Table public_hospital_redesign_and_incentives_in_medi_cal_pri_fbaa592b

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' '' '1' '1' '' '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' '' '1' '1124' '0' '1' '' '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' '' '1' '633' '0' '1' '' '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' '' '1' '370' '0' '1' '' '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' '' '1' '' '1' '1' '' '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' '' '1' '1' '' '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)' '' '1' '' '1' '1' '' '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' '' '1' '1' '' '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' '' '1' '' '1' '1' '' '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)' '' '1' '724' '0' '1' '' '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' '' '1' '1542' '0' '1' '' '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' '' '1' '' '4' '1' '' '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' '' '1' '' '1' '1' '' '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' '' '4' '1' '' '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)' '' '1' '50' '0' '1' '' '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' '' '1' '54' '0' '1' '' '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' '' '1' '1054' '0' '1' '' '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' '' '1' '436' '0' '1' '' '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)' '' '1' '' '4' '1' '' '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' '' '1' '1777' '0' '1' '' '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)' '' '1' '116' '0' '1' '' '1' 'N/A' '3' 'N/A' '$4,628,457.93 '

'DY11' 'DPH' 'Los Angeles County Health System' '2.5.2' 'Controlling Blood Pressure' '' '1' '' '4' '1' '' '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' '' '1' '' '4' '1' '' '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' '' '1' '32' '0' '1' '' '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' '' '1' '382' '0' '1' '' '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' '' '1' '57' '0' '1' '' '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' '' '1' '' '1' '1' '' '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' '' '1' '' '4' '1' '' '1' 'N/A' '3' 'N/A' '$476,994.00 '

'DY11' 'DPH' 'Riverside University Health System' '1.1.1.a' 'Alcohol and Drug Misuse (SBIRT)' '' '1' '21421' '0' '1' '' '1' 'N/A' '3' 'N/A' '$927,208.34 '

'DY11' 'DPH' 'Riverside University Health System' '1.1.2' 'Care Coordinator Assignment' '' '1' '386' '0' '1' '' '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)' '' '1' '21421' '0' '1' '' '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' '' '1' '531' '0' '1' '' '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' '' '1' '36' '0' '1' '' '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)' '' '1' '420' '0' '1' '' '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' '' '1' '52' '0' '1' '' '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)' '' '1' '35448' '0' '1' '' '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)' '' '1' '35448' '0' '1' '' '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' '' '1' '860' '0' '1' '' '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)' '' '1' '1992' '0' '1' '' '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' '' '1' '377' '0' '1' '' '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' '' '1' '44' '0' '1' '' '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' '' '1' '' '1' '1' '' '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' '' '1' '673' '0' '1' '' '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' '' '1' '341' '0' '1' '' '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' '' '1' '261' '0' '1' '' '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' '' '1' '' '4' '1' '' '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' '' '1' '46' '0' '1' '' '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' '' '1' '84' '0' '1' '' '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' '' '4' '1' '' '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' '' '1' '' '4' '1' '' '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' '' '0' '' '1' '1' '' '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' '' '1' '1' '' '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)' '' '1' '' '1' '1' '' '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' '' '1' '' '1' '1' '' '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' '' '1' '' '1' '1' '' '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' '' '1' '1' '' '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' '' '1' '2394' '0' '1' '' '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' '' '1' '1473' '0' '1' '' '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' '' '1' '101' '0' '1' '' '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' '' '1' '1' '' '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' '' '1' '1333' '0' '1' '' '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)' '' '1' '80' '0' '1' '' '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' '' '1' '48' '0' '1' '' '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)' '' '1' '452' '0' '1' '' '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' '' '1' '426' '0' '1' '' '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' '' '4' '1' '' '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' '' '1' '2039' '0' '1' '' '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' '' '1' '133' '0' '1' '' '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' '' '1' '' '1' '1' '' '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' '' '1' '1' '' '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' '' '1' '55' '0' '1' '' '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)' '' '1' '154' '0' '1' '' '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' '' '1' '2257' '0' '1' '' '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' '' '1' '' '4' '1' '' '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)' '' '1' '170' '0' '1' '' '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' '' '1' '1419' '0' '1' '' '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' '' '1' '' '1' '1' '' '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' '' '4' '1' '' '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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '1.6.2' 'Breast Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '1.6.3' 'Cervical Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '1.6.4.c' 'Colorectal Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '1.6.5' 'Receipt of appropriate follow-up for abnormal CRC screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.1.1' 'Baby Friendly Hospital designation' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.1.2' 'Exclusive Breast Milk Feeding (PC-05)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.1.3' 'OB Hemorrhage: Massive Transfusion' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.1.4' 'OB Hemorrhage: Total Products Transfused' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.1.5' 'PC-02 Cesarean Section' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.1.6' 'Prenatal and Postpartum Care: Postpartum Care' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.1.6' 'Prenatal and Postpartum Care: Prenatal Care' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.1.7' 'Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.1.8' 'Unexpected Newborn Complications (UNC)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.1.9' 'OB Hemorrhage Safety Bundle' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.2.1' 'DHCS All-Cause Readmissions' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.2.2' 'H-CAHPS: Care Transition Metrics (3)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.2.3' 'Medication Reconciliation 30 days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.2.4' 'Reconciled Medication List Received by Discharged Patients' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.2.5' 'Timely Transmission of Transition Record' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.3.1' 'Care Coordinator Assignment' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.3.2' 'Medication Reconciliation 30 days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.3.3' 'Prevention Quality Overall Composite #90' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.3.4' 'Timely Transmission of Transition Record' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.7.1' 'Advance Care Plan' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.7.2' 'Ambulatory Palliative Care Team Established' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.7.3' 'MWM #8: Treatment Preferences (documentation) Inpatient' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.7.4' 'MWM #8: Treatment Preferences (documentation) Outpatient' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.7.5' 'Palliative Care Service Offered at Time of Diagnosis of Advanced Illness' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '2.7.6' 'Proportion Admitted to Hospice for Less Than 3 Days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '3.1.1' 'Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '3.1.2' 'Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '3.1.3' 'National Healthcare Safety Network (NHSN) Antimicrobial Use Measure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '3.1.4' 'Peri-operative Prophylactic Antibiotics Administered after Surgical Closure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '3.1.5' 'Reduction in Hospital Acquired Clostridium Difficile Infections' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '3.2.1' 'Imaging for Routine Headaches (Choosing Wisely)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '3.2.2' 'Appropriate Emergency Department Utilization of CT for Pulmonary Embolism' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '3.2.3' 'Use of Imaging Studies for Low Back Pain' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '3.4.1' 'ePBM-01 Pre-op Anemia Screening, Selected Elective Surgical Patients' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '3.4.2' 'ePBM-02 Pre-op Hemoglobin Level, Selected Elective Surgical Patients' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '3.4.3' 'ePBM-03 Pre-op Type and Crossmatch, Type and Screen, Selected elective Surgical Patients' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '3.4.4' 'ePBM-04 Initial Transfusion Threshold' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '3.4.5' 'ePBM-05 Outcome of Patient Blood Management, Selected Elective Surgical Patients' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Conduct literature review of best practices' '' '' '' '' '' '' '' '' '' '' '$994,166.67 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Perform gap analysis of metric protocols based on best practices with list of action items' ' ' '' '' '' '' '' '' '' '' '' '$994,166.67 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Interview 20 labor and delivery patients that did not receive prenatal care' ' ' '' '' '' '' '' '' '' '' '' '$994,166.66 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Create findings report based on analysis of interview responses for review and distribution' ' ' '' '' '' '' '' '' '' '' '' '$994,166.67 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Identify post-acute care resources for AVH patients' ' ' '' '' '' '' '' '' '' '' '' '$994,166.66 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Conduct training session for care management staff on care transitions' ' ' '' '' '' '' '' '' '' '' '' '$994,166.67 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' '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' ' ' '' '' '' '' '' '' '' '' '' '$994,166.67 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Conduct literature review of best practices in palliative care' ' ' '' '' '' '' '' '' '' '' '' '$994,166.66 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Identify group of four stakeholders including and distribute best practices report' ' ' '' '' '' '' '' '' '' '' '' '$994,166.67 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Perform gap analysis of metric protocols based on best practices with list of action items' ' ' '' '' '' '' '' '' '' '' '' '$994,166.67 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Conduct literature review of best practices in antibiotic stewardship' ' ' '' '' '' '' '' '' '' '' '' '$994,166.66 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Identify group of four stakeholders including and distribute best practices report' ' ' '' '' '' '' '' '' '' '' '' '$994,166.67 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Perform gap analysis of metric protocols based on best practices with list of action items' ' ' '' '' '' '' '' '' '' '' '' '$994,166.67 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Create AVH-specific reporting manual for PRIME metric specifications in high-cost imaging' ' ' '' '' '' '' '' '' '' '' '' '$994,166.66 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Train registered nurse and data analyst in PRIME metric guidelines ' ' ' '' '' '' '' '' '' '' '' '' '$994,166.67 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Conduct literature review of best practices in blood product management' ' ' '' '' '' '' '' '' '' '' '' '$994,166.66 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Identify group of four stakeholders including and distribute best practices report' ' ' '' '' '' '' '' '' '' '' '' '$994,166.67 '

'DY 11' 'DMPH' 'Antelope Valley Hospital, Lancaster' '' 'Perform gap analysis of blood product PRIME metric protocols based on best practices with list of action items' ' ' '' '' '' '' '' '' '' '' '' '$994,166.67 '

'DY11' 'DMPH' 'Bear Valley Community Hospital, Big Bear Lake' '2.6.1' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Bear Valley Community Hospital, Big Bear Lake' '2.6.4' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Bear Valley Community Hospital, Big Bear Lake' '2.6.5' 'Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Bear Valley Community Hospital, Big Bear Lake' '' 'Evaluate current EHR ability to capture data necessary for assessment of pain management patients' ' ' '' '' '' '' '' '' '' '' '' '$281,250.00 '

'DY 11' 'DMPH' 'Bear Valley Community Hospital, Big Bear Lake' '' 'Enhance community outreach with local mental health resources' ' ' '' '' '' '' '' '' '' '' '' '$281,250.00 '

'DY 11' 'DMPH' 'Bear Valley Community Hospital, Big Bear Lake' '' 'Evaluate capacity of current services offered at the Family Health Center to determine ability to service additional pain management patients' ' ' '' '' '' '' '' '' '' '' '' '$281,250.00 '

'DY 11' 'DMPH' 'Bear Valley Community Hospital, Big Bear Lake' '' 'Develop an internal task force to conduct gap analysis on current and anticipated pain management modalities' ' ' '' '' '' '' '' '' '' '' '' '$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' '' '1' '' '1' '1' '' '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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Eastern Plumas Health Care, Portol' '1.1.2' 'Care Coordinator Assignment' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Eastern Plumas Health Care, Portol' '1.1.3.d' 'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Eastern Plumas Health Care, Portol' '1.1.4' 'Depression Remission at 12 Months (CMS159v4)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Eastern Plumas Health Care, Portol' '1.1.5.f' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Eastern Plumas Health Care, Portol' '1.1.6.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Eastern Plumas Health Care, Portol' '' 'Organize and convene a PRIME Advisory Committee' ' ' '' '' '' '' '' '' '' '' '' '$187,500.00 '

'DY 11' 'DMPH' 'Eastern Plumas Health Care, Portol' '' 'Development of key behavioral health job descriptions' ' ' '' '' '' '' '' '' '' '' '' '$187,500.00 '

'DY 11' 'DMPH' 'Eastern Plumas Health Care, Portol' '' 'Streamline tele-psychology and tele-psychiatry program' ' ' '' '' '' '' '' '' '' '' '' '$187,500.00 '

'DY 11' 'DMPH' 'Eastern Plumas Health Care, Portol' '' 'Prepare for building addition to support program expansion' ' ' '' '' '' '' '' '' '' '' '' '$187,500.00 '

'DY 11' 'DMPH' 'Eastern Plumas Health Care, Portol' '' 'Identification of available staff education on behavioral health' ' ' '' '' '' '' '' '' '' '' '' '$187,500.00 '

'DY 11' 'DMPH' 'Eastern Plumas Health Care, Portol' '' 'Demonstrate patient engagement in plans of care' ' ' '' '' '' '' '' '' '' '' '' '$187,500.00 '

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '1.1.1.a' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '1.1.2' 'Care Coordinator Assignment' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '1.1.3.d' 'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '1.1.4' 'Depression Remission at 12 Months (CMS159v4)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '1.1.5.f' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '1.1.6.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '2.1.1' 'Baby Friendly Hospital designation' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '2.1.2' 'Exclusive Breast Milk Feeding (PC-05)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '2.1.3' 'OB Hemorrhage: Massive Transfusion' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '2.1.4' 'OB Hemorrhage: Total Products Transfused' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '2.1.5' 'PC-02 Cesarean Section' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '2.1.6' 'Prenatal and Postpartum Care: Postpartum Care' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '2.1.6' 'Prenatal and Postpartum Care: Prenatal Care' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '2.1.7' 'Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '2.1.8' 'Unexpected Newborn Complications (UNC)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '2.1.9' 'OB Hemorrhage Safety Bundle' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '3.4.1' 'ePBM-01 Pre-op Anemia Screening, Selected Elective Surgical Patients' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '3.4.2' 'ePBM-02 Pre-op Hemoglobin Level, Selected Elective Surgical Patients' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '3.4.4' 'ePBM-04 Initial Transfusion Threshold' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Camino Hospital, Mountain View' '3.4.5' 'ePBM-05 Outcome of Patient Blood Management, Selected Elective Surgical Patients' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'El Camino Hospital, Mountain View' '' 'Relationships established and needs identified for target PRIME population towards the integration of behavioral health with primary care' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'El Camino Hospital, Mountain View' '' 'Hospital Report developed for OB-Delivery metrics 2.1.2, 2.1.3, 2.1.4 by June 30, 2016' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'El Camino Hospital, Mountain View' '' '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' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'El Camino Hospital, Mountain View' '' 'Improve IT systems capability to identify the source and path of data to report on the Required PRIME metrics for 3.4 Blood utilization' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'El Camino Hospital, Mountain View' '' 'Adopt best practice guidelines for transfusion into EMR order entry process' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '1.2.1.a' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '1.2.11' 'REAL data completeness' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '1.2.12.f' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '1.2.14.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '1.2.2' 'CG-CAHPS: Provider Rating' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '1.2.3.c' 'Colorectal Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '1.2.4.d' 'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '1.2.5.b' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '1.2.7.i' 'Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '1.2.8' 'Prevention Quality Overall Composite #90' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '1.7.1' 'BMI Screening and Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '3.2.1' 'Imaging for Routine Headaches (Choosing Wisely)' '374' '0' '1494' '' '1' '0.2503' '' '' '' '' ''

'DY11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '3.2.2' 'Appropriate Emergency Department Utilization of CT for Pulmonary Embolism' '155' '0' '257' '' '1' '0.6031' '' '' '' '' ''

'DY11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '3.2.3' 'Use of Imaging Studies for Low Back Pain' '246' '0' '487' '' '1' '0.5051' '' '' '' '' ''

'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' '' '1' '0.0183' '' '' '' '' ''

'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' '' '1' '0' '' '' '' '' ''

'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' '' '1' '0' '' '' '' '' ''

'DY 11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '' 'Convene a PRIME workgroup and preform a gap analysis for NCQA recognition ' ' ' '' '' '' '' '' '' '' '' '' '$1,698,750.00 '

'DY 11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '' 'Analyze and Identify number of pediatric care needs for PCMH guidelines' ' ' '' '' '' '' '' '' '' '' '' '$1,698,750.00 '

'DY 11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '' 'Analyze current technological registration for SO/GI and REAL infrastructure' ' ' '' '' '' '' '' '' '' '' '' '$1,698,750.00 '

'DY 11' 'DMPH' 'El Centro Regional Medical Center, El Centro' '' 'Identify key stakeholders and develop an oversight committee for Population Management ' ' ' '' '' '' '' '' '' '' '' '' '$1,698,750.00 '

'DY11' 'DMPH' 'Hazel Hawkins Memorial Hospital, Hollister' '2.3.1' 'Care Coordinator Assignment' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Hazel Hawkins Memorial Hospital, Hollister' '2.3.2' 'Medication Reconciliation 30 days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Hazel Hawkins Memorial Hospital, Hollister' '2.3.3' 'Prevention Quality Overall Composite #90' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Hazel Hawkins Memorial Hospital, Hollister' '2.3.4' 'Timely Transmission of Transition Record' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Hazel Hawkins Memorial Hospital, Hollister' '' 'Develop Charter' ' ' '' '' '' '' '' '' '' '' '' '$218,333.34 '

'DY 11' 'DMPH' 'Hazel Hawkins Memorial Hospital, Hollister' '' 'Specify membership of PRIME workgroup' ' ' '' '' '' '' '' '' '' '' '' '$218,333.34 '

'DY 11' 'DMPH' 'Hazel Hawkins Memorial Hospital, Hollister' '' 'Convene workgroup' '' '' '' '' '' '' '' '' '' '' '$218,333.34 '

'DY 11' 'DMPH' 'Hazel Hawkins Memorial Hospital, Hollister' '' 'Complete workforce gap analysis' '' '' '' '' '' '' '' '' '' '' '$218,333.33 '

'DY 11' 'DMPH' 'Hazel Hawkins Memorial Hospital, Hollister' '' 'Identify training needs' '' '' '' '' '' '' '' '' '' '' '$218,333.33 '

'DY 11' 'DMPH' 'Hazel Hawkins Memorial Hospital, Hollister' '' 'Develop staffing strategy ' '' '' '' '' '' '' '' '' '' '' '$218,333.33 '

'DY 11' 'DMPH' 'Hazel Hawkins Memorial Hospital, Hollister' '' 'Assess current Information Technology (IT) data and reporting systems' ' ' '' '' '' '' '' '' '' '' '' '$218,333.33 '

'DY 11' 'DMPH' 'Hazel Hawkins Memorial Hospital, Hollister' '' 'Identify data and reporting needs under PRIME' ' ' '' '' '' '' '' '' '' '' '' '$218,333.33 '

'DY 11' 'DMPH' 'Hazel Hawkins Memorial Hospital, Hollister' '' 'Develop a plan for IT and data reporting improvements' ' ' '' '' '' '' '' '' '' '' '' '$218,333.33 '

'DY11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '1.5.1.b' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '1.5.2.i' 'Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '1.5.4.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '1.6.1' 'BIRADS to Biopsy' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '1.6.2' 'Breast Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '1.6.3' 'Cervical Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '1.6.4.c' 'Colorectal Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '1.6.5' 'Receipt of appropriate follow-up for abnormal CRC screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '1.7.1' 'BMI Screening and Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '1.7.2' 'Partnership for a Healthier Americas Hospital Health Food Initiative external food service verification' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '1.7.3' 'Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Counseling for Nutrition' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '1.7.3' 'Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents: Weight Assessment - BMI' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '' 'Develop standardized screening tool to identify pts at risk for hypertension' ' ' '' '' '' '' '' '' '' '' '' '$211,875.00 '

'DY 11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '' 'Work with EHR vendor to develop a bi-directional interface between out-patients EHR (ecw) and hospitals EHR (Med Host)' ' ' '' '' '' '' '' '' '' '' '' '$211,875.00 '

'DY 11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '' 'Develop training, train 5 providers, and complete training assessment' ' ' '' '' '' '' '' '' '' '' '' '$211,875.00 '

'DY 11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '' 'Convene work group to develop a community outreach team' ' ' '' '' '' '' '' '' '' '' '' '$211,875.00 '

'DY 11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '' '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' ' ' '' '' '' '' '' '' '' '' '' '$211,875.00 '

'DY 11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '' 'Develop a standardized screening tool for breast cancer' ' ' '' '' '' '' '' '' '' '' '' '$211,875.00 '

'DY 11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '' 'Develop a standardized screening tool for Cervical Cancer ' ' ' '' '' '' '' '' '' '' '' '' '$211,875.00 '

'DY 11' 'DMPH' 'Healdsburg District Hospital, Healdsburg' '' 'Develop Standardized screening tool for Colorectal Cancer in EHR' ' ' '' '' '' '' '' '' '' '' '' '$211,875.00 '

'DY11' 'DMPH' 'Jerold Phelps Community Hospital, Garberville' '3.1.1' 'Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Jerold Phelps Community Hospital, Garberville' '3.1.2' 'Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Jerold Phelps Community Hospital, Garberville' '3.1.3' 'National Healthcare Safety Network (NHSN) Antimicrobial Use Measure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Jerold Phelps Community Hospital, Garberville' '3.1.4' 'Peri-operative Prophylactic Antibiotics Administered after Surgical Closure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Jerold Phelps Community Hospital, Garberville' '3.1.5' 'Reduction in Hospital Acquired Clostridium Difficile Infections' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Jerold Phelps Community Hospital, Garberville' '' 'Hire FTE for Quality data coordinating' ' ' '' '' '' '' '' '' '' '' '' '$375,000.00 '

'DY 11' 'DMPH' 'Jerold Phelps Community Hospital, Garberville' '' 'Develop ASP Policies and Procedures' ' ' '' '' '' '' '' '' '' '' '' '$375,000.00 '

'DY 11' 'DMPH' 'Jerold Phelps Community Hospital, Garberville' '' 'Develop ASP program performance tracking and reporting process' ' ' '' '' '' '' '' '' '' '' '' '$375,000.00 '

'DY11' 'DMPH' 'John C. Fremont Healthcare District, Mariposa' '1.2.1.a' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'John C. Fremont Healthcare District, Mariposa' '1.2.11' 'REAL data completeness' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'John C. Fremont Healthcare District, Mariposa' '1.2.12.f' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'John C. Fremont Healthcare District, Mariposa' '1.2.14.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'John C. Fremont Healthcare District, Mariposa' '1.2.2' 'CG-CAHPS: Provider Rating' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'John C. Fremont Healthcare District, Mariposa' '1.2.3.c' 'Colorectal Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'John C. Fremont Healthcare District, Mariposa' '1.2.4.d' 'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'John C. Fremont Healthcare District, Mariposa' '1.2.5.b' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'John C. Fremont Healthcare District, Mariposa' '1.2.7.i' 'Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'John C. Fremont Healthcare District, Mariposa' '1.2.8' 'Prevention Quality Overall Composite #90' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'John C. Fremont Healthcare District, Mariposa' '' 'New EHR selected and installed that has ability to track groups of clients for case management' ' ' '' '' '' '' '' '' '' '' '' '$1,125,000.00 '

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.2.1.a' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.2.11' 'REAL data completeness' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.2.12.f' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.2.14.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.2.2' 'CG-CAHPS: Provider Rating' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.2.3.c' 'Colorectal Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.2.4.d' 'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.2.5.b' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.2.7.i' 'Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.2.8' 'Prevention Quality Overall Composite #90' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.3.1' 'Closing the referral loop: receipt of specialist report (CMS50v3)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.3.2' 'DHCS All-Cause Readmissions' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.3.3' 'Influenza Immunization' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.3.4' 'Post Procedure ED Visits' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.3.5' 'Request for Specialty Care Expertise Turnaround Time' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.3.7' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.5.1.b' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.5.2.i' 'Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '1.5.4.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.2.1' 'DHCS All-Cause Readmissions' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.2.2' 'H-CAHPS: Care Transition Metrics (3)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.2.3' 'Medication Reconciliation 30 days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.2.4' 'Reconciled Medication List Received by Discharged Patients' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.2.5' 'Timely Transmission of Transition Record' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.3.1' 'Care Coordinator Assignment' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.3.2' 'Medication Reconciliation 30 days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.3.3' 'Prevention Quality Overall Composite #90' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.3.4' 'Timely Transmission of Transition Record' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.6.1' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.6.3' 'Patients with chronic pain on long term opioid therapy checked in PDMPs' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.6.4' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.6.5' 'Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.7.1' 'Advance Care Plan' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.7.2' 'Ambulatory Palliative Care Team Established' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.7.3' 'MWM #8: Treatment Preferences (documentation) Inpatient' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.7.4' 'MWM #8: Treatment Preferences (documentation) Outpatient' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.7.5' 'Palliative Care Service Offered at Time of Diagnosis of Advanced Illness' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '2.7.6' 'Proportion Admitted to Hospice for Less Than 3 Days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Convene a team to establish team-based care standards' ' ' '' '' '' '' '' '' '' '' '' '$877,222.23 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Select EHR Vendor and Complete PRIME data inquiry' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Decision to use STATiT product (MIDAS+) system to serve as patient registry' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Develop Plan to achieve PCMH recognition' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Convene a training workgroup to establish structure and plan' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Conduct a workforce gap analysis to support PRIME project' ' ' '' '' '' '' '' '' '' '' '' '$877,222.23 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Develop staffing plan to support PRIME project' ' ' '' '' '' '' '' '' '' '' '' '$877,222.23 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Integrate into workflow patient engagement in self-management behaviors and plans of care' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Implementation of evidence based program to teach and reinforce self-management skills ' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Determine minimum requirements needed for telehealth platform' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Select Telehealth Platform' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Convene a workgroup to identify multidisciplinary care team member composition' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Collect contact information for Medi-Cal MCOs ,FFS and Medi-Cal MCO delegated medical groups prior authorization centers' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Conduct needs assessment for specialty care services including mental health and substance use disorders' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Develop a list of community based and state or federal resources for tobacco cessation services' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Develop tools for documentation and patient education about medications' ' ' '' '' '' '' '' '' '' '' '' '$877,222.23 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Convene a workgroup to develop a care plan' ' ' '' '' '' '' '' '' '' '' '' '$877,222.23 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Convene a workgroup to review and recommend approach. Develop Care Management Tools' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Create Strategic Plan for Transitions of Care Program' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Develop Staffing Plan' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Develop and implement retail pharmacy' '' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Convene a workgroup to conduct literature review to determine if models for standardized workflows exist' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Convene workgroup to discuss strategies of developing a qualitative assessment of high-risk, high-utilizing patients' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Conduct literature review to assess multiple disciplinary team approaches to and best practices to optimal pain management' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Establish Palliative Care Program Committee' ' ' '' '' '' '' '' '' '' '' '' '$877,222.23 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Develop tools, protocols and training modules for Advance Care Planning (ACP)' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY 11' 'DMPH' 'Kaweah Delta Health Care District, Visalia' '' 'Train all PC and appropriate CDMC Staff on ACP process and documentation' ' ' '' '' '' '' '' '' '' '' '' '$877,222.22 '

'DY11' 'DMPH' 'Kern Valley Healthcare District, Lake Isabella' '1.1.1.a' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kern Valley Healthcare District, Lake Isabella' '1.1.2' 'Care Coordinator Assignment' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kern Valley Healthcare District, Lake Isabella' '1.1.3.d' 'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kern Valley Healthcare District, Lake Isabella' '1.1.4' 'Depression Remission at 12 Months (CMS159v4)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kern Valley Healthcare District, Lake Isabella' '1.1.5.f' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Kern Valley Healthcare District, Lake Isabella' '1.1.6.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Kern Valley Healthcare District, Lake Isabella' '' 'Complete workgroup convening for development of a common dual-track clinical pathway for physical and behavioral health needs' ' ' '' '' '' '' '' '' '' '' '' '$1,125,000.00 '

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '1.3.1' 'Closing the referral loop: receipt of specialist report (CMS50v3)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '1.3.2' 'DHCS All-Cause Readmissions' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '1.3.3' 'Influenza Immunization' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '1.3.4' 'Post Procedure ED Visits' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '1.3.5' 'Request for Specialty Care Expertise Turnaround Time' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '1.3.7' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '1.5.1.b' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '1.5.2.i' 'Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '1.5.4.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '1.7.1' 'BMI Screening and Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '1.7.2' 'Partnership for a Healthier Americas Hospital Health Food Initiative external food service verification' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '2.2.1' 'DHCS All-Cause Readmissions' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '2.2.2' 'H-CAHPS: Care Transition Metrics (3)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '2.2.3' 'Medication Reconciliation 30 days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '2.2.4' 'Reconciled Medication List Received by Discharged Patients' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '2.2.5' 'Timely Transmission of Transition Record' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '' 'Telemedicine, Neurology Services ' ' ' '' '' '' '' '' '' '' '' '' '$388,636.37 '

'DY 11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '' 'CIHQ Certification for Acute Stroke Ready Hospital Program obtained ' ' ' '' '' '' '' '' '' '' '' '' '$388,636.37 '

'DY 11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '' 'Telemedicine Telepsychiatry Contract Completed, including Hospital Privileges for telepsychiatrists' ' ' '' '' '' '' '' '' '' '' '' '$388,636.36 '

'DY 11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '' 'Tenant Improvements Complete for Oncology and General Surgery Clinics ' ' ' '' '' '' '' '' '' '' '' '' '$388,636.36 '

'DY 11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '' 'Application for Licensing and Certification Survey completed and submitted to CDPH' ' ' '' '' '' '' '' '' '' '' '' '$388,636.36 '

'DY 11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '' 'Clinic Relocation to New Building for Oncology completed' ' ' '' '' '' '' '' '' '' '' '' '$388,636.36 '

'DY 11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '' 'Primary Care Group Collaboration Agreement for Participation on PRIME Programs' ' ' '' '' '' '' '' '' '' '' '' '$388,636.36 '

'DY 11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '' 'Provide overview on PRIME and Specifics on Healthier Food Initiative to Dietary Staff ' ' ' '' '' '' '' '' '' '' '' '' '$388,636.36 '

'DY 11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '' 'Development of Post-Discharge Follow-Up Program ' ' ' '' '' '' '' '' '' '' '' '' '$388,636.37 '

'DY 11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '' 'Develop collaborative agreement with Home Health Agency to Provide In-Home Safety and Nursing Assessment Services ' ' ' '' '' '' '' '' '' '' '' '' '$388,636.37 '

'DY 11' 'DMPH' 'Lompoc Valley Medical Center, Lompoc' '' 'Development of the Family Caregiver Support Network' ' ' '' '' '' '' '' '' '' '' '' '$388,636.36 '

'DY11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '1.1.1.a' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '1.1.2' 'Care Coordinator Assignment' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '1.1.3.d' 'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '1.1.4' 'Depression Remission at 12 Months (CMS159v4)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '1.1.5.f' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '1.1.6.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '2.6.1' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '2.6.3' 'Patients with chronic pain on long term opioid therapy checked in PDMPs' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '2.6.4' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '2.6.5' 'Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '' 'Identify most frequent Behavioral Mental Health diagnoses among Mono County residents' ' ' '' '' '' '' '' '' '' '' '' '$116,000.00 '

'DY 11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '' 'Establish teams for PRIME projects' ' ' '' '' '' '' '' '' '' '' '' '$116,000.00 '

'DY 11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '' 'Select a behavioral health integration assessment tool' ' ' '' '' '' '' '' '' '' '' '' '$116,000.00 '

'DY 11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '' 'Select a nationally recognized care model for Integration of Behavioral Health and Primary Care' ' ' '' '' '' '' '' '' '' '' '' '$116,000.00 '

'DY 11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '' 'Conduct a gap analysis of the selected Behavioral Mental Health care model to current organizational care protocols' ' ' '' '' '' '' '' '' '' '' '' '$116,000.00 '

'DY 11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '' 'Develop/select assessment tools and protocols to use' ' ' '' '' '' '' '' '' '' '' '' '$116,000.00 '

'DY 11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '' 'Identify potential affiliated parties and initiate discussions to expand behavioral mental health services' ' ' '' '' '' '' '' '' '' '' '' '$116,000.00 '

'DY 11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '' 'Identify most frequent Chronic Non-Malignant Pain diagnoses among Mono County residents' ' ' '' '' '' '' '' '' '' '' '' '$116,000.00 '

'DY 11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '' 'Conduct an analysis to determine workforce infrastructure needed for projects ' ' ' '' '' '' '' '' '' '' '' '' '$116,000.00 '

'DY 11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '' 'Hire staff and define their roles' ' ' '' '' '' '' '' '' '' '' '' '$116,000.00 '

'DY 11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '' 'Develop organization-wide strategy for chronic non-malignant pain management' ' ' '' '' '' '' '' '' '' '' '' '$116,000.00 '

'DY 11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '' 'Select a nationally recognized care model for Chronic Non-Malignant Pain Management' ' ' '' '' '' '' '' '' '' '' '' '$116,000.00 '

'DY 11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '' 'Conduct a gap analysis of the selected chronic non-malignant pain care model to current organizational care protocols' ' ' '' '' '' '' '' '' '' '' '' '$116,000.00 '

'DY 11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '' 'Develop/select standard tools to be used for treatment of chronic non-malignant pain patients' ' ' '' '' '' '' '' '' '' '' '' '$116,000.00 '

'DY 11' 'DMPH' 'Mammoth Hospital, Mammoth Lakes' '' 'Train 3 PCPs and 4 Ortho providers on use of CURES and ICD-10 codes for chronic non-malignant pain patients' ' ' '' '' '' '' '' '' '' '' '' '$116,000.00 '

'DY11' 'DMPH' 'Marin General Hospital, Greenbrae' '2.3.1' 'Care Coordinator Assignment' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Marin General Hospital, Greenbrae' '2.3.2' 'Medication Reconciliation 30 days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Marin General Hospital, Greenbrae' '2.3.3' 'Prevention Quality Overall Composite #90' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Marin General Hospital, Greenbrae' '2.3.4' 'Timely Transmission of Transition Record' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Marin General Hospital, Greenbrae' '2.7.1' 'Advance Care Plan' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Marin General Hospital, Greenbrae' '2.7.2' 'Ambulatory Palliative Care Team Established' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Marin General Hospital, Greenbrae' '2.7.3' 'MWM #8: Treatment Preferences (documentation) Inpatient' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Marin General Hospital, Greenbrae' '2.7.4' 'MWM #8: Treatment Preferences (documentation) Outpatient' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Marin General Hospital, Greenbrae' '2.7.5' 'Palliative Care Service Offered at Time of Diagnosis of Advanced Illness' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Marin General Hospital, Greenbrae' '2.7.6' 'Proportion Admitted to Hospice for Less Than 3 Days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Marin General Hospital, Greenbrae' '' 'Establish CCM Task Force and Identify Community Partners to Engage' ' ' '' '' '' '' '' '' '' '' '' '$610,000.00 '

'DY 11' 'DMPH' 'Marin General Hospital, Greenbrae' '' 'Define and identify target population' ' ' '' '' '' '' '' '' '' '' '' '$610,000.00 '

'DY 11' 'DMPH' 'Marin General Hospital, Greenbrae' '' 'Establish PC Task Force and Identify Community Partners to Engage' ' ' '' '' '' '' '' '' '' '' '' '$610,000.00 '

'DY11' 'DMPH' 'Mayers Memorial Hospital District, Fall River Mills' '1.5.1.b' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mayers Memorial Hospital District, Fall River Mills' '1.5.2.i' 'Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mayers Memorial Hospital District, Fall River Mills' '1.5.4.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mayers Memorial Hospital District, Fall River Mills' '3.1.1' 'Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mayers Memorial Hospital District, Fall River Mills' '3.1.2' 'Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mayers Memorial Hospital District, Fall River Mills' '3.1.3' 'National Healthcare Safety Network (NHSN) Antimicrobial Use Measure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mayers Memorial Hospital District, Fall River Mills' '3.1.4' 'Peri-operative Prophylactic Antibiotics Administered after Surgical Closure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mayers Memorial Hospital District, Fall River Mills' '3.1.5' 'Reduction in Hospital Acquired Clostridium Difficile Infections' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Mayers Memorial Hospital District, Fall River Mills' '' 'Develop understanding of PRIME Project Workforce needs' ' ' '' '' '' '' '' '' '' '' '' '$375,000.00 '

'DY 11' 'DMPH' 'Mayers Memorial Hospital District, Fall River Mills' '' 'Implement PRIME Workforce Strategy' ' ' '' '' '' '' '' '' '' '' '' '$375,000.00 '

'DY 11' 'DMPH' 'Mayers Memorial Hospital District, Fall River Mills' '' 'Conduct software gap analysis for PRIME reporting ' ' ' '' '' '' '' '' '' '' '' '' '$375,000.00 '

'DY11' 'DMPH' 'Mendocino Coast District Hospital, Fort Bragg' '1.6.1' 'BIRADS to Biopsy' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mendocino Coast District Hospital, Fort Bragg' '1.6.2' 'Breast Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mendocino Coast District Hospital, Fort Bragg' '1.6.3' 'Cervical Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mendocino Coast District Hospital, Fort Bragg' '1.6.4.c' 'Colorectal Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Mendocino Coast District Hospital, Fort Bragg' '1.6.5' 'Receipt of appropriate follow-up for abnormal CRC screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Mendocino Coast District Hospital, Fort Bragg' '' 'Create & convene PRIME Project implementation committee/workgroup' ' ' '' '' '' '' '' '' '' '' '' '$187,500.00 '

'DY 11' 'DMPH' 'Mendocino Coast District Hospital, Fort Bragg' '' 'Complete Analysis of Cancer Screening Tools' ' ' '' '' '' '' '' '' '' '' '' '$187,500.00 '

'DY 11' 'DMPH' 'Mendocino Coast District Hospital, Fort Bragg' '' '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' ' ' '' '' '' '' '' '' '' '' '' '$187,500.00 '

'DY 11' 'DMPH' 'Mendocino Coast District Hospital, Fort Bragg' '' 'Complete Assessment of data systems capabilities and needs' ' ' '' '' '' '' '' '' '' '' '' '$187,500.00 '

'DY 11' 'DMPH' 'Mendocino Coast District Hospital, Fort Bragg' '' 'Complete development of a patient care team model' ' ' '' '' '' '' '' '' '' '' '' '$187,500.00 '

'DY 11' 'DMPH' 'Mendocino Coast District Hospital, Fort Bragg' '' 'Conduct workforce and training gap analyses and develop staffing strategy' ' ' '' '' '' '' '' '' '' '' '' '$187,500.00 '

'DY11' 'DMPH' 'Modoc Medical Center, Alturas' '1.2.1.a' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Modoc Medical Center, Alturas' '1.2.11' 'REAL data completeness' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Modoc Medical Center, Alturas' '1.2.12.f' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Modoc Medical Center, Alturas' '1.2.14.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Modoc Medical Center, Alturas' '1.2.2' 'CG-CAHPS: Provider Rating' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Modoc Medical Center, Alturas' '1.2.3.c' 'Colorectal Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Modoc Medical Center, Alturas' '1.2.4.d' 'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Modoc Medical Center, Alturas' '1.2.5.b' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Modoc Medical Center, Alturas' '1.2.7.i' 'Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Modoc Medical Center, Alturas' '1.2.8' 'Prevention Quality Overall Composite #90' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Modoc Medical Center, Alturas' '' 'Enhance capabilities and interoperability of current EMR system' ' ' '' '' '' '' '' '' '' '' '' '$1,125,000.00 '

'DY11' 'DMPH' 'Northern Inyo Hospital, Bishop' '3.1.1' 'Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Northern Inyo Hospital, Bishop' '3.1.2' 'Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Northern Inyo Hospital, Bishop' '3.1.3' 'National Healthcare Safety Network (NHSN) Antimicrobial Use Measure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Northern Inyo Hospital, Bishop' '3.1.4' 'Peri-operative Prophylactic Antibiotics Administered after Surgical Closure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Northern Inyo Hospital, Bishop' '3.1.5' 'Reduction in Hospital Acquired Clostridium Difficile Infections' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Northern Inyo Hospital, Bishop' '' 'Establish committee to oversee Antibiotic Stewardship activities ' ' ' '' '' '' '' '' '' '' '' '' '$1,485,000.00 '

'DY 11' 'DMPH' 'Northern Inyo Hospital, Bishop' '' 'Develop Antibiotic Stewardship Program Plan' ' ' '' '' '' '' '' '' '' '' '' '$1,485,000.00 '

'DY11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '1.2.1.a' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '1.2.11' 'REAL data completeness' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '1.2.12.f' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '1.2.14.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '1.2.2' 'CG-CAHPS: Provider Rating' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '1.2.3.c' 'Colorectal Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '1.2.4.d' 'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '1.2.5.b' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '1.2.7.i' 'Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '1.2.8' 'Prevention Quality Overall Composite #90' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '1.4.1' 'Abnormal Results Follow-Up: Abnormal Potassium Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '1.4.1' 'Abnormal Results Follow-Up: Abnormal BIRADS Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '1.4.1' 'Abnormal Results Follow-Up: Abnormal INR Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '1.4.2' 'Annual Monitoring for Patients on Persistent Medications' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '1.4.3' 'INR Monitoring for Individuals on Warfarin' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '' 'Complete gap analysis of present process compared to NCQA documentation' ' ' '' '' '' '' '' '' '' '' '' '$333,750.00 '

'DY 11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '' 'Establish support structure for PCMH transformation activities' ' ' '' '' '' '' '' '' '' '' '' '$333,750.00 '

'DY 11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '' 'Perform a needs assessment to determine additional staff requirements' ' ' '' '' '' '' '' '' '' '' '' '$333,750.00 '

'DY 11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '' 'Convene a workgroup to identify REAL data values needed to support PRIME and OVHD patient population' ' ' '' '' '' '' '' '' '' '' '' '$333,750.00 '

'DY 11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '' 'Establish and evaluate new registration scripts used to obtain REAL data ' ' ' '' '' '' '' '' '' '' '' '' '$333,750.00 '

'DY 11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '' 'Identify gaps in reporting and/or communicating abnormal test results' ' ' '' '' '' '' '' '' '' '' '' '$333,750.00 '

'DY 11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '' 'Redesign systems for reporting and/or communicating abnormal test results' ' ' '' '' '' '' '' '' '' '' '' '$333,750.00 '

'DY 11' 'DMPH' 'Oak Valley Hospital District, Oakdale' '' 'Establish new systems and procedures for reporting and/or communicating abnormal test results' ' ' '' '' '' '' '' '' '' '' '' '$333,750.00 '

'DY11' 'DMPH' 'Palo Verde Hospital, Blythe' '1.1.1.a' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palo Verde Hospital, Blythe' '1.1.2' 'Care Coordinator Assignment' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palo Verde Hospital, Blythe' '1.1.3.d' 'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palo Verde Hospital, Blythe' '1.1.4' 'Depression Remission at 12 Months (CMS159v4)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palo Verde Hospital, Blythe' '1.1.5.f' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palo Verde Hospital, Blythe' '1.1.6.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palo Verde Hospital, Blythe' '2.2.1' 'DHCS All-Cause Readmissions' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palo Verde Hospital, Blythe' '2.2.2' 'H-CAHPS: Care Transition Metrics (3)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palo Verde Hospital, Blythe' '2.2.3' 'Medication Reconciliation 30 days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palo Verde Hospital, Blythe' '2.2.4' 'Reconciled Medication List Received by Discharged Patients' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palo Verde Hospital, Blythe' '2.2.5' 'Timely Transmission of Transition Record' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palo Verde Hospital, Blythe' '2.3.1' 'Care Coordinator Assignment' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palo Verde Hospital, Blythe' '2.3.2' 'Medication Reconciliation 30 days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palo Verde Hospital, Blythe' '2.3.3' 'Prevention Quality Overall Composite #90' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palo Verde Hospital, Blythe' '2.3.4' 'Timely Transmission of Transition Record' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Palo Verde Hospital, Blythe' '' 'Appoint 5 staff to develop care management training modules (3 templates for Mini COG, TUG, and PHQ-9)' ' ' '' '' '' '' '' '' '' '' '' '$201,923.07 '

'DY 11' 'DMPH' 'Palo Verde Hospital, Blythe' '' '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 ' ' ' '' '' '' '' '' '' '' '' '' '$201,923.07 '

'DY 11' 'DMPH' 'Palo Verde Hospital, Blythe' '' ' E.H.R. champions (Barbod/Christ) on new E.H.R. System: 2 champions will develop training schedules for all staff' ' ' '' '' '' '' '' '' '' '' '' '$201,923.08 '

'DY 11' 'DMPH' 'Palo Verde Hospital, Blythe' '' 'Develop integrated behavioral health team (3 staff out of 3 departments) to design best practice templates for behavior integration plan' ' ' '' '' '' '' '' '' '' '' '' '$201,923.08 '

'DY 11' 'DMPH' 'Palo Verde Hospital, Blythe' '' 'Develop curriculum for behavior health integration plan ' ' ' '' '' '' '' '' '' '' '' '' '$201,923.08 '

'DY 11' 'DMPH' 'Palo Verde Hospital, Blythe' '' 'Develop 3 tools / templates in 3 departments for clinical PRIME Projects in behavior and care management (PHQ-9, Mini COG, TUG)' ' ' '' '' '' '' '' '' '' '' '' '$201,923.07 '

'DY 11' 'DMPH' 'Palo Verde Hospital, Blythe' '' 'Train 3 departments (A-C) in PRIME Projects for bx health and advance care planning and documentation ' ' ' '' '' '' '' '' '' '' '' '' '$201,923.07 '

'DY 11' 'DMPH' 'Palo Verde Hospital, Blythe' '' 'Review and update referral criteria in specialty advance care by January, 2016' ' ' '' '' '' '' '' '' '' '' '' '$201,923.08 '

'DY 11' 'DMPH' 'Palo Verde Hospital, Blythe' '' 'Identify and establish specialty integrated health care by January, 2016' ' ' '' '' '' '' '' '' '' '' '' '$201,923.08 '

'DY 11' 'DMPH' 'Palo Verde Hospital, Blythe' '' 'Establish specialty behavior health care in ED by January, 2016' ' ' '' '' '' '' '' '' '' '' '' '$201,923.08 '

'DY 11' 'DMPH' 'Palo Verde Hospital, Blythe' '' 'Hire 3 qualified personnel in the primary setting for outpatient clinic' ' ' '' '' '' '' '' '' '' '' '' '$201,923.08 '

'DY 11' 'DMPH' 'Palo Verde Hospital, Blythe' '' 'Develop and plan increase number of appointment visits/encounters by 50%% within DY11 in outpatient clinic' ' ' '' '' '' '' '' '' '' '' '' '$201,923.08 '

'DY 11' 'DMPH' 'Palo Verde Hospital, Blythe' '' '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' ' ' '' '' '' '' '' '' '' '' '' '$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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '1.4.2' 'Annual Monitoring for Patients on Persistent Medications' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '1.4.3' 'INR Monitoring for Individuals on Warfarin' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '1.5.1.b' 'Controlling Blood Pressure' '0' '0' '0' '0' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '1.5.4.t' 'Tobacco Assessment and Counseling' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '1.7.1' 'BMI Screening and Follow-up' '0' '0' '0' '0' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '2.2.1' 'DHCS All-Cause Readmissions' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '2.2.2' 'H-CAHPS: Care Transition Metrics (3)' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '2.2.3' 'Medication Reconciliation 30 days' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '2.2.4' 'Reconciled Medication List Received by Discharged Patients' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '2.2.5' 'Timely Transmission of Transition Record' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '2.3.1' 'Care Coordinator Assignment' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '2.3.2' 'Medication Reconciliation 30 days' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '2.3.3' 'Prevention Quality Overall Composite #90' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '2.3.4' 'Timely Transmission of Transition Record' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '2.7.1' 'Advance Care Plan' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '2.7.2' 'Ambulatory Palliative Care Team Established' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '2.7.3' 'MWM #8: Treatment Preferences (documentation) Inpatient' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '2.7.4' 'MWM #8: Treatment Preferences (documentation) Outpatient' '0' '0' '0' '0' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '3.1.5' 'Reduction in Hospital Acquired Clostridium Difficile Infections' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '3.2.1' 'Imaging for Routine Headaches (Choosing Wisely)' '0' '0' '0' '0' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '3.3.1' 'Adherence to Medications' '0' '0' '0' '0' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '3.3.3' 'High-Cost Pharmaceuticals Ordering Protocols' '0' '0' '0' '0' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '3.4.4' 'ePBM-04 Initial Transfusion Threshold' '0' '0' '0' '0' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '' 'Develop a workflow to measure BMI on lower acuity patients during Triage in the Emergency Department' ' ' '' '' '' '' '' '' '' '' '' '$2,525,000.00 '

'DY 11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '' 'Convene project team regularly' ' ' '' '' '' '' '' '' '' '' '' '$2,525,000.00 '

'DY 11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '' 'Define and identify target population' ' ' '' '' '' '' '' '' '' '' '' '$2,525,000.00 '

'DY 11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '' 'Establish Palliative Care program committee ' ' ' '' '' '' '' '' '' '' '' '' '$2,525,000.00 '

'DY 11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '' 'Convene recurring interdisciplinary clinical pathway workgroup' ' ' '' '' '' '' '' '' '' '' '' '$2,525,000.00 '

'DY 11' 'DMPH' 'Palomar Medical Center, Escondido (including Pomerado Hospital, Poway)' '' 'Convene recurring interdisciplinary utilization steering workgroup' ' ' '' '' '' '' '' '' '' '' '' '$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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '1.4.1' 'Abnormal Results Follow-Up: Abnormal Potassium Follow-up' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '1.4.1' 'Abnormal Results Follow-Up: Abnormal BIRADS Follow-up' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '1.4.2' 'Annual Monitoring for Patients on Persistent Medications' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '1.4.3' 'INR Monitoring for Individuals on Warfarin' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '1.6.1' 'BIRADS to Biopsy' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '1.6.2' 'Breast Cancer Screening' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '1.6.3' 'Cervical Cancer Screening' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '1.6.4.c' 'Colorectal Cancer Screening' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '1.6.5' 'Receipt of appropriate follow-up for abnormal CRC screening' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '2.2.1' 'DHCS All-Cause Readmissions' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '2.2.2' 'H-CAHPS: Care Transition Metrics (3)' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '2.2.3' 'Medication Reconciliation 30 days' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '2.2.4' 'Reconciled Medication List Received by Discharged Patients' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '2.2.5' 'Timely Transmission of Transition Record' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '3.1.1' 'Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '3.1.2' 'Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '3.1.3' 'National Healthcare Safety Network (NHSN) Antimicrobial Use Measure' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '3.1.4' 'Peri-operative Prophylactic Antibiotics Administered after Surgical Closure' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '3.1.5' 'Reduction in Hospital Acquired Clostridium Difficile Infections' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '' 'Select a Transition of Care Program/model' ' ' '' '' '' '' '' '' '' '' '' '$2,310,000.00 '

'DY 11' 'DMPH' 'Pioneers Memorial Healthcare District, Brawley' '' 'Establish an Antibiotic Stewardship Program' '' '' '' '' '' '' '' '' '' '' '$2,310,000.00 '

'DY11' 'DMPH' 'Plumas District Hospital, Quincy' '2.6.1' 'Alcohol and Drug Misuse (SBIRT)' '0' '0' '0' '0' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Plumas District Hospital, Quincy' '2.6.4' 'Screening for Clinical Depression and follow-up' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Plumas District Hospital, Quincy' '2.6.5' 'Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Plumas District Hospital, Quincy' '' 'Develop referral sources for chronic pain specialty services' ' ' '' '' '' '' '' '' '' '' '' '$562,500.00 '

'DY 11' 'DMPH' 'Plumas District Hospital, Quincy' '' 'Develop draft uniform care plan that includes method to track multi-modal referrals and Pain Care Agreement tracking' ' ' '' '' '' '' '' '' '' '' '' '$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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '1.4.1' 'Abnormal Results Follow-Up: Abnormal Potassium Follow-up' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '1.4.1' 'Abnormal Results Follow-Up: Abnormal INR Follow-up' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '1.4.2' 'Annual Monitoring for Patients on Persistent Medications' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '1.4.3' 'INR Monitoring for Individuals on Warfarin' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '1.5.1.b' 'Controlling Blood Pressure' '0' '0' '0' '0' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '1.5.4.t' 'Tobacco Assessment and Counseling' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '1.6.1' 'BIRADS to Biopsy' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '1.6.2' 'Breast Cancer Screening' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '1.6.3' 'Cervical Cancer Screening' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '1.6.4.c' 'Colorectal Cancer Screening' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '1.6.5' 'Receipt of appropriate follow-up for abnormal CRC screening' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '2.2.1' 'DHCS All-Cause Readmissions' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '2.2.2' 'H-CAHPS: Care Transition Metrics (3)' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '2.2.3' 'Medication Reconciliation 30 days' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '2.2.4' 'Reconciled Medication List Received by Discharged Patients' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '2.2.5' 'Timely Transmission of Transition Record' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '2.3.1' 'Care Coordinator Assignment' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '2.3.2' 'Medication Reconciliation 30 days' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '2.3.3' 'Prevention Quality Overall Composite #90' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '2.3.4' 'Timely Transmission of Transition Record' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '2.7.1' 'Advance Care Plan' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '2.7.2' 'Ambulatory Palliative Care Team Established' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '2.7.3' 'MWM #8: Treatment Preferences (documentation) Inpatient' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '2.7.4' 'MWM #8: Treatment Preferences (documentation) Outpatient' '0' '0' '0' '0' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '2.7.6' 'Proportion Admitted to Hospice for Less Than 3 Days' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '3.1.1' 'Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '3.1.2' 'Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '3.1.3' 'National Healthcare Safety Network (NHSN) Antimicrobial Use Measure' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '3.1.4' 'Peri-operative Prophylactic Antibiotics Administered after Surgical Closure' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '3.1.5' 'Reduction in Hospital Acquired Clostridium Difficile Infections' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '3.4.1' 'ePBM-01 Pre-op Anemia Screening, Selected Elective Surgical Patients' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '3.4.2' 'ePBM-02 Pre-op Hemoglobin Level, Selected Elective Surgical Patients' '0' '0' '0' '0' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '3.4.4' 'ePBM-04 Initial Transfusion Threshold' '0' '0' '0' '0' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Perform an analysis on data collection for the Patient Safety in the Ambulatory Setting metrics' ' ' '' '' '' '' '' '' '' '' '' '$363,571.42 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Develop a reporting toolkit for Patient Safety in the Ambulatory Setting metric specifications' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Perform an analysis on data collection for Project 1.5 metrics' ' ' '' '' '' '' '' '' '' '' '' '$363,571.42 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Develop a reporting toolkit for Project 1.5 metric specifications' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Research best practices for cancer screenings and develop a report' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Develop a project charter for the Project 1.6 PRIME team responsible for leading and implementing clinical protocols' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Perform gap analysis of cancer screening protocols and develop associated action items for clinical protocol improvement' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Develop a transitional care management team with four roles and outlined responsibilities' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Develop report of care transitions process based on staff interviews' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Conduct an assessment of community resources working relationship with the SVMHS care transitions team' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Research emergency department utilization of PRIME population with diabetes and develop report of patients based on stratifying factors and location' ' ' '' '' '' '' '' '' '' '' '' '$363,571.42 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Create a hot spot map of high utilizers' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Research best practices in palliative care and create report' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Develop a project charter for PRIME project 2.7 team responsible for updating and implementing new clinical protocols' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Conduct gap analysis of existing palliative care protocols and create list of action items for clinical improvements' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Create a project charter for PRIME project 3.1 team responsible for improving antibiotic stewardship' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Research best practices in antibiotic stewardship and create a report' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Perform a gap analysis of existing antibiotic protocols including list of action items' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Create a project charter for PRIME project 3.4 team responsible for clinical protocol updates and implementation' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Research best practices in blood product stewardship and create a report' ' ' '' '' '' '' '' '' '' '' '' '$363,571.43 '

'DY 11' 'DMPH' 'Salinas Valley Memorial Healthcare System' '' 'Perform gap analysis of existing blood product protocols including list of action items' ' ' '' '' '' '' '' '' '' '' '' '$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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'San Bernardino Mountains Community Hospital, Lake Arrowhead' '1.4.1' 'Abnormal Results Follow-Up: Abnormal BIRADS Follow-up' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'San Bernardino Mountains Community Hospital, Lake Arrowhead' '1.4.1' 'Abnormal Results Follow-Up: Abnormal INR Follow-up' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'San Bernardino Mountains Community Hospital, Lake Arrowhead' '1.4.2' 'Annual Monitoring for Patients on Persistent Medications' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'San Bernardino Mountains Community Hospital, Lake Arrowhead' '1.4.3' 'INR Monitoring for Individuals on Warfarin' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'San Bernardino Mountains Community Hospital, Lake Arrowhead' '' 'Complete workforce gap analysis' ' ' '' '' '' '' '' '' '' '' '' '$375,000.00 '

'DY 11' 'DMPH' 'San Bernardino Mountains Community Hospital, Lake Arrowhead' '' 'Establish PRIME project workgroup' ' ' '' '' '' '' '' '' '' '' '' '$375,000.00 '

'DY 11' 'DMPH' 'San Bernardino Mountains Community Hospital, Lake Arrowhead' '' 'Complete Data System analysis' ' ' '' '' '' '' '' '' '' '' '' '$375,000.00 '

'DY11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '1.7.1' 'BMI Screening and Follow-up' '0' '0' '0' '0' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '2.2.1' 'DHCS All-Cause Readmissions' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '2.2.2' 'H-CAHPS: Care Transition Metrics (3)' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '2.2.3' 'Medication Reconciliation 30 days' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '2.2.4' 'Reconciled Medication List Received by Discharged Patients' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '2.2.5' 'Timely Transmission of Transition Record' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '3.1.1' 'Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '3.1.2' 'Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '3.1.3' 'National Healthcare Safety Network (NHSN) Antimicrobial Use Measure' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '3.1.4' 'Peri-operative Prophylactic Antibiotics Administered after Surgical Closure' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '3.1.5' 'Reduction in Hospital Acquired Clostridium Difficile Infections' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '' 'Assess Staffing Needs for Establishing Weight Management Program for Adults and Healthy Children and Families Program ' ' ' '' '' '' '' '' '' '' '' '' '$291,666.67 '

'DY 11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '' 'Assess Staffing Needs Assessment for Establishing a Care Transitions Team' ' ' '' '' '' '' '' '' '' '' '' '$291,666.66 '

'DY 11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '' 'Identify Post Discharge Resources' ' ' '' '' '' '' '' '' '' '' '' '$291,666.66 '

'DY 11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '' 'Create workgroup to perform needed enhancements in the Cardiopulmonary Department relative to our current EMR' ' ' '' '' '' '' '' '' '' '' '' '$291,666.67 '

'DY 11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '' 'Develop Policies and Procedures for Selection of Cardiopulmonary Rehabilitation Patients' ' ' '' '' '' '' '' '' '' '' '' '$291,666.67 '

'DY 11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '' 'Convene workgroup with clinical staff and IT to determine capabilities of tele-health monitoring' ' ' '' '' '' '' '' '' '' '' '' '$291,666.67 '

'DY 11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '' 'Identify and establish contract with service provider for a tele-health program' ' ' '' '' '' '' '' '' '' '' '' '$291,666.67 '

'DY 11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '' 'Convene a multidisciplinary workgroup ' ' ' '' '' '' '' '' '' '' '' '' '$291,666.66 '

'DY 11' 'DMPH' 'San Gorgonio Memorial Hospital, Banning' '' 'Develop ASP Policies and Procedures' ' ' '' '' '' '' '' '' '' '' '' '$291,666.67 '

'DY11' 'DMPH' 'Seneca Healthcare District, Chester' '2.2.1' 'DHCS All-Cause Readmissions' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Seneca Healthcare District, Chester' '2.2.2' 'H-CAHPS: Care Transition Metrics (3)' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Seneca Healthcare District, Chester' '2.2.3' 'Medication Reconciliation 30 days' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Seneca Healthcare District, Chester' '2.2.4' 'Reconciled Medication List Received by Discharged Patients' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Seneca Healthcare District, Chester' '2.2.5' 'Timely Transmission of Transition Record' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Seneca Healthcare District, Chester' '' 'Employ a Full-Time Care Coordinator ' ' ' '' '' '' '' '' '' '' '' '' '$1,125,000.00 '

'DY11' 'DMPH' 'Sierra View District Hospital, Porterville' '1.7.1' 'BMI Screening and Follow-up' '0' '0' '0' '0' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sierra View District Hospital, Porterville' '2.2.1' 'DHCS All-Cause Readmissions' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sierra View District Hospital, Porterville' '2.2.2' 'H-CAHPS: Care Transition Metrics (3)' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sierra View District Hospital, Porterville' '2.2.3' 'Medication Reconciliation 30 days' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sierra View District Hospital, Porterville' '2.2.4' 'Reconciled Medication List Received by Discharged Patients' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sierra View District Hospital, Porterville' '2.2.5' 'Timely Transmission of Transition Record' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sierra View District Hospital, Porterville' '2.3.1' 'Care Coordinator Assignment' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sierra View District Hospital, Porterville' '2.3.2' 'Medication Reconciliation 30 days' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sierra View District Hospital, Porterville' '2.3.3' 'Prevention Quality Overall Composite #90' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sierra View District Hospital, Porterville' '2.3.4' 'Timely Transmission of Transition Record' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sierra View District Hospital, Porterville' '2.7.1' 'Advance Care Plan' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sierra View District Hospital, Porterville' '2.7.2' 'Ambulatory Palliative Care Team Established' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sierra View District Hospital, Porterville' '2.7.3' 'MWM #8: Treatment Preferences (documentation) Inpatient' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sierra View District Hospital, Porterville' '2.7.4' 'MWM #8: Treatment Preferences (documentation) Outpatient' '0' '0' '0' '0' '' '' '' '' '' '' ''

'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' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sierra View District Hospital, Porterville' '2.7.6' 'Proportion Admitted to Hospice for Less Than 3 Days' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Sierra View District Hospital, Porterville' '' 'Establish Project team' ' ' '' '' '' '' '' '' '' '' '' '$705,000.00 '

'DY 11' 'DMPH' 'Sierra View District Hospital, Porterville' '' 'Establish Population Health Committee' ' ' '' '' '' '' '' '' '' '' '' '$705,000.00 '

'DY 11' 'DMPH' 'Sierra View District Hospital, Porterville' '' 'Develop processes for care transitions' ' ' '' '' '' '' '' '' '' '' '' '$705,000.00 '

'DY 11' 'DMPH' 'Sierra View District Hospital, Porterville' '' 'Determine patient membership and engagement in program design' ' ' '' '' '' '' '' '' '' '' '' '$705,000.00 '

'DY 11' 'DMPH' 'Sierra View District Hospital, Porterville' '' 'Select patients to participate in Population Health Committee' ' ' '' '' '' '' '' '' '' '' '' '$705,000.00 '

'DY 11' 'DMPH' 'Sierra View District Hospital, Porterville' '' 'Define target populations with Data/Documentation team' ' ' '' '' '' '' '' '' '' '' '' '$705,000.00 '

'DY 11' 'DMPH' 'Sierra View District Hospital, Porterville' '' 'Complete system and data reporting analysis to determine changes necessary to capture baseline reporting and metrics' ' ' '' '' '' '' '' '' '' '' '' '$705,000.00 '

'DY 11' 'DMPH' 'Sierra View District Hospital, Porterville' '' 'Conduct an EMR gap analysis on scheduling patients for follow up' ' ' '' '' '' '' '' '' '' '' '' '$705,000.00 '

'DY 11' 'DMPH' 'Sierra View District Hospital, Porterville' '' 'Develop partnerships with community and provider resources including Hospice' ' ' '' '' '' '' '' '' '' '' '' '$705,000.00 '

'DY 11' 'DMPH' 'Sierra View District Hospital, Porterville' '' 'Implement referral process for hospice services' ' ' '' '' '' '' '' '' '' '' '' '$705,000.00 '

'DY11' 'DMPH' 'Sonoma Valley Hospital, Sonoma' '2.2.1' 'DHCS All-Cause Readmissions' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sonoma Valley Hospital, Sonoma' '2.2.2' 'H-CAHPS: Care Transition Metrics (3)' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sonoma Valley Hospital, Sonoma' '2.2.3' 'Medication Reconciliation 30 days' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sonoma Valley Hospital, Sonoma' '2.2.4' 'Reconciled Medication List Received by Discharged Patients' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sonoma Valley Hospital, Sonoma' '2.2.5' 'Timely Transmission of Transition Record' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Sonoma Valley Hospital, Sonoma' '' 'Expand Case Management model to include ED/Community Case Management' ' ' '' '' '' '' '' '' '' '' '' '$562,500.00 '

'DY 11' 'DMPH' 'Sonoma Valley Hospital, Sonoma' '' 'Develop standardized workflows for inpatient discharge care that includes the integration of Community Health Coaches' ' ' '' '' '' '' '' '' '' '' '' '$562,500.00 '

'DY11' 'DMPH' 'Sonoma West Medical Center, Sebastopol' '2.2.1' 'DHCS All-Cause Readmissions' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sonoma West Medical Center, Sebastopol' '2.2.2' 'H-CAHPS: Care Transition Metrics (3)' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sonoma West Medical Center, Sebastopol' '2.2.3' 'Medication Reconciliation 30 days' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sonoma West Medical Center, Sebastopol' '2.2.4' 'Reconciled Medication List Received by Discharged Patients' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Sonoma West Medical Center, Sebastopol' '2.2.5' 'Timely Transmission of Transition Record' '0' '0' '0' '0' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Sonoma West Medical Center, Sebastopol' '' 'Creation of Steering Committee with applicable partners by June 30, 2016' ' ' '' '' '' '' '' '' '' '' '' '$562,500.00 '

'DY 11' 'DMPH' 'Sonoma West Medical Center, Sebastopol' '' 'Identify all post-acute facilities of this kind within SWMCs service area by 6/30/16' ' ' '' '' '' '' '' '' '' '' '' '$562,500.00 '

'DY11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '1.2.1.a' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '1.2.11' 'REAL data completeness' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '1.2.12.f' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '1.2.14.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '1.2.2' 'CG-CAHPS: Provider Rating' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '1.2.3.c' 'Colorectal Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '1.2.4.d' 'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '1.2.5.b' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '1.2.7.i' 'Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '1.2.8' 'Prevention Quality Overall Composite #90' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '1.6.1' 'BIRADS to Biopsy' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '1.6.2' 'Breast Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '1.6.3' 'Cervical Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '1.6.4.c' 'Colorectal Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '1.6.5' 'Receipt of appropriate follow-up for abnormal CRC screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Southern Inyo Hospital, Lone Pine' '' 'Purchase Open Vista EHR' ' ' '' '' '' '' '' '' '' '' '' '$1,125,000.00 '

'DY11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '1.5.1.b' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '1.5.2.i' 'Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '1.5.4.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '2.6.1' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '2.6.3' 'Patients with chronic pain on long term opioid therapy checked in PDMPs' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '2.6.4' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '2.6.5' 'Treatment of Chronic Non-Malignant Pain with Multi-Modal Therapy' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Recruit Advisory Group Members and establish meeting schedule for Million Hearts Initiative' ' ' '' '' '' '' '' '' '' '' '' '$60,714.28 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Educate Advisory members on program policy and intervention of Million Hearts Initiative' ' ' '' '' '' '' '' '' '' '' '' '$60,714.28 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Adopt Million Heart Screening assessments and Algorithms Conduct Workforce Gap Analysis to assess needs to successfully carryout the Million Heart Initiative' ' ' '' '' '' '' '' '' '' '' '' '$60,714.28 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Develop and/or revise Job Descriptions for 1 care coordinator, 1 provider champion, and 1 program manager ' ' ' '' '' '' '' '' '' '' '' '' '$60,714.29 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Hire Staff1 care coordinator, 1 provider champion, and 1 program manager by May 30, 2016 ' ' ' '' '' '' '' '' '' '' '' '' '$60,714.29 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' '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)' ' ' '' '' '' '' '' '' '' '' '' '$60,714.29 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Increase access to Healthy Choices in TFHD hospital vending machines' ' ' '' '' '' '' '' '' '' '' '' '$60,714.29 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Develop policies and procedures for care coordination referrals specific to the chronic non-malignant pain management project' ' ' '' '' '' '' '' '' '' '' '' '$60,714.28 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Recruit and Establish a Chronic Pain Advisory Group ' ' ' '' '' '' '' '' '' '' '' '' '$60,714.28 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Establish a baseline timeline to list project plan chronologically and set Chronic Pain Advisory Group meetings' ' ' '' '' '' '' '' '' '' '' '' '$60,714.28 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Key Stakeholders set outcome objectives for for PRIME project 2.6 throughout the duration of the project chronic pain management group ' ' ' '' '' '' '' '' '' '' '' '' '$60,714.28 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Complete Strengths Weaknesses Opportunities Treats (SWOT) Analysis to evaluate current capacity to execute prime project 2.6 and help prioritize strategies through group input' ' ' '' '' '' '' '' '' '' '' '' '$60,714.28 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Conduct a Workforce Gap Analysis to assess needs to successfully carryout the chronic non-malignant pain management project (2.6)' ' ' '' '' '' '' '' '' '' '' '' '$60,714.28 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Develop and/or revise job descriptions with core responsibilities, recruit/retain candidates, interview candidates specific to the chronic non-malignant pain management project' ' ' '' '' '' '' '' '' '' '' '' '$60,714.29 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Hire staff 1 Program Manager, 1 Care Coordinator, 1 LMFT specific to the chronic non-malignant pain management project' ' ' '' '' '' '' '' '' '' '' '' '$60,714.29 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Identify distress screening tool for Depression screens ' ' ' '' '' '' '' '' '' '' '' '' '$60,714.29 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Create a depression screening policy to include positive outcome specific to the chronic non-malignant pain management project ' ' ' '' '' '' '' '' '' '' '' '' '$60,714.29 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Research and identify model for Chronic Pain programs regarding participatory education and consultation for providers ' ' ' '' '' '' '' '' '' '' '' '' '$60,714.29 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Enlist Provider Champion to research Safe Prescribe Practices ' ' ' '' '' '' '' '' '' '' '' '' '$60,714.29 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Advisory group will identify and select evidenced based medication agreement that aligns with CMS guidelines ' ' ' '' '' '' '' '' '' '' '' '' '$60,714.29 '

'DY 11' 'DMPH' 'Tahoe Forest Hospital District, Truckee' '' 'Disperse Safe Prescribe Education materials to ED and Health clinics' ' ' '' '' '' '' '' '' '' '' '' '$60,714.29 '

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.1.1.a' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.1.2' 'Care Coordinator Assignment' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.1.3.d' 'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.1.4' 'Depression Remission at 12 Months (CMS159v4)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.1.5.f' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.1.6.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.4.1' 'Abnormal Results Follow-Up: Abnormal Potassium Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.4.1' 'Abnormal Results Follow-Up: Abnormal BIRADS Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.4.1' 'Abnormal Results Follow-Up: Abnormal INR Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.4.2' 'Annual Monitoring for Patients on Persistent Medications' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.4.3' 'INR Monitoring for Individuals on Warfarin' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.5.1.b' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.5.2.i' 'Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.5.4.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.6.1' 'BIRADS to Biopsy' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.6.2' 'Breast Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.6.3' 'Cervical Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.6.4.c' 'Colorectal Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.6.5' 'Receipt of appropriate follow-up for abnormal CRC screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.7.1' 'BMI Screening and Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '1.7.2' 'Partnership for a Healthier Americas Hospital Health Food Initiative external food service verification' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.1.1' 'Baby Friendly Hospital designation' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.1.2' 'Exclusive Breast Milk Feeding (PC-05)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.1.3' 'OB Hemorrhage: Massive Transfusion' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.1.4' 'OB Hemorrhage: Total Products Transfused' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.1.5' 'PC-02 Cesarean Section' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.1.6' 'Prenatal and Postpartum Care: Postpartum Care' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.1.6' 'Prenatal and Postpartum Care: Prenatal Care' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.1.7' 'Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.1.8' 'Unexpected Newborn Complications (UNC)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.1.9' 'OB Hemorrhage Safety Bundle' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.2.1' 'DHCS All-Cause Readmissions' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.2.2' 'H-CAHPS: Care Transition Metrics (3)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.2.3' 'Medication Reconciliation 30 days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.2.4' 'Reconciled Medication List Received by Discharged Patients' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.2.5' 'Timely Transmission of Transition Record' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.3.1' 'Care Coordinator Assignment' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.3.2' 'Medication Reconciliation 30 days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.3.3' 'Prevention Quality Overall Composite #90' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.3.4' 'Timely Transmission of Transition Record' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.5.1' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.5.2' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.5.3' 'Prevention Quality Overall Composite #90' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.5.4' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.5.5' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.7.1' 'Advance Care Plan' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.7.2' 'Ambulatory Palliative Care Team Established' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.7.3' 'MWM #8: Treatment Preferences (documentation) Inpatient' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.7.4' 'MWM #8: Treatment Preferences (documentation) Outpatient' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.7.5' 'Palliative Care Service Offered at Time of Diagnosis of Advanced Illness' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '2.7.6' 'Proportion Admitted to Hospice for Less Than 3 Days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '3.1.1' 'Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '3.1.2' 'Avoidance of Antibiotic Treatment with Low Colony Urinary Cultures' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '3.1.3' 'National Healthcare Safety Network (NHSN) Antimicrobial Use Measure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '3.1.4' 'Peri-operative Prophylactic Antibiotics Administered after Surgical Closure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tri-City Medical Center, Oceanside' '3.1.5' 'Reduction in Hospital Acquired Clostridium Difficile Infections' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Tri-City Medical Center, Oceanside' '' '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' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'Tri-City Medical Center, Oceanside' '' 'Identify space to provide nutritional counseling to patients' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'Tri-City Medical Center, Oceanside' '' 'Collect and analyze data-specific elements associated with perinatal measures from the EHR' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'Tri-City Medical Center, Oceanside' '' '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' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'Tri-City Medical Center, Oceanside' '' 'Prepare evidence-based educational material for provider and staff education regarding appropriate labor induction criteria' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'Tri-City Medical Center, Oceanside' '' 'Conduct a qualitative assessment of a pilot program using a wireless home monitoring system for high-risk patients' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'Tri-City Medical Center, Oceanside' '' 'Identify, select technology to rate patients at high-risk for readmission and analyze performance of remote monitoring solution being utilized for pilot program' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'Tri-City Medical Center, Oceanside' '' 'Identify referral management solutions that enables improved decision making for patients and families regarding post-acute care' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'Tri-City Medical Center, Oceanside' '' 'Conduct feasibility study of utilizing pharmacy intern to perform medication reconciliation' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'Tri-City Medical Center, Oceanside' '' 'Conduct analysis of TCHD acute care utilization and readmissions rate ' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'Tri-City Medical Center, Oceanside' '' 'Create and convene multi-disciplinary supportive care team that may include hospital staff, community-based hospice, home health care and medical providers' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'Tri-City Medical Center, Oceanside' '' 'Develop educational plan and educate direct service providers to the supportive care network and process' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'Tri-City Medical Center, Oceanside' '' 'Identify and select technology to provide real-time data reporting and reports generation from Cerner (EHR) for pharmacy and infection control' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'Tri-City Medical Center, Oceanside' '' 'Identify members to participate in the Antimicrobial Stewardship Committee (ASC)' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY 11' 'DMPH' 'Tri-City Medical Center, Oceanside' '' 'Conduct a review the current best practices and guidelines to identify appropriate antimicrobial stewardship interventions' ' ' '' '' '' '' '' '' '' '' '' '$702,000.00 '

'DY11' 'DMPH' 'Trinity Hospital, Weaverville' '1.4.1' 'Abnormal Results Follow-Up: Abnormal BIRADS Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Trinity Hospital, Weaverville' '1.4.1' 'Abnormal Results Follow-Up: Abnormal Potassium Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Trinity Hospital, Weaverville' '1.4.1' 'Abnormal Results Follow-Up: Abnormal INR Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Trinity Hospital, Weaverville' '1.4.2' 'Annual Monitoring for Patients on Persistent Medications' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Trinity Hospital, Weaverville' '1.4.3' 'INR Monitoring for Individuals on Warfarin' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Trinity Hospital, Weaverville' '1.6.1' 'BIRADS to Biopsy' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Trinity Hospital, Weaverville' '1.6.2' 'Breast Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Trinity Hospital, Weaverville' '1.6.3' 'Cervical Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Trinity Hospital, Weaverville' '1.6.4.c' 'Colorectal Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Trinity Hospital, Weaverville' '1.6.5' 'Receipt of appropriate follow-up for abnormal CRC screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Trinity Hospital, Weaverville' '' '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' ' ' '' '' '' '' '' '' '' '' '' '$562,500.00 '

'DY 11' 'DMPH' 'Trinity Hospital, Weaverville' '' 'Patient Care Coordinator job development with Human Resources and Manager of Clinics and recruitment of new employee' ' ' '' '' '' '' '' '' '' '' '' '$562,500.00 '

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.1.1.a' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.1.2' 'Care Coordinator Assignment' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.1.3.d' 'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.1.4' 'Depression Remission at 12 Months (CMS159v4)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.1.5.f' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.1.6.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.2.1.a' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.2.11' 'REAL data completeness' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.2.12.f' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.2.14.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.2.2' 'CG-CAHPS: Provider Rating' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.2.3.c' 'Colorectal Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.2.4.d' 'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.2.5.b' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.2.7.i' 'Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.2.8' 'Prevention Quality Overall Composite #90' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.4.1' 'Abnormal Results Follow-Up: Abnormal INR Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.4.1' 'Abnormal Results Follow-Up: Abnormal Potassium Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.4.1' 'Abnormal Results Follow-Up: Abnormal BIRADS Follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.4.2' 'Annual Monitoring for Patients on Persistent Medications' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.4.3' 'INR Monitoring for Individuals on Warfarin' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.5.1.b' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.5.2.i' 'Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic' '0' '' '0' '' '' '' '' '' '' '' ''

'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' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.5.4.t' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.6.1' 'BIRADS to Biopsy' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.6.2' 'Breast Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.6.3' 'Cervical Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.6.4.c' 'Colorectal Cancer Screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '1.6.5' 'Receipt of appropriate follow-up for abnormal CRC screening' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '2.5.1' 'Alcohol and Drug Misuse (SBIRT)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '2.5.2' 'Controlling Blood Pressure' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '2.5.3' 'Prevention Quality Overall Composite #90' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '2.5.4' 'Screening for Clinical Depression and follow-up' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '2.5.5' 'Tobacco Assessment and Counseling' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '' 'Implement PHQ screenings as part of the primary care visit' ' ' '' '' '' '' '' '' '' '' '' '$1,147,500.00 '

'DY 11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '' 'Implement standard of care measures- retinal screenings' ' ' '' '' '' '' '' '' '' '' '' '$1,147,500.00 '

'DY 11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '' 'Create panel of management/ care coordination roles and responsibilities' ' ' '' '' '' '' '' '' '' '' '' '$1,147,500.00 '

'DY 11' 'DMPH' 'Tulare Regional Medical Center, Tulare' '' 'Perform manual chart extractions to obtain baseline data' ' ' '' '' '' '' '' '' '' '' '' '$1,147,500.00 '

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.1.1' 'Baby Friendly Hospital designation' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.1.2' 'Exclusive Breast Milk Feeding (PC-05)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.1.3' 'OB Hemorrhage: Massive Transfusion' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.1.4' 'OB Hemorrhage: Total Products Transfused' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.1.5' 'PC-02 Cesarean Section' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.1.6' 'Prenatal and Postpartum Care: Postpartum Care' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.1.6' 'Prenatal and Postpartum Care: Prenatal Care' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.1.7' 'Severe Maternal Morbidity (SMM) per 100 women with obstetric hemorrhage' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.1.8' 'Unexpected Newborn Complications (UNC)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.1.9' 'OB Hemorrhage Safety Bundle' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.7.1' 'Advance Care Plan' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.7.2' 'Ambulatory Palliative Care Team Established' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.7.3' 'MWM #8: Treatment Preferences (documentation) Inpatient' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.7.4' 'MWM #8: Treatment Preferences (documentation) Outpatient' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.7.5' 'Palliative Care Service Offered at Time of Diagnosis of Advanced Illness' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '2.7.6' 'Proportion Admitted to Hospice for Less Than 3 Days' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '3.2.1' 'Imaging for Routine Headaches (Choosing Wisely)' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '3.2.2' 'Appropriate Emergency Department Utilization of CT for Pulmonary Embolism' '0' '' '0' '' '' '' '' '' '' '' ''

'DY11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '3.2.3' 'Use of Imaging Studies for Low Back Pain' '0' '' '0' '' '' '' '' '' '' '' ''

'DY 11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '' 'Convene a Prenatal Diagnostic Clinic workgroup to discuss implementation of PRIME project and necessary resources' ' ' '' '' '' '' '' '' '' '' '' '$1,910,000.00 '

'DY 11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '' 'Establish an Inpatient Palliative Care Program using a multidisciplinary, team-based approach' ' ' '' '' '' '' '' '' '' '' '' '$1,910,000.00 '

'DY 11' 'DMPH' 'Washington Hospital Healthcare System, Fremont' '' 'Convene Imaging workgroup to discuss implementation of PRIME project and necessary resources' ' ' '' '' '' '' '' '' '' '' '' '$1,910,000.00 '