12 Months (CMS159v4)	None	1	50	0	1	None	1	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.1.5.f	Screening for Clinical Depression and follow-up	0	0	6798	0	1	0	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.1.6.t	Tobacco Assessment and Counseling	2584	0	6917	0	1	0.3736	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	2295	0	8104	0	1	0.2832	0	N/A	3	N/A	$914,630.76
DY11	DPH	Kern Medical Center	1.2.11	REAL data completeness	0	0	6571	0	1	0	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.2.12.f	Screening for Clinical Depression and follow-up	0	0	6798	0	1	0	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.2.14.t	Tobacco Assessment and Counseling	2584	0	6917	0	1	0.3736	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.2.2	CG-CAHPS: Provider Rating	65	0	97	0	1	0.6701	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.2.3.c	Colorectal Cancer Screening	967	0	3046	0	1	0.3175	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	604	0	1925	0	1	0.3138	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.2.5.b	Controlling Blood Pressure	1013	0	2210	0	1	0.4584	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	310	0	523	0	1	0.5927	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.2.8	Prevention Quality Overall Composite #90	157	0	8714	0	1	0.018	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	0	0	7124	0	1	0	0	N/A	3	N/A	$914,630.76
DY11	DPH	Kern Medical Center	1.3.2	DHCS All-Cause Readmissions	None	1	54	0	1	None	1	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.3.3	Influenza Immunization	1374	0	3802	0	1	0.3614	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.3.4	Post Procedure ED Visits	896	0	11741	0	1	0.0763	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.3.5	Request for Specialty Care Expertise Turnaround Time	0	0	78014	0	1	0	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	0	0	78014	0	1	0	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.3.7	Tobacco Assessment and Counseling	1790	0	3910	0	1	0.4578	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.4.1	Abnormal Results Follow-Up: Abnormal INR Follow-up	55	0	79	0	1	0.6962	0	N/A	3	N/A	$304,876.92
DY11	DPH	Kern Medical Center	1.4.1	Abnormal Results Follow-Up: Abnormal Potassium Follow-up	412	0	432	0	1	0.9537	0	N/A	3	N/A	$304,876.92
DY11	DPH	Kern Medical Center	1.4.1	Abnormal Results Follow-Up: Abnormal BIRADS Follow-up	127	0	718	0	1	0.1769	0	N/A	3	N/A	$304,876.92
DY11	DPH	Kern Medical Center	1.4.2	Annual Monitoring for Patients on Persistent Medications	411	0	672	0	1	0.6116	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	1.4.3	INR Monitoring for Individuals on Warfarin	15	0	41	0	1	0.3659	0	N/A	3	N/A	$914,630.77
DY11	DPH	Kern Medical Center	2.1.1	Baby Friendly Hospital designation	No	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$827,144.34
DY11	DPH	Kern Medical Center	2.1.2	Exclusive Breast Milk Feeding (PC-05)	292	0	793	0	1	0.3682	0	N/A	3	N/A	$827,144.34
DY11	DPH	Kern Medical Center	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	1054	0	1	None	1	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.1.4	OB Hemorrhage: Total Products Transfused	163	0	1054	0	1	0.1546	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.1.5	PC-02 Cesarean Section	45	0	227	0	1	0.1982	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.1.6	Prenatal and Postpartum Care: Postpartum Care	209	0	488	0	1	0.4283	0	N/A	3	N/A	$413,572.18
DY11	DPH	Kern Medical Center	2.1.6	Prenatal and Postpartum Care: Prenatal Care	166	0	595	0	1	0.279	0	N/A	3	N/A	$413,572.18
DY11	DPH	Kern Medical Center	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	40	0	92	0	1	0.4348	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.1.8	Unexpected Newborn Complications (UNC)	50	0	800	0	1	0.0625	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.1.9	OB Hemorrhage Safety Bundle	5	0	16	0	1	see specification	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.2.1	DHCS All-Cause Readmissions	190	0	813	0	1	0.2337	0	N/A	3	N/A	$827,144.34
DY11	DPH	Kern Medical Center	2.2.2	H-CAHPS: Care Transition Metrics (3)	4727	0	10000	0	1	0.4727	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.2.3	Medication Reconciliation – 30 days	0	0	908	0	1	0	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.2.4	Reconciled Medication List Received by Discharged Patients	0	0	9689	0	1	0	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.2.5	Timely Transmission of Transition Record	0	0	7156	0	1	0	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.3.1	Care Coordinator Assignment	129	0	1085	0	1	0.1189	0	N/A	3	N/A	$827,144.34
DY11	DPH	Kern Medical Center	2.3.2	Medication Reconciliation – 30 days	0	0	120	0	1	0	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.3.3	Prevention Quality Overall Composite #90	48	0	1085	0	1	0.0442	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.3.4	Timely Transmission of Transition Record	0	0	208	0	1	0	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.5.1	Alcohol and Drug Misuse (SBIRT)	99	0	377	0	1	0.2626	0	N/A	3	N/A	$827,144.34
DY11	DPH	Kern Medical Center	2.5.2	Controlling Blood Pressure	43	0	91	0	1	0.4725	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.5.3	Prevention Quality Overall Composite #90	0	0	206	0	1	0	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.5.4	Screening for Clinical Depression and follow-up	0	0	368	0	1	0	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	2.5.5	Tobacco Assessment and Counseling	215	0	371	0	1	0.5795	0	N/A	3	N/A	$827,144.35
DY11	DPH	Kern Medical Center	3.2.1	Imaging for Routine Headaches (Choosing Wisely)	69	0	378	0	1	0.1825	0	N/A	3	N/A	$1,189,020.00
DY11	DPH	Kern Medical Center	3.2.2	Appropriate Emergency Department Utilization of CT for Pulmonary Embolism	96	0	134	0	1	0.7164	0	N/A	3	N/A	$1,189,020.00
DY11	DPH	Kern Medical Center	3.2.3	Use of Imaging Studies for Low Back Pain	315	0	442	0	1	0.7127	0	N/A	3	N/A	$1,189,020.00
DY11	DPH	Kern Medical Center	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Borderline	None	1	436	0	1	None	1	N/A	3	N/A	$396,340.00
DY11	DPH	Kern Medical Center	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Suboptimal	51	0	436	0	1	0.117	0	N/A	3	N/A	$396,340.00
DY11	DPH	Kern Medical Center	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Optimal	224	0	436	0	1	0.5138	0	N/A	3	N/A	$396,340.00
DY11	DPH	Los Angeles County Health System	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	12	0	378	0	1	0.0317	0	N/A	3	N/A	$4,934,752.95
DY11	DPH	Los Angeles County Health System	1.1.2	Care Coordinator Assignment	0	0	377	0	1	0	0	N/A	3	N/A	$4,934,752.95
DY11	DPH	Los Angeles County Health System	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	9780	0	33337	0	1	0.2934	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.1.4	Depression Remission at 12 Months (CMS159v4)	None	1	None	4	1	None	1	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.1.5.f	Screening for Clinical Depression and follow-up	318	0	377	0	1	0.8435	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.1.6.t	Tobacco Assessment and Counseling	92777	0	131470	0	1	0.7057	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	12	0	378	0	1	0.0317	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.2.11	REAL data completeness	0	0	125619	0	1	0	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.2.12.f	Screening for Clinical Depression and follow-up	318	0	377	0	1	0.8435	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.2.14.t	Tobacco Assessment and Counseling	92777	0	131470	0	1	0.7057	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.2.2	CG-CAHPS: Provider Rating	2571	0	4221	0	1	0.6091	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.2.3.c	Colorectal Cancer Screening	39402	0	63323	0	1	0.6222	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	9780	0	33337	0	1	0.2934	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.2.5.b	Controlling Blood Pressure	28660	0	44832	0	1	0.6393	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	5683	0	7006	0	1	0.8112	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.2.8	Prevention Quality Overall Composite #90	8188	0	262845	0	1	0.0312	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	187179	0	213642	0	1	0.8761	0	N/A	3	N/A	$4,934,752.95
DY11	DPH	Los Angeles County Health System	1.3.2	DHCS All-Cause Readmissions	591	0	4517	0	1	0.1308	0	N/A	3	N/A	$4,934,752.95
DY11	DPH	Los Angeles County Health System	1.3.3	Influenza Immunization	19798	0	54491	0	1	0.3633	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.3.4	Post Procedure ED Visits	544	0	31419	0	1	0.0173	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.3.5	Request for Specialty Care Expertise Turnaround Time	116771	0	148142	0	1	0.7882	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	36993	0	160780	0	1	0.2301	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.3.7	Tobacco Assessment and Counseling	61957	0	79710	0	1	0.7773	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.4.1	Abnormal Results Follow-Up: Abnormal BIRADS Follow-up	12309	0	21963	0	1	0.5604	0	N/A	3	N/A	$1,644,917.65
DY11	DPH	Los Angeles County Health System	1.4.1	Abnormal Results Follow-Up: Abnormal INR Follow-up	27253	0	29004	0	1	0.9396	0	N/A	3	N/A	$1,644,917.65
DY11	DPH	Los Angeles County Health System	1.4.1	Abnormal Results Follow-Up: Abnormal Potassium Follow-up	76105	0	79933	0	1	0.9521	0	N/A	3	N/A	$1,644,917.65
DY11	DPH	Los Angeles County Health System	1.4.2	Annual Monitoring for Patients on Persistent Medications	50995	0	61803	0	1	0.8251	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.4.3	INR Monitoring for Individuals on Warfarin	1225	0	2008	0	1	0.6101	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.6.1	BIRADS to Biopsy	273	0	621	0	1	0.4396	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.6.2	Breast Cancer Screening	30237	0	50136	0	1	0.6031	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.6.3	Cervical Cancer Screening	35019	0	102269	0	1	0.3424	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.6.4.c	Colorectal Cancer Screening	39402	0	63323	0	1	0.6222	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.6.5	Receipt of appropriate follow-up for abnormal CRC screening	374	0	1188	0	1	0.3148	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.7.1	BMI Screening and Follow-up	36813	0	113301	0	1	0.3249	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.7.2	Partnership for a Healthier Americas Hospital Health Food Initiative external food service verification	21	0	40	0	1	see specification	0	N/A	3	N/A	$4,934,752.94
DY11	DPH	Los Angeles County Health System	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Nutrition	656	0	14464	0	1	0.0454	0	N/A	3	N/A	$1,644,917.65
DY11	DPH	Los Angeles County Health System	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Physical Activity	1112	0	14464	0	1	0.0769	0	N/A	3	N/A	$1,644,917.65
DY11	DPH	Los Angeles County Health System	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Weight Assessment - BMI	6590	0	14464	0	1	0.4556	0	N/A	3	N/A	$1,644,917.65
DY11	DPH	Los Angeles County Health System	2.1.1	Baby Friendly Hospital designation	Yes	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$4,628,457.94
DY11	DPH	Los Angeles County Health System	2.1.2	Exclusive Breast Milk Feeding (PC-05)	463	0	1115	0	1	0.4152	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	1777	0	1	None	1	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.1.4	OB Hemorrhage: Total Products Transfused	140	0	1777	0	1	0.0788	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.1.5	PC-02 Cesarean Section	156	0	630	0	1	0.2476	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.1.6	Prenatal and Postpartum Care: Postpartum Care	815	0	2242	0	1	0.3635	0	N/A	3	N/A	$2,314,228.97
DY11	DPH	Los Angeles County Health System	2.1.6	Prenatal and Postpartum Care: Prenatal Care	1103	0	2242	0	1	0.492	0	N/A	3	N/A	$2,314,228.97
DY11	DPH	Los Angeles County Health System	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	54	0	124	0	1	0.4355	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.1.8	Unexpected Newborn Complications (UNC)	126	0	1074	0	1	0.1173	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.1.9	OB Hemorrhage Safety Bundle	28	0	48	0	1	see specification	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.2.1	DHCS All-Cause Readmissions	672	0	5261	0	1	0.1277	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.2.2	H-CAHPS: Care Transition Metrics (3)	4702	0	8389	0	1	0.5605	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.2.3	Medication Reconciliation – 30 days	109	0	377	0	1	0.2891	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.2.4	Reconciled Medication List Received by Discharged Patients	242	0	413	0	1	0.586	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.2.5	Timely Transmission of Transition Record	0	0	370	0	1	0	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.3.1	Care Coordinator Assignment	0	0	377	0	1	0	0	N/A	3	N/A	$4,628,457.94
DY11	DPH	Los Angeles County Health System	2.3.2	Medication Reconciliation – 30 days	96	0	377	0	1	0.2546	0	N/A	3	N/A	$4,628,457.94
DY11	DPH	Los Angeles County Health System	2.3.3	Prevention Quality Overall Composite #90	8115	0	67847	0	1	0.1196	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.3.4	Timely Transmission of Transition Record	0	0	370	0	1	0	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.5.1	Alcohol and Drug Misuse (SBIRT)	None	1	116	0	1	None	1	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.5.2	Controlling Blood Pressure	None	1	None	4	1	None	1	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.5.3	Prevention Quality Overall Composite #90	11	0	144	0	1	0.0764	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.5.4	Screening for Clinical Depression and follow-up	66	0	93	0	1	0.7097	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.5.5	Tobacco Assessment and Counseling	74	0	126	0	1	0.5873	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.7.1	Advance Care Plan	348	0	357	0	1	0.9748	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.7.2	Ambulatory Palliative Care Team Established	0	0	0	0	1	0	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.7.3	MWM #8: Treatment Preferences (documentation) Inpatient	18	0	50	0	1	0.36	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.7.4	MWM #8: Treatment Preferences (documentation) Outpatient	None	1	None	4	1	None	1	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.7.5	Palliative Care Service Offered at Time of Diagnosis of Advanced Illness	62	0	323	0	1	0.192	0	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	2.7.6	Proportion Admitted to Hospice for Less Than 3 Days	None	1	32	0	1	None	1	N/A	3	N/A	$4,628,457.93
DY11	DPH	Los Angeles County Health System	3.1.1	Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis	328	0	957	0	1	0.3427	0	N/A	3	N/A	$4,194,540.00
DY11	DPH	Los Angeles County Health System	3.1.2	Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures	44	0	107	0	1	0.4112	0	N/A	3	N/A	$4,194,540.00
DY11	DPH	Los Angeles County Health System	3.1.3	National Healthcare Safety Network (NHSN) Antimicrobial Use Measure	70638	0	365348	0	1	0.1933	0	N/A	3	N/A	$4,194,540.00
DY11	DPH	Los Angeles County Health System	3.1.4	Peri-operative Prophylactic Antibiotics Administered after Surgical Closure	101	0	349	0	1	0.2894	0	N/A	3	N/A	$4,194,540.00
DY11	DPH	Los Angeles County Health System	3.1.5	Reduction in Hospital Acquired Clostridium Difficile Infections	7778	0	10000	0	1	0.7778	0	N/A	3	N/A	$4,194,540.00
DY11	DPH	Los Angeles County Health System	3.3.1	Adherence to Medications	92	0	102	0	1	0.902	0	N/A	3	N/A	$4,194,540.00
DY11	DPH	Los Angeles County Health System	3.3.2	Documentation of Current Medications in the Medical Record	177	0	384	0	1	0.4609	0	N/A	3	N/A	$4,194,540.00
DY11	DPH	Los Angeles County Health System	3.3.3	High-Cost Pharmaceuticals Ordering Protocols	60	0	102	0	1	0.5882	0	N/A	3	N/A	$4,194,540.00
DY11	DPH	Natividad Medical Center	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	3297	0	6521	0	1	0.5056	0	N/A	3	N/A	$441,661.12
DY11	DPH	Natividad Medical Center	1.1.2	Care Coordinator Assignment	0	0	1515	0	1	0	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	384	0	907	0	1	0.4234	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.1.4	Depression Remission at 12 Months (CMS159v4)	0	0	167	0	1	0	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.1.5.f	Screening for Clinical Depression and follow-up	2318	0	4073	0	1	0.5691	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.1.6.t	Tobacco Assessment and Counseling	5482	0	5796	0	1	0.9458	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	3297	0	6521	0	1	0.5056	0	N/A	3	N/A	$441,661.12
DY11	DPH	Natividad Medical Center	1.2.11	REAL data completeness	8641	0	9628	0	1	0.8975	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.2.12.f	Screening for Clinical Depression and follow-up	2318	0	4073	0	1	0.5691	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.2.14.t	Tobacco Assessment and Counseling	5482	0	5796	0	1	0.9458	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.2.2	CG-CAHPS: Provider Rating	70	0	100	0	1	0.7	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.2.3.c	Colorectal Cancer Screening	834	0	1579	0	1	0.5282	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	384	0	907	0	1	0.4234	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.2.5.b	Controlling Blood Pressure	970	0	1470	0	1	0.6599	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	180	0	204	0	1	0.8824	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.2.8	Prevention Quality Overall Composite #90	72	0	8543	0	1	0.0084	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	473	0	493	0	1	0.9594	0	N/A	3	N/A	$441,661.12
DY11	DPH	Natividad Medical Center	1.3.2	DHCS All-Cause Readmissions	37	0	251	0	1	0.1474	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.3.3	Influenza Immunization	515	0	1128	0	1	0.4566	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.3.4	Post Procedure ED Visits	165	0	6057	0	1	0.0272	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.3.5	Request for Specialty Care Expertise Turnaround Time	400	0	1629	0	1	0.2455	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	0	0	1938	0	1	0	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.3.7	Tobacco Assessment and Counseling	1482	0	1549	0	1	0.9567	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.5.1.b	Controlling Blood Pressure	970	0	1470	0	1	0.6599	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	180	0	204	0	1	0.8824	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	1931	0	3945	0	1	0.4895	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	1.5.4.t	Tobacco Assessment and Counseling	5482	0	5796	0	1	0.9458	0	N/A	3	N/A	$441,661.11
DY11	DPH	Natividad Medical Center	2.1.1	Baby Friendly Hospital designation	Yes	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$414,777.40
DY11	DPH	Natividad Medical Center	2.1.2	Exclusive Breast Milk Feeding (PC-05)	121	0	302	0	1	0.4007	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	382	0	1	None	1	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.1.4	OB Hemorrhage: Total Products Transfused	25	0	382	0	1	0.0654	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.1.5	PC-02 Cesarean Section	24	0	108	0	1	0.2222	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.1.6	Prenatal and Postpartum Care: Prenatal Care	93	0	393	0	1	0.2366	0	N/A	3	N/A	$207,388.70
DY11	DPH	Natividad Medical Center	2.1.6	Prenatal and Postpartum Care: Postpartum Care	219	0	393	0	1	0.5573	0	N/A	3	N/A	$207,388.70
DY11	DPH	Natividad Medical Center	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	None	1	57	0	1	None	1	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.1.8	Unexpected Newborn Complications (UNC)	12	0	332	0	1	0.0361	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.1.9	OB Hemorrhage Safety Bundle	8	0	16	0	1	see specification	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.2.1	DHCS All-Cause Readmissions	49	0	377	0	1	0.13	0	N/A	3	N/A	$414,777.40
DY11	DPH	Natividad Medical Center	2.2.2	H-CAHPS: Care Transition Metrics (3)	3900	0	10000	0	1	0.39	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.2.3	Medication Reconciliation – 30 days	240	0	359	0	1	0.6685	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.2.4	Reconciled Medication List Received by Discharged Patients	430	0	481	0	1	0.894	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.2.5	Timely Transmission of Transition Record	414	0	474	0	1	0.8734	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.3.1	Care Coordinator Assignment	0	0	254	0	1	0	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.3.2	Medication Reconciliation – 30 days	46	0	64	0	1	0.7188	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.3.3	Prevention Quality Overall Composite #90	24	0	333	0	1	0.0721	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.3.4	Timely Transmission of Transition Record	84	0	95	0	1	0.8842	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.6.1	Alcohol and Drug Misuse (SBIRT)	343	0	554	0	1	0.6191	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.6.2	Assessment and Management of Chronic Pain: Patients with chronic pain prescribed an opioid who have an opioid agreement form and an annual urine toxicology screen	118	0	381	0	1	0.3097	0	N/A	3	N/A	$414,777.40
DY11	DPH	Natividad Medical Center	2.6.3	Patients with chronic pain on long term opioid therapy checked in PDMPs	0	0	381	0	1	0	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.6.4	Screening for Clinical Depression and follow-up	128	0	205	0	1	0.6244	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	2.6.5	Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy	140	0	147	0	1	0.9524	0	N/A	3	N/A	$414,777.39
DY11	DPH	Natividad Medical Center	3.4.1	ePBM-01 Pre-op Anemia Screening, Selected Elective Surgical Patients	17	0	127	0	1	0.1339	0	N/A	3	N/A	$476,994.00
DY11	DPH	Natividad Medical Center	3.4.2	ePBM-02 Pre-op Hemoglobin Level, Selected Elective Surgical Patients	None	1	None	1	1	None	1	N/A	3	N/A	$476,994.00
DY11	DPH	Natividad Medical Center	3.4.3	ePBM-03 Pre-op Type and Crossmatch, Type and Screen, Selected elective Surgical Patients	51	0	76	0	1	0.6711	0	N/A	3	N/A	$476,994.00
DY11	DPH	Natividad Medical Center	3.4.4	ePBM-04 Initial Transfusion Threshold	288	0	288	0	1	1	0	N/A	3	N/A	$476,994.00
DY11	DPH	Natividad Medical Center	3.4.5	ePBM-05 Outcome of Patient Blood Management, Selected Elective Surgical Patients	None	1	None	4	1	None	1	N/A	3	N/A	$476,994.00
DY11	DPH	Riverside University Health System	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	None	1	21421	0	1	None	1	N/A	3	N/A	$927,208.34
DY11	DPH	Riverside University Health System	1.1.2	Care Coordinator Assignment	None	1	386	0	1	None	1	N/A	3	N/A	$927,208.34
DY11	DPH	Riverside University Health System	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	2096	0	4116	0	1	0.5092	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.1.4	Depression Remission at 12 Months (CMS159v4)	0	0	54	0	1	0	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.1.5.f	Screening for Clinical Depression and follow-up	27	0	391	0	1	0.0691	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.1.6.t	Tobacco Assessment and Counseling	6368	0	15530	0	1	0.41	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	None	1	21421	0	1	None	1	N/A	3	N/A	$927,208.34
DY11	DPH	Riverside University Health System	1.2.11	REAL data completeness	0	0	35298	0	1	0	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.2.12.f	Screening for Clinical Depression and follow-up	27	0	391	0	1	0.0691	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.2.14.t	Tobacco Assessment and Counseling	6368	0	15530	0	1	0.41	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.2.2	CG-CAHPS: Provider Rating	62	0	100	0	1	0.62	0	N/A	3	N/A	$927,208.34
DY11	DPH	Riverside University Health System	1.2.3.c	Colorectal Cancer Screening	590	0	8736	0	1	0.0675	0	N/A	3	N/A	$927,208.34
DY11	DPH	Riverside University Health System	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	2096	0	4116	0	1	0.5092	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.2.5.b	Controlling Blood Pressure	172	0	371	0	1	0.4636	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	289	0	457	0	1	0.6324	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.2.8	Prevention Quality Overall Composite #90	378	0	57412	0	1	0.0066	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	18	0	94	0	1	0.1915	0	N/A	3	N/A	$927,208.34
DY11	DPH	Riverside University Health System	1.3.2	DHCS All-Cause Readmissions	42	0	239	0	1	0.1757	0	N/A	3	N/A	$927,208.34
DY11	DPH	Riverside University Health System	1.3.3	Influenza Immunization	0	0	1960	0	1	0	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.3.4	Post Procedure ED Visits	177	0	9554	0	1	0.0185	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.3.5	Request for Specialty Care Expertise Turnaround Time	170	0	398	0	1	0.4271	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	0	0	5149	0	1	0	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.3.7	Tobacco Assessment and Counseling	0	0	1406	0	1	0	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.5.1.b	Controlling Blood Pressure	172	0	371	0	1	0.4636	0	N/A	3	N/A	$927,208.34
DY11	DPH	Riverside University Health System	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	289	0	457	0	1	0.6324	0	N/A	3	N/A	$927,208.34
DY11	DPH	Riverside University Health System	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	225	0	407	0	1	0.5528	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	1.5.4.t	Tobacco Assessment and Counseling	6368	0	15530	0	1	0.41	0	N/A	3	N/A	$927,208.33
DY11	DPH	Riverside University Health System	2.1.1	Baby Friendly Hospital designation	Yes	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$870,769.56
DY11	DPH	Riverside University Health System	2.1.2	Exclusive Breast Milk Feeding (PC-05)	245	0	403	0	1	0.6079	0	N/A	3	N/A	$870,769.56
DY11	DPH	Riverside University Health System	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	531	0	1	None	1	N/A	3	N/A	$870,769.56
DY11	DPH	Riverside University Health System	2.1.4	OB Hemorrhage: Total Products Transfused	86	0	531	0	1	0.162	0	N/A	3	N/A	$870,769.56
DY11	DPH	Riverside University Health System	2.1.5	PC-02 Cesarean Section	28	0	145	0	1	0.1931	0	N/A	3	N/A	$870,769.57
DY11	DPH	Riverside University Health System	2.1.6	Prenatal and Postpartum Care: Postpartum Care	32	0	76	0	1	0.4211	0	N/A	3	N/A	$435,384.79
DY11	DPH	Riverside University Health System	2.1.6	Prenatal and Postpartum Care: Prenatal Care	42	0	76	0	1	0.5526	0	N/A	3	N/A	$435,384.79
DY11	DPH	Riverside University Health System	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	16	0	36	0	1	0.4444	0	N/A	3	N/A	$870,769.57
DY11	DPH	Riverside University Health System	2.1.8	Unexpected Newborn Complications (UNC)	28	0	404	0	1	0.0693	0	N/A	3	N/A	$870,769.57
DY11	DPH	Riverside University Health System	2.1.9	OB Hemorrhage Safety Bundle	14	0	16	0	1	see specification	0	N/A	3	N/A	$870,769.57
DY11	DPH	Riverside University Health System	2.2.1	DHCS All-Cause Readmissions	38	0	559	0	1	0.068	0	N/A	3	N/A	$870,769.56
DY11	DPH	Riverside University Health System	2.2.2	H-CAHPS: Care Transition Metrics (3)	4713	0	10000	0	1	0.4713	0	N/A	3	N/A	$870,769.56
DY11	DPH	Riverside University Health System	2.2.3	Medication Reconciliation – 30 days	33	0	258	0	1	0.1279	0	N/A	3	N/A	$870,769.57
DY11	DPH	Riverside University Health System	2.2.4	Reconciled Medication List Received by Discharged Patients	177	0	363	0	1	0.4876	0	N/A	3	N/A	$870,769.57
DY11	DPH	Riverside University Health System	2.2.5	Timely Transmission of Transition Record	0	0	37	0	1	0	0	N/A	3	N/A	$870,769.57
DY11	DPH	Riverside University Health System	2.3.1	Care Coordinator Assignment	0	0	200	0	1	0	0	N/A	3	N/A	$870,769.56
DY11	DPH	Riverside University Health System	2.3.2	Medication Reconciliation – 30 days	None	1	36	0	1	None	1	N/A	3	N/A	$870,769.56
DY11	DPH	Riverside University Health System	2.3.3	Prevention Quality Overall Composite #90	38	0	849	0	1	0.0448	0	N/A	3	N/A	$870,769.56
DY11	DPH	Riverside University Health System	2.3.4	Timely Transmission of Transition Record	0	0	45	0	1	0	0	N/A	3	N/A	$870,769.57
DY11	DPH	Riverside University Health System	2.6.1	Alcohol and Drug Misuse (SBIRT)	None	1	420	0	1	None	1	N/A	3	N/A	$870,769.56
DY11	DPH	Riverside University Health System	2.6.2	Assessment and Management of Chronic Pain: Patients with chronic pain prescribed an opioid who have an opioid agreement form and an annual urine toxicology screen	0	0	52	0	1	0	0	N/A	3	N/A	$870,769.56
DY11	DPH	Riverside University Health System	2.6.3	Patients with chronic pain on long term opioid therapy checked in PDMPs	None	1	52	0	1	None	1	N/A	3	N/A	$870,769.57
DY11	DPH	Riverside University Health System	2.6.4	Screening for Clinical Depression and follow-up	25	0	259	0	1	0.0965	0	N/A	3	N/A	$870,769.57
DY11	DPH	Riverside University Health System	2.6.5	Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy	105	0	535	0	1	0.1963	0	N/A	3	N/A	$870,769.57
DY11	DPH	Riverside University Health System	3.3.1	Adherence to Medications	0	0	373	0	1	0	0	N/A	3	N/A	$1,668,975.00
DY11	DPH	Riverside University Health System	3.3.2	Documentation of Current Medications in the Medical Record	253	0	424	0	1	0.5967	0	N/A	3	N/A	$1,668,975.00
DY11	DPH	Riverside University Health System	3.3.3	High-Cost Pharmaceuticals Ordering Protocols	0	0	1908	0	1	0	0	N/A	3	N/A	$1,668,975.00
DY11	DPH	San Francisco General Hospital	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	None	1	35448	0	1	None	1	N/A	3	N/A	$950,444.45
DY11	DPH	San Francisco General Hospital	1.1.2	Care Coordinator Assignment	5407	0	7233	0	1	0.7475	0	N/A	3	N/A	$950,444.45
DY11	DPH	San Francisco General Hospital	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	1603	0	6435	0	1	0.2491	0	N/A	3	N/A	$950,444.45
DY11	DPH	San Francisco General Hospital	1.1.4	Depression Remission at 12 Months (CMS159v4)	27	0	716	0	1	0.0377	0	N/A	3	N/A	$950,444.44
DY11	DPH	San Francisco General Hospital	1.1.5.f	Screening for Clinical Depression and follow-up	13256	0	34239	0	1	0.3872	0	N/A	3	N/A	$950,444.44
DY11	DPH	San Francisco General Hospital	1.1.6.t	Tobacco Assessment and Counseling	32590	0	34803	0	1	0.9364	0	N/A	3	N/A	$950,444.44
DY11	DPH	San Francisco General Hospital	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	None	1	35448	0	1	None	1	N/A	3	N/A	$950,444.45
DY11	DPH	San Francisco General Hospital	1.2.11	REAL data completeness	0	0	29802	0	1	0	0	N/A	3	N/A	$950,444.44
DY11	DPH	San Francisco General Hospital	1.2.12.f	Screening for Clinical Depression and follow-up	13256	0	34239	0	1	0.3872	0	N/A	3	N/A	$950,444.44
DY11	DPH	San Francisco General Hospital	1.2.14.t	Tobacco Assessment and Counseling	32590	0	34803	0	1	0.9364	0	N/A	3	N/A	$950,444.44
DY11	DPH	San Francisco General Hospital	1.2.2	CG-CAHPS: Provider Rating	71	0	100	0	1	0.71	0	N/A	3	N/A	$950,444.45
DY11	DPH	San Francisco General Hospital	1.2.3.c	Colorectal Cancer Screening	12398	0	18453	0	1	0.6719	0	N/A	3	N/A	$950,444.45
DY11	DPH	San Francisco General Hospital	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	1603	0	6435	0	1	0.2491	0	N/A	3	N/A	$950,444.45
DY11	DPH	San Francisco General Hospital	1.2.5.b	Controlling Blood Pressure	7742	0	10196	0	1	0.7593	0	N/A	3	N/A	$950,444.44
DY11	DPH	San Francisco General Hospital	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	1598	0	1759	0	1	0.9085	0	N/A	3	N/A	$950,444.44
DY11	DPH	San Francisco General Hospital	1.2.8	Prevention Quality Overall Composite #90	713	0	44561	0	1	0.016	0	N/A	3	N/A	$950,444.44
DY11	DPH	San Francisco General Hospital	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	19983	0	44210	0	1	0.452	0	N/A	3	N/A	$950,444.45
DY11	DPH	San Francisco General Hospital	1.3.2	DHCS All-Cause Readmissions	452	0	2882	0	1	0.1568	0	N/A	3	N/A	$950,444.45
DY11	DPH	San Francisco General Hospital	1.3.3	Influenza Immunization	10780	0	19867	0	1	0.5426	0	N/A	3	N/A	$950,444.45
DY11	DPH	San Francisco General Hospital	1.3.4	Post Procedure ED Visits	446	0	24441	0	1	0.0182	0	N/A	3	N/A	$950,444.44
DY11	DPH	San Francisco General Hospital	1.3.5	Request for Specialty Care Expertise Turnaround Time	53032	0	58524	0	1	0.9062	0	N/A	3	N/A	$950,444.44
DY11	DPH	San Francisco General Hospital	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	11468	0	58524	0	1	0.196	0	N/A	3	N/A	$950,444.44
DY11	DPH	San Francisco General Hospital	1.3.7	Tobacco Assessment and Counseling	19188	0	20366	0	1	0.9422	0	N/A	3	N/A	$950,444.44
DY11	DPH	San Francisco General Hospital	1.5.1.b	Controlling Blood Pressure	7742	0	10196	0	1	0.7593	0	N/A	3	N/A	$950,444.45
DY11	DPH	San Francisco General Hospital	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	1598	0	1759	0	1	0.9085	0	N/A	3	N/A	$950,444.45
DY11	DPH	San Francisco General Hospital	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	10316	0	21228	0	1	0.486	0	N/A	3	N/A	$950,444.44
DY11	DPH	San Francisco General Hospital	1.5.4.t	Tobacco Assessment and Counseling	32590	0	34803	0	1	0.9364	0	N/A	3	N/A	$950,444.44
DY11	DPH	San Francisco General Hospital	2.1.1	Baby Friendly Hospital designation	Yes	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$892,591.31
DY11	DPH	San Francisco General Hospital	2.1.2	Exclusive Breast Milk Feeding (PC-05)	97	0	134	0	1	0.7239	0	N/A	3	N/A	$892,591.31
DY11	DPH	San Francisco General Hospital	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	860	0	1	None	1	N/A	3	N/A	$892,591.31
DY11	DPH	San Francisco General Hospital	2.1.4	OB Hemorrhage: Total Products Transfused	81	0	860	0	1	0.0942	0	N/A	3	N/A	$892,591.31
DY11	DPH	San Francisco General Hospital	2.1.5	PC-02 Cesarean Section	52	0	284	0	1	0.1831	0	N/A	3	N/A	$892,591.30
DY11	DPH	San Francisco General Hospital	2.1.6	Prenatal and Postpartum Care: Postpartum Care	390	0	774	0	1	0.5039	0	N/A	3	N/A	$446,295.65
DY11	DPH	San Francisco General Hospital	2.1.6	Prenatal and Postpartum Care: Prenatal Care	581	0	774	0	1	0.7506	0	N/A	3	N/A	$446,295.65
DY11	DPH	San Francisco General Hospital	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	24	0	98	0	1	0.2449	0	N/A	3	N/A	$892,591.30
DY11	DPH	San Francisco General Hospital	2.1.8	Unexpected Newborn Complications (UNC)	94	0	613	0	1	0.1533	0	N/A	3	N/A	$892,591.30
DY11	DPH	San Francisco General Hospital	2.1.9	OB Hemorrhage Safety Bundle	9	0	16	0	1	see specification	0	N/A	3	N/A	$892,591.30
DY11	DPH	San Francisco General Hospital	2.2.1	DHCS All-Cause Readmissions	520	0	3409	0	1	0.1525	0	N/A	3	N/A	$892,591.31
DY11	DPH	San Francisco General Hospital	2.2.2	H-CAHPS: Care Transition Metrics (3)	49	0	100	0	1	0.49	0	N/A	3	N/A	$892,591.31
DY11	DPH	San Francisco General Hospital	2.2.3	Medication Reconciliation – 30 days	3138	0	3896	0	1	0.8054	0	N/A	3	N/A	$892,591.30
DY11	DPH	San Francisco General Hospital	2.2.4	Reconciled Medication List Received by Discharged Patients	0	0	4163	0	1	0	0	N/A	3	N/A	$892,591.30
DY11	DPH	San Francisco General Hospital	2.2.5	Timely Transmission of Transition Record	3223	0	4145	0	1	0.7776	0	N/A	3	N/A	$892,591.30
DY11	DPH	San Francisco General Hospital	2.3.1	Care Coordinator Assignment	107	0	1332	0	1	0.0803	0	N/A	3	N/A	$892,591.31
DY11	DPH	San Francisco General Hospital	2.3.2	Medication Reconciliation – 30 days	697	0	824	0	1	0.8459	0	N/A	3	N/A	$892,591.31
DY11	DPH	San Francisco General Hospital	2.3.3	Prevention Quality Overall Composite #90	162	0	1332	0	1	0.1216	0	N/A	3	N/A	$892,591.30
DY11	DPH	San Francisco General Hospital	2.3.4	Timely Transmission of Transition Record	785	0	919	0	1	0.8542	0	N/A	3	N/A	$892,591.30
DY11	DPH	San Francisco General Hospital	2.6.1	Alcohol and Drug Misuse (SBIRT)	None	1	1992	0	1	None	1	N/A	3	N/A	$892,591.31
DY11	DPH	San Francisco General Hospital	2.6.2	Assessment and Management of Chronic Pain: Patients with chronic pain prescribed an opioid who have an opioid agreement form and an annual urine toxicology screen	710	0	1692	0	1	0.4196	0	N/A	3	N/A	$892,591.31
DY11	DPH	San Francisco General Hospital	2.6.3	Patients with chronic pain on long term opioid therapy checked in PDMPs	288	0	1692	0	1	0.1702	0	N/A	3	N/A	$892,591.30
DY11	DPH	San Francisco General Hospital	2.6.4	Screening for Clinical Depression and follow-up	622	0	2012	0	1	0.3091	0	N/A	3	N/A	$892,591.30
DY11	DPH	San Francisco General Hospital	2.6.5	Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy	1859	0	2057	0	1	0.9037	0	N/A	3	N/A	$892,591.30
DY11	DPH	San Francisco General Hospital	3.3.1	Adherence to Medications	116	0	160	0	1	0.725	0	N/A	3	N/A	$1,710,800.00
DY11	DPH	San Francisco General Hospital	3.3.2	Documentation of Current Medications in the Medical Record	137867	0	222261	0	1	0.6203	0	N/A	3	N/A	$1,710,800.00
DY11	DPH	San Francisco General Hospital	3.3.3	High-Cost Pharmaceuticals Ordering Protocols	0	0	160	0	1	0	0	N/A	3	N/A	$1,710,800.00
DY11	DPH	San Joaquin General Hospital	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	0	0	11165	0	1	0	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.1.2	Care Coordinator Assignment	0	0	6482	0	1	0	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	654	0	2034	0	1	0.3215	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.1.4	Depression Remission at 12 Months (CMS159v4)	95	0	335	0	1	0.2836	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.1.5.f	Screening for Clinical Depression and follow-up	327	0	411	0	1	0.7956	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.1.6.t	Tobacco Assessment and Counseling	7519	0	9800	0	1	0.7672	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	0	0	11165	0	1	0	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.2.11	REAL data completeness	0	0	18220	0	1	0	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.2.12.f	Screening for Clinical Depression and follow-up	327	0	411	0	1	0.7956	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.2.14.t	Tobacco Assessment and Counseling	7519	0	9800	0	1	0.7672	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.2.2	CG-CAHPS: Provider Rating	201	0	273	0	1	0.7363	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.2.3.c	Colorectal Cancer Screening	156	0	370	0	1	0.4216	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	654	0	2034	0	1	0.3215	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.2.5.b	Controlling Blood Pressure	255	0	407	0	1	0.6265	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	581	0	846	0	1	0.6868	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.2.8	Prevention Quality Overall Composite #90	188	0	28942	0	1	0.0065	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	75	0	377	0	1	0.1989	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.3.2	DHCS All-Cause Readmissions	38	0	338	0	1	0.1124	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.3.3	Influenza Immunization	151	0	357	0	1	0.423	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.3.4	Post Procedure ED Visits	85	0	3015	0	1	0.0282	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.3.5	Request for Specialty Care Expertise Turnaround Time	None	1	377	0	1	None	1	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	491	0	22169	0	1	0.0221	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.3.7	Tobacco Assessment and Counseling	7381	0	7989	0	1	0.9239	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.6.1	BIRADS to Biopsy	None	1	44	0	1	None	1	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.6.2	Breast Cancer Screening	2173	0	4030	0	1	0.5392	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.6.3	Cervical Cancer Screening	145	0	411	0	1	0.3528	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.6.4.c	Colorectal Cancer Screening	156	0	370	0	1	0.4216	0	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	1.6.5	Receipt of appropriate follow-up for abnormal CRC screening	None	1	None	1	1	None	1	N/A	3	N/A	$537,506.25
DY11	DPH	San Joaquin General Hospital	2.1.1	Baby Friendly Hospital designation	Yes	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.1.2	Exclusive Breast Milk Feeding (PC-05)	76	0	108	0	1	0.7037	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	673	0	1	None	1	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.1.4	OB Hemorrhage: Total Products Transfused	61	0	673	0	1	0.0906	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.1.5	PC-02 Cesarean Section	51	0	174	0	1	0.2931	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.1.6	Prenatal and Postpartum Care: Postpartum Care	126	0	679	0	1	0.1856	0	N/A	3	N/A	$250,836.25
DY11	DPH	San Joaquin General Hospital	2.1.6	Prenatal and Postpartum Care: Prenatal Care	305	0	679	0	1	0.4492	0	N/A	3	N/A	$250,836.25
DY11	DPH	San Joaquin General Hospital	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	15	0	52	0	1	0.2885	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.1.8	Unexpected Newborn Complications (UNC)	29	0	482	0	1	0.0602	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.1.9	OB Hemorrhage Safety Bundle	10	0	16	0	1	see specification	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.2.1	DHCS All-Cause Readmissions	107	0	898	0	1	0.1192	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.2.2	H-CAHPS: Care Transition Metrics (3)	5265	0	10000	0	1	0.5265	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.2.3	Medication Reconciliation – 30 days	None	1	341	0	1	None	1	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.2.4	Reconciled Medication List Received by Discharged Patients	177	0	191	0	1	0.9267	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.2.5	Timely Transmission of Transition Record	0	0	333	0	1	0	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.3.1	Care Coordinator Assignment	0	0	8779	0	1	0	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.3.2	Medication Reconciliation – 30 days	None	1	261	0	1	None	1	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.3.3	Prevention Quality Overall Composite #90	139	0	8773	0	1	0.0158	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.3.4	Timely Transmission of Transition Record	0	0	161	0	1	0	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.7.1	Advance Care Plan	36	0	323	0	1	0.1115	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.7.2	Ambulatory Palliative Care Team Established	0	0	0	0	1	0	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.7.3	MWM #8: Treatment Preferences (documentation) Inpatient	None	1	None	4	1	None	1	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.7.4	MWM #8: Treatment Preferences (documentation) Outpatient	0	0	0	0	1	0	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.7.5	Palliative Care Service Offered at Time of Diagnosis of Advanced Illness	0	0	0	0	1	0	0	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	2.7.6	Proportion Admitted to Hospice for Less Than 3 Days	None	1	46	0	1	None	1	N/A	3	N/A	$501,672.50
DY11	DPH	San Joaquin General Hospital	3.2.1	Imaging for Routine Headaches (Choosing Wisely)	46	0	323	0	1	0.1424	0	N/A	3	N/A	$752,508.75
DY11	DPH	San Joaquin General Hospital	3.2.2	Appropriate Emergency Department Utilization of CT for Pulmonary Embolism	None	1	84	0	1	None	1	N/A	3	N/A	$752,508.75
DY11	DPH	San Joaquin General Hospital	3.2.3	Use of Imaging Studies for Low Back Pain	2619	0	2969	0	1	0.8821	0	N/A	3	N/A	$752,508.75
DY11	DPH	San Joaquin General Hospital	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Optimal	22	0	1307	0	1	0.0168	0	N/A	3	N/A	$250,836.25
DY11	DPH	San Joaquin General Hospital	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Borderline	98	0	1307	0	1	0.075	0	N/A	3	N/A	$250,836.25
DY11	DPH	San Joaquin General Hospital	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Suboptimal	116	0	1307	0	1	0.0888	0	N/A	3	N/A	$250,836.25
DY11	DPH	San Mateo Medical Center	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	738	0	27624	0	1	0.0267	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.1.2	Care Coordinator Assignment	888	0	6119	0	1	0.1451	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	1333	0	4937	0	1	0.27	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.1.4	Depression Remission at 12 Months (CMS159v4)	0	0	None	4	1	None	4	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.1.5.f	Screening for Clinical Depression and follow-up	579	0	24302	0	1	0.0238	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.1.6.t	Tobacco Assessment and Counseling	23849	0	24497	0	1	0.9735	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	738	0	27624	0	1	0.0267	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.2.11	REAL data completeness	38504	0	38656	0	1	0.9961	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.2.12.f	Screening for Clinical Depression and follow-up	579	0	24302	0	1	0.0238	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.2.14.t	Tobacco Assessment and Counseling	23849	0	24497	0	1	0.9735	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.2.2	CG-CAHPS: Provider Rating	1907	0	2422	0	1	0.7874	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.2.3.c	Colorectal Cancer Screening	5566	0	9794	0	1	0.5683	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	1333	0	4937	0	1	0.27	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.2.5.b	Controlling Blood Pressure	4782	0	6767	0	1	0.7067	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	826	0	985	0	1	0.8386	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.2.8	Prevention Quality Overall Composite #90	225	0	38037	0	1	0.0059	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	7524	0	7524	0	1	1	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.3.2	DHCS All-Cause Readmissions	32	0	434	0	1	0.0737	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.3.3	Influenza Immunization	7930	0	13890	0	1	0.5709	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.3.4	Post Procedure ED Visits	324	0	9583	0	1	0.0338	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.3.5	Request for Specialty Care Expertise Turnaround Time	19	0	16169	0	1	0.0012	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	0	0	16169	0	1	0	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.3.7	Tobacco Assessment and Counseling	13561	0	13785	0	1	0.9838	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.6.1	BIRADS to Biopsy	167	0	255	0	1	0.6549	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.6.2	Breast Cancer Screening	5252	0	6630	0	1	0.7922	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.6.3	Cervical Cancer Screening	8321	0	15213	0	1	0.547	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.6.4.c	Colorectal Cancer Screening	5566	0	9794	0	1	0.5683	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	1.6.5	Receipt of appropriate follow-up for abnormal CRC screening	91	0	181	0	1	0.5028	0	N/A	3	N/A	$560,343.75
DY11	DPH	San Mateo Medical Center	2.2.1	DHCS All-Cause Readmissions	32	0	479	0	1	0.0668	0	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.2.2	H-CAHPS: Care Transition Metrics (3)	5067	0	10000	0	1	0.5067	0	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.2.3	Medication Reconciliation – 30 days	0	0	853	0	1	0	0	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.2.4	Reconciled Medication List Received by Discharged Patients	965	0	1044	0	1	0.9243	0	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.2.5	Timely Transmission of Transition Record	1681	0	1688	0	1	0.9959	0	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.3.1	Care Coordinator Assignment	0	0	445	0	1	0	0	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.3.2	Medication Reconciliation – 30 days	0	0	129	0	1	0	0	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.3.3	Prevention Quality Overall Composite #90	53	0	445	0	1	0.1191	0	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.3.4	Timely Transmission of Transition Record	291	0	292	0	1	0.9966	0	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.4.1	Adolescent Well-Care Visit	None	1	None	4	1	None	1	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.4.2	Developmental Screening in the First Three Years of Life	None	0	None	1	1	None	1	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.4.3	Documentation of Current Medications in the Medical Record (0-18 yo)	41	0	47	0	1	0.8723	0	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.4.4	Screening for Clinical Depression and follow-up	0	0	None	1	1	None	1	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.4.5	Tobacco Assessment and Counseling (13 yo and older)	None	1	None	1	1	None	1	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.4.6	Well Child Visits - First 15 months of life	None	1	None	1	1	None	1	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.4.7	Well Child Visits - Third, Fourth, Fifth, and Sixth Years of life	None	1	None	1	1	None	1	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.6.1	Alcohol and Drug Misuse (SBIRT)	738	0	27624	0	1	0.0267	0	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.6.2	Assessment and Management of Chronic Pain: Patients with chronic pain prescribed an opioid who have an opioid agreement form and an annual urine toxicology screen	21	0	42	0	1	0.5	0	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.6.3	Patients with chronic pain on long term opioid therapy checked in PDMPs	0	0	None	1	1	None	1	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.6.4	Screening for Clinical Depression and follow-up	0	0	66	0	1	0	0	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	2.6.5	Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy	145	0	244	0	1	0.5943	0	N/A	3	N/A	$597,700.00
DY11	DPH	San Mateo Medical Center	3.2.1	Imaging for Routine Headaches (Choosing Wisely)	217	0	1610	0	1	0.1348	0	N/A	3	N/A	$784,481.25
DY11	DPH	San Mateo Medical Center	3.2.2	Appropriate Emergency Department Utilization of CT for Pulmonary Embolism	12	0	154	0	1	0.0779	0	N/A	3	N/A	$784,481.25
DY11	DPH	San Mateo Medical Center	3.2.3	Use of Imaging Studies for Low Back Pain	1145	0	1266	0	1	0.9044	0	N/A	3	N/A	$784,481.25
DY11	DPH	San Mateo Medical Center	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Optimal	72	0	1745	0	1	0.0413	0	N/A	3	N/A	$261,493.75
DY11	DPH	San Mateo Medical Center	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Borderline	186	0	1745	0	1	0.1066	0	N/A	3	N/A	$261,493.75
DY11	DPH	San Mateo Medical Center	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Suboptimal	233	0	1745	0	1	0.1335	0	N/A	3	N/A	$261,493.75
DY11	DPH	Santa Clara Valley Medical Center	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	0	0	47389	0	1	0	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.1.2	Care Coordinator Assignment	4308	0	11573	0	1	0.3722	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	2732	0	7592	0	1	0.3599	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.1.4	Depression Remission at 12 Months (CMS159v4)	85	0	1773	0	1	0.0479	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.1.5.f	Screening for Clinical Depression and follow-up	10681	0	32544	0	1	0.3282	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.1.6.t	Tobacco Assessment and Counseling	30645	0	40262	0	1	0.7611	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	0	0	47389	0	1	0	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.2.11	REAL data completeness	0	0	43373	0	1	0	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.2.12.f	Screening for Clinical Depression and follow-up	10681	0	32544	0	1	0.3282	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.2.14.t	Tobacco Assessment and Counseling	30645	0	40262	0	1	0.7611	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.2.2	CG-CAHPS: Provider Rating	2903	0	3945	0	1	0.7359	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.2.3.c	Colorectal Cancer Screening	14926	0	20061	0	1	0.744	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	2732	0	7592	0	1	0.3599	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.2.5.b	Controlling Blood Pressure	8440	0	13371	0	1	0.6312	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	1976	0	2614	0	1	0.7559	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.2.8	Prevention Quality Overall Composite #90	503	0	57281	0	1	0.0088	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	5901	0	28528	0	1	0.2068	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.3.2	DHCS All-Cause Readmissions	548	0	3677	0	1	0.149	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.3.3	Influenza Immunization	14527	0	24406	0	1	0.5952	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.3.4	Post Procedure ED Visits	568	0	36646	0	1	0.0155	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.3.5	Request for Specialty Care Expertise Turnaround Time	977	0	47603	0	1	0.0205	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	142	0	47603	0	1	0.003	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.3.7	Tobacco Assessment and Counseling	16677	0	20811	0	1	0.8014	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.4.1	Abnormal Results Follow-Up: Abnormal BIRADS Follow-up	2412	0	4788	0	1	0.5038	0	N/A	3	N/A	$576,362.50
DY11	DPH	Santa Clara Valley Medical Center	1.4.1	Abnormal Results Follow-Up: Abnormal INR Follow-up	9994	0	10533	0	1	0.9488	0	N/A	3	N/A	$576,362.50
DY11	DPH	Santa Clara Valley Medical Center	1.4.1	Abnormal Results Follow-Up: Abnormal Potassium Follow-up	14848	0	16487	0	1	0.9006	0	N/A	3	N/A	$576,362.50
DY11	DPH	Santa Clara Valley Medical Center	1.4.2	Annual Monitoring for Patients on Persistent Medications	15508	0	17839	0	1	0.8693	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	1.4.3	INR Monitoring for Individuals on Warfarin	723	0	917	0	1	0.7884	0	N/A	3	N/A	$1,729,087.50
DY11	DPH	Santa Clara Valley Medical Center	2.1.1	Baby Friendly Hospital designation	No	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.1.2	Exclusive Breast Milk Feeding (PC-05)	1066	0	2117	0	1	0.5035	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	2394	0	1	None	1	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.1.4	OB Hemorrhage: Total Products Transfused	80	0	2394	0	1	0.0334	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.1.5	PC-02 Cesarean Section	143	0	711	0	1	0.2011	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.1.6	Prenatal and Postpartum Care: Postpartum Care	323	0	505	0	1	0.6396	0	N/A	3	N/A	$719,300.40
DY11	DPH	Santa Clara Valley Medical Center	2.1.6	Prenatal and Postpartum Care: Prenatal Care	433	0	505	0	1	0.8574	0	N/A	3	N/A	$719,300.40
DY11	DPH	Santa Clara Valley Medical Center	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	22	0	243	0	1	0.0905	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.1.8	Unexpected Newborn Complications (UNC)	65	0	1877	0	1	0.0346	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.1.9	OB Hemorrhage Safety Bundle	4	0	16	0	1	see specification	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.2.1	DHCS All-Cause Readmissions	584	0	4161	0	1	0.1404	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.2.2	H-CAHPS: Care Transition Metrics (3)	4201	0	10000	0	1	0.4201	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.2.3	Medication Reconciliation – 30 days	2776	0	4811	0	1	0.577	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.2.4	Reconciled Medication List Received by Discharged Patients	7880	0	8208	0	1	0.96	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.2.5	Timely Transmission of Transition Record	1611	0	6094	0	1	0.2644	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.3.1	Care Coordinator Assignment	577	0	939	0	1	0.6145	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.3.2	Medication Reconciliation – 30 days	197	0	324	0	1	0.608	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.3.3	Prevention Quality Overall Composite #90	46	0	939	0	1	0.049	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.3.4	Timely Transmission of Transition Record	103	0	370	0	1	0.2784	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.4.1	Adolescent Well-Care Visit	75	0	83	0	1	0.9036	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.4.2	Developmental Screening in the First Three Years of Life	0	0	122	0	1	0	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.4.3	Documentation of Current Medications in the Medical Record (0-18 yo)	1107	0	1363	0	1	0.8122	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.4.4	Screening for Clinical Depression and follow-up	0	0	66	0	1	0	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.4.5	Tobacco Assessment and Counseling (13 yo and older)	38	0	70	0	1	0.5429	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.4.6	Well Child Visits - First 15 months of life	22	0	43	0	1	0.5116	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	2.4.7	Well Child Visits - Third, Fourth, Fifth, and Sixth Years of life	92	0	103	0	1	0.8932	0	N/A	3	N/A	$1,438,600.80
DY11	DPH	Santa Clara Valley Medical Center	3.3.1	Adherence to Medications	0	0	91	0	1	0	0	N/A	3	N/A	$2,997,085.00
DY11	DPH	Santa Clara Valley Medical Center	3.3.2	Documentation of Current Medications in the Medical Record	292803	0	357788	0	1	0.8184	0	N/A	3	N/A	$2,997,085.00
DY11	DPH	Santa Clara Valley Medical Center	3.3.3	High-Cost Pharmaceuticals Ordering Protocols	0	0	195	0	1	0	0	N/A	3	N/A	$2,997,085.00
DY11	DPH	UC Davis Medical Center	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	0	0	64730	0	1	0	0	N/A	3	N/A	$811,572.23
DY11	DPH	UC Davis Medical Center	1.1.2	Care Coordinator Assignment	638	0	6927	0	1	0.0921	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	1486	0	6927	0	1	0.2145	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.1.4	Depression Remission at 12 Months (CMS159v4)	11	0	789	0	1	0.0139	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.1.5.f	Screening for Clinical Depression and follow-up	901	0	50055	0	1	0.018	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.1.6.t	Tobacco Assessment and Counseling	53905	0	60986	0	1	0.8839	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	0	0	64730	0	1	0	0	N/A	3	N/A	$811,572.23
DY11	DPH	UC Davis Medical Center	1.2.11	REAL data completeness	69091	0	74134	0	1	0.932	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.2.12.f	Screening for Clinical Depression and follow-up	901	0	50055	0	1	0.018	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.2.14.t	Tobacco Assessment and Counseling	53905	0	60986	0	1	0.8839	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.2.2	CG-CAHPS: Provider Rating	3967	0	4860	0	1	0.8163	0	N/A	3	N/A	$811,572.23
DY11	DPH	UC Davis Medical Center	1.2.3.c	Colorectal Cancer Screening	20437	0	30013	0	1	0.6809	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	1486	0	6927	0	1	0.2145	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.2.5.b	Controlling Blood Pressure	15599	0	22546	0	1	0.6919	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	3235	0	3527	0	1	0.9172	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.2.8	Prevention Quality Overall Composite #90	474	0	61767	0	1	0.0077	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	6390	0	81492	0	1	0.0784	0	N/A	3	N/A	$811,572.23
DY11	DPH	UC Davis Medical Center	1.3.2	DHCS All-Cause Readmissions	666	0	5834	0	1	0.1142	0	N/A	3	N/A	$811,572.23
DY11	DPH	UC Davis Medical Center	1.3.3	Influenza Immunization	23046	0	44680	0	1	0.5158	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.3.4	Post Procedure ED Visits	810	0	91440	0	1	0.0089	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.3.5	Request for Specialty Care Expertise Turnaround Time	69650	0	103486	0	1	0.673	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	416	0	103642	0	1	0.004	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.3.7	Tobacco Assessment and Counseling	40573	0	44647	0	1	0.9088	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.5.1.b	Controlling Blood Pressure	15599	0	22546	0	1	0.6919	0	N/A	3	N/A	$811,572.23
DY11	DPH	UC Davis Medical Center	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	3235	0	3527	0	1	0.9172	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	30982	0	60986	0	1	0.508	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	1.5.4.t	Tobacco Assessment and Counseling	53905	0	60986	0	1	0.8839	0	N/A	3	N/A	$811,572.22
DY11	DPH	UC Davis Medical Center	2.1.1	Baby Friendly Hospital designation	No	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$762,172.18
DY11	DPH	UC Davis Medical Center	2.1.2	Exclusive Breast Milk Feeding (PC-05)	208	0	303	0	1	0.6865	0	N/A	3	N/A	$762,172.18
DY11	DPH	UC Davis Medical Center	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	1473	0	1	None	1	N/A	3	N/A	$762,172.18
DY11	DPH	UC Davis Medical Center	2.1.4	OB Hemorrhage: Total Products Transfused	146	0	1473	0	1	0.0991	0	N/A	3	N/A	$762,172.17
DY11	DPH	UC Davis Medical Center	2.1.5	PC-02 Cesarean Section	128	0	513	0	1	0.2495	0	N/A	3	N/A	$762,172.17
DY11	DPH	UC Davis Medical Center	2.1.6	Prenatal and Postpartum Care: Postpartum Care	652	0	1272	0	1	0.5126	0	N/A	3	N/A	$381,086.09
DY11	DPH	UC Davis Medical Center	2.1.6	Prenatal and Postpartum Care: Prenatal Care	1089	0	1272	0	1	0.8561	0	N/A	3	N/A	$381,086.09
DY11	DPH	UC Davis Medical Center	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	None	1	101	0	1	None	1	N/A	3	N/A	$762,172.17
DY11	DPH	UC Davis Medical Center	2.1.8	Unexpected Newborn Complications (UNC)	60	0	1037	0	1	0.0579	0	N/A	3	N/A	$762,172.17
DY11	DPH	UC Davis Medical Center	2.1.9	OB Hemorrhage Safety Bundle	5	0	16	0	1	see specification	0	N/A	3	N/A	$762,172.17
DY11	DPH	UC Davis Medical Center	2.2.1	DHCS All-Cause Readmissions	697	0	6235	0	1	0.1118	0	N/A	3	N/A	$762,172.18
DY11	DPH	UC Davis Medical Center	2.2.2	H-CAHPS: Care Transition Metrics (3)	3130	0	5504	0	1	0.5687	0	N/A	3	N/A	$762,172.18
DY11	DPH	UC Davis Medical Center	2.2.3	Medication Reconciliation – 30 days	4952	0	6578	0	1	0.7528	0	N/A	3	N/A	$762,172.17
DY11	DPH	UC Davis Medical Center	2.2.4	Reconciled Medication List Received by Discharged Patients	7398	0	7714	0	1	0.959	0	N/A	3	N/A	$762,172.17
DY11	DPH	UC Davis Medical Center	2.2.5	Timely Transmission of Transition Record	6323	0	6593	0	1	0.959	0	N/A	3	N/A	$762,172.17
DY11	DPH	UC Davis Medical Center	2.3.1	Care Coordinator Assignment	215	0	979	0	1	0.2196	0	N/A	3	N/A	$762,172.18
DY11	DPH	UC Davis Medical Center	2.3.2	Medication Reconciliation – 30 days	714	0	928	0	1	0.7694	0	N/A	3	N/A	$762,172.18
DY11	DPH	UC Davis Medical Center	2.3.3	Prevention Quality Overall Composite #90	289	0	978	0	1	0.2955	0	N/A	3	N/A	$762,172.17
DY11	DPH	UC Davis Medical Center	2.3.4	Timely Transmission of Transition Record	886	0	928	0	1	0.9547	0	N/A	3	N/A	$762,172.17
DY11	DPH	UC Davis Medical Center	2.6.1	Alcohol and Drug Misuse (SBIRT)	0	0	3978	0	1	0	0	N/A	3	N/A	$762,172.18
DY11	DPH	UC Davis Medical Center	2.6.2	Assessment and Management of Chronic Pain: Patients with chronic pain prescribed an opioid who have an opioid agreement form and an annual urine toxicology screen	261	0	1917	0	1	0.1362	0	N/A	3	N/A	$762,172.18
DY11	DPH	UC Davis Medical Center	2.6.3	Patients with chronic pain on long term opioid therapy checked in PDMPs	68	0	357	0	1	0.1905	0	N/A	3	N/A	$762,172.17
DY11	DPH	UC Davis Medical Center	2.6.4	Screening for Clinical Depression and follow-up	70	0	2494	0	1	0.0281	0	N/A	3	N/A	$762,172.17
DY11	DPH	UC Davis Medical Center	2.6.5	Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy	3483	0	3993	0	1	0.8723	0	N/A	3	N/A	$762,172.17
DY11	DPH	UC Davis Medical Center	3.2.1	Imaging for Routine Headaches (Choosing Wisely)	408	0	2998	0	1	0.1361	0	N/A	3	N/A	$1,095,622.50
DY11	DPH	UC Davis Medical Center	3.2.2	Appropriate Emergency Department Utilization of CT for Pulmonary Embolism	299	0	309	0	1	0.9676	0	N/A	3	N/A	$1,095,622.50
DY11	DPH	UC Davis Medical Center	3.2.3	Use of Imaging Studies for Low Back Pain	1534	0	1729	0	1	0.8872	0	N/A	3	N/A	$1,095,622.50
DY11	DPH	UC Davis Medical Center	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Borderline	174	0	7550	0	1	0.023	0	N/A	3	N/A	$365,207.50
DY11	DPH	UC Davis Medical Center	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Optimal	338	0	7550	0	1	0.0448	0	N/A	3	N/A	$365,207.50
DY11	DPH	UC Davis Medical Center	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Suboptimal	1540	0	7550	0	1	0.204	0	N/A	3	N/A	$365,207.50
DY11	DPH	UC Irvine Medical Center	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	1204	0	13789	0	1	0.0873	0	N/A	3	N/A	$525,383.66
DY11	DPH	UC Irvine Medical Center	1.1.2	Care Coordinator Assignment	408	0	4167	0	1	0.0979	0	N/A	3	N/A	$525,383.66
DY11	DPH	UC Irvine Medical Center	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	781	0	2834	0	1	0.2756	0	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	1.1.4	Depression Remission at 12 Months (CMS159v4)	0	0	None	1	1	None	1	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	1.1.5.f	Screening for Clinical Depression and follow-up	1491	0	11465	0	1	0.13	0	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	1.1.6.t	Tobacco Assessment and Counseling	11704	0	12369	0	1	0.9462	0	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	1204	0	13789	0	1	0.0873	0	N/A	3	N/A	$525,383.66
DY11	DPH	UC Irvine Medical Center	1.2.11	REAL data completeness	0	0	16856	0	1	0	0	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	1.2.12.f	Screening for Clinical Depression and follow-up	1491	0	11465	0	1	0.13	0	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	1.2.14.t	Tobacco Assessment and Counseling	11704	0	12369	0	1	0.9462	0	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	1.2.2	CG-CAHPS: Provider Rating	3274	0	3957	0	1	0.8274	0	N/A	3	N/A	$525,383.66
DY11	DPH	UC Irvine Medical Center	1.2.3.c	Colorectal Cancer Screening	2884	0	5849	0	1	0.4931	0	N/A	3	N/A	$525,383.66
DY11	DPH	UC Irvine Medical Center	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	781	0	2834	0	1	0.2756	0	N/A	3	N/A	$525,383.66
DY11	DPH	UC Irvine Medical Center	1.2.5.b	Controlling Blood Pressure	2991	0	4360	0	1	0.686	0	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	825	0	1238	0	1	0.6664	0	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	1.2.8	Prevention Quality Overall Composite #90	783	0	29062	0	1	0.0269	0	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	6767	0	8110	0	1	0.8344	0	N/A	3	N/A	$525,383.66
DY11	DPH	UC Irvine Medical Center	1.3.2	DHCS All-Cause Readmissions	246	0	1564	0	1	0.1573	0	N/A	3	N/A	$525,383.66
DY11	DPH	UC Irvine Medical Center	1.3.3	Influenza Immunization	2889	0	6646	0	1	0.4347	0	N/A	3	N/A	$525,383.66
DY11	DPH	UC Irvine Medical Center	1.3.4	Post Procedure ED Visits	1457	0	26652	0	1	0.0547	0	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	1.3.5	Request for Specialty Care Expertise Turnaround Time	3203	0	21934	0	1	0.146	0	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	53	0	33119	0	1	0.0016	0	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	1.3.7	Tobacco Assessment and Counseling	6749	0	6927	0	1	0.9743	0	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	1.4.1	Abnormal Results Follow-Up: Abnormal BIRADS Follow-up	261	0	356	0	1	0.7331	0	N/A	3	N/A	$175,127.89
DY11	DPH	UC Irvine Medical Center	1.4.1	Abnormal Results Follow-Up: Abnormal INR Follow-up	798	0	997	0	1	0.8004	0	N/A	3	N/A	$175,127.89
DY11	DPH	UC Irvine Medical Center	1.4.1	Abnormal Results Follow-Up: Abnormal Potassium Follow-up	3801	0	3976	0	1	0.956	0	N/A	3	N/A	$175,127.89
DY11	DPH	UC Irvine Medical Center	1.4.2	Annual Monitoring for Patients on Persistent Medications	1234	0	1527	0	1	0.8081	0	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	1.4.3	INR Monitoring for Individuals on Warfarin	448	0	1207	0	1	0.3712	0	N/A	3	N/A	$525,383.65
DY11	DPH	UC Irvine Medical Center	2.1.1	Baby Friendly Hospital designation	No	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$475,129.56
DY11	DPH	UC Irvine Medical Center	2.1.2	Exclusive Breast Milk Feeding (PC-05)	150	0	230	0	1	0.6522	0	N/A	3	N/A	$475,129.56
DY11	DPH	UC Irvine Medical Center	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	1333	0	1	None	1	N/A	3	N/A	$475,129.56
DY11	DPH	UC Irvine Medical Center	2.1.4	OB Hemorrhage: Total Products Transfused	179	0	1333	0	1	0.1343	0	N/A	3	N/A	$475,129.56
DY11	DPH	UC Irvine Medical Center	2.1.5	PC-02 Cesarean Section	110	0	443	0	1	0.2483	0	N/A	3	N/A	$475,129.56
DY11	DPH	UC Irvine Medical Center	2.1.6	Prenatal and Postpartum Care: Prenatal Care	551	0	1196	0	1	0.4607	0	N/A	3	N/A	$237,564.79
DY11	DPH	UC Irvine Medical Center	2.1.6	Prenatal and Postpartum Care: Postpartum Care	785	0	1196	0	1	0.6564	0	N/A	3	N/A	$237,564.79
DY11	DPH	UC Irvine Medical Center	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	27	0	135	0	1	0.2	0	N/A	3	N/A	$475,129.57
DY11	DPH	UC Irvine Medical Center	2.1.8	Unexpected Newborn Complications (UNC)	33	0	833	0	1	0.0396	0	N/A	3	N/A	$475,129.57
DY11	DPH	UC Irvine Medical Center	2.1.9	OB Hemorrhage Safety Bundle	8	0	16	0	1	see specification	0	N/A	3	N/A	$475,129.57
DY11	DPH	UC Irvine Medical Center	2.2.1	DHCS All-Cause Readmissions	270	0	1824	0	1	0.148	0	N/A	3	N/A	$475,129.56
DY11	DPH	UC Irvine Medical Center	2.2.2	H-CAHPS: Care Transition Metrics (3)	9443	0	10000	0	1	0.9443	0	N/A	3	N/A	$475,129.56
DY11	DPH	UC Irvine Medical Center	2.2.3	Medication Reconciliation – 30 days	1517	0	1770	0	1	0.8571	0	N/A	3	N/A	$475,129.57
DY11	DPH	UC Irvine Medical Center	2.2.4	Reconciled Medication List Received by Discharged Patients	1881	0	3068	0	1	0.6131	0	N/A	3	N/A	$475,129.57
DY11	DPH	UC Irvine Medical Center	2.2.5	Timely Transmission of Transition Record	602	0	634	0	1	0.9495	0	N/A	3	N/A	$475,129.57
DY11	DPH	UC Irvine Medical Center	2.3.1	Care Coordinator Assignment	380	0	3734	0	1	0.1018	0	N/A	3	N/A	$475,129.56
DY11	DPH	UC Irvine Medical Center	2.3.2	Medication Reconciliation – 30 days	1217	0	1394	0	1	0.873	0	N/A	3	N/A	$475,129.56
DY11	DPH	UC Irvine Medical Center	2.3.3	Prevention Quality Overall Composite #90	660	0	21594	0	1	0.0306	0	N/A	3	N/A	$475,129.57
DY11	DPH	UC Irvine Medical Center	2.3.4	Timely Transmission of Transition Record	502	0	530	0	1	0.9472	0	N/A	3	N/A	$475,129.57
DY11	DPH	UC Irvine Medical Center	2.6.1	Alcohol and Drug Misuse (SBIRT)	None	1	80	0	1	None	1	N/A	3	N/A	$475,129.56
DY11	DPH	UC Irvine Medical Center	2.6.2	Assessment and Management of Chronic Pain: Patients with chronic pain prescribed an opioid who have an opioid agreement form and an annual urine toxicology screen	0	0	80	0	1	0	0	N/A	3	N/A	$475,129.56
DY11	DPH	UC Irvine Medical Center	2.6.3	Patients with chronic pain on long term opioid therapy checked in PDMPs	0	0	80	0	1	0	0	N/A	3	N/A	$475,129.57
DY11	DPH	UC Irvine Medical Center	2.6.4	Screening for Clinical Depression and follow-up	None	1	48	0	1	None	1	N/A	3	N/A	$475,129.57
DY11	DPH	UC Irvine Medical Center	2.6.5	Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy	52	0	55	0	1	0.9455	0	N/A	3	N/A	$475,129.57
DY11	DPH	UC Irvine Medical Center	3.1.1	Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis	64	0	66	0	1	0.9697	0	N/A	3	N/A	$546,399.00
DY11	DPH	UC Irvine Medical Center	3.1.2	Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures	26	0	270	0	1	0.0963	0	N/A	3	N/A	$546,399.00
DY11	DPH	UC Irvine Medical Center	3.1.3	National Healthcare Safety Network (NHSN) Antimicrobial Use Measure	30015	0	140310	0	1	0.2139	0	N/A	3	N/A	$546,399.00
DY11	DPH	UC Irvine Medical Center	3.1.4	Peri-operative Prophylactic Antibiotics Administered after Surgical Closure	222	0	793	0	1	0.2799	0	N/A	3	N/A	$546,399.00
DY11	DPH	UC Irvine Medical Center	3.1.5	Reduction in Hospital Acquired Clostridium Difficile Infections	13340	0	10000	0	1	1.334	0	N/A	3	N/A	$546,399.00
DY11	DPH	UC Los Angeles Medical Center	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	4570	0	105895	0	1	0.0432	0	N/A	3	N/A	$376,748.07
DY11	DPH	UC Los Angeles Medical Center	1.1.2	Care Coordinator Assignment	5029	0	11958	0	1	0.4206	0	N/A	3	N/A	$376,748.07
DY11	DPH	UC Los Angeles Medical Center	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	1557	0	8761	0	1	0.1777	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.1.4	Depression Remission at 12 Months (CMS159v4)	None	1	452	0	1	None	1	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.1.5.f	Screening for Clinical Depression and follow-up	12595	0	80752	0	1	0.156	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.1.6.t	Tobacco Assessment and Counseling	96021	0	100619	0	1	0.9543	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	4570	0	105895	0	1	0.0432	0	N/A	3	N/A	$376,748.07
DY11	DPH	UC Los Angeles Medical Center	1.2.11	REAL data completeness	109093	0	119321	0	1	0.9143	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.2.12.f	Screening for Clinical Depression and follow-up	12591	0	80752	0	1	0.1559	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.2.14.t	Tobacco Assessment and Counseling	96021	0	100619	0	1	0.9543	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.2.2	CG-CAHPS: Provider Rating	238	0	308	0	1	0.7727	0	N/A	3	N/A	$376,748.07
DY11	DPH	UC Los Angeles Medical Center	1.2.3.c	Colorectal Cancer Screening	22328	0	43817	0	1	0.5096	0	N/A	3	N/A	$376,748.07
DY11	DPH	UC Los Angeles Medical Center	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	1557	0	8761	0	1	0.1777	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.2.5.b	Controlling Blood Pressure	15606	0	22852	0	1	0.6829	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	4902	0	6198	0	1	0.7909	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.2.8	Prevention Quality Overall Composite #90	688	0	101850	0	1	0.0068	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	33367	0	33885	0	1	0.9847	0	N/A	3	N/A	$376,748.07
DY11	DPH	UC Los Angeles Medical Center	1.3.2	DHCS All-Cause Readmissions	632	0	3632	0	1	0.174	0	N/A	3	N/A	$376,748.07
DY11	DPH	UC Los Angeles Medical Center	1.3.3	Influenza Immunization	16762	0	33610	0	1	0.4987	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.3.4	Post Procedure ED Visits	1007	0	90596	0	1	0.0111	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.3.5	Request for Specialty Care Expertise Turnaround Time	42972	0	339004	0	1	0.1268	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	597	0	50619	0	1	0.0118	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.3.7	Tobacco Assessment and Counseling	41082	0	42475	0	1	0.9672	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.4.1	Abnormal Results Follow-Up: Abnormal BIRADS Follow-up	10265	0	13197	0	1	0.7778	0	N/A	3	N/A	$125,582.69
DY11	DPH	UC Los Angeles Medical Center	1.4.1	Abnormal Results Follow-Up: Abnormal INR Follow-up	17044	0	18598	0	1	0.9164	0	N/A	3	N/A	$125,582.69
DY11	DPH	UC Los Angeles Medical Center	1.4.1	Abnormal Results Follow-Up: Abnormal Potassium Follow-up	29747	0	32242	0	1	0.9226	0	N/A	3	N/A	$125,582.69
DY11	DPH	UC Los Angeles Medical Center	1.4.2	Annual Monitoring for Patients on Persistent Medications	27905	0	31500	0	1	0.8859	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	1.4.3	INR Monitoring for Individuals on Warfarin	934	0	1830	0	1	0.5104	0	N/A	3	N/A	$376,748.08
DY11	DPH	UC Los Angeles Medical Center	2.1.1	Baby Friendly Hospital designation	No	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.1.2	Exclusive Breast Milk Feeding (PC-05)	266	0	350	0	1	0.76	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	426	0	1	None	1	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.1.4	OB Hemorrhage: Total Products Transfused	25	0	426	0	1	0.0587	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.1.5	PC-02 Cesarean Section	314	0	1265	0	1	0.2482	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.1.6	Prenatal and Postpartum Care: Prenatal Care	1405	0	2069	0	1	0.6791	0	N/A	3	N/A	$163,257.50
DY11	DPH	UC Los Angeles Medical Center	2.1.6	Prenatal and Postpartum Care: Postpartum Care	1662	0	2069	0	1	0.8033	0	N/A	3	N/A	$163,257.50
DY11	DPH	UC Los Angeles Medical Center	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	47	0	229	0	1	0.2052	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.1.8	Unexpected Newborn Complications (UNC)	69	0	2048	0	1	0.0337	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.1.9	OB Hemorrhage Safety Bundle	32	0	32	0	1	see specification	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.2.1	DHCS All-Cause Readmissions	1020	0	5768	0	1	0.1768	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.2.2	H-CAHPS: Care Transition Metrics (3)	6044	0	10000	0	1	0.6044	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.2.3	Medication Reconciliation – 30 days	6311	0	6311	0	1	1	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.2.4	Reconciled Medication List Received by Discharged Patients	8801	0	9375	0	1	0.9388	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.2.5	Timely Transmission of Transition Record	9073	0	9392	0	1	0.966	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.3.1	Care Coordinator Assignment	6665	0	14081	0	1	0.4733	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.3.2	Medication Reconciliation – 30 days	3514	0	3514	0	1	1	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.3.3	Prevention Quality Overall Composite #90	549	0	14081	0	1	0.039	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.3.4	Timely Transmission of Transition Record	4724	0	4865	0	1	0.971	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.7.1	Advance Care Plan	1082	0	2698	0	1	0.401	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.7.2	Ambulatory Palliative Care Team Established	0	0	0	0	1	0	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.7.3	MWM #8: Treatment Preferences (documentation) Inpatient	55	0	98	0	1	0.5612	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.7.4	MWM #8: Treatment Preferences (documentation) Outpatient	21	0	None	4	1	None	4	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.7.5	Palliative Care Service Offered at Time of Diagnosis of Advanced Illness	0	0	0	0	1	0	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	2.7.6	Proportion Admitted to Hospice for Less Than 3 Days	60	0	163	0	1	0.3681	0	N/A	3	N/A	$326,515.00
DY11	DPH	UC Los Angeles Medical Center	3.3.1	Adherence to Medications	35	0	73	0	1	0.4795	0	N/A	3	N/A	$653,030.00
DY11	DPH	UC Los Angeles Medical Center	3.3.2	Documentation of Current Medications in the Medical Record	391671	0	513831	0	1	0.7623	0	N/A	3	N/A	$653,030.00
DY11	DPH	UC Los Angeles Medical Center	3.3.3	High-Cost Pharmaceuticals Ordering Protocols	0	0	158	0	1	0	0	N/A	3	N/A	$653,030.00
DY11	DPH	UC San Diego Medical Center	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	0	0	33025	0	1	0	0	N/A	3	N/A	$486,713.88
DY11	DPH	UC San Diego Medical Center	1.1.2	Care Coordinator Assignment	114	0	5980	0	1	0.0191	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	425	0	2941	0	1	0.1445	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.1.4	Depression Remission at 12 Months (CMS159v4)	149	0	694	0	1	0.2147	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.1.5.f	Screening for Clinical Depression and follow-up	9454	0	23835	0	1	0.3966	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.1.6.t	Tobacco Assessment and Counseling	30997	0	32482	0	1	0.9543	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	0	0	33025	0	1	0	0	N/A	3	N/A	$486,713.88
DY11	DPH	UC San Diego Medical Center	1.2.11	REAL data completeness	1901	0	33585	0	1	0.0566	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.2.12.f	Screening for Clinical Depression and follow-up	9454	0	23835	0	1	0.3966	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.2.14.t	Tobacco Assessment and Counseling	30997	0	32482	0	1	0.9543	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.2.2	CG-CAHPS: Provider Rating	8002	0	9210	0	1	0.8688	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.2.3.c	Colorectal Cancer Screening	12832	0	16353	0	1	0.7847	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	425	0	2941	0	1	0.1445	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.2.5.b	Controlling Blood Pressure	7962	0	10970	0	1	0.7258	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	3966	0	4711	0	1	0.8419	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.2.8	Prevention Quality Overall Composite #90	1261	0	35542	0	1	0.0355	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	30983	0	41148	0	1	0.753	0	N/A	3	N/A	$486,713.88
DY11	DPH	UC San Diego Medical Center	1.3.2	DHCS All-Cause Readmissions	454	0	3060	0	1	0.1484	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.3.3	Influenza Immunization	14841	0	20900	0	1	0.7101	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.3.4	Post Procedure ED Visits	805	0	27314	0	1	0.0295	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.3.5	Request for Specialty Care Expertise Turnaround Time	933	0	145491	0	1	0.0064	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	306	0	145491	0	1	0.0021	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.3.7	Tobacco Assessment and Counseling	21113	0	21947	0	1	0.962	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.5.1.b	Controlling Blood Pressure	7962	0	10970	0	1	0.7258	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	3966	0	4711	0	1	0.8419	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	8431	0	16757	0	1	0.5031	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	1.5.4.t	Tobacco Assessment and Counseling	30997	0	32482	0	1	0.9543	0	N/A	3	N/A	$486,713.89
DY11	DPH	UC San Diego Medical Center	2.1.1	Baby Friendly Hospital designation	Yes	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.1.2	Exclusive Breast Milk Feeding (PC-05)	967	0	1425	0	1	0.6786	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	2039	0	1	None	1	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.1.4	OB Hemorrhage: Total Products Transfused	172	0	2039	0	1	0.0844	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.1.5	PC-02 Cesarean Section	194	0	773	0	1	0.251	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.1.6	Prenatal and Postpartum Care: Postpartum Care	1033	0	1449	0	1	0.7129	0	N/A	3	N/A	$219,021.25
DY11	DPH	UC San Diego Medical Center	2.1.6	Prenatal and Postpartum Care: Prenatal Care	1382	0	1449	0	1	0.9538	0	N/A	3	N/A	$219,021.25
DY11	DPH	UC San Diego Medical Center	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	37	0	193	0	1	0.1917	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.1.8	Unexpected Newborn Complications (UNC)	97	0	1043	0	1	0.093	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.1.9	OB Hemorrhage Safety Bundle	16	0	16	0	1	see specification	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.2.1	DHCS All-Cause Readmissions	460	0	3166	0	1	0.1453	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.2.2	H-CAHPS: Care Transition Metrics (3)	6034	0	10000	0	1	0.6034	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.2.3	Medication Reconciliation – 30 days	2076	0	3358	0	1	0.6182	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.2.4	Reconciled Medication List Received by Discharged Patients	2898	0	2951	0	1	0.982	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.2.5	Timely Transmission of Transition Record	3041	0	4230	0	1	0.7189	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.3.1	Care Coordinator Assignment	None	1	133	0	1	None	1	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.3.2	Medication Reconciliation – 30 days	189	0	264	0	1	0.7159	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.3.3	Prevention Quality Overall Composite #90	121	0	359	0	1	0.337	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.3.4	Timely Transmission of Transition Record	176	0	270	0	1	0.6519	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.7.1	Advance Care Plan	220	0	476	0	1	0.4622	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.7.2	Ambulatory Palliative Care Team Established	0	0	0	0	1	0	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.7.3	MWM #8: Treatment Preferences (documentation) Inpatient	None	1	None	1	1	None	1	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.7.4	MWM #8: Treatment Preferences (documentation) Outpatient	0	0	None	1	1	None	1	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.7.5	Palliative Care Service Offered at Time of Diagnosis of Advanced Illness	0	0	0	0	1	0	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	2.7.6	Proportion Admitted to Hospice for Less Than 3 Days	0	0	0	0	1	0	0	N/A	3	N/A	$438,042.50
DY11	DPH	UC San Diego Medical Center	3.1.1	Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis	141	0	243	0	1	0.5802	0	N/A	3	N/A	$328,531.87
DY11	DPH	UC San Diego Medical Center	3.1.2	Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures	455	0	4168	0	1	0.1092	0	N/A	3	N/A	$328,531.87
DY11	DPH	UC San Diego Medical Center	3.1.3	National Healthcare Safety Network (NHSN) Antimicrobial Use Measure	36294	0	204616	0	1	0.1774	0	N/A	3	N/A	$328,531.87
DY11	DPH	UC San Diego Medical Center	3.1.4	Peri-operative Prophylactic Antibiotics Administered after Surgical Closure	359	0	2850	0	1	0.126	0	N/A	3	N/A	$328,531.88
DY11	DPH	UC San Diego Medical Center	3.1.5	Reduction in Hospital Acquired Clostridium Difficile Infections	12140	0	10000	0	1	1.214	0	N/A	3	N/A	$328,531.88
DY11	DPH	UC San Diego Medical Center	3.3.1	Adherence to Medications	None	1	55	0	1	None	1	N/A	3	N/A	$328,531.87
DY11	DPH	UC San Diego Medical Center	3.3.2	Documentation of Current Medications in the Medical Record	99617	0	125045	0	1	0.7966	0	N/A	3	N/A	$328,531.88
DY11	DPH	UC San Diego Medical Center	3.3.3	High-Cost Pharmaceuticals Ordering Protocols	0	0	1882	0	1	0	0	N/A	3	N/A	$328,531.88
DY11	DPH	UC San Francisco Medical Center	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	0	0	32376	0	1	0	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.1.2	Care Coordinator Assignment	125	0	2633	0	1	0.0475	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	455	0	2633	0	1	0.1728	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.1.4	Depression Remission at 12 Months (CMS159v4)	None	1	154	0	1	None	1	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.1.5.f	Screening for Clinical Depression and follow-up	47	0	414	0	1	0.1135	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.1.6.t	Tobacco Assessment and Counseling	25454	0	29091	0	1	0.875	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	0	0	32376	0	1	0	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.2.11	REAL data completeness	0	0	35818	0	1	0	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.2.12.f	Screening for Clinical Depression and follow-up	47	0	414	0	1	0.1135	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.2.14.t	Tobacco Assessment and Counseling	25454	0	29091	0	1	0.875	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.2.2	CG-CAHPS: Provider Rating	6884	0	8574	0	1	0.8029	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.2.3.c	Colorectal Cancer Screening	9351	0	12292	0	1	0.7607	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	455	0	2633	0	1	0.1728	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.2.5.b	Controlling Blood Pressure	6250	0	8610	0	1	0.7259	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	1622	0	1948	0	1	0.8326	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.2.8	Prevention Quality Overall Composite #90	522	0	30382	0	1	0.0172	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	9984	0	11615	0	1	0.8596	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.3.2	DHCS All-Cause Readmissions	385	0	2428	0	1	0.1586	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.3.3	Influenza Immunization	9661	0	15068	0	1	0.6412	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.3.4	Post Procedure ED Visits	225	0	16368	0	1	0.0137	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.3.5	Request for Specialty Care Expertise Turnaround Time	36426	0	40486	0	1	0.8997	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	1305	0	40486	0	1	0.0322	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.3.7	Tobacco Assessment and Counseling	20150	0	22469	0	1	0.8968	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.6.1	BIRADS to Biopsy	85	0	208	0	1	0.4087	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.6.2	Breast Cancer Screening	6087	0	7551	0	1	0.8061	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.6.3	Cervical Cancer Screening	8906	0	12203	0	1	0.7298	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.6.4.c	Colorectal Cancer Screening	9351	0	12292	0	1	0.7607	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	1.6.5	Receipt of appropriate follow-up for abnormal CRC screening	23	0	47	0	1	0.4894	0	N/A	3	N/A	$592,237.50
DY11	DPH	UC San Francisco Medical Center	2.1.1	Baby Friendly Hospital designation	No	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.1.2	Exclusive Breast Milk Feeding (PC-05)	301	0	360	0	1	0.8361	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	2257	0	1	None	1	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.1.4	OB Hemorrhage: Total Products Transfused	200	0	2257	0	1	0.0886	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.1.5	PC-02 Cesarean Section	238	0	1156	0	1	0.2059	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.1.6	Prenatal and Postpartum Care: Postpartum Care	1724	0	2210	0	1	0.7801	0	N/A	3	N/A	$276,377.50
DY11	DPH	UC San Francisco Medical Center	2.1.6	Prenatal and Postpartum Care: Prenatal Care	1746	0	2210	0	1	0.79	0	N/A	3	N/A	$276,377.50
DY11	DPH	UC San Francisco Medical Center	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	51	0	282	0	1	0.1809	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.1.8	Unexpected Newborn Complications (UNC)	130	0	1763	0	1	0.0737	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.1.9	OB Hemorrhage Safety Bundle	11	0	16	0	1	see specification	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.2.1	DHCS All-Cause Readmissions	391	0	2617	0	1	0.1494	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.2.2	H-CAHPS: Care Transition Metrics (3)	6169	0	10000	0	1	0.6169	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.2.3	Medication Reconciliation – 30 days	1718	0	2201	0	1	0.7806	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.2.4	Reconciled Medication List Received by Discharged Patients	0	0	5145	0	1	0	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.2.5	Timely Transmission of Transition Record	4763	0	4862	0	1	0.9796	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.3.1	Care Coordinator Assignment	12	0	86	0	1	0.1395	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.3.2	Medication Reconciliation – 30 days	125	0	167	0	1	0.7485	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.3.3	Prevention Quality Overall Composite #90	63	0	86	0	1	0.7326	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.3.4	Timely Transmission of Transition Record	216	0	218	0	1	0.9908	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.7.1	Advance Care Plan	116	0	341	0	1	0.3402	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.7.2	Ambulatory Palliative Care Team Established	0	0	0	0	1	0	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.7.3	MWM #8: Treatment Preferences (documentation) Inpatient	21	0	32	0	1	0.6563	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.7.4	MWM #8: Treatment Preferences (documentation) Outpatient	59	0	72	0	1	0.8194	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.7.5	Palliative Care Service Offered at Time of Diagnosis of Advanced Illness	88	0	602	0	1	0.1462	0	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	2.7.6	Proportion Admitted to Hospice for Less Than 3 Days	None	1	None	4	1	None	1	N/A	3	N/A	$552,755.00
DY11	DPH	UC San Francisco Medical Center	3.3.1	Adherence to Medications	16	0	30	0	1	0.5333	0	N/A	3	N/A	$1,105,510.00
DY11	DPH	UC San Francisco Medical Center	3.3.2	Documentation of Current Medications in the Medical Record	56672	0	79751	0	1	0.7106	0	N/A	3	N/A	$1,105,510.00
DY11	DPH	UC San Francisco Medical Center	3.3.3	High-Cost Pharmaceuticals Ordering Protocols	0	0	191	0	1	0	0	N/A	3	N/A	$1,105,510.00
DY11	DPH	Ventura County Medical Center	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	16	0	45095	0	1	0.0004	0	N/A	3	N/A	$1,310,283.34
DY11	DPH	Ventura County Medical Center	1.1.2	Care Coordinator Assignment	1743	0	7927	0	1	0.2199	0	N/A	3	N/A	$1,310,283.34
DY11	DPH	Ventura County Medical Center	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	1328	0	6220	0	1	0.2135	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.1.4	Depression Remission at 12 Months (CMS159v4)	None	1	170	0	1	None	1	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.1.5.f	Screening for Clinical Depression and follow-up	962	0	29195	0	1	0.033	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.1.6.t	Tobacco Assessment and Counseling	21769	0	37878	0	1	0.5747	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	16	0	45095	0	1	0.0004	0	N/A	3	N/A	$1,310,283.34
DY11	DPH	Ventura County Medical Center	1.2.11	REAL data completeness	0	0	60121	0	1	0	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.2.12.f	Screening for Clinical Depression and follow-up	962	0	29195	0	1	0.033	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.2.14.t	Tobacco Assessment and Counseling	21769	0	37878	0	1	0.5747	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.2.2	CG-CAHPS: Provider Rating	5119	0	6542	0	1	0.7825	0	N/A	3	N/A	$1,310,283.34
DY11	DPH	Ventura County Medical Center	1.2.3.c	Colorectal Cancer Screening	4482	0	14249	0	1	0.3145	0	N/A	3	N/A	$1,310,283.34
DY11	DPH	Ventura County Medical Center	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	1328	0	6220	0	1	0.2135	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.2.5.b	Controlling Blood Pressure	6097	0	9579	0	1	0.6365	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	756	0	1315	0	1	0.5749	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.2.8	Prevention Quality Overall Composite #90	235	0	68880	0	1	0.0034	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	37302	0	37302	0	1	1	0	N/A	3	N/A	$1,310,283.34
DY11	DPH	Ventura County Medical Center	1.3.2	DHCS All-Cause Readmissions	198	0	1414	0	1	0.14	0	N/A	3	N/A	$1,310,283.34
DY11	DPH	Ventura County Medical Center	1.3.3	Influenza Immunization	6644	0	17615	0	1	0.3772	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.3.4	Post Procedure ED Visits	413	0	18688	0	1	0.0221	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.3.5	Request for Specialty Care Expertise Turnaround Time	6349	0	18739	0	1	0.3388	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	0	0	26588	0	1	0	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.3.7	Tobacco Assessment and Counseling	9759	0	16630	0	1	0.5868	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.5.1.b	Controlling Blood Pressure	6097	0	9579	0	1	0.6365	0	N/A	3	N/A	$1,310,283.34
DY11	DPH	Ventura County Medical Center	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	756	0	1315	0	1	0.5749	0	N/A	3	N/A	$1,310,283.34
DY11	DPH	Ventura County Medical Center	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	5014	0	30682	0	1	0.1634	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	1.5.4.t	Tobacco Assessment and Counseling	21769	0	37878	0	1	0.5747	0	N/A	3	N/A	$1,310,283.33
DY11	DPH	Ventura County Medical Center	2.1.1	Baby Friendly Hospital designation	Yes	0	BFUSA Cert ?	0	1	see specification	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.1.2	Exclusive Breast Milk Feeding (PC-05)	976	0	1108	0	1	0.8809	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.1.3	OB Hemorrhage: Massive Transfusion	None	1	1419	0	1	None	1	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.1.4	OB Hemorrhage: Total Products Transfused	59	0	1419	0	1	0.0416	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.1.5	PC-02 Cesarean Section	79	0	374	0	1	0.2112	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.1.6	Prenatal and Postpartum Care: Prenatal Care	1084	0	1506	0	1	0.7198	0	N/A	3	N/A	$566,042.40
DY11	DPH	Ventura County Medical Center	2.1.6	Prenatal and Postpartum Care: Postpartum Care	1084	0	1506	0	1	0.7198	0	N/A	3	N/A	$566,042.40
DY11	DPH	Ventura County Medical Center	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	29	0	132	0	1	0.2197	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.1.8	Unexpected Newborn Complications (UNC)	51	0	1091	0	1	0.0467	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.1.9	OB Hemorrhage Safety Bundle	24	0	32	0	1	see specification	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.2.1	DHCS All-Cause Readmissions	151	0	1327	0	1	0.1138	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.2.2	H-CAHPS: Care Transition Metrics (3)	5171	0	10000	0	1	0.5171	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.2.3	Medication Reconciliation – 30 days	1265	0	1944	0	1	0.6507	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.2.4	Reconciled Medication List Received by Discharged Patients	714	0	4980	0	1	0.1434	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.2.5	Timely Transmission of Transition Record	233	0	4045	0	1	0.0576	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.3.1	Care Coordinator Assignment	172	0	560	0	1	0.3071	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.3.2	Medication Reconciliation – 30 days	171	0	254	0	1	0.6732	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.3.3	Prevention Quality Overall Composite #90	44	0	680	0	1	0.0647	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.3.4	Timely Transmission of Transition Record	263	0	480	0	1	0.5479	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.4.1	Adolescent Well-Care Visit	49	0	76	0	1	0.6447	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.4.2	Developmental Screening in the First Three Years of Life	27	0	53	0	1	0.5094	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.4.3	Documentation of Current Medications in the Medical Record (0-18 yo)	731	0	1069	0	1	0.6838	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.4.4	Screening for Clinical Depression and follow-up	11	0	50	0	1	0.22	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.4.5	Tobacco Assessment and Counseling (13 yo and older)	24	0	43	0	1	0.5581	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.4.6	Well Child Visits - First 15 months of life	14	0	43	0	1	0.3256	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	2.4.7	Well Child Visits - Third, Fourth, Fifth, and Sixth Years of life	28	0	34	0	1	0.8235	0	N/A	3	N/A	$1,132,084.80
DY11	DPH	Ventura County Medical Center	3.4.1	ePBM-01 Pre-op Anemia Screening, Selected Elective Surgical Patients	45	0	111	0	1	0.4054	0	N/A	3	N/A	$1,415,106.00
DY11	DPH	Ventura County Medical Center	3.4.2	ePBM-02 Pre-op Hemoglobin Level, Selected Elective Surgical Patients	None	1	None	1	1	None	1	N/A	3	N/A	$1,415,106.00
DY11	DPH	Ventura County Medical Center	3.4.3	ePBM-03 Pre-op Type and Crossmatch, Type and Screen, Selected elective Surgical Patients	93	0	110	0	1	0.8455	0	N/A	3	N/A	$1,415,106.00
DY11	DPH	Ventura County Medical Center	3.4.4	ePBM-04 Initial Transfusion Threshold	14	0	None	4	1	None	4	N/A	3	N/A	$1,415,106.00
DY11	DPH	Ventura County Medical Center	3.4.5	ePBM-05 Outcome of Patient Blood Management, Selected Elective Surgical Patients	0	0	51	0	1	0	0	N/A	3	N/A	$1,415,106.00
DY11	DMPH	Antelope Valley Hospital, Lancaster	1.6.1	BIRADS to Biopsy	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	1.6.2	Breast Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	1.6.3	Cervical Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	1.6.4.c	Colorectal Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	1.6.5	Receipt of appropriate follow-up for abnormal CRC screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.1.1	Baby Friendly Hospital designation	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.1.2	Exclusive Breast Milk Feeding (PC-05)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.1.3	OB Hemorrhage: Massive Transfusion	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.1.4	OB Hemorrhage: Total Products Transfused	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.1.5	PC-02 Cesarean Section	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.1.6	Prenatal and Postpartum Care: Postpartum Care	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.1.6	Prenatal and Postpartum Care: Prenatal Care	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.1.8	Unexpected Newborn Complications (UNC)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.1.9	OB Hemorrhage Safety Bundle	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.2.1	DHCS All-Cause Readmissions	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.2.2	H-CAHPS: Care Transition Metrics (3)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.2.3	Medication Reconciliation – 30 days	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.2.4	Reconciled Medication List Received by Discharged Patients	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.2.5	Timely Transmission of Transition Record	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.3.1	Care Coordinator Assignment	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.3.2	Medication Reconciliation – 30 days	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.3.3	Prevention Quality Overall Composite #90	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.3.4	Timely Transmission of Transition Record	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.7.1	Advance Care Plan	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.7.2	Ambulatory Palliative Care Team Established	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.7.3	MWM #8: Treatment Preferences (documentation) Inpatient	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.7.4	MWM #8: Treatment Preferences (documentation) Outpatient	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.7.5	Palliative Care Service Offered at Time of Diagnosis of Advanced Illness	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	2.7.6	Proportion Admitted to Hospice for Less Than 3 Days	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.1.1	Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.1.2	Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.1.3	National Healthcare Safety Network (NHSN) Antimicrobial Use Measure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.1.4	Peri-operative Prophylactic Antibiotics Administered after Surgical Closure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.1.5	Reduction in Hospital Acquired Clostridium Difficile Infections	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.2.1	Imaging for Routine Headaches (Choosing Wisely)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.2.2	Appropriate Emergency Department Utilization of CT for Pulmonary Embolism	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.2.3	Use of Imaging Studies for Low Back Pain	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Optimal	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Borderline	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Suboptimal	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.4.1	ePBM-01 Pre-op Anemia Screening, Selected Elective Surgical Patients	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.4.2	ePBM-02 Pre-op Hemoglobin Level, Selected Elective Surgical Patients	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.4.3	ePBM-03 Pre-op Type and Crossmatch, Type and Screen, Selected elective Surgical Patients	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.4.4	ePBM-04 Initial Transfusion Threshold	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Antelope Valley Hospital, Lancaster	3.4.5	ePBM-05 Outcome of Patient Blood Management, Selected Elective Surgical Patients	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Conduct literature review of best practices	None	None	None	None	None	None	None	None	None	None	$994,166.67
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Perform gap analysis of metric protocols based on best practices with list of action items	None	None	None	None	None	None	None	None	None	None	$994,166.67
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Interview 20 labor and delivery patients that did not receive prenatal care	None	None	None	None	None	None	None	None	None	None	$994,166.66
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Create findings report based on analysis of interview responses for review and distribution	None	None	None	None	None	None	None	None	None	None	$994,166.67
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Identify post-acute care resources for AVH patients	None	None	None	None	None	None	None	None	None	None	$994,166.66
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Conduct training session for care management staff on care transitions	None	None	None	None	None	None	None	None	None	None	$994,166.67
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Conduct analysis of AVH patients with chronic disease and of emergency department patients that are high utilizers based on influential factors. Review and distribute findings report	None	None	None	None	None	None	None	None	None	None	$994,166.67
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Conduct literature review of best practices in palliative care	None	None	None	None	None	None	None	None	None	None	$994,166.66
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Identify group of four stakeholders including and distribute best practices report	None	None	None	None	None	None	None	None	None	None	$994,166.67
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Perform gap analysis of metric protocols based on best practices with list of action items	None	None	None	None	None	None	None	None	None	None	$994,166.67
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Conduct literature review of best practices in antibiotic stewardship	None	None	None	None	None	None	None	None	None	None	$994,166.66
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Identify group of four stakeholders including and distribute best practices report	None	None	None	None	None	None	None	None	None	None	$994,166.67
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Perform gap analysis of metric protocols based on best practices with list of action items	None	None	None	None	None	None	None	None	None	None	$994,166.67
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Create AVH-specific reporting manual for PRIME metric specifications in high-cost imaging	None	None	None	None	None	None	None	None	None	None	$994,166.66
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Train registered nurse and data analyst in PRIME metric guidelines	None	None	None	None	None	None	None	None	None	None	$994,166.67
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Conduct literature review of best practices in blood product management	None	None	None	None	None	None	None	None	None	None	$994,166.66
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Identify group of four stakeholders including and distribute best practices report	None	None	None	None	None	None	None	None	None	None	$994,166.67
DY 11	DMPH	Antelope Valley Hospital, Lancaster	None	Perform gap analysis of blood product PRIME metric protocols based on best practices with list of action items	None	None	None	None	None	None	None	None	None	None	$994,166.67
DY11	DMPH	Bear Valley Community Hospital, Big Bear Lake	2.6.1	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Bear Valley Community Hospital, Big Bear Lake	2.6.2	Assessment and Management of Chronic Pain: Patients with chronic pain prescribed an opioid who have an opioid agreement form and an annual urine toxicology screen	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Bear Valley Community Hospital, Big Bear Lake	2.6.3	Patients with chronic pain on long term opioid therapy checked in PDMPs	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Bear Valley Community Hospital, Big Bear Lake	2.6.4	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Bear Valley Community Hospital, Big Bear Lake	2.6.5	Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Bear Valley Community Hospital, Big Bear Lake	None	Evaluate current EHR ability to capture data necessary for assessment of pain management patients	None	None	None	None	None	None	None	None	None	None	$281,250.00
DY 11	DMPH	Bear Valley Community Hospital, Big Bear Lake	None	Enhance community outreach with local mental health resources	None	None	None	None	None	None	None	None	None	None	$281,250.00
DY 11	DMPH	Bear Valley Community Hospital, Big Bear Lake	None	Evaluate capacity of current services offered at the Family Health Center to determine ability to service additional pain management patients	None	None	None	None	None	None	None	None	None	None	$281,250.00
DY 11	DMPH	Bear Valley Community Hospital, Big Bear Lake	None	Develop an internal task force to conduct gap analysis on current and anticipated pain management modalities	None	None	None	None	None	None	None	None	None	None	$281,250.00
DY11	DMPH	Coalinga Regional Medical Center, Coalinga	1.4.1	Abnormal Results Follow-Up: Abnormal INR Follow-up	0	0	0	0	0	0	0	N/A	3	N/A	$160,714.28
DY11	DMPH	Coalinga Regional Medical Center, Coalinga	1.4.1	Abnormal Results Follow-Up: Abnormal BIRADS Follow-up	0	0	0	0	0	0	0	N/A	3	N/A	$160,714.29
DY11	DMPH	Coalinga Regional Medical Center, Coalinga	1.4.1	Abnormal Results Follow-Up: Abnormal Potassium Follow-up	0	0	0	0	0	0	0	N/A	3	N/A	$160,714.29
DY11	DMPH	Coalinga Regional Medical Center, Coalinga	1.4.2	Annual Monitoring for Patients on Persistent Medications	0	0	0	0	0	0	0	N/A	3	N/A	$160,714.28
DY11	DMPH	Coalinga Regional Medical Center, Coalinga	1.4.3	INR Monitoring for Individuals on Warfarin	0	0	0	0	0	0	0	N/A	3	N/A	$160,714.28
DY11	DMPH	Coalinga Regional Medical Center, Coalinga	1.5.1.b	Controlling Blood Pressure	16	0	31	0	1	0.5161	0	N/A	3	N/A	$160,714.29
DY11	DMPH	Coalinga Regional Medical Center, Coalinga	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	None	1	None	1	1	None	1	N/A	3	N/A	$160,714.29
DY11	DMPH	Coalinga Regional Medical Center, Coalinga	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	139	0	140	0	1	0.9929	0	N/A	3	N/A	$160,714.29
DY11	DMPH	Coalinga Regional Medical Center, Coalinga	1.5.4.t	Tobacco Assessment and Counseling	12	0	141	0	1	0.0851	0	N/A	3	N/A	$160,714.29
DY11	DMPH	Eastern Plumas Health Care, Portol	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Eastern Plumas Health Care, Portol	1.1.2	Care Coordinator Assignment	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Eastern Plumas Health Care, Portol	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Eastern Plumas Health Care, Portol	1.1.4	Depression Remission at 12 Months (CMS159v4)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Eastern Plumas Health Care, Portol	1.1.5.f	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Eastern Plumas Health Care, Portol	1.1.6.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Eastern Plumas Health Care, Portol	None	Organize and convene a PRIME Advisory Committee	None	None	None	None	None	None	None	None	None	None	$187,500.00
DY 11	DMPH	Eastern Plumas Health Care, Portol	None	Development of key behavioral health job descriptions	None	None	None	None	None	None	None	None	None	None	$187,500.00
DY 11	DMPH	Eastern Plumas Health Care, Portol	None	Streamline tele-psychology and tele-psychiatry program	None	None	None	None	None	None	None	None	None	None	$187,500.00
DY 11	DMPH	Eastern Plumas Health Care, Portol	None	Prepare for building addition to support program expansion	None	None	None	None	None	None	None	None	None	None	$187,500.00
DY 11	DMPH	Eastern Plumas Health Care, Portol	None	Identification of available staff education on behavioral health	None	None	None	None	None	None	None	None	None	None	$187,500.00
DY 11	DMPH	Eastern Plumas Health Care, Portol	None	Demonstrate patient engagement in plans of care	None	None	None	None	None	None	None	None	None	None	$187,500.00
DY11	DMPH	El Camino Hospital, Mountain View	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	1.1.2	Care Coordinator Assignment	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	1.1.4	Depression Remission at 12 Months (CMS159v4)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	1.1.5.f	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	1.1.6.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	2.1.1	Baby Friendly Hospital designation	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	2.1.2	Exclusive Breast Milk Feeding (PC-05)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	2.1.3	OB Hemorrhage: Massive Transfusion	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	2.1.4	OB Hemorrhage: Total Products Transfused	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	2.1.5	PC-02 Cesarean Section	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	2.1.6	Prenatal and Postpartum Care: Postpartum Care	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	2.1.6	Prenatal and Postpartum Care: Prenatal Care	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	2.1.8	Unexpected Newborn Complications (UNC)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	2.1.9	OB Hemorrhage Safety Bundle	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	3.4.1	ePBM-01 Pre-op Anemia Screening, Selected Elective Surgical Patients	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	3.4.2	ePBM-02 Pre-op Hemoglobin Level, Selected Elective Surgical Patients	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	3.4.3	ePBM-03 Pre-op Type and Crossmatch, Type and Screen, Selected elective Surgical Patients	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	3.4.4	ePBM-04 Initial Transfusion Threshold	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Camino Hospital, Mountain View	3.4.5	ePBM-05 Outcome of Patient Blood Management, Selected Elective Surgical Patients	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	El Camino Hospital, Mountain View	None	Relationships established and needs identified for target PRIME population towards the integration of behavioral health with primary care	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	El Camino Hospital, Mountain View	None	Hospital Report developed for OB-Delivery metrics 2.1.2, 2.1.3, 2.1.4 by June 30, 2016	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	El Camino Hospital, Mountain View	None	Clinical workflow in place for MayView prenatal referral to ECH OB Hospitalist in Mountain View and back to MayView Postnatal care by June 30, 2016	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	El Camino Hospital, Mountain View	None	Improve IT systems capability to identify the source and path of data to report on the Required PRIME metrics for 3.4 Blood utilization	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	El Camino Hospital, Mountain View	None	Adopt best practice guidelines for transfusion into EMR order entry process	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY11	DMPH	El Centro Regional Medical Center, El Centro	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	1.2.11	REAL data completeness	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	1.2.12.f	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	1.2.14.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	1.2.2	CG-CAHPS: Provider Rating	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	1.2.3.c	Colorectal Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	1.2.5.b	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	1.2.8	Prevention Quality Overall Composite #90	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	1.7.1	BMI Screening and Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	1.7.2	Partnership for a Healthier Americas Hospital Health Food Initiative external food service verification	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Nutrition	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Physical Activity	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Weight Assessment - BMI	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	3.2.1	Imaging for Routine Headaches (Choosing Wisely)	374	0	1494	None	1	0.2503	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	3.2.2	Appropriate Emergency Department Utilization of CT for Pulmonary Embolism	155	0	257	None	1	0.6031	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	3.2.3	Use of Imaging Studies for Low Back Pain	246	0	487	None	1	0.5051	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Optimal	19	0	1040	None	1	0.0183	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Borderline	23	0	1040	None	1	0	None	None	None	None	None
DY11	DMPH	El Centro Regional Medical Center, El Centro	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Suboptimal	351	0	1040	None	1	0	None	None	None	None	None
DY 11	DMPH	El Centro Regional Medical Center, El Centro	None	Convene a PRIME workgroup and preform a gap analysis for NCQA recognition	None	None	None	None	None	None	None	None	None	None	$1,698,750.00
DY 11	DMPH	El Centro Regional Medical Center, El Centro	None	Analyze and Identify number of pediatric care needs for PCMH guidelines	None	None	None	None	None	None	None	None	None	None	$1,698,750.00
DY 11	DMPH	El Centro Regional Medical Center, El Centro	None	Analyze current technological registration for SO/GI and REAL infrastructure	None	None	None	None	None	None	None	None	None	None	$1,698,750.00
DY 11	DMPH	El Centro Regional Medical Center, El Centro	None	Identify key stakeholders and develop an oversight committee for Population Management	None	None	None	None	None	None	None	None	None	None	$1,698,750.00
DY11	DMPH	Hazel Hawkins Memorial Hospital, Hollister	2.3.1	Care Coordinator Assignment	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Hazel Hawkins Memorial Hospital, Hollister	2.3.2	Medication Reconciliation – 30 days	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Hazel Hawkins Memorial Hospital, Hollister	2.3.3	Prevention Quality Overall Composite #90	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Hazel Hawkins Memorial Hospital, Hollister	2.3.4	Timely Transmission of Transition Record	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Hazel Hawkins Memorial Hospital, Hollister	None	Develop Charter	None	None	None	None	None	None	None	None	None	None	$218,333.34
DY 11	DMPH	Hazel Hawkins Memorial Hospital, Hollister	None	Specify membership of PRIME workgroup	None	None	None	None	None	None	None	None	None	None	$218,333.34
DY 11	DMPH	Hazel Hawkins Memorial Hospital, Hollister	None	Convene workgroup	None	None	None	None	None	None	None	None	None	None	$218,333.34
DY 11	DMPH	Hazel Hawkins Memorial Hospital, Hollister	None	Complete workforce gap analysis	None	None	None	None	None	None	None	None	None	None	$218,333.33
DY 11	DMPH	Hazel Hawkins Memorial Hospital, Hollister	None	Identify training needs	None	None	None	None	None	None	None	None	None	None	$218,333.33
DY 11	DMPH	Hazel Hawkins Memorial Hospital, Hollister	None	Develop staffing strategy	None	None	None	None	None	None	None	None	None	None	$218,333.33
DY 11	DMPH	Hazel Hawkins Memorial Hospital, Hollister	None	Assess current Information Technology (IT) data and reporting systems	None	None	None	None	None	None	None	None	None	None	$218,333.33
DY 11	DMPH	Hazel Hawkins Memorial Hospital, Hollister	None	Identify data and reporting needs under PRIME	None	None	None	None	None	None	None	None	None	None	$218,333.33
DY 11	DMPH	Hazel Hawkins Memorial Hospital, Hollister	None	Develop a plan for IT and data reporting improvements	None	None	None	None	None	None	None	None	None	None	$218,333.33
DY11	DMPH	Healdsburg District Hospital, Healdsburg	1.5.1.b	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Healdsburg District Hospital, Healdsburg	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Healdsburg District Hospital, Healdsburg	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Healdsburg District Hospital, Healdsburg	1.5.4.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Healdsburg District Hospital, Healdsburg	1.6.1	BIRADS to Biopsy	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Healdsburg District Hospital, Healdsburg	1.6.2	Breast Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Healdsburg District Hospital, Healdsburg	1.6.3	Cervical Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Healdsburg District Hospital, Healdsburg	1.6.4.c	Colorectal Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Healdsburg District Hospital, Healdsburg	1.6.5	Receipt of appropriate follow-up for abnormal CRC screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Healdsburg District Hospital, Healdsburg	1.7.1	BMI Screening and Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Healdsburg District Hospital, Healdsburg	1.7.2	Partnership for a Healthier Americas Hospital Health Food Initiative external food service verification	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Healdsburg District Hospital, Healdsburg	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Nutrition	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Healdsburg District Hospital, Healdsburg	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Weight Assessment - BMI	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Healdsburg District Hospital, Healdsburg	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Physical Activity	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Healdsburg District Hospital, Healdsburg	None	Develop standardized screening tool to identify pts at risk for hypertension	None	None	None	None	None	None	None	None	None	None	$211,875.00
DY 11	DMPH	Healdsburg District Hospital, Healdsburg	None	Work with EHR vendor to develop a bi-directional interface between out-patients EHR (ecw) and hospitals EHR (Med Host)	None	None	None	None	None	None	None	None	None	None	$211,875.00
DY 11	DMPH	Healdsburg District Hospital, Healdsburg	None	Develop training, train 5 providers, and complete training assessment	None	None	None	None	None	None	None	None	None	None	$211,875.00
DY 11	DMPH	Healdsburg District Hospital, Healdsburg	None	Convene work group to develop a community outreach team	None	None	None	None	None	None	None	None	None	None	$211,875.00
DY 11	DMPH	Healdsburg District Hospital, Healdsburg	None	Participate in community outreach 4 health fairs per year 7 first aid/health check booths at Windsor Town Green per year 2 First aid/health check booth for the city of Cloverdale per year	None	None	None	None	None	None	None	None	None	None	$211,875.00
DY 11	DMPH	Healdsburg District Hospital, Healdsburg	None	Develop a standardized screening tool for breast cancer	None	None	None	None	None	None	None	None	None	None	$211,875.00
DY 11	DMPH	Healdsburg District Hospital, Healdsburg	None	Develop a standardized screening tool for Cervical Cancer	None	None	None	None	None	None	None	None	None	None	$211,875.00
DY 11	DMPH	Healdsburg District Hospital, Healdsburg	None	Develop Standardized screening tool for Colorectal Cancer in EHR	None	None	None	None	None	None	None	None	None	None	$211,875.00
DY11	DMPH	Jerold Phelps Community Hospital, Garberville	3.1.1	Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Jerold Phelps Community Hospital, Garberville	3.1.2	Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Jerold Phelps Community Hospital, Garberville	3.1.3	National Healthcare Safety Network (NHSN) Antimicrobial Use Measure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Jerold Phelps Community Hospital, Garberville	3.1.4	Peri-operative Prophylactic Antibiotics Administered after Surgical Closure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Jerold Phelps Community Hospital, Garberville	3.1.5	Reduction in Hospital Acquired Clostridium Difficile Infections	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Jerold Phelps Community Hospital, Garberville	None	Hire FTE for Quality data coordinating	None	None	None	None	None	None	None	None	None	None	$375,000.00
DY 11	DMPH	Jerold Phelps Community Hospital, Garberville	None	Develop ASP Policies and Procedures	None	None	None	None	None	None	None	None	None	None	$375,000.00
DY 11	DMPH	Jerold Phelps Community Hospital, Garberville	None	Develop ASP program performance tracking and reporting process	None	None	None	None	None	None	None	None	None	None	$375,000.00
DY11	DMPH	John C. Fremont Healthcare District, Mariposa	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	John C. Fremont Healthcare District, Mariposa	1.2.11	REAL data completeness	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	John C. Fremont Healthcare District, Mariposa	1.2.12.f	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	John C. Fremont Healthcare District, Mariposa	1.2.14.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	John C. Fremont Healthcare District, Mariposa	1.2.2	CG-CAHPS: Provider Rating	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	John C. Fremont Healthcare District, Mariposa	1.2.3.c	Colorectal Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	John C. Fremont Healthcare District, Mariposa	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	John C. Fremont Healthcare District, Mariposa	1.2.5.b	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	John C. Fremont Healthcare District, Mariposa	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	John C. Fremont Healthcare District, Mariposa	1.2.8	Prevention Quality Overall Composite #90	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	John C. Fremont Healthcare District, Mariposa	None	New EHR selected and installed that has ability to track groups of clients for case management	None	None	None	None	None	None	None	None	None	None	$1,125,000.00
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.2.11	REAL data completeness	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.2.12.f	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.2.14.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.2.2	CG-CAHPS: Provider Rating	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.2.3.c	Colorectal Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.2.5.b	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.2.8	Prevention Quality Overall Composite #90	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.3.2	DHCS All-Cause Readmissions	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.3.3	Influenza Immunization	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.3.4	Post Procedure ED Visits	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.3.5	Request for Specialty Care Expertise Turnaround Time	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.3.7	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.5.1.b	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	1.5.4.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.2.1	DHCS All-Cause Readmissions	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.2.2	H-CAHPS: Care Transition Metrics (3)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.2.3	Medication Reconciliation – 30 days	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.2.4	Reconciled Medication List Received by Discharged Patients	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.2.5	Timely Transmission of Transition Record	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.3.1	Care Coordinator Assignment	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.3.2	Medication Reconciliation – 30 days	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.3.3	Prevention Quality Overall Composite #90	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.3.4	Timely Transmission of Transition Record	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.6.1	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.6.2	Assessment and Management of Chronic Pain: Patients with chronic pain prescribed an opioid who have an opioid agreement form and an annual urine toxicology screen	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.6.3	Patients with chronic pain on long term opioid therapy checked in PDMPs	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.6.4	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.6.5	Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.7.1	Advance Care Plan	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.7.2	Ambulatory Palliative Care Team Established	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.7.3	MWM #8: Treatment Preferences (documentation) Inpatient	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.7.4	MWM #8: Treatment Preferences (documentation) Outpatient	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.7.5	Palliative Care Service Offered at Time of Diagnosis of Advanced Illness	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kaweah Delta Health Care District, Visalia	2.7.6	Proportion Admitted to Hospice for Less Than 3 Days	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Convene a team to establish team-based care standards	None	None	None	None	None	None	None	None	None	None	$877,222.23
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Select EHR Vendor and Complete PRIME data inquiry	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Decision to use STATiT product (MIDAS+) system to serve as patient registry	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Develop Plan to achieve PCMH recognition	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Convene a training workgroup to establish structure and plan	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Conduct a workforce gap analysis to support PRIME project	None	None	None	None	None	None	None	None	None	None	$877,222.23
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Develop staffing plan to support PRIME project	None	None	None	None	None	None	None	None	None	None	$877,222.23
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Integrate into workflow patient engagement in self-management behaviors and plans of care	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Implementation of evidence based program to teach and reinforce self-management skills	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Determine minimum requirements needed for telehealth platform	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Select Telehealth Platform	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Convene a workgroup to identify multidisciplinary care team member composition	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Collect contact information for Medi-Cal MCO’s ,FFS and Medi-Cal MCO delegated medical groups prior authorization centers	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Conduct needs assessment for specialty care services including mental health and substance use disorders	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Develop a list of community based and state or federal resources for tobacco cessation services	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Develop tools for documentation and patient education about medications	None	None	None	None	None	None	None	None	None	None	$877,222.23
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Convene a workgroup to develop a care plan	None	None	None	None	None	None	None	None	None	None	$877,222.23
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Convene a workgroup to review and recommend approach. Develop Care Management Tools	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Create Strategic Plan for Transitions of Care Program	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Develop Staffing Plan	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Develop and implement retail pharmacy	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Convene a workgroup to conduct literature review to determine if models for standardized workflows exist	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Convene workgroup to discuss strategies of developing a qualitative assessment of high-risk, high-utilizing patients	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Conduct literature review to assess multiple disciplinary team approaches to and best practices to optimal pain management	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Establish Palliative Care Program Committee	None	None	None	None	None	None	None	None	None	None	$877,222.23
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Develop tools, protocols and training modules for Advance Care Planning (ACP)	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY 11	DMPH	Kaweah Delta Health Care District, Visalia	None	Train all PC and appropriate CDMC Staff on ACP process and documentation	None	None	None	None	None	None	None	None	None	None	$877,222.22
DY11	DMPH	Kern Valley Healthcare District, Lake Isabella	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kern Valley Healthcare District, Lake Isabella	1.1.2	Care Coordinator Assignment	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kern Valley Healthcare District, Lake Isabella	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kern Valley Healthcare District, Lake Isabella	1.1.4	Depression Remission at 12 Months (CMS159v4)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kern Valley Healthcare District, Lake Isabella	1.1.5.f	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Kern Valley Healthcare District, Lake Isabella	1.1.6.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Kern Valley Healthcare District, Lake Isabella	None	Complete workgroup convening for development of a common dual-track clinical pathway for physical and behavioral health needs	None	None	None	None	None	None	None	None	None	None	$1,125,000.00
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.3.1	Closing the referral loop: receipt of specialist report (CMS50v3)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.3.2	DHCS All-Cause Readmissions	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.3.3	Influenza Immunization	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.3.4	Post Procedure ED Visits	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.3.5	Request for Specialty Care Expertise Turnaround Time	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.3.6	Specialty Care Touches: Specialty Expertise Requests Managed Via Non-Face to Face Specialty Encounters	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.3.7	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.5.1.b	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.5.4.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.7.1	BMI Screening and Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.7.2	Partnership for a Healthier Americas Hospital Health Food Initiative external food service verification	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Physical Activity	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Weight Assessment - BMI	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Nutrition	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	2.2.1	DHCS All-Cause Readmissions	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	2.2.2	H-CAHPS: Care Transition Metrics (3)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	2.2.3	Medication Reconciliation – 30 days	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	2.2.4	Reconciled Medication List Received by Discharged Patients	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Lompoc Valley Medical Center, Lompoc	2.2.5	Timely Transmission of Transition Record	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Lompoc Valley Medical Center, Lompoc	None	Telemedicine, Neurology Services	None	None	None	None	None	None	None	None	None	None	$388,636.37
DY 11	DMPH	Lompoc Valley Medical Center, Lompoc	None	CIHQ Certification for Acute Stroke Ready Hospital Program obtained	None	None	None	None	None	None	None	None	None	None	$388,636.37
DY 11	DMPH	Lompoc Valley Medical Center, Lompoc	None	Telemedicine Telepsychiatry Contract Completed, including Hospital Privileges for telepsychiatrists	None	None	None	None	None	None	None	None	None	None	$388,636.36
DY 11	DMPH	Lompoc Valley Medical Center, Lompoc	None	Tenant Improvements Complete for Oncology and General Surgery Clinics	None	None	None	None	None	None	None	None	None	None	$388,636.36
DY 11	DMPH	Lompoc Valley Medical Center, Lompoc	None	Application for Licensing and Certification Survey completed and submitted to CDPH	None	None	None	None	None	None	None	None	None	None	$388,636.36
DY 11	DMPH	Lompoc Valley Medical Center, Lompoc	None	Clinic Relocation to New Building for Oncology completed	None	None	None	None	None	None	None	None	None	None	$388,636.36
DY 11	DMPH	Lompoc Valley Medical Center, Lompoc	None	Primary Care Group Collaboration Agreement for Participation on PRIME Programs	None	None	None	None	None	None	None	None	None	None	$388,636.36
DY 11	DMPH	Lompoc Valley Medical Center, Lompoc	None	Provide overview on PRIME and Specifics on Healthier Food Initiative to Dietary Staff	None	None	None	None	None	None	None	None	None	None	$388,636.36
DY 11	DMPH	Lompoc Valley Medical Center, Lompoc	None	Development of Post-Discharge Follow-Up Program	None	None	None	None	None	None	None	None	None	None	$388,636.37
DY 11	DMPH	Lompoc Valley Medical Center, Lompoc	None	Develop collaborative agreement with Home Health Agency to Provide In-Home Safety and Nursing Assessment Services	None	None	None	None	None	None	None	None	None	None	$388,636.37
DY 11	DMPH	Lompoc Valley Medical Center, Lompoc	None	Development of the Family Caregiver Support Network	None	None	None	None	None	None	None	None	None	None	$388,636.36
DY11	DMPH	Mammoth Hospital, Mammoth Lakes	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mammoth Hospital, Mammoth Lakes	1.1.2	Care Coordinator Assignment	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mammoth Hospital, Mammoth Lakes	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mammoth Hospital, Mammoth Lakes	1.1.4	Depression Remission at 12 Months (CMS159v4)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mammoth Hospital, Mammoth Lakes	1.1.5.f	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mammoth Hospital, Mammoth Lakes	1.1.6.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mammoth Hospital, Mammoth Lakes	2.6.1	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mammoth Hospital, Mammoth Lakes	2.6.2	Assessment and Management of Chronic Pain: Patients with chronic pain prescribed an opioid who have an opioid agreement form and an annual urine toxicology screen	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mammoth Hospital, Mammoth Lakes	2.6.3	Patients with chronic pain on long term opioid therapy checked in PDMPs	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mammoth Hospital, Mammoth Lakes	2.6.4	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mammoth Hospital, Mammoth Lakes	2.6.5	Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Mammoth Hospital, Mammoth Lakes	None	Identify most frequent Behavioral Mental Health diagnoses among Mono County residents	None	None	None	None	None	None	None	None	None	None	$116,000.00
DY 11	DMPH	Mammoth Hospital, Mammoth Lakes	None	Establish teams for PRIME projects	None	None	None	None	None	None	None	None	None	None	$116,000.00
DY 11	DMPH	Mammoth Hospital, Mammoth Lakes	None	Select a behavioral health integration assessment tool	None	None	None	None	None	None	None	None	None	None	$116,000.00
DY 11	DMPH	Mammoth Hospital, Mammoth Lakes	None	Select a nationally recognized care model for Integration of Behavioral Health and Primary Care	None	None	None	None	None	None	None	None	None	None	$116,000.00
DY 11	DMPH	Mammoth Hospital, Mammoth Lakes	None	Conduct a gap analysis of the selected Behavioral Mental Health care model to current organizational care protocols	None	None	None	None	None	None	None	None	None	None	$116,000.00
DY 11	DMPH	Mammoth Hospital, Mammoth Lakes	None	Develop/select assessment tools and protocols to use	None	None	None	None	None	None	None	None	None	None	$116,000.00
DY 11	DMPH	Mammoth Hospital, Mammoth Lakes	None	Identify potential affiliated parties and initiate discussions to expand behavioral mental health services	None	None	None	None	None	None	None	None	None	None	$116,000.00
DY 11	DMPH	Mammoth Hospital, Mammoth Lakes	None	Identify most frequent Chronic Non-Malignant Pain diagnoses among Mono County residents	None	None	None	None	None	None	None	None	None	None	$116,000.00
DY 11	DMPH	Mammoth Hospital, Mammoth Lakes	None	Conduct an analysis to determine workforce infrastructure needed for projects	None	None	None	None	None	None	None	None	None	None	$116,000.00
DY 11	DMPH	Mammoth Hospital, Mammoth Lakes	None	Hire staff and define their roles	None	None	None	None	None	None	None	None	None	None	$116,000.00
DY 11	DMPH	Mammoth Hospital, Mammoth Lakes	None	Develop organization-wide strategy for chronic non-malignant pain management	None	None	None	None	None	None	None	None	None	None	$116,000.00
DY 11	DMPH	Mammoth Hospital, Mammoth Lakes	None	Select a nationally recognized care model for Chronic Non-Malignant Pain Management	None	None	None	None	None	None	None	None	None	None	$116,000.00
DY 11	DMPH	Mammoth Hospital, Mammoth Lakes	None	Conduct a gap analysis of the selected chronic non-malignant pain care model to current organizational care protocols	None	None	None	None	None	None	None	None	None	None	$116,000.00
DY 11	DMPH	Mammoth Hospital, Mammoth Lakes	None	Develop/select standard tools to be used for treatment of chronic non-malignant pain patients	None	None	None	None	None	None	None	None	None	None	$116,000.00
DY 11	DMPH	Mammoth Hospital, Mammoth Lakes	None	Train 3 PCP’s and 4 Ortho providers on use of CURES and ICD-10 codes for chronic non-malignant pain patients	None	None	None	None	None	None	None	None	None	None	$116,000.00
DY11	DMPH	Marin General Hospital, Greenbrae	2.3.1	Care Coordinator Assignment	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Marin General Hospital, Greenbrae	2.3.2	Medication Reconciliation – 30 days	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Marin General Hospital, Greenbrae	2.3.3	Prevention Quality Overall Composite #90	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Marin General Hospital, Greenbrae	2.3.4	Timely Transmission of Transition Record	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Marin General Hospital, Greenbrae	2.7.1	Advance Care Plan	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Marin General Hospital, Greenbrae	2.7.2	Ambulatory Palliative Care Team Established	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Marin General Hospital, Greenbrae	2.7.3	MWM #8: Treatment Preferences (documentation) Inpatient	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Marin General Hospital, Greenbrae	2.7.4	MWM #8: Treatment Preferences (documentation) Outpatient	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Marin General Hospital, Greenbrae	2.7.5	Palliative Care Service Offered at Time of Diagnosis of Advanced Illness	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Marin General Hospital, Greenbrae	2.7.6	Proportion Admitted to Hospice for Less Than 3 Days	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Marin General Hospital, Greenbrae	None	Establish CCM Task Force and Identify Community Partners to Engage	None	None	None	None	None	None	None	None	None	None	$610,000.00
DY 11	DMPH	Marin General Hospital, Greenbrae	None	Define and identify target population	None	None	None	None	None	None	None	None	None	None	$610,000.00
DY 11	DMPH	Marin General Hospital, Greenbrae	None	Establish PC Task Force and Identify Community Partners to Engage	None	None	None	None	None	None	None	None	None	None	$610,000.00
DY11	DMPH	Mayers Memorial Hospital District, Fall River Mills	1.5.1.b	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mayers Memorial Hospital District, Fall River Mills	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mayers Memorial Hospital District, Fall River Mills	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mayers Memorial Hospital District, Fall River Mills	1.5.4.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mayers Memorial Hospital District, Fall River Mills	3.1.1	Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mayers Memorial Hospital District, Fall River Mills	3.1.2	Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mayers Memorial Hospital District, Fall River Mills	3.1.3	National Healthcare Safety Network (NHSN) Antimicrobial Use Measure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mayers Memorial Hospital District, Fall River Mills	3.1.4	Peri-operative Prophylactic Antibiotics Administered after Surgical Closure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mayers Memorial Hospital District, Fall River Mills	3.1.5	Reduction in Hospital Acquired Clostridium Difficile Infections	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Mayers Memorial Hospital District, Fall River Mills	None	Develop understanding of PRIME Project Workforce needs	None	None	None	None	None	None	None	None	None	None	$375,000.00
DY 11	DMPH	Mayers Memorial Hospital District, Fall River Mills	None	Implement PRIME Workforce Strategy	None	None	None	None	None	None	None	None	None	None	$375,000.00
DY 11	DMPH	Mayers Memorial Hospital District, Fall River Mills	None	Conduct software gap analysis for PRIME reporting	None	None	None	None	None	None	None	None	None	None	$375,000.00
DY11	DMPH	Mendocino Coast District Hospital, Fort Bragg	1.6.1	BIRADS to Biopsy	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mendocino Coast District Hospital, Fort Bragg	1.6.2	Breast Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mendocino Coast District Hospital, Fort Bragg	1.6.3	Cervical Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mendocino Coast District Hospital, Fort Bragg	1.6.4.c	Colorectal Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Mendocino Coast District Hospital, Fort Bragg	1.6.5	Receipt of appropriate follow-up for abnormal CRC screening	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Mendocino Coast District Hospital, Fort Bragg	None	Create & convene PRIME Project implementation committee/workgroup	None	None	None	None	None	None	None	None	None	None	$187,500.00
DY 11	DMPH	Mendocino Coast District Hospital, Fort Bragg	None	Complete Analysis of Cancer Screening Tools	None	None	None	None	None	None	None	None	None	None	$187,500.00
DY 11	DMPH	Mendocino Coast District Hospital, Fort Bragg	None	Convene ad hoc clinical workgroup which will review and approve the cancer screening tools and Clinical Decision Support tools recommended by the PRIME workgroup. At a minimum, the ad hoc clinical committee will 1) ensure that the screening tools and CDS meet nationally-recognized PRIME metric requirements, and 2) the tools & CDS will integrate well into the clinical workflow	None	None	None	None	None	None	None	None	None	None	$187,500.00
DY 11	DMPH	Mendocino Coast District Hospital, Fort Bragg	None	Complete Assessment of data systems capabilities and needs	None	None	None	None	None	None	None	None	None	None	$187,500.00
DY 11	DMPH	Mendocino Coast District Hospital, Fort Bragg	None	Complete development of a patient care team model	None	None	None	None	None	None	None	None	None	None	$187,500.00
DY 11	DMPH	Mendocino Coast District Hospital, Fort Bragg	None	Conduct workforce and training gap analyses and develop staffing strategy	None	None	None	None	None	None	None	None	None	None	$187,500.00
DY11	DMPH	Modoc Medical Center, Alturas	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Modoc Medical Center, Alturas	1.2.11	REAL data completeness	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Modoc Medical Center, Alturas	1.2.12.f	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Modoc Medical Center, Alturas	1.2.14.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Modoc Medical Center, Alturas	1.2.2	CG-CAHPS: Provider Rating	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Modoc Medical Center, Alturas	1.2.3.c	Colorectal Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Modoc Medical Center, Alturas	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Modoc Medical Center, Alturas	1.2.5.b	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Modoc Medical Center, Alturas	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Modoc Medical Center, Alturas	1.2.8	Prevention Quality Overall Composite #90	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Modoc Medical Center, Alturas	None	Enhance capabilities and interoperability of current EMR system	None	None	None	None	None	None	None	None	None	None	$1,125,000.00
DY11	DMPH	Northern Inyo Hospital, Bishop	3.1.1	Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Northern Inyo Hospital, Bishop	3.1.2	Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Northern Inyo Hospital, Bishop	3.1.3	National Healthcare Safety Network (NHSN) Antimicrobial Use Measure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Northern Inyo Hospital, Bishop	3.1.4	Peri-operative Prophylactic Antibiotics Administered after Surgical Closure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Northern Inyo Hospital, Bishop	3.1.5	Reduction in Hospital Acquired Clostridium Difficile Infections	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Northern Inyo Hospital, Bishop	None	Establish committee to oversee Antibiotic Stewardship activities	None	None	None	None	None	None	None	None	None	None	$1,485,000.00
DY 11	DMPH	Northern Inyo Hospital, Bishop	None	Develop Antibiotic Stewardship Program Plan	None	None	None	None	None	None	None	None	None	None	$1,485,000.00
DY11	DMPH	Oak Valley Hospital District, Oakdale	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Oak Valley Hospital District, Oakdale	1.2.11	REAL data completeness	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Oak Valley Hospital District, Oakdale	1.2.12.f	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Oak Valley Hospital District, Oakdale	1.2.14.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Oak Valley Hospital District, Oakdale	1.2.2	CG-CAHPS: Provider Rating	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Oak Valley Hospital District, Oakdale	1.2.3.c	Colorectal Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Oak Valley Hospital District, Oakdale	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Oak Valley Hospital District, Oakdale	1.2.5.b	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Oak Valley Hospital District, Oakdale	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Oak Valley Hospital District, Oakdale	1.2.8	Prevention Quality Overall Composite #90	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Oak Valley Hospital District, Oakdale	1.4.1	Abnormal Results Follow-Up: Abnormal Potassium Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Oak Valley Hospital District, Oakdale	1.4.1	Abnormal Results Follow-Up: Abnormal BIRADS Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Oak Valley Hospital District, Oakdale	1.4.1	Abnormal Results Follow-Up: Abnormal INR Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Oak Valley Hospital District, Oakdale	1.4.2	Annual Monitoring for Patients on Persistent Medications	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Oak Valley Hospital District, Oakdale	1.4.3	INR Monitoring for Individuals on Warfarin	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Oak Valley Hospital District, Oakdale	None	Complete gap analysis of present process compared to NCQA documentation	None	None	None	None	None	None	None	None	None	None	$333,750.00
DY 11	DMPH	Oak Valley Hospital District, Oakdale	None	Establish support structure for PCMH transformation activities	None	None	None	None	None	None	None	None	None	None	$333,750.00
DY 11	DMPH	Oak Valley Hospital District, Oakdale	None	Perform a needs assessment to determine additional staff requirements	None	None	None	None	None	None	None	None	None	None	$333,750.00
DY 11	DMPH	Oak Valley Hospital District, Oakdale	None	Convene a workgroup to identify REAL data values needed to support PRIME and OVHD patient population	None	None	None	None	None	None	None	None	None	None	$333,750.00
DY 11	DMPH	Oak Valley Hospital District, Oakdale	None	Establish and evaluate new registration scripts used to obtain REAL data	None	None	None	None	None	None	None	None	None	None	$333,750.00
DY 11	DMPH	Oak Valley Hospital District, Oakdale	None	Identify gaps in reporting and/or communicating abnormal test results	None	None	None	None	None	None	None	None	None	None	$333,750.00
DY 11	DMPH	Oak Valley Hospital District, Oakdale	None	Redesign systems for reporting and/or communicating abnormal test results	None	None	None	None	None	None	None	None	None	None	$333,750.00
DY 11	DMPH	Oak Valley Hospital District, Oakdale	None	Establish new systems and procedures for reporting and/or communicating abnormal test results	None	None	None	None	None	None	None	None	None	None	$333,750.00
DY11	DMPH	Palo Verde Hospital, Blythe	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Palo Verde Hospital, Blythe	1.1.2	Care Coordinator Assignment	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Palo Verde Hospital, Blythe	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Palo Verde Hospital, Blythe	1.1.4	Depression Remission at 12 Months (CMS159v4)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Palo Verde Hospital, Blythe	1.1.5.f	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Palo Verde Hospital, Blythe	1.1.6.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Palo Verde Hospital, Blythe	2.2.1	DHCS All-Cause Readmissions	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Palo Verde Hospital, Blythe	2.2.2	H-CAHPS: Care Transition Metrics (3)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Palo Verde Hospital, Blythe	2.2.3	Medication Reconciliation – 30 days	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Palo Verde Hospital, Blythe	2.2.4	Reconciled Medication List Received by Discharged Patients	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Palo Verde Hospital, Blythe	2.2.5	Timely Transmission of Transition Record	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Palo Verde Hospital, Blythe	2.3.1	Care Coordinator Assignment	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Palo Verde Hospital, Blythe	2.3.2	Medication Reconciliation – 30 days	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Palo Verde Hospital, Blythe	2.3.3	Prevention Quality Overall Composite #90	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Palo Verde Hospital, Blythe	2.3.4	Timely Transmission of Transition Record	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Palo Verde Hospital, Blythe	None	Appoint 5 staff to develop care management training modules (3 templates for Mini COG, TUG, and PHQ-9)	None	None	None	None	None	None	None	None	None	None	$201,923.07
DY 11	DMPH	Palo Verde Hospital, Blythe	None	Develop/assign 5 integrated team members to design E.H.R enhancements (Lightbeam, Nursewise integration), conduct 7 trainings and one month trainings to ensure clinical data and documented templates support quality reporting	None	None	None	None	None	None	None	None	None	None	$201,923.07
DY 11	DMPH	Palo Verde Hospital, Blythe	None	E.H.R. champions (Barbod/Christ) on new E.H.R. System: 2 champions will develop training schedules for all staff	None	None	None	None	None	None	None	None	None	None	$201,923.08
DY 11	DMPH	Palo Verde Hospital, Blythe	None	Develop integrated behavioral health team (3 staff out of 3 departments) to design best practice templates for behavior integration plan	None	None	None	None	None	None	None	None	None	None	$201,923.08
DY 11	DMPH	Palo Verde Hospital, Blythe	None	Develop curriculum for behavior health integration plan	None	None	None	None	None	None	None	None	None	None	$201,923.08
DY 11	DMPH	Palo Verde Hospital, Blythe	None	Develop 3 tools / templates in 3 departments for clinical PRIME Projects in behavior and care management (PHQ-9, Mini COG, TUG)	None	None	None	None	None	None	None	None	None	None	$201,923.07
DY 11	DMPH	Palo Verde Hospital, Blythe	None	Train 3 departments (A-C) in PRIME Projects for bx health and advance care planning and documentation	None	None	None	None	None	None	None	None	None	None	$201,923.07
DY 11	DMPH	Palo Verde Hospital, Blythe	None	Review and update referral criteria in specialty advance care by January, 2016	None	None	None	None	None	None	None	None	None	None	$201,923.08
DY 11	DMPH	Palo Verde Hospital, Blythe	None	Identify and establish specialty integrated health care by January, 2016	None	None	None	None	None	None	None	None	None	None	$201,923.08
DY 11	DMPH	Palo Verde Hospital, Blythe	None	Establish specialty behavior health care in ED by January, 2016	None	None	None	None	None	None	None	None	None	None	$201,923.08
DY 11	DMPH	Palo Verde Hospital, Blythe	None	Hire 3 qualified personnel in the primary setting for outpatient clinic	None	None	None	None	None	None	None	None	None	None	$201,923.08
DY 11	DMPH	Palo Verde Hospital, Blythe	None	Develop and plan increase number of appointment visits/encounters by 50% within DY11 in outpatient clinic	None	None	None	None	None	None	None	None	None	None	$201,923.08
DY 11	DMPH	Palo Verde Hospital, Blythe	None	Develop implementation integrated strategic plan for new clinical services (health home, wound care, prenatal, bx health, including staffing, space, technology, revenue projections, etc.) by January, 2016	None	None	None	None	None	None	None	None	None	None	$201,923.08
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	1.4.1	Abnormal Results Follow-Up: Abnormal INR Follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	1.4.1	Abnormal Results Follow-Up: Abnormal BIRADS Follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	1.4.1	Abnormal Results Follow-Up: Abnormal Potassium Follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	1.4.2	Annual Monitoring for Patients on Persistent Medications	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	1.4.3	INR Monitoring for Individuals on Warfarin	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	1.5.1.b	Controlling Blood Pressure	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	1.5.4.t	Tobacco Assessment and Counseling	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	1.7.1	BMI Screening and Follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	1.7.2	Partnership for a Healthier Americas Hospital Health Food Initiative external food service verification	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Nutrition	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Weight Assessment - BMI	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Physical Activity	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	2.2.1	DHCS All-Cause Readmissions	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	2.2.2	H-CAHPS: Care Transition Metrics (3)	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	2.2.3	Medication Reconciliation – 30 days	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	2.2.4	Reconciled Medication List Received by Discharged Patients	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	2.2.5	Timely Transmission of Transition Record	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	2.3.1	Care Coordinator Assignment	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	2.3.2	Medication Reconciliation – 30 days	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	2.3.3	Prevention Quality Overall Composite #90	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	2.3.4	Timely Transmission of Transition Record	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	2.7.1	Advance Care Plan	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	2.7.2	Ambulatory Palliative Care Team Established	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	2.7.3	MWM #8: Treatment Preferences (documentation) Inpatient	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	2.7.4	MWM #8: Treatment Preferences (documentation) Outpatient	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	2.7.5	Palliative Care Service Offered at Time of Diagnosis of Advanced Illness	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	2.7.6	Proportion Admitted to Hospice for Less Than 3 Days	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.1.1	Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.1.2	Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.1.3	National Healthcare Safety Network (NHSN) Antimicrobial Use Measure	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.1.4	Peri-operative Prophylactic Antibiotics Administered after Surgical Closure	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.1.5	Reduction in Hospital Acquired Clostridium Difficile Infections	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.2.1	Imaging for Routine Headaches (Choosing Wisely)	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.2.2	Appropriate Emergency Department Utilization of CT for Pulmonary Embolism	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.2.3	Use of Imaging Studies for Low Back Pain	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Optimal	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Borderline	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.2.4	Use of Imaging Studies for Low Back Pain (anytime) Variation of HEDIS Use of Imaging Studies for Low Back Pain measures: Suboptimal	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.3.1	Adherence to Medications	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.3.2	Documentation of Current Medications in the Medical Record	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.3.3	High-Cost Pharmaceuticals Ordering Protocols	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.4.1	ePBM-01 Pre-op Anemia Screening, Selected Elective Surgical Patients	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.4.2	ePBM-02 Pre-op Hemoglobin Level, Selected Elective Surgical Patients	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.4.3	ePBM-03 Pre-op Type and Crossmatch, Type and Screen, Selected elective Surgical Patients	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.4.4	ePBM-04 Initial Transfusion Threshold	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	3.4.5	ePBM-05 Outcome of Patient Blood Management, Selected Elective Surgical Patients	0	0	0	0	None	None	None	None	None	None	None
DY 11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	None	Develop a workflow to measure BMI on lower acuity patients during Triage in the Emergency Department	None	None	None	None	None	None	None	None	None	None	$2,525,000.00
DY 11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	None	Convene project team regularly	None	None	None	None	None	None	None	None	None	None	$2,525,000.00
DY 11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	None	Define and identify target population	None	None	None	None	None	None	None	None	None	None	$2,525,000.00
DY 11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	None	Establish Palliative Care program committee	None	None	None	None	None	None	None	None	None	None	$2,525,000.00
DY 11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	None	Convene recurring interdisciplinary clinical pathway workgroup	None	None	None	None	None	None	None	None	None	None	$2,525,000.00
DY 11	DMPH	Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)	None	Convene recurring interdisciplinary utilization steering workgroup	None	None	None	None	None	None	None	None	None	None	$2,525,000.00
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	1.4.1	Abnormal Results Follow-Up: Abnormal INR Follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	1.4.1	Abnormal Results Follow-Up: Abnormal Potassium Follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	1.4.1	Abnormal Results Follow-Up: Abnormal BIRADS Follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	1.4.2	Annual Monitoring for Patients on Persistent Medications	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	1.4.3	INR Monitoring for Individuals on Warfarin	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	1.6.1	BIRADS to Biopsy	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	1.6.2	Breast Cancer Screening	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	1.6.3	Cervical Cancer Screening	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	1.6.4.c	Colorectal Cancer Screening	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	1.6.5	Receipt of appropriate follow-up for abnormal CRC screening	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	2.2.1	DHCS All-Cause Readmissions	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	2.2.2	H-CAHPS: Care Transition Metrics (3)	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	2.2.3	Medication Reconciliation – 30 days	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	2.2.4	Reconciled Medication List Received by Discharged Patients	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	2.2.5	Timely Transmission of Transition Record	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	3.1.1	Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	3.1.2	Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	3.1.3	National Healthcare Safety Network (NHSN) Antimicrobial Use Measure	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	3.1.4	Peri-operative Prophylactic Antibiotics Administered after Surgical Closure	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Pioneers Memorial Healthcare District, Brawley	3.1.5	Reduction in Hospital Acquired Clostridium Difficile Infections	0	0	0	0	None	None	None	None	None	None	None
DY 11	DMPH	Pioneers Memorial Healthcare District, Brawley	None	Select a Transition of Care Program/model	None	None	None	None	None	None	None	None	None	None	$2,310,000.00
DY 11	DMPH	Pioneers Memorial Healthcare District, Brawley	None	Establish an Antibiotic Stewardship Program	None	None	None	None	None	None	None	None	None	None	$2,310,000.00
DY11	DMPH	Plumas District Hospital, Quincy	2.6.1	Alcohol and Drug Misuse (SBIRT)	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Plumas District Hospital, Quincy	2.6.2	Assessment and Management of Chronic Pain: Patients with chronic pain prescribed an opioid who have an opioid agreement form and an annual urine toxicology screen	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Plumas District Hospital, Quincy	2.6.3	Patients with chronic pain on long term opioid therapy checked in PDMPs	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Plumas District Hospital, Quincy	2.6.4	Screening for Clinical Depression and follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Plumas District Hospital, Quincy	2.6.5	Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy	0	0	0	0	None	None	None	None	None	None	None
DY 11	DMPH	Plumas District Hospital, Quincy	None	Develop referral sources for chronic pain specialty services	None	None	None	None	None	None	None	None	None	None	$562,500.00
DY 11	DMPH	Plumas District Hospital, Quincy	None	Develop draft uniform care plan that includes method to track multi-modal referrals and Pain Care Agreement tracking	None	None	None	None	None	None	None	None	None	None	$562,500.00
DY11	DMPH	Salinas Valley Memorial Healthcare System	1.4.1	Abnormal Results Follow-Up: Abnormal BIRADS Follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	1.4.1	Abnormal Results Follow-Up: Abnormal Potassium Follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	1.4.1	Abnormal Results Follow-Up: Abnormal INR Follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	1.4.2	Annual Monitoring for Patients on Persistent Medications	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	1.4.3	INR Monitoring for Individuals on Warfarin	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	1.5.1.b	Controlling Blood Pressure	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	1.5.4.t	Tobacco Assessment and Counseling	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	1.6.1	BIRADS to Biopsy	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	1.6.2	Breast Cancer Screening	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	1.6.3	Cervical Cancer Screening	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	1.6.4.c	Colorectal Cancer Screening	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	1.6.5	Receipt of appropriate follow-up for abnormal CRC screening	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	2.2.1	DHCS All-Cause Readmissions	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	2.2.2	H-CAHPS: Care Transition Metrics (3)	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	2.2.3	Medication Reconciliation – 30 days	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	2.2.4	Reconciled Medication List Received by Discharged Patients	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	2.2.5	Timely Transmission of Transition Record	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	2.3.1	Care Coordinator Assignment	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	2.3.2	Medication Reconciliation – 30 days	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	2.3.3	Prevention Quality Overall Composite #90	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	2.3.4	Timely Transmission of Transition Record	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	2.7.1	Advance Care Plan	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	2.7.2	Ambulatory Palliative Care Team Established	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	2.7.3	MWM #8: Treatment Preferences (documentation) Inpatient	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	2.7.4	MWM #8: Treatment Preferences (documentation) Outpatient	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	2.7.5	Palliative Care Service Offered at Time of Diagnosis of Advanced Illness	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	2.7.6	Proportion Admitted to Hospice for Less Than 3 Days	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	3.1.1	Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	3.1.2	Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	3.1.3	National Healthcare Safety Network (NHSN) Antimicrobial Use Measure	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	3.1.4	Peri-operative Prophylactic Antibiotics Administered after Surgical Closure	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	3.1.5	Reduction in Hospital Acquired Clostridium Difficile Infections	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	3.4.1	ePBM-01 Pre-op Anemia Screening, Selected Elective Surgical Patients	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	3.4.2	ePBM-02 Pre-op Hemoglobin Level, Selected Elective Surgical Patients	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	3.4.3	ePBM-03 Pre-op Type and Crossmatch, Type and Screen, Selected elective Surgical Patients	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	3.4.4	ePBM-04 Initial Transfusion Threshold	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Salinas Valley Memorial Healthcare System	3.4.5	ePBM-05 Outcome of Patient Blood Management, Selected Elective Surgical Patients	0	0	0	0	None	None	None	None	None	None	None
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Perform an analysis on data collection for the Patient Safety in the Ambulatory Setting metrics	None	None	None	None	None	None	None	None	None	None	$363,571.42
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Develop a reporting toolkit for Patient Safety in the Ambulatory Setting metric specifications	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Perform an analysis on data collection for Project 1.5 metrics	None	None	None	None	None	None	None	None	None	None	$363,571.42
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Develop a reporting toolkit for Project 1.5 metric specifications	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Research best practices for cancer screenings and develop a report	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Develop a project charter for the Project 1.6 PRIME team responsible for leading and implementing clinical protocols	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Perform gap analysis of cancer screening protocols and develop associated action items for clinical protocol improvement	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Develop a transitional care management team with four roles and outlined responsibilities	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Develop report of care transitions process based on staff interviews	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Conduct an assessment of community resources working relationship with the SVMHS care transitions team	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Research emergency department utilization of PRIME population with diabetes and develop report of patients based on stratifying factors and location	None	None	None	None	None	None	None	None	None	None	$363,571.42
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Create a hot spot map of high utilizers	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Research best practices in palliative care and create report	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Develop a project charter for PRIME project 2.7 team responsible for updating and implementing new clinical protocols	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Conduct gap analysis of existing palliative care protocols and create list of action items for clinical improvements	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Create a project charter for PRIME project 3.1 team responsible for improving antibiotic stewardship	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Research best practices in antibiotic stewardship and create a report	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Perform a gap analysis of existing antibiotic protocols including list of action items	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Create a project charter for PRIME project 3.4 team responsible for clinical protocol updates and implementation	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Research best practices in blood product stewardship and create a report	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY 11	DMPH	Salinas Valley Memorial Healthcare System	None	Perform gap analysis of existing blood product protocols including list of action items	None	None	None	None	None	None	None	None	None	None	$363,571.43
DY11	DMPH	San Bernardino Mountains Community Hospital, Lake Arrowhead	1.4.1	Abnormal Results Follow-Up: Abnormal Potassium Follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Bernardino Mountains Community Hospital, Lake Arrowhead	1.4.1	Abnormal Results Follow-Up: Abnormal BIRADS Follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Bernardino Mountains Community Hospital, Lake Arrowhead	1.4.1	Abnormal Results Follow-Up: Abnormal INR Follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Bernardino Mountains Community Hospital, Lake Arrowhead	1.4.2	Annual Monitoring for Patients on Persistent Medications	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Bernardino Mountains Community Hospital, Lake Arrowhead	1.4.3	INR Monitoring for Individuals on Warfarin	0	0	0	0	None	None	None	None	None	None	None
DY 11	DMPH	San Bernardino Mountains Community Hospital, Lake Arrowhead	None	Complete workforce gap analysis	None	None	None	None	None	None	None	None	None	None	$375,000.00
DY 11	DMPH	San Bernardino Mountains Community Hospital, Lake Arrowhead	None	Establish PRIME project workgroup	None	None	None	None	None	None	None	None	None	None	$375,000.00
DY 11	DMPH	San Bernardino Mountains Community Hospital, Lake Arrowhead	None	Complete Data System analysis	None	None	None	None	None	None	None	None	None	None	$375,000.00
DY11	DMPH	San Gorgonio Memorial Hospital, Banning	1.7.1	BMI Screening and Follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Gorgonio Memorial Hospital, Banning	1.7.2	Partnership for a Healthier Americas Hospital Health Food Initiative external food service verification	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Gorgonio Memorial Hospital, Banning	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Nutrition	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Gorgonio Memorial Hospital, Banning	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Physical Activity	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Gorgonio Memorial Hospital, Banning	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Weight Assessment - BMI	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Gorgonio Memorial Hospital, Banning	2.2.1	DHCS All-Cause Readmissions	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Gorgonio Memorial Hospital, Banning	2.2.2	H-CAHPS: Care Transition Metrics (3)	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Gorgonio Memorial Hospital, Banning	2.2.3	Medication Reconciliation – 30 days	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Gorgonio Memorial Hospital, Banning	2.2.4	Reconciled Medication List Received by Discharged Patients	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Gorgonio Memorial Hospital, Banning	2.2.5	Timely Transmission of Transition Record	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Gorgonio Memorial Hospital, Banning	3.1.1	Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Gorgonio Memorial Hospital, Banning	3.1.2	Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Gorgonio Memorial Hospital, Banning	3.1.3	National Healthcare Safety Network (NHSN) Antimicrobial Use Measure	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Gorgonio Memorial Hospital, Banning	3.1.4	Peri-operative Prophylactic Antibiotics Administered after Surgical Closure	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	San Gorgonio Memorial Hospital, Banning	3.1.5	Reduction in Hospital Acquired Clostridium Difficile Infections	0	0	0	0	None	None	None	None	None	None	None
DY 11	DMPH	San Gorgonio Memorial Hospital, Banning	None	Assess Staffing Needs for Establishing Weight Management Program for Adults and Healthy Children and Families Program	None	None	None	None	None	None	None	None	None	None	$291,666.67
DY 11	DMPH	San Gorgonio Memorial Hospital, Banning	None	Assess Staffing Needs Assessment for Establishing a Care Transitions Team	None	None	None	None	None	None	None	None	None	None	$291,666.66
DY 11	DMPH	San Gorgonio Memorial Hospital, Banning	None	Identify Post Discharge Resources	None	None	None	None	None	None	None	None	None	None	$291,666.66
DY 11	DMPH	San Gorgonio Memorial Hospital, Banning	None	Create workgroup to perform needed enhancements in the Cardiopulmonary Department relative to our current EMR	None	None	None	None	None	None	None	None	None	None	$291,666.67
DY 11	DMPH	San Gorgonio Memorial Hospital, Banning	None	Develop Policies and Procedures for Selection of Cardiopulmonary Rehabilitation Patients	None	None	None	None	None	None	None	None	None	None	$291,666.67
DY 11	DMPH	San Gorgonio Memorial Hospital, Banning	None	Convene workgroup with clinical staff and IT to determine capabilities of tele-health monitoring	None	None	None	None	None	None	None	None	None	None	$291,666.67
DY 11	DMPH	San Gorgonio Memorial Hospital, Banning	None	Identify and establish contract with service provider for a tele-health program	None	None	None	None	None	None	None	None	None	None	$291,666.67
DY 11	DMPH	San Gorgonio Memorial Hospital, Banning	None	Convene a multidisciplinary workgroup	None	None	None	None	None	None	None	None	None	None	$291,666.66
DY 11	DMPH	San Gorgonio Memorial Hospital, Banning	None	Develop ASP Policies and Procedures	None	None	None	None	None	None	None	None	None	None	$291,666.67
DY11	DMPH	Seneca Healthcare District, Chester	2.2.1	DHCS All-Cause Readmissions	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Seneca Healthcare District, Chester	2.2.2	H-CAHPS: Care Transition Metrics (3)	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Seneca Healthcare District, Chester	2.2.3	Medication Reconciliation – 30 days	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Seneca Healthcare District, Chester	2.2.4	Reconciled Medication List Received by Discharged Patients	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Seneca Healthcare District, Chester	2.2.5	Timely Transmission of Transition Record	0	0	0	0	None	None	None	None	None	None	None
DY 11	DMPH	Seneca Healthcare District, Chester	None	Employ a Full-Time Care Coordinator	None	None	None	None	None	None	None	None	None	None	$1,125,000.00
DY11	DMPH	Sierra View District Hospital, Porterville	1.7.1	BMI Screening and Follow-up	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	1.7.2	Partnership for a Healthier Americas Hospital Health Food Initiative external food service verification	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Weight Assessment - BMI	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Physical Activity	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Nutrition	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	2.2.1	DHCS All-Cause Readmissions	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	2.2.2	H-CAHPS: Care Transition Metrics (3)	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	2.2.3	Medication Reconciliation – 30 days	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	2.2.4	Reconciled Medication List Received by Discharged Patients	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	2.2.5	Timely Transmission of Transition Record	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	2.3.1	Care Coordinator Assignment	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	2.3.2	Medication Reconciliation – 30 days	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	2.3.3	Prevention Quality Overall Composite #90	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	2.3.4	Timely Transmission of Transition Record	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	2.7.1	Advance Care Plan	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	2.7.2	Ambulatory Palliative Care Team Established	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	2.7.3	MWM #8: Treatment Preferences (documentation) Inpatient	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	2.7.4	MWM #8: Treatment Preferences (documentation) Outpatient	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	2.7.5	Palliative Care Service Offered at Time of Diagnosis of Advanced Illness	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sierra View District Hospital, Porterville	2.7.6	Proportion Admitted to Hospice for Less Than 3 Days	0	0	0	0	None	None	None	None	None	None	None
DY 11	DMPH	Sierra View District Hospital, Porterville	None	Establish Project team	None	None	None	None	None	None	None	None	None	None	$705,000.00
DY 11	DMPH	Sierra View District Hospital, Porterville	None	Establish Population Health Committee	None	None	None	None	None	None	None	None	None	None	$705,000.00
DY 11	DMPH	Sierra View District Hospital, Porterville	None	Develop processes for care transitions	None	None	None	None	None	None	None	None	None	None	$705,000.00
DY 11	DMPH	Sierra View District Hospital, Porterville	None	Determine patient membership and engagement in program design	None	None	None	None	None	None	None	None	None	None	$705,000.00
DY 11	DMPH	Sierra View District Hospital, Porterville	None	Select patients to participate in Population Health Committee	None	None	None	None	None	None	None	None	None	None	$705,000.00
DY 11	DMPH	Sierra View District Hospital, Porterville	None	Define target populations with Data/Documentation team	None	None	None	None	None	None	None	None	None	None	$705,000.00
DY 11	DMPH	Sierra View District Hospital, Porterville	None	Complete system and data reporting analysis to determine changes necessary to capture baseline reporting and metrics	None	None	None	None	None	None	None	None	None	None	$705,000.00
DY 11	DMPH	Sierra View District Hospital, Porterville	None	Conduct an EMR gap analysis on scheduling patients for follow up	None	None	None	None	None	None	None	None	None	None	$705,000.00
DY 11	DMPH	Sierra View District Hospital, Porterville	None	Develop partnerships with community and provider resources including Hospice	None	None	None	None	None	None	None	None	None	None	$705,000.00
DY 11	DMPH	Sierra View District Hospital, Porterville	None	Implement referral process for hospice services	None	None	None	None	None	None	None	None	None	None	$705,000.00
DY11	DMPH	Sonoma Valley Hospital, Sonoma	2.2.1	DHCS All-Cause Readmissions	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sonoma Valley Hospital, Sonoma	2.2.2	H-CAHPS: Care Transition Metrics (3)	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sonoma Valley Hospital, Sonoma	2.2.3	Medication Reconciliation – 30 days	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sonoma Valley Hospital, Sonoma	2.2.4	Reconciled Medication List Received by Discharged Patients	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sonoma Valley Hospital, Sonoma	2.2.5	Timely Transmission of Transition Record	0	0	0	0	None	None	None	None	None	None	None
DY 11	DMPH	Sonoma Valley Hospital, Sonoma	None	Expand Case Management model to include ED/Community Case Management	None	None	None	None	None	None	None	None	None	None	$562,500.00
DY 11	DMPH	Sonoma Valley Hospital, Sonoma	None	Develop standardized workflows for inpatient discharge care that includes the integration of Community Health Coaches	None	None	None	None	None	None	None	None	None	None	$562,500.00
DY11	DMPH	Sonoma West Medical Center, Sebastopol	2.2.1	DHCS All-Cause Readmissions	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sonoma West Medical Center, Sebastopol	2.2.2	H-CAHPS: Care Transition Metrics (3)	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sonoma West Medical Center, Sebastopol	2.2.3	Medication Reconciliation – 30 days	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sonoma West Medical Center, Sebastopol	2.2.4	Reconciled Medication List Received by Discharged Patients	0	0	0	0	None	None	None	None	None	None	None
DY11	DMPH	Sonoma West Medical Center, Sebastopol	2.2.5	Timely Transmission of Transition Record	0	0	0	0	None	None	None	None	None	None	None
DY 11	DMPH	Sonoma West Medical Center, Sebastopol	None	Creation of Steering Committee with applicable partners by June 30, 2016	None	None	None	None	None	None	None	None	None	None	$562,500.00
DY 11	DMPH	Sonoma West Medical Center, Sebastopol	None	Identify all post-acute facilities of this kind within SWMC’s service area by 6/30/16	None	None	None	None	None	None	None	None	None	None	$562,500.00
DY11	DMPH	Southern Inyo Hospital, Lone Pine	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Southern Inyo Hospital, Lone Pine	1.2.11	REAL data completeness	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Southern Inyo Hospital, Lone Pine	1.2.12.f	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Southern Inyo Hospital, Lone Pine	1.2.14.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Southern Inyo Hospital, Lone Pine	1.2.2	CG-CAHPS: Provider Rating	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Southern Inyo Hospital, Lone Pine	1.2.3.c	Colorectal Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Southern Inyo Hospital, Lone Pine	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Southern Inyo Hospital, Lone Pine	1.2.5.b	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Southern Inyo Hospital, Lone Pine	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Southern Inyo Hospital, Lone Pine	1.2.8	Prevention Quality Overall Composite #90	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Southern Inyo Hospital, Lone Pine	1.6.1	BIRADS to Biopsy	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Southern Inyo Hospital, Lone Pine	1.6.2	Breast Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Southern Inyo Hospital, Lone Pine	1.6.3	Cervical Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Southern Inyo Hospital, Lone Pine	1.6.4.c	Colorectal Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Southern Inyo Hospital, Lone Pine	1.6.5	Receipt of appropriate follow-up for abnormal CRC screening	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Southern Inyo Hospital, Lone Pine	None	Purchase Open Vista EHR	None	None	None	None	None	None	None	None	None	None	$1,125,000.00
DY11	DMPH	Tahoe Forest Hospital District, Truckee	1.5.1.b	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tahoe Forest Hospital District, Truckee	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tahoe Forest Hospital District, Truckee	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tahoe Forest Hospital District, Truckee	1.5.4.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tahoe Forest Hospital District, Truckee	2.6.1	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tahoe Forest Hospital District, Truckee	2.6.2	Assessment and Management of Chronic Pain: Patients with chronic pain prescribed an opioid who have an opioid agreement form and an annual urine toxicology screen	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tahoe Forest Hospital District, Truckee	2.6.3	Patients with chronic pain on long term opioid therapy checked in PDMPs	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tahoe Forest Hospital District, Truckee	2.6.4	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tahoe Forest Hospital District, Truckee	2.6.5	Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Recruit Advisory Group Members and establish meeting schedule for Million Hearts Initiative	None	None	None	None	None	None	None	None	None	None	$60,714.28
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Educate Advisory members on program policy and intervention of Million Hearts Initiative	None	None	None	None	None	None	None	None	None	None	$60,714.28
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Adopt Million Heart Screening assessments and Algorithms Conduct Workforce Gap Analysis to assess needs to successfully carryout the Million Heart Initiative	None	None	None	None	None	None	None	None	None	None	$60,714.28
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Develop and/or revise Job Descriptions for 1 care coordinator, 1 provider champion, and 1 program manager	None	None	None	None	None	None	None	None	None	None	$60,714.29
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Hire Staff1 care coordinator, 1 provider champion, and 1 program manager by May 30, 2016	None	None	None	None	None	None	None	None	None	None	$60,714.29
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Promote the benefits of Smoke Free environment policy by disbursing education material to two community employers(Nevada County Health Department and Tahoe Truckee Recreational Center)	None	None	None	None	None	None	None	None	None	None	$60,714.29
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Increase access to Healthy Choices in TFHD hospital vending machines	None	None	None	None	None	None	None	None	None	None	$60,714.29
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Develop policies and procedures for care coordination referrals specific to the chronic non-malignant pain management project	None	None	None	None	None	None	None	None	None	None	$60,714.28
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Recruit and Establish a Chronic Pain Advisory Group	None	None	None	None	None	None	None	None	None	None	$60,714.28
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Establish a baseline timeline to list project plan chronologically and set Chronic Pain Advisory Group meetings	None	None	None	None	None	None	None	None	None	None	$60,714.28
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Key Stakeholders set outcome objectives for for PRIME project 2.6 throughout the duration of the project chronic pain management group	None	None	None	None	None	None	None	None	None	None	$60,714.28
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Complete Strengths Weaknesses Opportunities Treats (SWOT) Analysis to evaluate current capacity to execute prime project 2.6 and help prioritize strategies through group input	None	None	None	None	None	None	None	None	None	None	$60,714.28
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Conduct a Workforce Gap Analysis to assess needs to successfully carryout the chronic non-malignant pain management project (2.6)	None	None	None	None	None	None	None	None	None	None	$60,714.28
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Develop and/or revise job descriptions with core responsibilities, recruit/retain candidates, interview candidates specific to the chronic non-malignant pain management project	None	None	None	None	None	None	None	None	None	None	$60,714.29
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Hire staff – 1 Program Manager, 1 Care Coordinator, 1 LMFT specific to the chronic non-malignant pain management project	None	None	None	None	None	None	None	None	None	None	$60,714.29
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Identify distress screening tool for Depression screens	None	None	None	None	None	None	None	None	None	None	$60,714.29
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Create a depression screening policy to include positive outcome specific to the chronic non-malignant pain management project	None	None	None	None	None	None	None	None	None	None	$60,714.29
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Research and identify model for Chronic Pain programs regarding participatory education and consultation for providers	None	None	None	None	None	None	None	None	None	None	$60,714.29
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Enlist Provider Champion to research Safe Prescribe Practices	None	None	None	None	None	None	None	None	None	None	$60,714.29
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Advisory group will identify and select evidenced based medication agreement that aligns with CMS guidelines	None	None	None	None	None	None	None	None	None	None	$60,714.29
DY 11	DMPH	Tahoe Forest Hospital District, Truckee	None	Disperse Safe Prescribe Education materials to ED and Health clinics	None	None	None	None	None	None	None	None	None	None	$60,714.29
DY11	DMPH	Tri-City Medical Center, Oceanside	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.1.2	Care Coordinator Assignment	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.1.4	Depression Remission at 12 Months (CMS159v4)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.1.5.f	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.1.6.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.4.1	Abnormal Results Follow-Up: Abnormal Potassium Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.4.1	Abnormal Results Follow-Up: Abnormal BIRADS Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.4.1	Abnormal Results Follow-Up: Abnormal INR Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.4.2	Annual Monitoring for Patients on Persistent Medications	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.4.3	INR Monitoring for Individuals on Warfarin	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.5.1.b	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.5.4.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.6.1	BIRADS to Biopsy	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.6.2	Breast Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.6.3	Cervical Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.6.4.c	Colorectal Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.6.5	Receipt of appropriate follow-up for abnormal CRC screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.7.1	BMI Screening and Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.7.2	Partnership for a Healthier Americas Hospital Health Food Initiative external food service verification	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Nutrition	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Weight Assessment - BMI	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	1.7.3	Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Physical Activity	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.1.1	Baby Friendly Hospital designation	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.1.2	Exclusive Breast Milk Feeding (PC-05)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.1.3	OB Hemorrhage: Massive Transfusion	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.1.4	OB Hemorrhage: Total Products Transfused	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.1.5	PC-02 Cesarean Section	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.1.6	Prenatal and Postpartum Care: Postpartum Care	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.1.6	Prenatal and Postpartum Care: Prenatal Care	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.1.8	Unexpected Newborn Complications (UNC)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.1.9	OB Hemorrhage Safety Bundle	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.2.1	DHCS All-Cause Readmissions	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.2.2	H-CAHPS: Care Transition Metrics (3)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.2.3	Medication Reconciliation – 30 days	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.2.4	Reconciled Medication List Received by Discharged Patients	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.2.5	Timely Transmission of Transition Record	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.3.1	Care Coordinator Assignment	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.3.2	Medication Reconciliation – 30 days	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.3.3	Prevention Quality Overall Composite #90	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.3.4	Timely Transmission of Transition Record	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.5.1	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.5.2	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.5.3	Prevention Quality Overall Composite #90	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.5.4	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.5.5	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.7.1	Advance Care Plan	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.7.2	Ambulatory Palliative Care Team Established	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.7.3	MWM #8: Treatment Preferences (documentation) Inpatient	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.7.4	MWM #8: Treatment Preferences (documentation) Outpatient	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.7.5	Palliative Care Service Offered at Time of Diagnosis of Advanced Illness	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	2.7.6	Proportion Admitted to Hospice for Less Than 3 Days	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	3.1.1	Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	3.1.2	Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	3.1.3	National Healthcare Safety Network (NHSN) Antimicrobial Use Measure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	3.1.4	Peri-operative Prophylactic Antibiotics Administered after Surgical Closure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tri-City Medical Center, Oceanside	3.1.5	Reduction in Hospital Acquired Clostridium Difficile Infections	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Tri-City Medical Center, Oceanside	None	Develop a PRIME implementation workgroup to consist of representatives from administration, IT and relevant project leaders that will convene a minimum of 4 times per year	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	Tri-City Medical Center, Oceanside	None	Identify space to provide nutritional counseling to patients	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	Tri-City Medical Center, Oceanside	None	Collect and analyze data-specific elements associated with perinatal measures from the EHR	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	Tri-City Medical Center, Oceanside	None	All perinatal core measures are tracked and trends shared with staff and all providers on a monthly basis. Patterns that require intervention and quality improvement are addressed during these meetings	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	Tri-City Medical Center, Oceanside	None	Prepare evidence-based educational material for provider and staff education regarding appropriate labor induction criteria	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	Tri-City Medical Center, Oceanside	None	Conduct a qualitative assessment of a pilot program using a wireless home monitoring system for high-risk patients	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	Tri-City Medical Center, Oceanside	None	Identify, select technology to rate patients at high-risk for readmission and analyze performance of remote monitoring solution being utilized for pilot program	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	Tri-City Medical Center, Oceanside	None	Identify referral management solutions that enables improved decision making for patients and families regarding post-acute care	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	Tri-City Medical Center, Oceanside	None	Conduct feasibility study of utilizing pharmacy intern to perform medication reconciliation	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	Tri-City Medical Center, Oceanside	None	Conduct analysis of TCHD acute care utilization and readmissions rate	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	Tri-City Medical Center, Oceanside	None	Create and convene multi-disciplinary supportive care team that may include hospital staff, community-based hospice, home health care and medical providers	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	Tri-City Medical Center, Oceanside	None	Develop educational plan and educate direct service providers to the supportive care network and process	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	Tri-City Medical Center, Oceanside	None	Identify and select technology to provide real-time data reporting and reports generation from Cerner (EHR) for pharmacy and infection control	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	Tri-City Medical Center, Oceanside	None	Identify members to participate in the Antimicrobial Stewardship Committee (ASC)	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY 11	DMPH	Tri-City Medical Center, Oceanside	None	Conduct a review the current best practices and guidelines to identify appropriate antimicrobial stewardship interventions	None	None	None	None	None	None	None	None	None	None	$702,000.00
DY11	DMPH	Trinity Hospital, Weaverville	1.4.1	Abnormal Results Follow-Up: Abnormal BIRADS Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Trinity Hospital, Weaverville	1.4.1	Abnormal Results Follow-Up: Abnormal Potassium Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Trinity Hospital, Weaverville	1.4.1	Abnormal Results Follow-Up: Abnormal INR Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Trinity Hospital, Weaverville	1.4.2	Annual Monitoring for Patients on Persistent Medications	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Trinity Hospital, Weaverville	1.4.3	INR Monitoring for Individuals on Warfarin	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Trinity Hospital, Weaverville	1.6.1	BIRADS to Biopsy	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Trinity Hospital, Weaverville	1.6.2	Breast Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Trinity Hospital, Weaverville	1.6.3	Cervical Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Trinity Hospital, Weaverville	1.6.4.c	Colorectal Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Trinity Hospital, Weaverville	1.6.5	Receipt of appropriate follow-up for abnormal CRC screening	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Trinity Hospital, Weaverville	None	Convene group including existing staff members CIO (Jake Odom), Director of Finance (Jennifer VanMatre), Manager of Clinics (Hollie Malloy), Director of Clinics (Michael Novak), and new staff member/Patient Care Coordinator (Tracy Miller) who will be identified as the MCHD PRIME TEAM	None	None	None	None	None	None	None	None	None	None	$562,500.00
DY 11	DMPH	Trinity Hospital, Weaverville	None	Patient Care Coordinator job development with Human Resources and Manager of Clinics and recruitment of new employee	None	None	None	None	None	None	None	None	None	None	$562,500.00
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.1.1.a	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.1.2	Care Coordinator Assignment	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.1.3.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.1.4	Depression Remission at 12 Months (CMS159v4)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.1.5.f	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.1.6.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.2.1.a	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.2.11	REAL data completeness	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.2.12.f	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.2.14.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.2.2	CG-CAHPS: Provider Rating	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.2.3.c	Colorectal Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.2.4.d	Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.2.5.b	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.2.7.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.2.8	Prevention Quality Overall Composite #90	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.4.1	Abnormal Results Follow-Up: Abnormal INR Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.4.1	Abnormal Results Follow-Up: Abnormal Potassium Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.4.1	Abnormal Results Follow-Up: Abnormal BIRADS Follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.4.2	Annual Monitoring for Patients on Persistent Medications	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.4.3	INR Monitoring for Individuals on Warfarin	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.5.1.b	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.5.2.i	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.5.3	PQRS # 317 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.5.4.t	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.6.1	BIRADS to Biopsy	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.6.2	Breast Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.6.3	Cervical Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.6.4.c	Colorectal Cancer Screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	1.6.5	Receipt of appropriate follow-up for abnormal CRC screening	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	2.5.1	Alcohol and Drug Misuse (SBIRT)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	2.5.2	Controlling Blood Pressure	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	2.5.3	Prevention Quality Overall Composite #90	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	2.5.4	Screening for Clinical Depression and follow-up	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Tulare Regional Medical Center, Tulare	2.5.5	Tobacco Assessment and Counseling	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Tulare Regional Medical Center, Tulare	None	Implement PHQ screenings as part of the primary care visit	None	None	None	None	None	None	None	None	None	None	$1,147,500.00
DY 11	DMPH	Tulare Regional Medical Center, Tulare	None	Implement standard of care measures- retinal screenings	None	None	None	None	None	None	None	None	None	None	$1,147,500.00
DY 11	DMPH	Tulare Regional Medical Center, Tulare	None	Create panel of management/ care coordination roles and responsibilities	None	None	None	None	None	None	None	None	None	None	$1,147,500.00
DY 11	DMPH	Tulare Regional Medical Center, Tulare	None	Perform manual chart extractions to obtain baseline data	None	None	None	None	None	None	None	None	None	None	$1,147,500.00
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.1.1	Baby Friendly Hospital designation	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.1.2	Exclusive Breast Milk Feeding (PC-05)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.1.3	OB Hemorrhage: Massive Transfusion	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.1.4	OB Hemorrhage: Total Products Transfused	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.1.5	PC-02 Cesarean Section	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.1.6	Prenatal and Postpartum Care: Postpartum Care	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.1.6	Prenatal and Postpartum Care: Prenatal Care	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.1.7	Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.1.8	Unexpected Newborn Complications (UNC)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.1.9	OB Hemorrhage Safety Bundle	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.7.1	Advance Care Plan	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.7.2	Ambulatory Palliative Care Team Established	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.7.3	MWM #8: Treatment Preferences (documentation) Inpatient	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.7.4	MWM #8: Treatment Preferences (documentation) Outpatient	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.7.5	Palliative Care Service Offered at Time of Diagnosis of Advanced Illness	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	2.7.6	Proportion Admitted to Hospice for Less Than 3 Days	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	3.2.1	Imaging for Routine Headaches (Choosing Wisely)	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	3.2.2	Appropriate Emergency Department Utilization of CT for Pulmonary Embolism	0	None	0	None	None	None	None	None	None	None	None
DY11	DMPH	Washington Hospital Healthcare System, Fremont	3.2.3	Use of Imaging Studies for Low Back Pain	0	None	0	None	None	None	None	None	None	None	None
DY 11	DMPH	Washington Hospital Healthcare System, Fremont	None	Convene a Prenatal Diagnostic Clinic workgroup to discuss implementation of PRIME project and necessary resources	None	None	None	None	None	None	None	None	None	None	$1,910,000.00
DY 11	DMPH	Washington Hospital Healthcare System, Fremont	None	Establish an Inpatient Palliative Care Program using a multidisciplinary, team-based approach	None	None	None	None	None	None	None	None	None	None	$1,910,000.00
DY 11	DMPH	Washington Hospital Healthcare System, Fremont	None	Convene Imaging workgroup to discuss implementation of PRIME project and necessary resources	None	None	None	None	None	None	None	None	None	None	$1,910,000.00