Table: quality_incentive_pool_qip_program_data_new_py4_data_re_bd4a1734

py	dph_dmph	hospital	number	abbreviation	title	report_status	baseline_rate	baseline_rate_annotation_code	target_rate	target_rate_annotation_code	numerator	numerator_annotation_code	denominator	denominator_annotation_code	achievement_rate	achievement_rate_annotation_code	achievement_value
'PY4'	'DPH'	'Alameda Health System'	'Q-BH3'	'Q-FUA'	'Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'Alameda Health System'	'Q-BH3'	'Q-FUA'	'30 Days'	'Reported'	''	''	'0.2066'	''	'63'	'0'	'326'	'0'	'0.1933'	'0'	'N/A'
'PY4'	'DPH'	'Alameda Health System'	'Q-BH3'	'Q-FUA'	'7 Days'	'Reported'	''	''	'0.1583'	''	'49'	'0'	'326'	'0'	'0.1503'	'0'	'N/A'
'PY4'	'DPH'	'Alameda Health System'	'Q-CAC2'	'Q-QPP118 '	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.9144'	''	'371'	'0'	'406'	'0'	'0.9138'	'0'	'N/A'
'PY4'	'DPH'	'Alameda Health System'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.9199'	''	'911'	'0'	'975'	'0'	'0.9344'	'0'	'N/A'
'PY4'	'DPH'	'Alameda Health System'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.8775'	''	'622'	'0'	'637'	'0'	'0.9765'	'0'	'N/A'
'PY4'	'DPH'	'Alameda Health System'	'Q-CAC5'	'Q-CMS347'	'Statin Therapy for the Prevention and Treatment of Cardiovascular Disease'	'Reported'	''	''	'0.7761'	''	'3662'	'0'	'4761'	'0'	'0.7692'	'0'	'N/A'
'PY4'	'DPH'	'Alameda Health System'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.4676'	''	'1952'	'0'	'3244'	'0'	'0.6017'	'0'	'N/A'
'PY4'	'DPH'	'Alameda Health System'	'Q-IHE1'	'Q-IHE1'	'Improving Health Equity 1 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Alameda Health System'	'Q-IHE1'	'Q-IHE1'	'Childhood Immunization Status (CIS 10) - -Black/African American'	'Reported'	''	''	'0.3207'	''	'27'	'0'	'91'	'0'	'0.2967'	'0'	'N/A'
'PY4'	'DPH'	'Alameda Health System'	'Q-IHE2'	'Q-IHE2'	'Improving Health Equity 2 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Alameda Health System'	'Q-IHE2'	'Q-IHE2'	'Exclusive Breast Milk Feeding (PC-05) - -Asian'	'Reported'	''	''	'0.6436'	''	'29'	'0'	'46'	'0'	'0.6304'	'0'	'N/A'
'PY4'	'DPH'	'Alameda Health System'	'Q-MPH6'	'Q-PRS-E'	'Prenatal Immunization Status'	'Reported'	''	''	'0.4544'	''	'281'	'0'	'619'	'0'	'0.454'	'0'	'N/A'
'PY4'	'DPH'	'Alameda Health System'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.6834'	''	'16683'	'0'	'24553'	'0'	'0.6795'	'0'	'N/A'
'PY4'	'DPH'	'Alameda Health System'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.7214'	''	'14394'	'0'	'20513'	'0'	'0.7017'	'0'	'N/A'
'PY4'	'DPH'	'Alameda Health System'	'Q-PS5'	'Q-SSI'	'Surgical Site Infection (SSI)'	'Reported'	''	''	'0'	''	'28'	'0'	''	'4'	''	'4'	'N/A'
'PY4'	'DMPH'	'Antelope Valley Hospital'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.8775'	''	'273'	'0'	'306'	'0'	'0.8922'	'0'	'N/A'
'PY4'	'DMPH'	'Antelope Valley Hospital'	'Q-IHE1'	'Q-IHE1'	'Improving Health Equity 1 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DMPH'	'Antelope Valley Hospital'	'Q-IHE1'	'Q-IHE1'	'Exclusive Breast Milk Feeding (PC-05) - -Black/African American'	'Reported'	''	''	'0.5331'	''	'33'	'0'	'65'	'0'	'0.5077'	'0'	'N/A'
'PY4'	'DMPH'	'Antelope Valley Hospital'	'Q-IHE2'	'Q-IHE2'	'Improving Health Equity 2 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DMPH'	'Antelope Valley Hospital'	'Q-IHE2'	'Q-IHE2'	'Cesarean Birth (PC02-CH) - -Black/African American'	'Reported'	''	''	'0.2481'	''	'36'	'0'	'140'	'0'	'0.2571'	'0'	'N/A'
'PY4'	'DMPH'	'Antelope Valley Hospital'	'Q-OA4'	'Q-LBP'	'Use of Imaging Studies for Low Back Pain (LBP)'	'Reported'	''	''	'0.7133'	''	'390'	'0'	'1207'	'0'	'0.3231'	'0'	'N/A'
'PY4'	'DMPH'	'Antelope Valley Hospital'	'Q-PS1'	'Q-STK-2'	'Discharged on Antithrombotic Therapy'	'Reported'	''	''	'0.9959'	''	'215'	'0'	'216'	'0'	'0.9954'	'0'	'N/A'
'PY4'	'DPH'	'Arrowhead Regional Medical Center'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.6978'	''	'51'	'0'	'235'	'0'	'0.217'	'0'	'N/A'
'PY4'	'DPH'	'Arrowhead Regional Medical Center'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.7637'	''	'85'	'0'	'235'	'0'	'0.3617'	'0'	'N/A'
'PY4'	'DPH'	'Arrowhead Regional Medical Center'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.7587'	''	'738'	'0'	'990'	'0'	'0.7455'	'0'	'N/A'
'PY4'	'DPH'	'Arrowhead Regional Medical Center'	'Q-CAD3'	'Q-KED '	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.4676'	''	'1262'	'0'	'2374'	'0'	'0.5316'	'0'	'N/A'
'PY4'	'DPH'	'Arrowhead Regional Medical Center'	'Q-CC1'	'Q-TRC'	'Transitions of Care (TRC)'	'Reported'	''	''	'0.78'	''	'716'	'0'	'720'	'0'	'0.9944'	'0'	'N/A'
'PY4'	'DPH'	'Arrowhead Regional Medical Center'	'Q-IHE1'	'Q-IHE1'	'Improving Health Equity 1 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Arrowhead Regional Medical Center'	'Q-IHE1'	'Q-IHE1'	'Immunizations for Adolescents - -Black/African American'	'Reported'	''	''	'0.309'	''	''	'1'	'33'	'0'	''	'1'	'N/A'
'PY4'	'DPH'	'Arrowhead Regional Medical Center'	'Q-IHE2'	'Q-IHE2'	'Improving Health Equity 2 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Arrowhead Regional Medical Center'	'Q-IHE2'	'Q-IHE2'	'Child and Adolescent Well Care Visits - -Black/African American'	'Reported'	''	''	'0.4915'	''	'316'	'0'	'662'	'0'	'0.4773'	'0'	'N/A'
'PY4'	'DPH'	'Arrowhead Regional Medical Center'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.2933'	''	'3752'	'0'	'15246'	'0'	'0.2461'	'0'	'N/A'
'PY4'	'DPH'	'Arrowhead Regional Medical Center'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.8826'	''	'13075'	'0'	'14844'	'0'	'0.8808'	'0'	'N/A'
'PY4'	'DPH'	'Arrowhead Regional Medical Center'	'Q-PC15'	'Q-WCC'	'Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'Arrowhead Regional Medical Center'	'Q-PC15'	'Q-WCC'	'BMI'	'Reported'	''	''	'0.7587'	''	'3479'	'0'	'4663'	'0'	'0.7461'	'0'	'N/A'
'PY4'	'DPH'	'Arrowhead Regional Medical Center'	'Q-PC15'	'Q-WCC'	'Counseling for Nutrition'	'Reported'	''	''	'0.6651'	''	'3019'	'0'	'4663'	'0'	'0.6474'	'0'	'N/A'
'PY4'	'DPH'	'Arrowhead Regional Medical Center'	'Q-PC15'	'Q-WCC'	'Counseling for Physical Activity'	'Reported'	''	''	'0.6466'	''	'2939'	'0'	'4663'	'0'	'0.6303'	'0'	'N/A'
'PY4'	'DMPH'	'Bear Valley Community Hospital'	'Q-OA3'	'Q-QPP415'	'Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older'	'Reported'	''	''	'0.86'	''	'64'	'0'	'75'	'0'	'0.8533'	'0'	'N/A'
'PY4'	'DMPH'	'Bear Valley Community Hospital'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.5938'	''	'940'	'0'	'1679'	'0'	'0.5599'	'0'	'N/A'
'PY4'	'DMPH'	'Bear Valley Community Hospital'	'Q-PC16'	'Q-W30'	'15 Months-30 Months'	'Reported'	''	''	'0.6643'	''	'18'	'0'	'52'	'0'	'0.3462'	'0'	'N/A'
'PY4'	'DMPH'	'Bear Valley Community Hospital'	'Q-PC16'	'Q-W30'	'Well-Child Visits in the First 30 Months of Life (W30)'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DMPH'	'Bear Valley Community Hospital'	'Q-PC16'	'Q-W30'	'First 15 Months'	'Reported'	''	''	'0.4499'	''	''	'1'	'67'	'0'	''	'1'	'N/A'
'PY4'	'DPH'	'Contra Costa Regional Medical Center'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.8621'	''	'1038'	'0'	'1213'	'0'	'0.8557'	'0'	'N/A'
'PY4'	'DPH'	'Contra Costa Regional Medical Center'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.8925'	''	'2428'	'0'	'2730'	'0'	'0.8894'	'0'	'N/A'
'PY4'	'DPH'	'Contra Costa Regional Medical Center'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.8775'	''	'654'	'0'	'736'	'0'	'0.8886'	'0'	'N/A'
'PY4'	'DPH'	'Contra Costa Regional Medical Center'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.4676'	''	'3762'	'0'	'6319'	'0'	'0.5953'	'0'	'N/A'
'PY4'	'DPH'	'Contra Costa Regional Medical Center'	'Q-MPH6'	'Q-PRS-E'	'Prenatal Immunization Status'	'Reported'	''	''	'0.4576'	''	'468'	'0'	'870'	'0'	'0.5379'	'0'	'N/A'
'PY4'	'DPH'	'Contra Costa Regional Medical Center'	'Q-OA4'	'Q-LBP'	'Use of Imaging Studies for Low Back Pain (LBP)'	'Reported'	''	''	'0.8282'	''	'1143'	'0'	'1379'	'0'	'0.8289'	'0'	'N/A'
'PY4'	'DPH'	'Contra Costa Regional Medical Center'	'Q-PC10'	'Q-LSC'	'Lead Screening in Children'	'Reported'	''	''	'0.6131'	''	'827'	'0'	'1454'	'0'	'0.5688'	'0'	'N/A'
'PY4'	'DPH'	'Contra Costa Regional Medical Center'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.5638'	''	'22784'	'0'	'43547'	'0'	'0.5232'	'0'	'N/A'
'PY4'	'DPH'	'Contra Costa Regional Medical Center'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.7182'	''	'27113'	'0'	'31525'	'0'	'0.86'	'0'	'N/A'
'PY4'	'DPH'	'Contra Costa Regional Medical Center'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.8988'	''	'27559'	'0'	'28288'	'0'	'0.9742'	'0'	'N/A'
'PY4'	'DMPH'	'Eastern Plumas Health Care'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.5004'	''	'132'	'0'	'484'	'0'	'0.2727'	'0'	'N/A'
'PY4'	'DMPH'	'Eastern Plumas Health Care'	'Q-PC14'	'Q-CMS138'	'Preventative Care and Screening: Tobacco Use - Screening and Cessation Intervention'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DMPH'	'Eastern Plumas Health Care'	'Q-PC14'	'Q-CMS138'	'Rate 1 (informational only)'	'Reported'	''	''	'0'	''	'506'	'0'	'536'	'0'	'0.944'	'0'	'N/A'
'PY4'	'DMPH'	'Eastern Plumas Health Care'	'Q-PC14'	'Q-CMS138'	'Rate 2'	'Reported'	''	''	'0.7848'	''	'107'	'0'	'139'	'0'	'0.7698'	'0'	'N/A'
'PY4'	'DMPH'	'Eastern Plumas Health Care'	'Q-PC14'	'Q-CMS138'	'Rate 3'	'Reported'	''	''	'0.8911'	''	'474'	'0'	'536'	'0'	'0.8843'	'0'	'N/A'
'PY4'	'DMPH'	'El Camino Hospital'	'Q-IHE2'	'Q-IHE2'	'Improving Health Equity 2 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DMPH'	'El Camino Hospital'	'Q-IHE2'	'Q-IHE2'	'Exclusive Breast Milk Feeding (PC-05) - -Asian'	'Reported'	''	''	'0.4776'	''	''	'1'	'32'	'0'	''	'1'	'N/A'
'PY4'	'DMPH'	'El Camino Hospital'	'Q-MPH6'	'Q-PRS-E'	'Prenatal Immunization Status'	'Reported'	''	''	'0.2258'	''	''	'1'	'45'	'0'	''	'1'	'N/A'
'PY4'	'DMPH'	'El Centro Regional Medical Center'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.7637'	''	'40'	'0'	'95'	'0'	'0.4211'	'0'	'N/A'
'PY4'	'DMPH'	'El Centro Regional Medical Center'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.7155'	''	'2018'	'0'	'2917'	'0'	'0.6918'	'0'	'N/A'
'PY4'	'DMPH'	'El Centro Regional Medical Center'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.3176'	''	'1034'	'0'	'3786'	'0'	'0.2731'	'0'	'N/A'
'PY4'	'DMPH'	'El Centro Regional Medical Center'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.8624'	''	'3829'	'0'	'4461'	'0'	'0.8583'	'0'	'N/A'
'PY4'	'DMPH'	'El Centro Regional Medical Center'	'Q-PC3'	'Q-WCV'	'Child and Adolescent Well Care Visits'	'Reported'	''	''	'0.5384'	''	'1009'	'0'	'1906'	'0'	'0.5294'	'0'	'N/A'
'PY4'	'DMPH'	'Hazel Hawkins Memorial Hospital'	'Q-MPH5'	'Q-PPC-PRE'	'Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-PRE)'	'Reported'	''	''	'0.8864'	''	'45'	'0'	'51'	'0'	'0.8824'	'0'	'N/A'
'PY4'	'DMPH'	'Hazel Hawkins Memorial Hospital'	'Q-PC9'	'Q-IMA'	'Immunizations for Adolescents'	'Reported'	''	''	'0.309'	''	'16'	'0'	'58'	'0'	'0.2759'	'0'	'N/A'
'PY4'	'DMPH'	'Hazel Hawkins Memorial Hospital'	'Q-PS4'	'Q-CDI'	'Reduction in Hospital Acquired Clostridium Difficile Infections'	'Reported'	''	''	'0'	''	''	'1'	''	'1'	''	'1'	'N/A'
'PY4'	'DMPH'	'Hazel Hawkins Memorial Hospital'	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DMPH'	'Hazel Hawkins Memorial Hospital'	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'N/A'	'3'	''	'1'	''	'1'	''	'1'	'N/A'
'PY4'	'DMPH'	'Hazel Hawkins Memorial Hospital'	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.3406'	''	'49'	'0'	'144'	'0'	'0.3403'	'0'	'N/A'
'PY4'	'DMPH'	'Hazel Hawkins Memorial Hospital'	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.3636'	''	'68'	'0'	'187'	'0'	'0.3636'	'0'	'N/A'
'PY4'	'DMPH'	'Jerold Phelps Community Hospital'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.4955'	''	'105'	'0'	'271'	'0'	'0.3875'	'0'	'N/A'
'PY4'	'DMPH'	'Jerold Phelps Community Hospital'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.5004'	''	''	'1'	'236'	'0'	''	'1'	'N/A'
'PY4'	'DMPH'	'John C Fremont Healthcare District'	'Q-CAC1'	'Q-CBP'	'Controlling High Blood Pressure (CBP)'	'Reported'	''	''	'0.5061'	''	'70'	'0'	'144'	'0'	'0.4861'	'0'	'N/A'
'PY4'	'DMPH'	'John C Fremont Healthcare District'	'Q-PC2'	'Q-CCS'	'Cervical Cancer Screening (CCS)'	'Reported'	''	''	'0.518'	''	'151'	'0'	'585'	'0'	'0.2581'	'0'	'N/A'
'PY4'	'DMPH'	'Kaweah Delta Health Care District'	'Q-BH3'	'Q-FUA'	'30 Days'	'Reported'	''	''	'0.1075'	''	''	'1'	'47'	'0'	''	'1'	'N/A'
'PY4'	'DMPH'	'Kaweah Delta Health Care District'	'Q-BH3'	'Q-FUA'	'7 Days'	'Reported'	''	''	'0.157'	''	''	'1'	'47'	'0'	''	'1'	'N/A'
'PY4'	'DMPH'	'Kaweah Delta Health Care District'	'Q-BH3'	'Q-FUA'	'Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DMPH'	'Kaweah Delta Health Care District'	'Q-CAC5'	'Q-CMS347'	'Statin Therapy for the Prevention and Treatment of Cardiovascular Disease'	'Reported'	''	''	'0.6667'	''	'708'	'0'	'1100'	'0'	'0.6436'	'0'	'N/A'
'PY4'	'DMPH'	'Kaweah Delta Health Care District'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.3096'	''	'200'	'0'	'685'	'0'	'0.292'	'0'	'N/A'
'PY4'	'DMPH'	'Kaweah Delta Health Care District'	'Q-PC3'	'Q-WCV'	'Child and Adolescent Well Care Visits'	'Reported'	''	''	'0.6075'	''	'3036'	'0'	'5009'	'0'	'0.6061'	'0'	'N/A'
'PY4'	'DMPH'	'Kaweah Delta Health Care District'	'Q-PC9'	'Q-IMA'	'Immunizations for Adolescents'	'Reported'	''	''	'0.3816'	''	'121'	'0'	'329'	'0'	'0.3678'	'0'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-BH2'	'Q-DRR-E'	'Depression Remission or Response for Adolescents and Adults (DRR-E)'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'Kern Medical Center'	'Q-BH2'	'Q-DRR-E'	'Depression Remission (Adolescents) - informational only'	'Reported'	''	''	'N/A'	'3'	''	'1'	''	'4'	''	'1'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-BH2'	'Q-DRR-E'	'Depression Response (Adolescents) - informational only'	'Reported'	''	''	'N/A'	'3'	''	'1'	''	'4'	''	'1'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-BH2'	'Q-DRR-E'	'Follow-Up PHQ-9 (Adolescents) - informational only'	'Reported'	''	''	'N/A'	'3'	'11'	'0'	''	'4'	''	'4'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-BH2'	'Q-DRR-E'	'Depression Remission (Adults)'	'Reported'	''	''	'0.0984'	''	'29'	'0'	'314'	'0'	'0.0924'	'0'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-BH2'	'Q-DRR-E'	'Depression Response (Adults)'	'Reported'	''	''	'0.1465'	''	'42'	'0'	'314'	'0'	'0.1338'	'0'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-BH2'	'Q-DRR-E'	'Follow-Up PHQ-9 (Adults)'	'Reported'	''	''	'0.3851'	''	'111'	'0'	'314'	'0'	'0.3535'	'0'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.8855'	''	'164'	'0'	'186'	'0'	'0.8817'	'0'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.8937'	''	'310'	'0'	'348'	'0'	'0.8908'	'0'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.8775'	''	'68'	'0'	'69'	'0'	'0.9855'	'0'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.4676'	''	'1225'	'0'	'2315'	'0'	'0.5292'	'0'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-CC2'	'Q-PCR'	'Plan All-Cause Readmissions (PCR)'	'Reported'	''	''	'0'	''	'61'	'0'	'60.12'	'0'	'1.0146'	'0'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-IHE1 '	'Q-IHE1 '	'Improving Health Equity 1 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Kern Medical Center'	'Q-IHE1 '	'Q-IHE1 '	'Controlling High Blood Pressure (CBP) - -Black/African American'	'Reported'	''	''	'0.5292'	''	'149'	'0'	'290'	'0'	'0.5138'	'0'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-IHE2'	'Q-IHE2'	'Improving Health Equity 2 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Kern Medical Center'	'Q-IHE2'	'Q-IHE2'	'Exclusive Breast Milk Feeding (PC-05) - -Black/African American'	'Reported'	''	''	'0.5152'	''	'40'	'0'	'82'	'0'	'0.4878'	'0'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-OA1'	'Q-URI '	'Appropriate Treatment for Upper Respiratory Infection (URI)'	'Reported'	''	''	'0.9434'	''	'265'	'0'	'267'	'0'	'0.9925'	'0'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-OA4'	'Q-LBP'	'Use of Imaging Studies for Low Back Pain (LBP)'	'Reported'	''	''	'0.7133'	''	'137'	'0'	'198'	'0'	'0.6919'	'0'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.5256'	''	'7457'	'0'	'15510'	'0'	'0.4808'	'0'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.6565'	''	'5493'	'0'	'8725'	'0'	'0.6296'	'0'	'N/A'
'PY4'	'DPH'	'Kern Medical Center'	'Q-PS5'	'Q-SSI'	'Surgical Site Infection (SSI)'	'Reported'	''	''	'0'	''	''	'1'	''	'1'	''	'1'	'N/A'
'PY4'	'DMPH'	'Kern Valley Healthcare District'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.4955'	''	'237'	'0'	'960'	'0'	'0.2469'	'0'	'N/A'
'PY4'	'DMPH'	'Kern Valley Healthcare District'	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DMPH'	'Kern Valley Healthcare District'	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'0.3406'	''	''	'1'	'72'	'0'	''	'1'	'N/A'
'PY4'	'DMPH'	'Kern Valley Healthcare District'	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.3406'	''	'21'	'0'	'72'	'0'	'0.2917'	'0'	'N/A'
'PY4'	'DMPH'	'Kern Valley Healthcare District'	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.3406'	''	'22'	'0'	'72'	'0'	'0.3056'	'0'	'N/A'
'PY4'	'DMPH'	'Lompoc Valley Medical Center'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.2687'	''	'39'	'0'	'179'	'0'	'0.2179'	'0'	'N/A'
'PY4'	'DMPH'	'Lompoc Valley Medical Center'	'Q-MPH1'	'Q-PC02'	'Cesarean Birth (PC02-CH)'	'Reported'	''	''	'0.2481'	''	'16'	'0'	'47'	'0'	'0.3404'	'0'	'N/A'
'PY4'	'DMPH'	'Lompoc Valley Medical Center'	'Q-MPH4'	'Q-PPC-PST'	'Prenatal and Postpartum Care: Postpartum Care (PPC-PST)'	'Reported'	''	''	'0.7111'	''	'19'	'0'	'32'	'0'	'0.5938'	'0'	'N/A'
'PY4'	'DMPH'	'Lompoc Valley Medical Center'	'Q-MPH5'	'Q-PPC-PRE'	'Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-PRE)'	'Reported'	''	''	'0.7932'	''	''	'1'	'32'	'0'	''	'1'	'N/A'
'PY4'	'DMPH'	'Lompoc Valley Medical Center'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.4955'	''	'896'	'0'	'3547'	'0'	'0.2526'	'0'	'N/A'
'PY4'	'DMPH'	'Lompoc Valley Medical Center'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.2671'	''	'671'	'0'	'3412'	'0'	'0.1967'	'0'	'N/A'
'PY4'	'DMPH'	'Lompoc Valley Medical Center'	'Q-PC4'	'Q-CIS'	'Childhood Immunization Status (CIS 10)'	'Reported'	''	''	'0.3187'	''	'47'	'0'	'162'	'0'	'0.2901'	'0'	'N/A'
'PY4'	'DMPH'	'Lompoc Valley Medical Center'	'Q-PC7'	'Q-DEV'	'Developmental Screening in the First Three Years of Life'	'Reported'	''	''	'0.3665'	''	'225'	'0'	'394'	'0'	'0.5711'	'0'	'N/A'
'PY4'	'DMPH'	'Lompoc Valley Medical Center'	'Q-PC8'	'Q-CMS349'	'HIV Screening Measure'	'Reported'	''	''	'0.2809'	''	'338'	'0'	'1394'	'0'	'0.2425'	'0'	'N/A'
'PY4'	'DMPH'	'Lompoc Valley Medical Center'	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DMPH'	'Lompoc Valley Medical Center'	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'N/A'	'3'	''	'1'	''	'1'	''	'1'	'N/A'
'PY4'	'DMPH'	'Lompoc Valley Medical Center'	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.3406'	''	'28'	'0'	'87'	'0'	'0.3218'	'0'	'N/A'
'PY4'	'DMPH'	'Lompoc Valley Medical Center'	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.3427'	''	'60'	'0'	'175'	'0'	'0.3429'	'0'	'N/A'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-BH3'	'Q-FUA'	'30 Days'	'Reported'	''	''	'0.2489'	''	'105'	'0'	'437'	'0'	'0.2403'	'0'	'N/A'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-BH3'	'Q-FUA'	'7 Days'	'Reported'	''	''	'0.161'	''	'67'	'0'	'437'	'0'	'0.1533'	'0'	'N/A'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-BH3'	'Q-FUA'	'Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-BH5'	'Q-FUI'	'30 Days'	'Reported'	''	''	'0.3894'	''	'56'	'0'	'159'	'0'	'0.3522'	'0'	'N/A'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-BH5'	'Q-FUI'	'7 Days'	'Reported'	''	''	'0.2529'	''	'36'	'0'	'159'	'0'	'0.2264'	'0'	'N/A'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-BH5'	'Q-FUI'	'Follow-Up After High-Intensity Care for Substance Use Disorder (FUI)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.9199'	''	'3826'	'0'	'4137'	'0'	'0.9248'	'0'	'N/A'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.8971'	''	'6649'	'0'	'7432'	'0'	'0.8946'	'0'	'N/A'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.8775'	''	'3398'	'0'	'3564'	'0'	'0.9534'	'0'	'N/A'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.4676'	''	'10248'	'0'	'17010'	'0'	'0.6025'	'0'	'N/A'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-CAR2'	'Q-PCE'	'Bronchodilator'	'Reported'	''	''	'0.7872'	''	'68'	'0'	'91'	'0'	'0.7473'	'0'	'N/A'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-CAR2'	'Q-PCE'	'Pharmacotherapy Management of COPD Exacerbation (PCE)'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-CAR2'	'Q-PCE'	'Systemic Corticosteroid'	'Reported'	''	''	'0.636'	''	'51'	'0'	'91'	'0'	'0.5604'	'0'	'N/A'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-IHE1 '	'Q-IHE1 '	'Developmental Screening in the First Three Years of Life - -Black/African American'	'Reported'	''	''	'0.3112'	''	'197'	'0'	'646'	'0'	'0.305'	'0'	'N/A'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-IHE1 '	'Q-IHE1 '	'Improving Health Equity 1 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-IHE2'	'Q-IHE2'	'Chlamydia Screening in Women (CHL) - -Asian'	'Reported'	''	''	'0.5599'	''	'96'	'0'	'175'	'0'	'0.5486'	'0'	'N/A'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-IHE2'	'Q-IHE2'	'Improving Health Equity 2 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-MPH1'	'Q-PC02'	'Cesarean Birth (PC02-CH)'	'Reported'	''	''	'0.2481'	''	'206'	'0'	'792'	'0'	'0.2601'	'0'	'N/A'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-OA4'	'Q-LBP'	'Use of Imaging Studies for Low Back Pain (LBP)'	'Reported'	''	''	'0.8282'	''	'1854'	'0'	'2199'	'0'	'0.8431'	'0'	'N/A'
'PY4'	'DPH'	'Los Angeles County Health System'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.8988'	''	'74182'	'0'	'80242'	'0'	'0.9245'	'0'	'N/A'
'PY4'	'DMPH'	'Mammoth Hospital'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.5646'	''	'337'	'0'	'643'	'0'	'0.5241'	'0'	'N/A'
'PY4'	'DMPH'	'Mammoth Hospital'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.6928'	''	'617'	'0'	'921'	'0'	'0.6699'	'0'	'N/A'
'PY4'	'DMPH'	'Mammoth Hospital'	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DMPH'	'Mammoth Hospital'	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'N/A'	'3'	'0'	'0'	'0'	'0'	'0'	'0'	'N/A'
'PY4'	'DMPH'	'Mammoth Hospital'	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.3406'	''	''	'1'	'45'	'0'	''	'1'	'N/A'
'PY4'	'DMPH'	'Mammoth Hospital'	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.3406'	''	'15'	'0'	'61'	'0'	'0.2459'	'0'	'N/A'
'PY4'	'DMPH'	'Marin General Hospital'	'Q-MPH4'	'Q-PPC-PST'	'Prenatal and Postpartum Care: Postpartum Care (PPC-PST)'	'Reported'	''	''	'0.837'	''	'201'	'0'	'224'	'0'	'0.8973'	'0'	'N/A'
'PY4'	'DMPH'	'Mayers Memorial Hospital District'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.7182'	''	'73'	'0'	'90'	'0'	'0.8111'	'0'	'N/A'
'PY4'	'DMPH'	'Modoc Medical Center'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.614'	''	'538'	'0'	'924'	'0'	'0.5823'	'0'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-BH3'	'Q-FUA '	'30 Days'	'Reported'	''	''	'0.1075'	''	''	'1'	'111'	'0'	''	'1'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-BH3'	'Q-FUA '	'7 Days'	'Reported'	''	''	'0.071'	''	''	'1'	'111'	'0'	''	'1'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-BH3'	'Q-FUA '	'Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.7968'	''	'130'	'0'	'166'	'0'	'0.7831'	'0'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.7944'	''	'224'	'0'	'287'	'0'	'0.7805'	'0'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.8537'	''	'40'	'0'	'47'	'0'	'0.8511'	'0'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.3971'	''	'619'	'0'	'1590'	'0'	'0.3893'	'0'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-MPH6'	'Q-PRS-E'	'Prenatal Immunization Status'	'Reported'	''	''	'0.4576'	''	'160'	'0'	'277'	'0'	'0.5776'	'0'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-OA4'	'Q-LBP'	'Use of Imaging Studies for Low Back Pain (LBP)'	'Reported'	''	''	'0.8282'	''	'243'	'0'	'263'	'0'	'0.924'	'0'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.5394'	''	'8898'	'0'	'17937'	'0'	'0.4961'	'0'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.5975'	''	'15010'	'0'	'25697'	'0'	'0.5841'	'0'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.6745'	''	'14356'	'0'	'22100'	'0'	'0.6496'	'0'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-PC15'	'Q-WCC'	'BMI'	'Reported'	''	''	'0.8486'	''	'9809'	'0'	'11594'	'0'	'0.846'	'0'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-PC15'	'Q-WCC'	'Counseling for Nutrition'	'Reported'	''	''	'0.7832'	''	'9027'	'0'	'11594'	'0'	'0.7786'	'0'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-PC15'	'Q-WCC'	'Counseling for Physical Activity'	'Reported'	''	''	'0.7801'	''	'9027'	'0'	'11594'	'0'	'0.7786'	'0'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-PC15'	'Q-WCC'	'Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Natividad Medical Center'	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'0.3555'	''	'15'	'0'	'42'	'0'	'0.3571'	'0'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.369'	''	'380'	'0'	'1021'	'0'	'0.3722'	'0'	'N/A'
'PY4'	'DPH'	'Natividad Medical Center'	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.3436'	''	'490'	'0'	'1425'	'0'	'0.3439'	'0'	'N/A'
'PY4'	'DMPH'	'Northern Inyo Hospital'	'Q-MPH4'	'Q-PPC-PST'	'Prenatal and Postpartum Care: Postpartum Care (PPC-PST)'	'Reported'	''	''	'0.7111'	''	'20'	'0'	'34'	'0'	'0.5882'	'0'	'N/A'
'PY4'	'DMPH'	'Northern Inyo Hospital'	'Q-MPH5'	'Q-PPC-PRE'	'Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-PRE)'	'Reported'	''	''	'0.7932'	''	'18'	'0'	'35'	'0'	'0.5143'	'0'	'N/A'
'PY4'	'DMPH'	'Oak Valley Hospital District'	'Q-CAC1'	'Q-CBP'	'Controlling High Blood Pressure (CBP)'	'Reported'	''	''	'0.5474'	''	'385'	'0'	'721'	'0'	'0.534'	'0'	'N/A'
'PY4'	'DMPH'	'Oak Valley Hospital District'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.7637'	''	'485'	'0'	'661'	'0'	'0.7337'	'0'	'N/A'
'PY4'	'DMPH'	'Oak Valley Hospital District'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.4676'	''	'392'	'0'	'554'	'0'	'0.7076'	'0'	'N/A'
'PY4'	'DMPH'	'Oak Valley Hospital District'	'Q-MPH6'	'Q-PRS-E'	'Prenatal Immunization Status'	'Reported'	''	''	'0.4576'	''	'38'	'0'	'63'	'0'	'0.6032'	'0'	'N/A'
'PY4'	'DMPH'	'Oak Valley Hospital District'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.4955'	''	'395'	'0'	'2486'	'0'	'0.1589'	'0'	'N/A'
'PY4'	'DMPH'	'Oak Valley Hospital District'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.2671'	''	'834'	'0'	'3961'	'0'	'0.2106'	'0'	'N/A'
'PY4'	'DMPH'	'Oak Valley Hospital District'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.7799'	''	'1824'	'0'	'2379'	'0'	'0.7667'	'0'	'N/A'
'PY4'	'DMPH'	'Oak Valley Hospital District'	'Q-PC8'	'Q-CMS349'	'HIV Screening Measure'	'Reported'	''	''	'0.3029'	''	'436'	'0'	'1633'	'0'	'0.267'	'0'	'N/A'
'PY4'	'DMPH'	'Palo Verde'	'Q-EC1'	'Q-QPP47'	'Advance Care Plan'	'Reported'	''	''	'0.4799'	''	'0'	'0'	'270'	'0'	'0'	'0'	'N/A'
'PY4'	'DMPH'	'Palo Verde'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.4955'	''	''	'1'	'471'	'0'	''	'1'	'N/A'
'PY4'	'DMPH'	'Palo Verde'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.6551'	''	'186'	'0'	'287'	'0'	'0.6481'	'0'	'N/A'
'PY4'	'DMPH'	'Palo Verde'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.5004'	''	'159'	'0'	'585'	'0'	'0.2718'	'0'	'N/A'
'PY4'	'DMPH'	'Palo Verde'	'Q-PC14'	'Q-CMS138'	'Preventative Care and Screening: Tobacco Use - Screening and Cessation Intervention'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DMPH'	'Palo Verde'	'Q-PC14'	'Q-CMS138'	'Rate 1 (informational only)'	'Reported'	''	''	'0'	''	'549'	'0'	'555'	'0'	'0.9892'	'0'	'N/A'
'PY4'	'DMPH'	'Palo Verde'	'Q-PC14'	'Q-CMS138'	'Rate 2'	'Reported'	''	''	'0.812'	''	'116'	'0'	'145'	'0'	'0.8'	'0'	'N/A'
'PY4'	'DMPH'	'Palo Verde'	'Q-PC14'	'Q-CMS138'	'Rate 3'	'Reported'	''	''	'0.7542'	''	'116'	'0'	'555'	'0'	'0.209'	'0'	'N/A'
'PY4'	'DMPH'	'Palomar Medical Center'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.7878'	''	'56'	'0'	'72'	'0'	'0.7778'	'0'	'N/A'
'PY4'	'DMPH'	'Pioneer Memorial Healthcare District'	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DMPH'	'Pioneer Memorial Healthcare District'	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'N/A'	'3'	'0'	'0'	'0'	'0'	'0'	'0'	'N/A'
'PY4'	'DMPH'	'Pioneer Memorial Healthcare District'	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.5044'	''	'220'	'0'	'421'	'0'	'0.5226'	'0'	'N/A'
'PY4'	'DMPH'	'Pioneer Memorial Healthcare District'	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.4943'	''	'246'	'0'	'481'	'0'	'0.5114'	'0'	'N/A'
'PY4'	'DMPH'	'Pioneer Memorial Healthcare District '	'Q-MPH1'	'Q-PC02'	'Cesarean Birth (PC02-CH) '	'Reported'	''	''	'0.2200 '	''	'69'	'0'	'370'	'0'	'0.1865 '	'0'	'N/A'
'PY4'	'DMPH'	'Pioneer Memorial Healthcare District '	'Q-MPH3'	'Q-PC05'	'Exclusive Breast Milk Feeding (PC-05) '	'Reported'	''	''	'0.4776 '	''	'332'	'0'	'974'	'0'	'0.3409 '	'0'	'N/A'
'PY4'	'DMPH'	'Pioneer Memorial Healthcare District '	'Q-PC1'	'Q-BCS'	'Breast Cancer Screening (BCS) '	'Reported'	''	''	'0.5543 '	''	'230'	'0'	'422'	'0'	'0.5450 '	'0'	'N/A'
'PY4'	'DMPH'	'Pioneer Memorial Healthcare District '	'Q-PC10'	'Q-LSC'	'Lead Screening in Children '	'Reported'	''	''	'0.6131 '	''	'22'	'0'	'148'	'0'	'0.1486 '	'0'	'N/A'
'PY4'	'DMPH'	'Pioneer Memorial Healthcare District '	'Q-PC9'	'Q-IMA'	'Immunizations for Adolescents '	'Reported'	''	''	'0.3216 '	''	'28'	'0'	'93'	'0'	'0.3011 '	'0'	'N/A'
'PY4'	'DMPH'	'Plumas District Hospital '	'Q-PC3'	'Q-WCV'	'Child and Adolescent Well Care Visits '	'Reported'	''	''	'0.3941 '	''	'194'	'0'	'699'	'0'	'0.2775 '	'0'	'N/A'
'PY4'	'DMPH'	'Plumas District Hospital '	'Q-PC6'	'Q-CMS130'	'Colorectal Cancer Screening '	'Reported'	''	''	'0.4176 '	''	'123'	'0'	'310'	'0'	'0.3968 '	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-BH3'	'Q-FUA'	'30 Days'	'Reported'	''	''	'0.326'	''	'60'	'0'	'149'	'0'	'0.4027'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-BH3'	'Q-FUA'	'7 Days'	'Reported'	''	''	'0.2298'	''	'46'	'0'	'149'	'0'	'0.3087'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-BH3'	'Q-FUA'	'Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'Riverside University Health System'	'Q-BH5'	'Q-FUI'	'30 Days'	'Reported'	''	''	'0.4975'	''	'32'	'0'	'67'	'0'	'0.4776'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-BH5'	'Q-FUI'	'7 Days'	'Reported'	''	''	'0.2775'	''	'17'	'0'	'67'	'0'	'0.2537'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-BH5'	'Q-FUI'	'Follow-Up After High-Intensity Care for Substance Use Disorder (FUI)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'Riverside University Health System'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.8142'	''	'1251'	'0'	'1559'	'0'	'0.8024'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.8026'	''	'1501'	'0'	'1901'	'0'	'0.7896'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.8775'	''	'489'	'0'	'544'	'0'	'0.8989'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-CAC5'	'Q-CMS347'	'Statin Therapy for the Prevention and Treatment of Cardiovascular Disease'	'Reported'	''	''	'0.7051'	''	'4557'	'0'	'6601'	'0'	'0.6903'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.4391'	''	'2412'	'0'	'5533'	'0'	'0.4359'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-EC1'	'Q-QPP47'	'Advance Care Plan'	'Reported'	''	''	'0.6393'	''	'2674'	'0'	'4397'	'0'	'0.6081'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-IHE1 '	'Q-IHE1 '	'Preventative Care and Screening: Tobacco Use - Screening and Cessation Intervention - Rate 1 (informational only) -Native Hawaiian/Pacific Islander'	'Reported'	''	''	'0'	''	'107'	'0'	'122'	'0'	'0.877'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-IHE1 '	'Q-IHE1 '	'Preventative Care and Screening: Tobacco Use - Screening and Cessation Intervention - Rate 2 -Native Hawaiian/Pacific Islander'	'Reported'	''	''	'0.4738'	''	'14'	'0'	'33'	'0'	'0.4242'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-IHE1 '	'Q-IHE1 '	'Preventative Care and Screening: Tobacco Use - Screening and Cessation Intervention - Rate 3 -Native Hawaiian/Pacific Islander'	'Reported'	''	''	'0.7813'	''	'93'	'0'	'122'	'0'	'0.7623'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-IHE1 '	'Q-IHE1 '	'Improving Health Equity 1 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Riverside University Health System'	'Q-OA4'	'Q-LBP'	'Use of Imaging Studies for Low Back Pain (LBP)'	'Reported'	''	''	'0.8109'	''	'987'	'0'	'1220'	'0'	'0.809'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.5067'	''	'13418'	'0'	'27769'	'0'	'0.4832'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.8988'	''	'33125'	'0'	'34614'	'0'	'0.957'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-PC15'	'Q-WCC'	'BMI'	'Reported'	''	''	'0.8681'	''	'4360'	'0'	'5025'	'0'	'0.8677'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-PC15'	'Q-WCC'	'Counseling for Nutrition'	'Reported'	''	''	'0.7801'	''	'3895'	'0'	'5025'	'0'	'0.7751'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-PC15'	'Q-WCC'	'Counseling for Physical Activity'	'Reported'	''	''	'0.7784'	''	'3903'	'0'	'5025'	'0'	'0.7767'	'0'	'N/A'
'PY4'	'DPH'	'Riverside University Health System'	'Q-PC15'	'Q-WCC'	'Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DMPH'	'Salinas Valley Memorial Healthcare System'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.8965'	''	'396'	'0'	'443'	'0'	'0.8939'	'0'	'N/A'
'PY4'	'DMPH'	'Salinas Valley Memorial Healthcare System'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.8701'	''	'1520'	'0'	'1758'	'0'	'0.8646'	'0'	'N/A'
'PY4'	'DMPH'	'Salinas Valley Memorial Healthcare System'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.791'	''	'193'	'0'	'247'	'0'	'0.7814'	'0'	'N/A'
'PY4'	'DMPH'	'Salinas Valley Memorial Healthcare System'	'Q-CC1'	'Q-TRC'	'Transitions of Care (TRC)'	'Reported'	''	''	'0.44'	''	'102'	'0'	'293'	'0'	'0.3481'	'0'	'N/A'
'PY4'	'DMPH'	'Salinas Valley Memorial Healthcare System'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.4955'	''	'3910'	'0'	'13768'	'0'	'0.284'	'0'	'N/A'
'PY4'	'DMPH'	'Salinas Valley Memorial Healthcare System'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.4784'	''	'8020'	'0'	'17755'	'0'	'0.4517'	'0'	'N/A'
'PY4'	'DMPH'	'Salinas Valley Memorial Healthcare System'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.5004'	''	'1695'	'0'	'13155'	'0'	'0.1288'	'0'	'N/A'
'PY4'	'DMPH'	'Salinas Valley Memorial Healthcare System'	'Q-PC7'	'Q-DEV'	'Developmental Screening in the First Three Years of Life'	'Reported'	''	''	'0.2257'	''	'63'	'0'	'300'	'0'	'0.21'	'0'	'N/A'
'PY4'	'DMPH'	'San Bernardino Mountains Community Hospital'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.6847'	''	'1023'	'0'	'1556'	'0'	'0.6575'	'0'	'N/A'
'PY4'	'DMPH'	'San Bernardino Mountains Community Hospital'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.5568'	''	'758'	'0'	'1461'	'0'	'0.5188'	'0'	'N/A'
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.8855'	''	'790'	'0'	'896'	'0'	'0.8817'	'0'	'N/A'
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.8684'	''	'1615'	'0'	'1872'	'0'	'0.8627'	'0'	'N/A'
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.8775'	''	'714'	'0'	'794'	'0'	'0.8992'	'0'	'N/A'
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-CAD3'	'Q-KED '	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.4676'	''	'2267'	'0'	'3514'	'0'	'0.6451'	'0'	'N/A'
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-IHE1'	'Q-IHE1'	'Breast Cancer Screening (BCS) - -Black/African American'	'Reported'	''	''	'0.4807'	''	'395'	'0'	'908'	'0'	'0.435'	'0'	'N/A'
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-IHE1'	'Q-IHE1'	'Improving Health Equity 1 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-IHE2'	'Q-IHE2'	'Controlling High Blood Pressure (CBP) - -Black/African American'	'Reported'	''	''	'0.5252'	''	'658'	'0'	'1292'	'0'	'0.5093'	'0'	'N/A'
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-IHE2'	'Q-IHE2'	'Improving Health Equity 2 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-MPH6'	'Q-PRS-E'	'Prenatal Immunization Status'	'Reported'	''	''	'0.4576'	''	'182'	'0'	'335'	'0'	'0.5433'	'0'	'N/A'
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-OA3'	'Q-QPP415'	'Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older'	'Reported'	''	''	'0.8959'	''	'343'	'0'	'384'	'0'	'0.8932'	'0'	'N/A'
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-OA4'	'Q-LBP'	'Use of Imaging Studies for Low Back Pain (LBP)'	'Reported'	''	''	'0.8282'	''	'400'	'0'	'474'	'0'	'0.8439'	'0'	'N/A'
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-PC12'	'Q-CMS147 '	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.7066'	''	'17571'	'0'	'24914'	'0'	'0.7053'	'0'	'N/A'
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.6401'	''	'11994'	'0'	'19616'	'0'	'0.6114'	'0'	'N/A'
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'0.3406'	''	'230'	'0'	'739'	'0'	'0.3112'	'0'	'N/A'
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.3619'	''	'369'	'0'	'1013'	'0'	'0.3643'	'0'	'N/A'
'PY4'	'DPH'	'San Francisco General Hospital'	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.3406'	''	'1005'	'0'	'3429'	'0'	'0.2931'	'0'	'N/A'
'PY4'	'DMPH'	'San Gorgonio Memorial Hospital'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.8331'	''	'28'	'0'	'34'	'0'	'0.8235'	'0'	'N/A'
'PY4'	'DMPH'	'San Gorgonio Memorial Hospital'	'Q-OA3'	'Q-QPP415'	'Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older'	'Reported'	''	''	'0.9199'	''	'82'	'0'	'87'	'0'	'0.9425'	'0'	'N/A'
'PY4'	'DMPH'	'San Gorgonio Memorial Hospital'	'Q-PS1'	'Q-STK-2'	'Discharged on Antithrombotic Therapy'	'Reported'	''	''	'1'	''	'31'	'0'	'31'	'0'	'1'	'0'	'N/A'
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-BH3'	'Q-FUA'	'30 Days'	'Reported'	''	''	'0.2878'	''	'38'	'0'	'134'	'0'	'0.2836'	'0'	'N/A'
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-BH3'	'Q-FUA'	'7 Days'	'Reported'	''	''	'0.1304'	''	'16'	'0'	'134'	'0'	'0.1194'	'0'	'N/A'
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-BH3'	'Q-FUA'	'Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.8109'	''	'810'	'0'	'1014'	'0'	'0.7988'	'0'	'N/A'
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-IHE1'	'Q-IHE1'	'Asthma Medication Ratio (AMR) - -White'	'Reported'	''	''	'0.5989'	''	'42'	'0'	'82'	'0'	'0.5122'	'0'	'N/A'
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-IHE1'	'Q-IHE1'	'Improving Health Equity 1 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-IHE2'	'Q-IHE2'	'Improving Health Equity 2 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-IHE2'	'Q-IHE2'	'Prenatal and Postpartum Care: Postpartum Care (PPC-PST) - -Black/African American'	'Reported'	''	''	'0.7111'	''	'38'	'0'	'76'	'0'	'0.5'	'0'	'N/A'
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-OA4'	'Q-LBP'	'Use of Imaging Studies for Low Back Pain (LBP)'	'Reported'	''	''	'0.7133'	''	'204'	'0'	'1067'	'0'	'0.1912'	'0'	'N/A'
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.4955'	''	'3164'	'0'	'14866'	'0'	'0.2128'	'0'	'N/A'
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.4982'	''	'9941'	'0'	'20982'	'0'	'0.4738'	'0'	'N/A'
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.5004'	''	'7002'	'0'	'18500'	'0'	'0.3785'	'0'	'N/A'
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'0.4799'	''	'107'	'0'	'216'	'0'	'0.4954'	'0'	'N/A'
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.4828'	''	'178'	'0'	'357'	'0'	'0.4986'	'0'	'N/A'
'PY4'	'DPH'	'San Joaquin General Hospital'	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.4285'	''	'764'	'0'	'1743'	'0'	'0.4383'	'0'	'N/A'
'PY4'	'DPH'	'San Mateo Medical Center'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%'	'Reported'	''	''	'0.8589'	''	'242'	'0'	'284'	'0'	'0.8521'	'0'	'N/A'
'PY4'	'DPH'	'San Mateo Medical Center'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.9199'	''	'531'	'0'	'555'	'0'	'0.9568'	'0'	'N/A'
'PY4'	'DPH'	'San Mateo Medical Center'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.8554'	''	'29'	'0'	'34'	'0'	'0.8529'	'0'	'N/A'
'PY4'	'DPH'	'San Mateo Medical Center'	'Q-CC2'	'Q-PCR'	'Plan All-Cause Readmissions (PCR)'	'Reported'	''	''	'0'	''	'12'	'0'	''	'4'	''	'4'	'N/A'
'PY4'	'DPH'	'San Mateo Medical Center'	'Q-IHE1'	'Q-IHE1'	'Improving Health Equity 1 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'San Mateo Medical Center'	'Q-IHE2'	'Q-IHE1'	'Breast Cancer Screening (BCS) - -Black/African American'	'Reported'	''	''	'0.5921'	''	'27'	'0'	'46'	'0'	'0.587'	'0'	'N/A'
'PY4'	'DPH'	'San Mateo Medical Center'	'Q-IHE2'	'Q-IHE2'	'Improving Health Equity 2 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'San Mateo Medical Center'	'Q-IHE2'	'Q-IHE2'	'Preventative Care and Screening: Tobacco Use - Screening and Cessation Intervention - Rate 1 (informational only) -Black/African American'	'Reported'	''	''	'0'	''	'359'	'0'	'363'	'0'	'0.989'	'0'	'N/A'
'PY4'	'DPH'	'San Mateo Medical Center'	'Q-IHE2'	'Q-IHE2'	'Preventative Care and Screening: Tobacco Use - Screening and Cessation Intervention - Rate 2 -Black/African American'	'Reported'	''	''	'0.6395'	''	'73'	'0'	'120'	'0'	'0.6083'	'0'	'N/A'
'PY4'	'DPH'	'San Mateo Medical Center'	'Q-IHE2'	'Q-IHE2'	'Preventative Care and Screening: Tobacco Use - Screening and Cessation Intervention - Rate 3 -Black/African American'	'Reported'	''	''	'0.8688'	''	'312'	'0'	'363'	'0'	'0.8595'	'0'	'N/A'
'PY4'	'DPH'	'San Mateo Medical Center'	'Q-MPH6'	'Q-PRS-E'	'Prenatal Immunization Status'	'Reported'	''	''	'0.4576'	''	'50'	'0'	'90'	'0'	'0.5556'	'0'	'N/A'
'PY4'	'DPH'	'San Mateo Medical Center'	'Q-OA4'	'Q-LBP'	'Use of Imaging Studies for Low Back Pain (LBP)'	'Reported'	''	''	'0.8282'	''	'161'	'0'	'177'	'0'	'0.9096'	'0'	'N/A'
'PY4'	'DPH'	'San Mateo Medical Center'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.4955'	''	'5240'	'0'	'16881'	'0'	'0.3104'	'0'	'N/A'
'PY4'	'DPH'	'San Mateo Medical Center'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.6514'	''	'8630'	'0'	'13401'	'0'	'0.644'	'0'	'N/A'
'PY4'	'DPH'	'San Mateo Medical Center'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.6194'	''	'12634'	'0'	'21471'	'0'	'0.5884'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-BH3'	'Q-FUA'	'30 Days'	'Reported'	''	''	'0.2436'	''	'98'	'0'	'418'	'0'	'0.2344'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-BH3'	'Q-FUA'	'7 Days'	'Reported'	''	''	'0.1113'	''	'41'	'0'	'418'	'0'	'0.0981'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-BH3'	'Q-FUA'	'Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-BH5'	'Q-FUI'	'30 Days'	'Reported'	''	''	'0.3979'	''	'62'	'0'	'169'	'0'	'0.3669'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-BH5'	'Q-FUI'	'7 Days'	'Reported'	''	''	'0.3793'	''	'62'	'0'	'169'	'0'	'0.3669'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-BH5'	'Q-FUI'	'Follow-Up After High-Intensity Care for Substance Use Disorder (FUI)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-CAC5'	'Q-CMS347'	'Statin Therapy for the Prevention and Treatment of Cardiovascular Disease'	'Reported'	''	''	'0.6991'	''	'4352'	'0'	'6366'	'0'	'0.6836'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.4676'	''	'3268'	'0'	'6761'	'0'	'0.4834'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-CAR2'	'Q-PCE'	'Bronchodilator'	'Reported'	''	''	'0.8424'	''	'66'	'0'	'79'	'0'	'0.8354'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-CAR2'	'Q-PCE'	'Pharmacotherapy Management of COPD Exacerbation (PCE)'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-CAR2'	'Q-PCE'	'Systemic Corticosteroid'	'Reported'	''	''	'0.6391'	''	'49'	'0'	'79'	'0'	'0.6203'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-IHE1'	'Q-IHE1'	'Prenatal and Postpartum Care: Postpartum Care (PPC-PST) - -Black/African American'	'Reported'	''	''	'0.7111'	''	'39'	'0'	'59'	'0'	'0.661'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-IHE1'	'Q-IHE1'	'Improving Health Equity 1 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-IHE2'	'Q-IHE2'	'Colorectal Cancer Screening - -Black/African American'	'Reported'	''	''	'0.5241'	''	'542'	'0'	'1052'	'0'	'0.5152'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-IHE2'	'Q-IHE2'	'Improving Health Equity 2 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-MPH1'	'Q-PC02'	'Cesarean Birth (PC02-CH)'	'Reported'	''	''	'0.22'	''	'198'	'0'	'974'	'0'	'0.2033'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-MPH6'	'Q-PRS-E'	'Prenatal Immunization Status'	'Reported'	''	''	'0.4576'	''	'479'	'0'	'837'	'0'	'0.5723'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-OA1'	'Q-URI '	'Appropriate Treatment for Upper Respiratory Infection (URI)'	'Reported'	''	''	'0.9434'	''	'2215'	'0'	'2265'	'0'	'0.9779'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-OA2'	'Q-AAB'	'Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB)'	'Reported'	''	''	'0.7039'	''	'64'	'0'	'81'	'0'	'0.7901'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.5184'	''	'24209'	'0'	'48785'	'0'	'0.4962'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.5004'	''	'10773'	'0'	'27343'	'0'	'0.394'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'0.3591'	''	'151'	'0'	'418'	'0'	'0.3612'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.4139'	''	'1195'	'0'	'2832'	'0'	'0.422'	'0'	'N/A'
'PY4'	'DPH'	'Santa Clara Valley Medical Center'	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.3424'	''	'2297'	'0'	'6705'	'0'	'0.3426'	'0'	'N/A'
'PY4'	'DMPH'	'Seneca Healthcare District'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.5004'	''	'0'	'0'	'228'	'0'	'0'	'0'	'N/A'
'PY4'	'DMPH'	'Sierra View District Hospital'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.2671'	''	'257'	'0'	'4570'	'0'	'0.0562'	'0'	'N/A'
'PY4'	'DMPH'	'Sonoma Valley Hospital '	'Q-PS4'	'Q-CDI'	'Reduction in Hospital Acquired Clostridium Difficile Infections '	'Reported'	''	''	'0 '	''	''	'1'	''	'1'	''	'1'	'N/A'
'PY4'	'DMPH'	'Sonoma Valley Hospital '	'Q-PS5'	'Q-SSI'	'Surgical Site Infection (SSI) '	'Reported'	''	''	'0 '	''	'0'	'0'	''	'1'	''	'1'	'N/A'
'PY4'	'DMPH'	'Southern Inyo Hospital'	'Q-PC1'	'Q-BCS'	'Breast Cancer Screening (BCS)'	''	''	''	'N/A'	'3'	''	'1'	''	'4'	''	'1'	'N/A'
'PY4'	'DMPH'	'Southern Inyo Hospital'	'Q-PC3'	'Q-WCV'	'Child and Adolescent Well Care Visits'	''	''	''	'0.5433'	''	'100'	'0'	'187'	'0'	'0.5348'	'0'	'N/A'
'PY4'	'DMPH'	'Surprise Valley '	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.5004'	''	'0'	'0'	'30'	'0'	'0'	'0'	'N/A'
'PY4'	'DMPH'	'Tahoe Forest Hospital District'	'Q-BH3'	'Q-FUA'	'30 Days'	'Reported'	''	''	'0.3058'	''	'17'	'0'	'56'	'0'	'0.3036'	'0'	'N/A'
'PY4'	'DMPH'	'Tahoe Forest Hospital District'	'Q-BH3'	'Q-FUA'	'7 Days'	'Reported'	''	''	'0.2159'	''	'12'	'0'	'56'	'0'	'0.2143'	'0'	'N/A'
'PY4'	'DMPH'	'Tahoe Forest Hospital District'	'Q-BH3'	'Q-FUA'	'Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DMPH'	'Tahoe Forest Hospital District'	'Q-CC1'	'Q-TRC'	'Transitions of Care (TRC)'	'Reported'	''	''	'0.5897'	''	'58'	'0'	'102'	'0'	'0.5686'	'0'	'N/A'
'PY4'	'DMPH'	'Tahoe Forest Hospital District'	'Q-PC1'	'Q-BCS'	'Breast Cancer Screening (BCS)'	'Reported'	''	''	'0.622'	''	'80'	'0'	'129'	'0'	'0.6202'	'0'	'N/A'
'PY4'	'DMPH'	'Tahoe Forest Hospital District'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.5004'	''	'664'	'0'	'1583'	'0'	'0.4195'	'0'	'N/A'
'PY4'	'DMPH'	'Tahoe Forest Hospital District'	'Q-PC9'	'Q-IMA'	'Immunizations for Adolescents'	'Reported'	''	''	'0.309'	''	'22'	'0'	'89'	'0'	'0.2472'	'0'	'N/A'
'PY4'	'DMPH'	'Tahoe Forest Hospital District'	'Q-PS4'	'Q-CDI'	'Reduction in Hospital Acquired Clostridium Difficile Infections'	'Reported'	''	''	'0'	''	''	'1'	''	'1'	''	'1'	'N/A'
'PY4'	'DMPH'	'Tahoe Forest Hospital District'	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DMPH'	'Tahoe Forest Hospital District'	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'N/A'	'3'	'0'	'0'	'0'	'0'	'0'	'0'	'N/A'
'PY4'	'DMPH'	'Tahoe Forest Hospital District'	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.3406'	''	''	'1'	'30'	'0'	''	'1'	'N/A'
'PY4'	'DMPH'	'Tahoe Forest Hospital District'	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.3406'	''	'12'	'0'	'55'	'0'	'0.2182'	'0'	'N/A'
'PY4'	'DMPH'	'Tri-City Medical Center'	'Q-BH1'	'Q-COB'	'Concurrent Use of Opioids and Benzodiazepines (COB-AD)'	'Reported'	''	''	'N/A'	'3'	'0'	'0'	'0'	'0'	'0'	'0'	'N/A'
'PY4'	'DMPH'	'Tri-City Medical Center'	'Q-BH4'	'Q-OHD'	'Use of Opioids at High Dosage in Persons Without Cancer (OHD-AD)'	'Reported'	''	''	'N/A'	'3'	'0'	'0'	'0'	'0'	'0'	'0'	'N/A'
'PY4'	'DMPH'	'Tri-City Medical Center'	'Q-BH5'	'Q-FUI'	'30 Days'	'Reported'	''	''	'0.3894'	''	''	'1'	'124'	'0'	''	'1'	'N/A'
'PY4'	'DMPH'	'Tri-City Medical Center'	'Q-BH5'	'Q-FUI'	'7 Days'	'Reported'	''	''	'0.234'	''	''	'1'	'124'	'0'	''	'1'	'N/A'
'PY4'	'DMPH'	'Tri-City Medical Center'	'Q-BH5'	'Q-FUI'	'Follow-Up After High-Intensity Care for Substance Use Disorder (FUI)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DMPH'	'Tri-City Medical Center'	'Q-BH6'	'Q-POD'	'Pharmacotherapy for Opioid Use Disorder*'	'Reported'	''	''	'N/A'	'3'	'0'	'0'	'0'	'0'	'0'	'0'	'N/A'
'PY4'	'DMPH'	'Tri-City Medical Center'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'N/A'	'3'	'0'	'0'	'0'	'0'	'0'	'0'	'N/A'
'PY4'	'DMPH'	'Tri-City Medical Center'	'Q-EC1'	'Q-QPP47'	'Advance Care Plan'	'Reported'	''	''	'N/A'	'3'	'0'	'0'	'0'	'0'	'0'	'0'	'N/A'
'PY4'	'DMPH'	'Tri-City Medical Center'	'Q-MPH6'	'Q-PRS-E'	'Prenatal Immunization Status'	'Reported'	''	''	'0.1696'	''	''	'1'	'533'	'0'	''	'1'	'N/A'
'PY4'	'DMPH'	'Tri-City Medical Center'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.7182'	''	'2129'	'0'	'2414'	'0'	'0.8819'	'0'	'N/A'
'PY4'	'DMPH'	'Tri-City Medical Center'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.5004'	''	'252'	'0'	'11730'	'0'	'0.0215'	'0'	'N/A'
'PY4'	'DMPH'	'Tri-City Medical Center'	'Q-PC14'	'Q-CMS138'	'Preventative Care and Screening: Tobacco Use - Screening and Cessation Intervention'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DMPH'	'Tri-City Medical Center'	'Q-PC14'	'Q-CMS138'	'Rate 1 (informational only)'	'Reported'	''	''	'0'	''	'3363'	'0'	'3544'	'0'	'0.9489'	'0'	'N/A'
'PY4'	'DMPH'	'Tri-City Medical Center'	'Q-PC14'	'Q-CMS138'	'Rate 2'	'Reported'	''	''	'0.1093'	''	'24'	'0'	'1251'	'0'	'0.0192'	'0'	'N/A'
'PY4'	'DMPH'	'Tri-City Medical Center'	'Q-PC14'	'Q-CMS138'	'Rate 3'	'Reported'	''	''	'0.7542'	''	'24'	'0'	'3544'	'0'	'0.0068'	'0'	'N/A'
'PY4'	'DMPH'	'Trinity Hospital '	'Q-PC3'	'Q-WCV'	'Child and Adolescent Well Care Visits '	'Reported'	''	''	'0.3941 '	''	'185'	'0'	'614'	'0'	'0.3013 '	'0'	'N/A'
'PY4'	'DPH'	'UC Davis Medical Center'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.8249'	''	'763'	'0'	'937'	'0'	'0.8143'	'0'	'N/A'
'PY4'	'DPH'	'UC Davis Medical Center'	'Q-CC2'	'Q-PCR'	'Plan All-Cause Readmissions (PCR)'	'Reported'	''	''	'0'	''	'15'	'0'	''	'4'	''	'4'	'N/A'
'PY4'	'DPH'	'UC Davis Medical Center'	'Q-IHE1'	'Q-IHE1'	'Controlling High Blood Pressure (CBP) - -Black/African American'	'Reported'	''	''	'0.586'	''	'30'	'0'	'52'	'0'	'0.5769'	'0'	'N/A'
'PY4'	'DPH'	'UC Davis Medical Center'	'Q-IHE1'	'Q-IHE1'	'Improving Health Equity 1 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'UC Davis Medical Center'	'Q-IHE2'	'Q-IHE2'	'Exclusive Breast Milk Feeding (PC-05) - -Black/African American'	'Reported'	''	''	'0.4776'	''	'32'	'0'	'75'	'0'	'0.4267'	'0'	'N/A'
'PY4'	'DPH'	'UC Davis Medical Center'	'Q-IHE2'	'Q-IHE2'	'Improving Health Equity 2 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'UC Davis Medical Center'	'Q-MPH6'	'Q-PRS-E'	'Prenatal Immunization Status'	'Reported'	''	''	'0.4576'	''	'28'	'0'	'51'	'0'	'0.549'	'0'	'N/A'
'PY4'	'DPH'	'UC Davis Medical Center'	'Q-OA4'	'Q-LBP'	'Use of Imaging Studies for Low Back Pain (LBP)'	'Reported'	''	''	'0.8282'	''	'76'	'0'	'90'	'0'	'0.8444'	'0'	'N/A'
'PY4'	'DPH'	'UC Davis Medical Center'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.5079'	''	'2139'	'0'	'4605'	'0'	'0.4645'	'0'	'N/A'
'PY4'	'DPH'	'UC Davis Medical Center'	'Q-PS1'	'Q-STK-2'	'Discharged on Antithrombotic Therapy'	'Reported'	''	''	'0.9918'	''	'309'	'0'	'332'	'0'	'0.9307'	'0'	'N/A'
'PY4'	'DPH'	'UC Davis Medical Center'	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'UC Davis Medical Center'	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'0.3886'	''	'26'	'0'	'66'	'0'	'0.3939'	'0'	'N/A'
'PY4'	'DPH'	'UC Davis Medical Center'	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.3941'	''	'30'	'0'	'75'	'0'	'0.4'	'0'	'N/A'
'PY4'	'DPH'	'UC Davis Medical Center'	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.3406'	''	'94'	'0'	'283'	'0'	'0.3322'	'0'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-BH3'	'Q-FUA'	'30 Days'	'Reported'	''	''	'0.1539'	''	'12'	'0'	'89'	'0'	'0.1348'	'0'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-BH3'	'Q-FUA'	'7 Days'	'Reported'	''	''	'0.0938'	''	''	'1'	'89'	'0'	''	'1'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-BH3'	'Q-FUA'	'Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.8364'	''	'914'	'0'	'1105'	'0'	'0.8271'	'0'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.854'	''	'1745'	'0'	'2061'	'0'	'0.8467'	'0'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.8408'	''	'415'	'0'	'496'	'0'	'0.8367'	'0'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-CAC5'	'Q-CMS347'	'Statin Therapy for the Prevention and Treatment of Cardiovascular Disease'	'Reported'	''	''	'0.7357'	''	'1261'	'0'	'1741'	'0'	'0.7243'	'0'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.4676'	''	'783'	'0'	'1293'	'0'	'0.6056'	'0'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-CC2'	'Q-PCR'	'Plan All-Cause Readmissions (PCR)'	'Reported'	''	''	'0'	''	'34'	'0'	'41.0588'	'0'	'0.8281'	'0'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-MPH6'	'Q-PRS-E'	'Prenatal Immunization Status'	'Reported'	''	''	'0.4576'	''	'195'	'0'	'401'	'0'	'0.4863'	'0'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-OA4'	'Q-LBP'	'Use of Imaging Studies for Low Back Pain (LBP)'	'Reported'	''	''	'0.8282'	''	'465'	'0'	'498'	'0'	'0.9337'	'0'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.4955'	''	'5945'	'0'	'13478'	'0'	'0.4411'	'0'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.5916'	''	'7787'	'0'	'13967'	'0'	'0.5575'	'0'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-PS1'	'Q-STK-2'	'Discharged on Antithrombotic Therapy'	'Reported'	''	''	'0.9918'	''	'395'	'0'	'422'	'0'	'0.936'	'0'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-PS5'	'Q-SSI'	'Surgical Site Infection (SSI)'	'Reported'	''	''	'0'	''	'33'	'0'	'38.08'	'0'	'0.8666'	'0'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'0.3406'	''	''	'1'	'38'	'0'	''	'1'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.3406'	''	'338'	'0'	'1051'	'0'	'0.3216'	'0'	'N/A'
'PY4'	'DPH'	'UC Irvine Medical Center'	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.3406'	''	'448'	'0'	'1400'	'0'	'0.32'	'0'	'N/A'
'PY4'	'DPH'	'UC Los Angeles Medical Center'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.816'	''	'1259'	'0'	'1565'	'0'	'0.8045'	'0'	'N/A'
'PY4'	'DPH'	'UC Los Angeles Medical Center'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.6969'	''	'130'	'0'	'220'	'0'	'0.5909'	'0'	'N/A'
'PY4'	'DPH'	'UC Los Angeles Medical Center'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.4676'	''	'22'	'0'	'46'	'0'	'0.4783'	'0'	'N/A'
'PY4'	'DPH'	'UC Los Angeles Medical Center'	'Q-IHE1'	'Q-IHE1'	'Improving Health Equity 1 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'UC Los Angeles Medical Center'	'Q-IHE2'	'Q-IHE1'	'Colorectal Cancer Screening - -Native Hawaiian/Pacific Islander'	'Reported'	''	''	'0.3059'	''	''	'1'	'33'	'0'	''	'1'	'N/A'
'PY4'	'DPH'	'UC Los Angeles Medical Center'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.5004'	''	'5355'	'0'	'27828'	'0'	'0.1924'	'0'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-BH1'	'Q-COB'	'Concurrent Use of Opioids and Benzodiazepines (COB-AD)'	'Reported'	''	''	'0.1415'	''	'21'	'0'	'109'	'0'	'0.1927'	'0'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-BH2'	'Q-DRR-E'	'Depression Remission (Adolescents) - informational only'	'Reported'	''	''	'N/A'	'3'	'0'	'0'	'0'	'0'	'0'	'0'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-BH2'	'Q-DRR-E'	'Depression Response (Adolescents) - informational only'	'Reported'	''	''	'N/A'	'3'	'0'	'0'	'0'	'0'	'0'	'0'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-BH2'	'Q-DRR-E'	'Follow-Up PHQ-9 (Adolescents) - informational only'	'Reported'	''	''	'N/A'	'3'	'0'	'0'	'0'	'0'	'0'	'0'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-BH2'	'Q-DRR-E'	'Depression Remission (Adults)'	'Reported'	''	''	'N/A'	'3'	''	'1'	''	'4'	''	'1'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-BH2'	'Q-DRR-E'	'Depression Response (Adults)'	'Reported'	''	''	'N/A'	'3'	''	'1'	''	'4'	''	'1'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-BH2'	'Q-DRR-E'	'Follow-Up PHQ-9 (Adults)'	'Reported'	''	''	'N/A'	'3'	''	'1'	''	'4'	''	'1'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-BH2'	'Q-DRR-E'	'Depression Remission or Response for Adolescents and Adults (DRR-E)'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-BH4'	'Q-OHD'	'Use of Opioids at High Dosage in Persons Without Cancer (OHD-AD)'	'Reported'	''	''	'0.0397'	''	''	'1'	'95'	'0'	''	'1'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-BH6'	'Q-POD'	'Pharmacotherapy for Opioid Use Disorder*'	'Reported'	''	''	'N/A'	'3'	''	'1'	''	'1'	''	'1'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.8095'	''	'951'	'0'	'1193'	'0'	'0.7972'	'0'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.85'	''	'2365'	'0'	'2808'	'0'	'0.8422'	'0'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.7772'	''	'920'	'0'	'1201'	'0'	'0.766'	'0'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.4676'	''	'103'	'0'	'179'	'0'	'0.5754'	'0'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-CAR2'	'Q-PCE'	'Bronchodilator'	'Reported'	''	''	'N/A'	'3'	''	'1'	''	'1'	''	'1'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-CAR2'	'Q-PCE'	'Pharmacotherapy Management of COPD Exacerbation (PCE)'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-CAR2'	'Q-PCE'	'Systemic Corticosteroid'	'Reported'	''	''	'N/A'	'3'	''	'1'	''	'1'	''	'1'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-CC2'	'Q-PCR'	'Plan All-Cause Readmissions (PCR)'	'Reported'	''	''	'0'	''	''	'1'	''	'1'	''	'1'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-IHE1'	'Q-IHE1'	'Child and Adolescent Well Care Visits - -Black/African American'	'Reported'	''	''	'0.3941'	''	'13'	'0'	'36'	'0'	'0.3611'	'0'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-IHE1'	'Q-IHE1'	'Improving Health Equity 1 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-IHE2'	'Q-IHE2'	'HIV Viral Suppression (HVL-AD) - -Hispanic/Latino'	'Reported'	''	''	'0.776'	''	'30'	'0'	'39'	'0'	'0.7692'	'0'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-IHE2'	'Q-IHE2'	'Improving Health Equity 2 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-PC10'	'Q-LSC'	'Lead Screening in Children'	'Reported'	''	''	'0.6131'	''	'94'	'0'	'164'	'0'	'0.5732'	'0'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.5052'	''	'1421'	'0'	'3102'	'0'	'0.4581'	'0'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.6869'	''	'1527'	'0'	'2302'	'0'	'0.6633'	'0'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'N/A'	'3'	''	'1'	''	'4'	''	'1'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.3406'	''	''	'1'	'38'	'0'	''	'1'	'N/A'
'PY4'	'DPH'	'UC San Diego Medical Center'	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.3406'	''	'40'	'0'	'174'	'0'	'0.2299'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-BH1'	'Q-COB'	'Concurrent Use of Opioids and Benzodiazepines (COB-AD)'	'Reported'	''	''	'0.1411'	''	'51'	'0'	'346'	'0'	'0.1474'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-BH3'	'Q-FUA'	'30 Days'	'Reported'	''	''	'0.2057'	''	''	'1'	'52'	'0'	''	'1'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-BH3'	'Q-FUA'	'7 Days'	'Reported'	''	''	'0.0749'	''	''	'1'	'52'	'0'	''	'1'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-BH3'	'Q-FUA'	'Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.8313'	''	'874'	'0'	'1064'	'0'	'0.8214'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.8572'	''	'554'	'0'	'648'	'0'	'0.8549'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.4676'	''	'494'	'0'	'818'	'0'	'0.6039'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-CAR2'	'Q-PCE'	'Bronchodilator'	'Reported'	''	''	'0.9057'	''	'39'	'0'	'43'	'0'	'0.907'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-CAR2'	'Q-PCE'	'Pharmacotherapy Management of COPD Exacerbation (PCE)'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-CAR2'	'Q-PCE'	'Systemic Corticosteroid'	'Reported'	''	''	'0.636'	''	'25'	'0'	'43'	'0'	'0.5814'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-IHE1'	'Q-IHE1'	'Improving Health Equity 1 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-IHE2'	'Q-IHE1'	'Controlling High Blood Pressure (CBP) - -Black/African American'	'Reported'	''	''	'0.5601'	''	'131'	'0'	'239'	'0'	'0.5481'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-OA4'	'Q-LBP'	'Use of Imaging Studies for Low Back Pain (LBP)'	'Reported'	''	''	'0.8216'	''	'362'	'0'	'441'	'0'	'0.8209'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-PC10'	'Q-LSC'	'Lead Screening in Children'	'Reported'	''	''	'0.6131'	''	'118'	'0'	'258'	'0'	'0.4574'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.6462'	''	'20067'	'0'	'31444'	'0'	'0.6382'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.6049'	''	'4033'	'0'	'7048'	'0'	'0.5722'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-PC15'	'Q-WCC'	'BMI'	'Reported'	''	''	'0.8718'	''	'2342'	'0'	'2585'	'0'	'0.906'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-PC15'	'Q-WCC'	'Counseling for Nutrition'	'Reported'	''	''	'0.6409'	''	'1604'	'0'	'2585'	'0'	'0.6205'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-PC15'	'Q-WCC'	'Counseling for Physical Activity'	'Reported'	''	''	'0.6249'	''	'1567'	'0'	'2585'	'0'	'0.6062'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center'	'Q-PC15'	'Q-WCC'	'Weight Assessment & Counseling for Nutrition and Physical Activity for Children & Adolescents'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'UC San Francisco Medical Center '	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'UC San Francisco Medical Center '	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'0.3406'	''	'51'	'0'	'173'	'0'	'0.2948'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center '	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.3406'	''	'32'	'0'	'113'	'0'	'0.2832'	'0'	'N/A'
'PY4'	'DPH'	'UC San Francisco Medical Center '	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.3406'	''	'202'	'0'	'816'	'0'	'0.2475'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-BH1'	'Q-COB'	'Concurrent Use of Opioids and Benzodiazepines (COB-AD)'	'Reported'	''	''	'0.1187'	''	'127'	'0'	'1037'	'0'	'0.1225'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-BH3'	'Q-FUA'	'30 Days'	'Reported'	''	''	'0.214'	''	'52'	'0'	'258'	'0'	'0.2016'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-BH3'	'Q-FUA'	'7 Days'	'Reported'	''	''	'0.1172'	''	'27'	'0'	'258'	'0'	'0.1047'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-BH3'	'Q-FUA'	'Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-BH4'	'Q-OHD'	'Use of Opioids at High Dosage in Persons Without Cancer (OHD-AD)'	'Reported'	''	''	'0.0337'	''	'30'	'0'	'870'	'0'	'0.0345'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-CAC2'	'Q-QPP118'	'Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVSD < 40%%)'	'Reported'	''	''	'0.8353'	''	'370'	'0'	'448'	'0'	'0.8259'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.9199'	''	'815'	'0'	'879'	'0'	'0.9272'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-CAC4'	'Q-CMS135'	'Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)'	'Reported'	''	''	'0.8406'	''	'220'	'0'	'263'	'0'	'0.8365'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.4676'	''	'1643'	'0'	'3131'	'0'	'0.5248'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-IHE1'	'Q-IHE1'	'Improving Health Equity 1 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-IHE2'	'Q-IHE1'	'Chlamydia Screening in Women (CHL) - -American Indian/Alaskan Native'	'Reported'	''	''	'0.4829'	''	'43'	'0'	'100'	'0'	'0.43'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-IHE2'	'Q-IHE2'	'Preventive Care and Screening: Influenza Immunization - -Black/African American'	'Reported'	''	''	'0.478'	''	'292'	'0'	'647'	'0'	'0.4513'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-IHE2'	'Q-IHE2'	'Improving Health Equity 2 Unlock Metric'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-OA4'	'Q-LBP'	'Use of Imaging Studies for Low Back Pain (LBP)'	'Reported'	''	''	'0.8282'	''	'844'	'0'	'953'	'0'	'0.8856'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-PC11'	'Q-CMS69'	'Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan'	'Reported'	''	''	'0.6661'	''	'16389'	'0'	'25732'	'0'	'0.6369'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.606'	''	'18283'	'0'	'30807'	'0'	'0.5935'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-PC13'	'Q-CMS2'	'Preventive Care and Screening: Screening for Depression and Follow-Up Plan'	'Reported'	''	''	'0.6511'	''	'19098'	'0'	'30626'	'0'	'0.6236'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'0.377'	''	'24'	'0'	'63'	'0'	'0.381'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.3643'	''	'695'	'0'	'1894'	'0'	'0.3669'	'0'	'N/A'
'PY4'	'DPH'	'Ventura County Medical Center'	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.3552'	''	'1103'	'0'	'3091'	'0'	'0.3568'	'0'	'N/A'
'PY4'	'DMPH'	'Washington Hospital Healthcare System'	'Q-CAC3'	'Q-QPP6'	'Coronary Artery Disease (CAD): Antiplatelet Therapy'	'Reported'	''	''	'0.9199'	''	'176'	'0'	'186'	'0'	'0.9462'	'0'	'N/A'
'PY4'	'DMPH'	'Washington Hospital Healthcare System'	'Q-CAC5'	'Q-CMS347'	'Statin Therapy for the Prevention and Treatment of Cardiovascular Disease'	'Reported'	''	''	'0.6892'	''	'189'	'0'	'281'	'0'	'0.6726'	'0'	'N/A'
'PY4'	'DMPH'	'Washington Hospital Healthcare System'	'Q-CAD3'	'Q-KED'	'Kidney Health Evaluation for Patients with Diabetes'	'Reported'	''	''	'0.4676'	''	'102'	'0'	'182'	'0'	'0.5604'	'0'	'N/A'
'PY4'	'DMPH'	'Washington Hospital Healthcare System'	'Q-PC12'	'Q-CMS147'	'Preventive Care and Screening: Influenza Immunization'	'Reported'	''	''	'0.476'	''	'1527'	'0'	'3400'	'0'	'0.4491'	'0'	'N/A'
'PY4'	'DMPH'	'Washington Hospital Healthcare System'	'Q-PC14'	'Q-CMS138'	'Rate 1 (informational only)'	'Reported'	''	''	'0'	''	'3755'	'0'	'3849'	'0'	'0.9756'	'0'	'N/A'
'PY4'	'DMPH'	'Washington Hospital Healthcare System'	'Q-PC14'	'Q-CMS138'	'Rate 2'	'Reported'	''	''	'0.2879'	''	'64'	'0'	'294'	'0'	'0.2177'	'0'	'N/A'
'PY4'	'DMPH'	'Washington Hospital Healthcare System'	'Q-PC14'	'Q-CMS138'	'Rate 3'	'Reported'	''	''	'0.9195'	''	'3525'	'0'	'3849'	'0'	'0.9158'	'0'	'N/A'
'PY4'	'DMPH'	'Washington Hospital Healthcare System'	'Q-PC14'	'Q-CMS138'	'Preventative Care and Screening: Tobacco Use - Screening and Cessation Intervention'	'Reported'	''	''	''	''	''	''	''	''	''	''	'0'
'PY4'	'DMPH'	'Washington Hospital Healthcare System '	'Q-CAD1'	'Q-HBD'	'Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%%) (CDC-H9)*'	'Reported'	''	''	''	''	''	''	''	''	''	''	''
'PY4'	'DMPH'	'Washington Hospital Healthcare System '	'Q-CAD1'	'Q-HBD'	'Black/African-American'	'Reported'	''	''	'N/A'	'3'	''	'1'	''	'4'	''	'1'	'N/A'
'PY4'	'DMPH'	'Washington Hospital Healthcare System '	'Q-CAD1'	'Q-HBD'	'Hispanic/Latino'	'Reported'	''	''	'0.3406'	''	''	'1'	'30'	'0'	''	'1'	'N/A'
'PY4'	'DMPH'	'Washington Hospital Healthcare System '	'Q-CAD1'	'Q-HBD'	'Total Population'	'Reported'	''	''	'0.3406'	''	'35'	'0'	'165'	'0'	'0.2121'	'0'	'N/A'