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 None None None None None None None None None None 0
PY4 DPH Alameda Health System Q-BH3 Q-FUA 30 Days Reported None None 0.2066 None 63 0 326 0 0.1933 0 N/A
PY4 DPH Alameda Health System Q-BH3 Q-FUA 7 Days Reported None None 0.1583 None 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 None None 0.9144 None 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 None None 0.9199 None 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 None None 0.8775 None 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 None None 0.7761 None 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 None None 0.4676 None 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 None None None None None None None None None None None
PY4 DPH Alameda Health System Q-IHE1 Q-IHE1 Childhood Immunization Status (CIS 10) - -Black/African American Reported None None 0.3207 None 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 None None None None None None None None None None None
PY4 DPH Alameda Health System Q-IHE2 Q-IHE2 Exclusive Breast Milk Feeding (PC-05) - -Asian Reported None None 0.6436 None 29 0 46 0 0.6304 0 N/A
PY4 DPH Alameda Health System Q-MPH6 Q-PRS-E Prenatal Immunization Status Reported None None 0.4544 None 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 None None 0.6834 None 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 None None 0.7214 None 14394 0 20513 0 0.7017 0 N/A
PY4 DPH Alameda Health System Q-PS5 Q-SSI Surgical Site Infection (SSI) Reported None None 0 None 28 0 None 4 None 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 None None 0.8775 None 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 None None None None None None None None None None None
PY4 DMPH Antelope Valley Hospital Q-IHE1 Q-IHE1 Exclusive Breast Milk Feeding (PC-05) - -Black/African American Reported None None 0.5331 None 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 None None None None None None None None None None None
PY4 DMPH Antelope Valley Hospital Q-IHE2 Q-IHE2 Cesarean Birth (PC02-CH) - -Black/African American Reported None None 0.2481 None 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 None None 0.7133 None 390 0 1207 0 0.3231 0 N/A
PY4 DMPH Antelope Valley Hospital Q-PS1 Q-STK-2 Discharged on Antithrombotic Therapy Reported None None 0.9959 None 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 None None 0.6978 None 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 None None 0.7637 None 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 None None 0.7587 None 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 None None 0.4676 None 1262 0 2374 0 0.5316 0 N/A
PY4 DPH Arrowhead Regional Medical Center Q-CC1 Q-TRC Transitions of Care (TRC) Reported None None 0.78 None 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 None None None None None None None None None None None
PY4 DPH Arrowhead Regional Medical Center Q-IHE1 Q-IHE1 Immunizations for Adolescents - -Black/African American Reported None None 0.309 None None 1 33 0 None 1 N/A
PY4 DPH Arrowhead Regional Medical Center Q-IHE2 Q-IHE2 Improving Health Equity 2 Unlock Metric Reported None None None None None None None None None None None
PY4 DPH Arrowhead Regional Medical Center Q-IHE2 Q-IHE2 Child and Adolescent Well Care Visits - -Black/African American Reported None None 0.4915 None 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 None None 0.2933 None 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 None None 0.8826 None 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 None None None None None None None None None None 0
PY4 DPH Arrowhead Regional Medical Center Q-PC15 Q-WCC BMI Reported None None 0.7587 None 3479 0 4663 0 0.7461 0 N/A
PY4 DPH Arrowhead Regional Medical Center Q-PC15 Q-WCC Counseling for Nutrition Reported None None 0.6651 None 3019 0 4663 0 0.6474 0 N/A
PY4 DPH Arrowhead Regional Medical Center Q-PC15 Q-WCC Counseling for Physical Activity Reported None None 0.6466 None 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 None None 0.86 None 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 None None 0.5938 None 940 0 1679 0 0.5599 0 N/A
PY4 DMPH Bear Valley Community Hospital Q-PC16 Q-W30 15 Months-30 Months Reported None None 0.6643 None 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 None None None None None None None None None None 0
PY4 DMPH Bear Valley Community Hospital Q-PC16 Q-W30 First 15 Months Reported None None 0.4499 None None 1 67 0 None 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 None None 0.8621 None 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 None None 0.8925 None 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 None None 0.8775 None 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 None None 0.4676 None 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 None None 0.4576 None 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 None None 0.8282 None 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 None None 0.6131 None 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 None None 0.5638 None 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 None None 0.7182 None 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 None None 0.8988 None 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 None None 0.5004 None 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 None None None None None None None None None None 0
PY4 DMPH Eastern Plumas Health Care Q-PC14 Q-CMS138 Rate 1 (informational only) Reported None None 0 None 506 0 536 0 0.944 0 N/A
PY4 DMPH Eastern Plumas Health Care Q-PC14 Q-CMS138 Rate 2 Reported None None 0.7848 None 107 0 139 0 0.7698 0 N/A
PY4 DMPH Eastern Plumas Health Care Q-PC14 Q-CMS138 Rate 3 Reported None None 0.8911 None 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 None None None None None None None None None None None
PY4 DMPH El Camino Hospital Q-IHE2 Q-IHE2 Exclusive Breast Milk Feeding (PC-05) - -Asian Reported None None 0.4776 None None 1 32 0 None 1 N/A
PY4 DMPH El Camino Hospital Q-MPH6 Q-PRS-E Prenatal Immunization Status Reported None None 0.2258 None None 1 45 0 None 1 N/A
PY4 DMPH El Centro Regional Medical Center Q-CAC3 Q-QPP6 Coronary Artery Disease (CAD): Antiplatelet Therapy Reported None None 0.7637 None 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 None None 0.7155 None 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 None None 0.3176 None 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 None None 0.8624 None 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 None None 0.5384 None 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 None None 0.8864 None 45 0 51 0 0.8824 0 N/A
PY4 DMPH Hazel Hawkins Memorial Hospital Q-PC9 Q-IMA Immunizations for Adolescents Reported None None 0.309 None 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 None None 0 None None 1 None 1 None 1 N/A
PY4 DMPH Hazel Hawkins Memorial Hospital Q-CAD1 Q-HBD Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%) (CDC-H9) Reported None None None None None None None None None None None
PY4 DMPH Hazel Hawkins Memorial Hospital Q-CAD1 Q-HBD Black/African-American Reported None None N/A 3 None 1 None 1 None 1 N/A
PY4 DMPH Hazel Hawkins Memorial Hospital Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.3406 None 49 0 144 0 0.3403 0 N/A
PY4 DMPH Hazel Hawkins Memorial Hospital Q-CAD1 Q-HBD Total Population Reported None None 0.3636 None 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 None None 0.4955 None 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 None None 0.5004 None None 1 236 0 None 1 N/A
PY4 DMPH John C Fremont Healthcare District Q-CAC1 Q-CBP Controlling High Blood Pressure (CBP) Reported None None 0.5061 None 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 None None 0.518 None 151 0 585 0 0.2581 0 N/A
PY4 DMPH Kaweah Delta Health Care District Q-BH3 Q-FUA 30 Days Reported None None 0.1075 None None 1 47 0 None 1 N/A
PY4 DMPH Kaweah Delta Health Care District Q-BH3 Q-FUA 7 Days Reported None None 0.157 None None 1 47 0 None 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 None None None None None None None None None None 0
PY4 DMPH Kaweah Delta Health Care District Q-CAC5 Q-CMS347 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease Reported None None 0.6667 None 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 None None 0.3096 None 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 None None 0.6075 None 3036 0 5009 0 0.6061 0 N/A
PY4 DMPH Kaweah Delta Health Care District Q-PC9 Q-IMA Immunizations for Adolescents Reported None None 0.3816 None 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 None None None None None None None None None None 0
PY4 DPH Kern Medical Center Q-BH2 Q-DRR-E Depression Remission (Adolescents) - informational only Reported None None N/A 3 None 1 None 4 None 1 N/A
PY4 DPH Kern Medical Center Q-BH2 Q-DRR-E Depression Response (Adolescents) - informational only Reported None None N/A 3 None 1 None 4 None 1 N/A
PY4 DPH Kern Medical Center Q-BH2 Q-DRR-E Follow-Up PHQ-9 (Adolescents) - informational only Reported None None N/A 3 11 0 None 4 None 4 N/A
PY4 DPH Kern Medical Center Q-BH2 Q-DRR-E Depression Remission (Adults) Reported None None 0.0984 None 29 0 314 0 0.0924 0 N/A
PY4 DPH Kern Medical Center Q-BH2 Q-DRR-E Depression Response (Adults) Reported None None 0.1465 None 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 None None 0.3851 None 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 None None 0.8855 None 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 None None 0.8937 None 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 None None 0.8775 None 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 None None 0.4676 None 1225 0 2315 0 0.5292 0 N/A
PY4 DPH Kern Medical Center Q-CC2 Q-PCR Plan All-Cause Readmissions (PCR) Reported None None 0 None 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 None None None None None None None None None None None
PY4 DPH Kern Medical Center Q-IHE1 Q-IHE1 Controlling High Blood Pressure (CBP) - -Black/African American Reported None None 0.5292 None 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 None None None None None None None None None None None
PY4 DPH Kern Medical Center Q-IHE2 Q-IHE2 Exclusive Breast Milk Feeding (PC-05) - -Black/African American Reported None None 0.5152 None 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 None None 0.9434 None 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 None None 0.7133 None 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 None None 0.5256 None 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 None None 0.6565 None 5493 0 8725 0 0.6296 0 N/A
PY4 DPH Kern Medical Center Q-PS5 Q-SSI Surgical Site Infection (SSI) Reported None None 0 None None 1 None 1 None 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 None None 0.4955 None 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 None None None None None None None None None None None
PY4 DMPH Kern Valley Healthcare District Q-CAD1 Q-HBD Black/African-American Reported None None 0.3406 None None 1 72 0 None 1 N/A
PY4 DMPH Kern Valley Healthcare District Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.3406 None 21 0 72 0 0.2917 0 N/A
PY4 DMPH Kern Valley Healthcare District Q-CAD1 Q-HBD Total Population Reported None None 0.3406 None 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 None None 0.2687 None 39 0 179 0 0.2179 0 N/A
PY4 DMPH Lompoc Valley Medical Center Q-MPH1 Q-PC02 Cesarean Birth (PC02-CH) Reported None None 0.2481 None 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 None None 0.7111 None 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 None None 0.7932 None None 1 32 0 None 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 None None 0.4955 None 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 None None 0.2671 None 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 None None 0.3187 None 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 None None 0.3665 None 225 0 394 0 0.5711 0 N/A
PY4 DMPH Lompoc Valley Medical Center Q-PC8 Q-CMS349 HIV Screening Measure Reported None None 0.2809 None 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 None None None None None None None None None None None
PY4 DMPH Lompoc Valley Medical Center Q-CAD1 Q-HBD Black/African-American Reported None None N/A 3 None 1 None 1 None 1 N/A
PY4 DMPH Lompoc Valley Medical Center Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.3406 None 28 0 87 0 0.3218 0 N/A
PY4 DMPH Lompoc Valley Medical Center Q-CAD1 Q-HBD Total Population Reported None None 0.3427 None 60 0 175 0 0.3429 0 N/A
PY4 DPH Los Angeles County Health System Q-BH3 Q-FUA 30 Days Reported None None 0.2489 None 105 0 437 0 0.2403 0 N/A
PY4 DPH Los Angeles County Health System Q-BH3 Q-FUA 7 Days Reported None None 0.161 None 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 None None None None None None None None None None 0
PY4 DPH Los Angeles County Health System Q-BH5 Q-FUI 30 Days Reported None None 0.3894 None 56 0 159 0 0.3522 0 N/A
PY4 DPH Los Angeles County Health System Q-BH5 Q-FUI 7 Days Reported None None 0.2529 None 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 None None None None None None None None None None 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 None None 0.9199 None 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 None None 0.8971 None 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 None None 0.8775 None 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 None None 0.4676 None 10248 0 17010 0 0.6025 0 N/A
PY4 DPH Los Angeles County Health System Q-CAR2 Q-PCE Bronchodilator Reported None None 0.7872 None 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 None None None None None None None None None None 0
PY4 DPH Los Angeles County Health System Q-CAR2 Q-PCE Systemic Corticosteroid Reported None None 0.636 None 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 None None 0.3112 None 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 None None None None None None None None None None None
PY4 DPH Los Angeles County Health System Q-IHE2 Q-IHE2 Chlamydia Screening in Women (CHL) - -Asian Reported None None 0.5599 None 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 None None None None None None None None None None None
PY4 DPH Los Angeles County Health System Q-MPH1 Q-PC02 Cesarean Birth (PC02-CH) Reported None None 0.2481 None 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 None None 0.8282 None 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 None None 0.8988 None 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 None None 0.5646 None 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 None None 0.6928 None 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 None None None None None None None None None None None
PY4 DMPH Mammoth Hospital Q-CAD1 Q-HBD Black/African-American Reported None None N/A 3 0 0 0 0 0 0 N/A
PY4 DMPH Mammoth Hospital Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.3406 None None 1 45 0 None 1 N/A
PY4 DMPH Mammoth Hospital Q-CAD1 Q-HBD Total Population Reported None None 0.3406 None 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 None None 0.837 None 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 None None 0.7182 None 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 None None 0.614 None 538 0 924 0 0.5823 0 N/A
PY4 DPH Natividad Medical Center Q-BH3 Q-FUA 30 Days Reported None None 0.1075 None None 1 111 0 None 1 N/A
PY4 DPH Natividad Medical Center Q-BH3 Q-FUA 7 Days Reported None None 0.071 None None 1 111 0 None 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 None None None None None None None None None None 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 None None 0.7968 None 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 None None 0.7944 None 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 None None 0.8537 None 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 None None 0.3971 None 619 0 1590 0 0.3893 0 N/A
PY4 DPH Natividad Medical Center Q-MPH6 Q-PRS-E Prenatal Immunization Status Reported None None 0.4576 None 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 None None 0.8282 None 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 None None 0.5394 None 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 None None 0.5975 None 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 None None 0.6745 None 14356 0 22100 0 0.6496 0 N/A
PY4 DPH Natividad Medical Center Q-PC15 Q-WCC BMI Reported None None 0.8486 None 9809 0 11594 0 0.846 0 N/A
PY4 DPH Natividad Medical Center Q-PC15 Q-WCC Counseling for Nutrition Reported None None 0.7832 None 9027 0 11594 0 0.7786 0 N/A
PY4 DPH Natividad Medical Center Q-PC15 Q-WCC Counseling for Physical Activity Reported None None 0.7801 None 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 None None None None None None None None None None 0
PY4 DPH Natividad Medical Center Q-CAD1 Q-HBD Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%) (CDC-H9)* Reported None None None None None None None None None None None
PY4 DPH Natividad Medical Center Q-CAD1 Q-HBD Black/African-American Reported None None 0.3555 None 15 0 42 0 0.3571 0 N/A
PY4 DPH Natividad Medical Center Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.369 None 380 0 1021 0 0.3722 0 N/A
PY4 DPH Natividad Medical Center Q-CAD1 Q-HBD Total Population Reported None None 0.3436 None 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 None None 0.7111 None 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 None None 0.7932 None 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 None None 0.5474 None 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 None None 0.7637 None 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 None None 0.4676 None 392 0 554 0 0.7076 0 N/A
PY4 DMPH Oak Valley Hospital District Q-MPH6 Q-PRS-E Prenatal Immunization Status Reported None None 0.4576 None 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 None None 0.4955 None 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 None None 0.2671 None 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 None None 0.7799 None 1824 0 2379 0 0.7667 0 N/A
PY4 DMPH Oak Valley Hospital District Q-PC8 Q-CMS349 HIV Screening Measure Reported None None 0.3029 None 436 0 1633 0 0.267 0 N/A
PY4 DMPH Palo Verde Q-EC1 Q-QPP47 Advance Care Plan Reported None None 0.4799 None 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 None None 0.4955 None None 1 471 0 None 1 N/A
PY4 DMPH Palo Verde Q-PC12 Q-CMS147 Preventive Care and Screening: Influenza Immunization Reported None None 0.6551 None 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 None None 0.5004 None 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 None None None None None None None None None None 0
PY4 DMPH Palo Verde Q-PC14 Q-CMS138 Rate 1 (informational only) Reported None None 0 None 549 0 555 0 0.9892 0 N/A
PY4 DMPH Palo Verde Q-PC14 Q-CMS138 Rate 2 Reported None None 0.812 None 116 0 145 0 0.8 0 N/A
PY4 DMPH Palo Verde Q-PC14 Q-CMS138 Rate 3 Reported None None 0.7542 None 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 None None 0.7878 None 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 None None None None None None None None None None None
PY4 DMPH Pioneer Memorial Healthcare District Q-CAD1 Q-HBD Black/African-American Reported None None N/A 3 0 0 0 0 0 0 N/A
PY4 DMPH Pioneer Memorial Healthcare District Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.5044 None 220 0 421 0 0.5226 0 N/A
PY4 DMPH Pioneer Memorial Healthcare District Q-CAD1 Q-HBD Total Population Reported None None 0.4943 None 246 0 481 0 0.5114 0 N/A
PY4 DMPH Pioneer Memorial Healthcare District Q-MPH1 Q-PC02 Cesarean Birth (PC02-CH) Reported None None 0.2200 None 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 None None 0.4776 None 332 0 974 0 0.3409 0 N/A
PY4 DMPH Pioneer Memorial Healthcare District Q-PC1 Q-BCS Breast Cancer Screening (BCS) Reported None None 0.5543 None 230 0 422 0 0.5450 0 N/A
PY4 DMPH Pioneer Memorial Healthcare District Q-PC10 Q-LSC Lead Screening in Children Reported None None 0.6131 None 22 0 148 0 0.1486 0 N/A
PY4 DMPH Pioneer Memorial Healthcare District Q-PC9 Q-IMA Immunizations for Adolescents Reported None None 0.3216 None 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 None None 0.3941 None 194 0 699 0 0.2775 0 N/A
PY4 DMPH Plumas District Hospital Q-PC6 Q-CMS130 Colorectal Cancer Screening Reported None None 0.4176 None 123 0 310 0 0.3968 0 N/A
PY4 DPH Riverside University Health System Q-BH3 Q-FUA 30 Days Reported None None 0.326 None 60 0 149 0 0.4027 0 N/A
PY4 DPH Riverside University Health System Q-BH3 Q-FUA 7 Days Reported None None 0.2298 None 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 None None None None None None None None None None 0
PY4 DPH Riverside University Health System Q-BH5 Q-FUI 30 Days Reported None None 0.4975 None 32 0 67 0 0.4776 0 N/A
PY4 DPH Riverside University Health System Q-BH5 Q-FUI 7 Days Reported None None 0.2775 None 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 None None None None None None None None None None 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 None None 0.8142 None 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 None None 0.8026 None 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 None None 0.8775 None 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 None None 0.7051 None 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 None None 0.4391 None 2412 0 5533 0 0.4359 0 N/A
PY4 DPH Riverside University Health System Q-EC1 Q-QPP47 Advance Care Plan Reported None None 0.6393 None 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 None None 0 None 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 None None 0.4738 None 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 None None 0.7813 None 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 None None None None None None None None None None None
PY4 DPH Riverside University Health System Q-OA4 Q-LBP Use of Imaging Studies for Low Back Pain (LBP) Reported None None 0.8109 None 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 None None 0.5067 None 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 None None 0.8988 None 33125 0 34614 0 0.957 0 N/A
PY4 DPH Riverside University Health System Q-PC15 Q-WCC BMI Reported None None 0.8681 None 4360 0 5025 0 0.8677 0 N/A
PY4 DPH Riverside University Health System Q-PC15 Q-WCC Counseling for Nutrition Reported None None 0.7801 None 3895 0 5025 0 0.7751 0 N/A
PY4 DPH Riverside University Health System Q-PC15 Q-WCC Counseling for Physical Activity Reported None None 0.7784 None 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 None None None None None None None None None None 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 None None 0.8965 None 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 None None 0.8701 None 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 None None 0.791 None 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 None None 0.44 None 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 None None 0.4955 None 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 None None 0.4784 None 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 None None 0.5004 None 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 None None 0.2257 None 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 None None 0.6847 None 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 None None 0.5568 None 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 None None 0.8855 None 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 None None 0.8684 None 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 None None 0.8775 None 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 None None 0.4676 None 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 None None 0.4807 None 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 None None None None None None None None None None None
PY4 DPH San Francisco General Hospital Q-IHE2 Q-IHE2 Controlling High Blood Pressure (CBP) - -Black/African American Reported None None 0.5252 None 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 None None None None None None None None None None None
PY4 DPH San Francisco General Hospital Q-MPH6 Q-PRS-E Prenatal Immunization Status Reported None None 0.4576 None 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 None None 0.8959 None 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 None None 0.8282 None 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 None None 0.7066 None 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 None None 0.6401 None 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 None None None None None None None None None None None
PY4 DPH San Francisco General Hospital Q-CAD1 Q-HBD Black/African-American Reported None None 0.3406 None 230 0 739 0 0.3112 0 N/A
PY4 DPH San Francisco General Hospital Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.3619 None 369 0 1013 0 0.3643 0 N/A
PY4 DPH San Francisco General Hospital Q-CAD1 Q-HBD Total Population Reported None None 0.3406 None 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 None None 0.8331 None 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 None None 0.9199 None 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 None None 1 None 31 0 31 0 1 0 N/A
PY4 DPH San Joaquin General Hospital Q-BH3 Q-FUA 30 Days Reported None None 0.2878 None 38 0 134 0 0.2836 0 N/A
PY4 DPH San Joaquin General Hospital Q-BH3 Q-FUA 7 Days Reported None None 0.1304 None 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 None None None None None None None None None None 0
PY4 DPH San Joaquin General Hospital Q-CAC3 Q-QPP6 Coronary Artery Disease (CAD): Antiplatelet Therapy Reported None None 0.8109 None 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 None None 0.5989 None 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 None None None None None None None None None None None
PY4 DPH San Joaquin General Hospital Q-IHE2 Q-IHE2 Improving Health Equity 2 Unlock Metric Reported None None None None None None None None None None None
PY4 DPH San Joaquin General Hospital Q-IHE2 Q-IHE2 Prenatal and Postpartum Care: Postpartum Care (PPC-PST) - -Black/African American Reported None None 0.7111 None 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 None None 0.7133 None 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 None None 0.4955 None 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 None None 0.4982 None 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 None None 0.5004 None 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 None None None None None None None None None None None
PY4 DPH San Joaquin General Hospital Q-CAD1 Q-HBD Black/African-American Reported None None 0.4799 None 107 0 216 0 0.4954 0 N/A
PY4 DPH San Joaquin General Hospital Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.4828 None 178 0 357 0 0.4986 0 N/A
PY4 DPH San Joaquin General Hospital Q-CAD1 Q-HBD Total Population Reported None None 0.4285 None 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 None None 0.8589 None 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 None None 0.9199 None 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 None None 0.8554 None 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 None None 0 None 12 0 None 4 None 4 N/A
PY4 DPH San Mateo Medical Center Q-IHE1 Q-IHE1 Improving Health Equity 1 Unlock Metric Reported None None None None None None None None None None None
PY4 DPH San Mateo Medical Center Q-IHE2 Q-IHE1 Breast Cancer Screening (BCS) - -Black/African American Reported None None 0.5921 None 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 None None None None None None None None None None None
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 None None 0 None 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 None None 0.6395 None 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 None None 0.8688 None 312 0 363 0 0.8595 0 N/A
PY4 DPH San Mateo Medical Center Q-MPH6 Q-PRS-E Prenatal Immunization Status Reported None None 0.4576 None 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 None None 0.8282 None 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 None None 0.4955 None 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 None None 0.6514 None 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 None None 0.6194 None 12634 0 21471 0 0.5884 0 N/A
PY4 DPH Santa Clara Valley Medical Center Q-BH3 Q-FUA 30 Days Reported None None 0.2436 None 98 0 418 0 0.2344 0 N/A
PY4 DPH Santa Clara Valley Medical Center Q-BH3 Q-FUA 7 Days Reported None None 0.1113 None 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 None None None None None None None None None None 0
PY4 DPH Santa Clara Valley Medical Center Q-BH5 Q-FUI 30 Days Reported None None 0.3979 None 62 0 169 0 0.3669 0 N/A
PY4 DPH Santa Clara Valley Medical Center Q-BH5 Q-FUI 7 Days Reported None None 0.3793 None 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 None None None None None None None None None None 0
PY4 DPH Santa Clara Valley Medical Center Q-CAC5 Q-CMS347 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease Reported None None 0.6991 None 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 None None 0.4676 None 3268 0 6761 0 0.4834 0 N/A
PY4 DPH Santa Clara Valley Medical Center Q-CAR2 Q-PCE Bronchodilator Reported None None 0.8424 None 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 None None None None None None None None None None 0
PY4 DPH Santa Clara Valley Medical Center Q-CAR2 Q-PCE Systemic Corticosteroid Reported None None 0.6391 None 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 None None 0.7111 None 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 None None None None None None None None None None None
PY4 DPH Santa Clara Valley Medical Center Q-IHE2 Q-IHE2 Colorectal Cancer Screening - -Black/African American Reported None None 0.5241 None 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 None None None None None None None None None None None
PY4 DPH Santa Clara Valley Medical Center Q-MPH1 Q-PC02 Cesarean Birth (PC02-CH) Reported None None 0.22 None 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 None None 0.4576 None 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 None None 0.9434 None 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 None None 0.7039 None 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 None None 0.5184 None 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 None None 0.5004 None 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 None None None None None None None None None None None
PY4 DPH Santa Clara Valley Medical Center Q-CAD1 Q-HBD Black/African-American Reported None None 0.3591 None 151 0 418 0 0.3612 0 N/A
PY4 DPH Santa Clara Valley Medical Center Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.4139 None 1195 0 2832 0 0.422 0 N/A
PY4 DPH Santa Clara Valley Medical Center Q-CAD1 Q-HBD Total Population Reported None None 0.3424 None 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 None None 0.5004 None 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 None None 0.2671 None 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 None None 0 None None 1 None 1 None 1 N/A
PY4 DMPH Sonoma Valley Hospital Q-PS5 Q-SSI Surgical Site Infection (SSI) Reported None None 0 None 0 0 None 1 None 1 N/A
PY4 DMPH Southern Inyo Hospital Q-PC1 Q-BCS Breast Cancer Screening (BCS) None None None N/A 3 None 1 None 4 None 1 N/A
PY4 DMPH Southern Inyo Hospital Q-PC3 Q-WCV Child and Adolescent Well Care Visits None None None 0.5433 None 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 None None 0.5004 None 0 0 30 0 0 0 N/A
PY4 DMPH Tahoe Forest Hospital District Q-BH3 Q-FUA 30 Days Reported None None 0.3058 None 17 0 56 0 0.3036 0 N/A
PY4 DMPH Tahoe Forest Hospital District Q-BH3 Q-FUA 7 Days Reported None None 0.2159 None 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 None None None None None None None None None None 0
PY4 DMPH Tahoe Forest Hospital District Q-CC1 Q-TRC Transitions of Care (TRC) Reported None None 0.5897 None 58 0 102 0 0.5686 0 N/A
PY4 DMPH Tahoe Forest Hospital District Q-PC1 Q-BCS Breast Cancer Screening (BCS) Reported None None 0.622 None 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 None None 0.5004 None 664 0 1583 0 0.4195 0 N/A
PY4 DMPH Tahoe Forest Hospital District Q-PC9 Q-IMA Immunizations for Adolescents Reported None None 0.309 None 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 None None 0 None None 1 None 1 None 1 N/A
PY4 DMPH Tahoe Forest Hospital District Q-CAD1 Q-HBD Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%) (CDC-H9)* Reported None None None None None None None None None None None
PY4 DMPH Tahoe Forest Hospital District Q-CAD1 Q-HBD Black/African-American Reported None None N/A 3 0 0 0 0 0 0 N/A
PY4 DMPH Tahoe Forest Hospital District Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.3406 None None 1 30 0 None 1 N/A
PY4 DMPH Tahoe Forest Hospital District Q-CAD1 Q-HBD Total Population Reported None None 0.3406 None 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 None None 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 None None N/A 3 0 0 0 0 0 0 N/A
PY4 DMPH Tri-City Medical Center Q-BH5 Q-FUI 30 Days Reported None None 0.3894 None None 1 124 0 None 1 N/A
PY4 DMPH Tri-City Medical Center Q-BH5 Q-FUI 7 Days Reported None None 0.234 None None 1 124 0 None 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 None None None None None None None None None None 0
PY4 DMPH Tri-City Medical Center Q-BH6 Q-POD Pharmacotherapy for Opioid Use Disorder* Reported None None 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 None None 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 None None 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 None None 0.1696 None None 1 533 0 None 1 N/A
PY4 DMPH Tri-City Medical Center Q-PC12 Q-CMS147 Preventive Care and Screening: Influenza Immunization Reported None None 0.7182 None 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 None None 0.5004 None 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 None None None None None None None None None None 0
PY4 DMPH Tri-City Medical Center Q-PC14 Q-CMS138 Rate 1 (informational only) Reported None None 0 None 3363 0 3544 0 0.9489 0 N/A
PY4 DMPH Tri-City Medical Center Q-PC14 Q-CMS138 Rate 2 Reported None None 0.1093 None 24 0 1251 0 0.0192 0 N/A
PY4 DMPH Tri-City Medical Center Q-PC14 Q-CMS138 Rate 3 Reported None None 0.7542 None 24 0 3544 0 0.0068 0 N/A
PY4 DMPH Trinity Hospital Q-PC3 Q-WCV Child and Adolescent Well Care Visits Reported None None 0.3941 None 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 None None 0.8249 None 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 None None 0 None 15 0 None 4 None 4 N/A
PY4 DPH UC Davis Medical Center Q-IHE1 Q-IHE1 Controlling High Blood Pressure (CBP) - -Black/African American Reported None None 0.586 None 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 None None None None None None None None None None None
PY4 DPH UC Davis Medical Center Q-IHE2 Q-IHE2 Exclusive Breast Milk Feeding (PC-05) - -Black/African American Reported None None 0.4776 None 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 None None None None None None None None None None None
PY4 DPH UC Davis Medical Center Q-MPH6 Q-PRS-E Prenatal Immunization Status Reported None None 0.4576 None 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 None None 0.8282 None 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 None None 0.5079 None 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 None None 0.9918 None 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 None None None None None None None None None None None
PY4 DPH UC Davis Medical Center Q-CAD1 Q-HBD Black/African-American Reported None None 0.3886 None 26 0 66 0 0.3939 0 N/A
PY4 DPH UC Davis Medical Center Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.3941 None 30 0 75 0 0.4 0 N/A
PY4 DPH UC Davis Medical Center Q-CAD1 Q-HBD Total Population Reported None None 0.3406 None 94 0 283 0 0.3322 0 N/A
PY4 DPH UC Irvine Medical Center Q-BH3 Q-FUA 30 Days Reported None None 0.1539 None 12 0 89 0 0.1348 0 N/A
PY4 DPH UC Irvine Medical Center Q-BH3 Q-FUA 7 Days Reported None None 0.0938 None None 1 89 0 None 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 None None None None None None None None None None 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 None None 0.8364 None 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 None None 0.854 None 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 None None 0.8408 None 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 None None 0.7357 None 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 None None 0.4676 None 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 None None 0 None 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 None None 0.4576 None 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 None None 0.8282 None 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 None None 0.4955 None 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 None None 0.5916 None 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 None None 0.9918 None 395 0 422 0 0.936 0 N/A
PY4 DPH UC Irvine Medical Center Q-PS5 Q-SSI Surgical Site Infection (SSI) Reported None None 0 None 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 None None None None None None None None None None None
PY4 DPH UC Irvine Medical Center Q-CAD1 Q-HBD Black/African-American Reported None None 0.3406 None None 1 38 0 None 1 N/A
PY4 DPH UC Irvine Medical Center Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.3406 None 338 0 1051 0 0.3216 0 N/A
PY4 DPH UC Irvine Medical Center Q-CAD1 Q-HBD Total Population Reported None None 0.3406 None 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 None None 0.816 None 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 None None 0.6969 None 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 None None 0.4676 None 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 None None None None None None None None None None None
PY4 DPH UC Los Angeles Medical Center Q-IHE2 Q-IHE1 Colorectal Cancer Screening - -Native Hawaiian/Pacific Islander Reported None None 0.3059 None None 1 33 0 None 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 None None 0.5004 None 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 None None 0.1415 None 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 None None 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 None None 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 None None 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 None None N/A 3 None 1 None 4 None 1 N/A
PY4 DPH UC San Diego Medical Center Q-BH2 Q-DRR-E Depression Response (Adults) Reported None None N/A 3 None 1 None 4 None 1 N/A
PY4 DPH UC San Diego Medical Center Q-BH2 Q-DRR-E Follow-Up PHQ-9 (Adults) Reported None None N/A 3 None 1 None 4 None 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 None None None None None None None None None None 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 None None 0.0397 None None 1 95 0 None 1 N/A
PY4 DPH UC San Diego Medical Center Q-BH6 Q-POD Pharmacotherapy for Opioid Use Disorder* Reported None None N/A 3 None 1 None 1 None 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 None None 0.8095 None 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 None None 0.85 None 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 None None 0.7772 None 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 None None 0.4676 None 103 0 179 0 0.5754 0 N/A
PY4 DPH UC San Diego Medical Center Q-CAR2 Q-PCE Bronchodilator Reported None None N/A 3 None 1 None 1 None 1 N/A
PY4 DPH UC San Diego Medical Center Q-CAR2 Q-PCE Pharmacotherapy Management of COPD Exacerbation (PCE) Reported None None None None None None None None None None 0
PY4 DPH UC San Diego Medical Center Q-CAR2 Q-PCE Systemic Corticosteroid Reported None None N/A 3 None 1 None 1 None 1 N/A
PY4 DPH UC San Diego Medical Center Q-CC2 Q-PCR Plan All-Cause Readmissions (PCR) Reported None None 0 None None 1 None 1 None 1 N/A
PY4 DPH UC San Diego Medical Center Q-IHE1 Q-IHE1 Child and Adolescent Well Care Visits - -Black/African American Reported None None 0.3941 None 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 None None None None None None None None None None None
PY4 DPH UC San Diego Medical Center Q-IHE2 Q-IHE2 HIV Viral Suppression (HVL-AD) - -Hispanic/Latino Reported None None 0.776 None 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 None None None None None None None None None None None
PY4 DPH UC San Diego Medical Center Q-PC10 Q-LSC Lead Screening in Children Reported None None 0.6131 None 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 None None 0.5052 None 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 None None 0.6869 None 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 None None None None None None None None None None None
PY4 DPH UC San Diego Medical Center Q-CAD1 Q-HBD Black/African-American Reported None None N/A 3 None 1 None 4 None 1 N/A
PY4 DPH UC San Diego Medical Center Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.3406 None None 1 38 0 None 1 N/A
PY4 DPH UC San Diego Medical Center Q-CAD1 Q-HBD Total Population Reported None None 0.3406 None 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 None None 0.1411 None 51 0 346 0 0.1474 0 N/A
PY4 DPH UC San Francisco Medical Center Q-BH3 Q-FUA 30 Days Reported None None 0.2057 None None 1 52 0 None 1 N/A
PY4 DPH UC San Francisco Medical Center Q-BH3 Q-FUA 7 Days Reported None None 0.0749 None None 1 52 0 None 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 None None None None None None None None None None 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 None None 0.8313 None 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 None None 0.8572 None 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 None None 0.4676 None 494 0 818 0 0.6039 0 N/A
PY4 DPH UC San Francisco Medical Center Q-CAR2 Q-PCE Bronchodilator Reported None None 0.9057 None 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 None None None None None None None None None None 0
PY4 DPH UC San Francisco Medical Center Q-CAR2 Q-PCE Systemic Corticosteroid Reported None None 0.636 None 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 None None None None None None None None None None None
PY4 DPH UC San Francisco Medical Center Q-IHE2 Q-IHE1 Controlling High Blood Pressure (CBP) - -Black/African American Reported None None 0.5601 None 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 None None 0.8216 None 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 None None 0.6131 None 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 None None 0.6462 None 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 None None 0.6049 None 4033 0 7048 0 0.5722 0 N/A
PY4 DPH UC San Francisco Medical Center Q-PC15 Q-WCC BMI Reported None None 0.8718 None 2342 0 2585 0 0.906 0 N/A
PY4 DPH UC San Francisco Medical Center Q-PC15 Q-WCC Counseling for Nutrition Reported None None 0.6409 None 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 None None 0.6249 None 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 None None None None None None None None None None 0
PY4 DPH UC San Francisco Medical Center Q-CAD1 Q-HBD Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%) (CDC-H9)* Reported None None None None None None None None None None None
PY4 DPH UC San Francisco Medical Center Q-CAD1 Q-HBD Black/African-American Reported None None 0.3406 None 51 0 173 0 0.2948 0 N/A
PY4 DPH UC San Francisco Medical Center Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.3406 None 32 0 113 0 0.2832 0 N/A
PY4 DPH UC San Francisco Medical Center Q-CAD1 Q-HBD Total Population Reported None None 0.3406 None 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 None None 0.1187 None 127 0 1037 0 0.1225 0 N/A
PY4 DPH Ventura County Medical Center Q-BH3 Q-FUA 30 Days Reported None None 0.214 None 52 0 258 0 0.2016 0 N/A
PY4 DPH Ventura County Medical Center Q-BH3 Q-FUA 7 Days Reported None None 0.1172 None 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 None None None None None None None None None None 0
PY4 DPH Ventura County Medical Center Q-BH4 Q-OHD Use of Opioids at High Dosage in Persons Without Cancer (OHD-AD) Reported None None 0.0337 None 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 None None 0.8353 None 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 None None 0.9199 None 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 None None 0.8406 None 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 None None 0.4676 None 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 None None None None None None None None None None None
PY4 DPH Ventura County Medical Center Q-IHE2 Q-IHE1 Chlamydia Screening in Women (CHL) - -American Indian/Alaskan Native Reported None None 0.4829 None 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 None None 0.478 None 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 None None None None None None None None None None None
PY4 DPH Ventura County Medical Center Q-OA4 Q-LBP Use of Imaging Studies for Low Back Pain (LBP) Reported None None 0.8282 None 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 None None 0.6661 None 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 None None 0.606 None 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 None None 0.6511 None 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 None None None None None None None None None None None
PY4 DPH Ventura County Medical Center Q-CAD1 Q-HBD Black/African-American Reported None None 0.377 None 24 0 63 0 0.381 0 N/A
PY4 DPH Ventura County Medical Center Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.3643 None 695 0 1894 0 0.3669 0 N/A
PY4 DPH Ventura County Medical Center Q-CAD1 Q-HBD Total Population Reported None None 0.3552 None 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 None None 0.9199 None 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 None None 0.6892 None 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 None None 0.4676 None 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 None None 0.476 None 1527 0 3400 0 0.4491 0 N/A
PY4 DMPH Washington Hospital Healthcare System Q-PC14 Q-CMS138 Rate 1 (informational only) Reported None None 0 None 3755 0 3849 0 0.9756 0 N/A
PY4 DMPH Washington Hospital Healthcare System Q-PC14 Q-CMS138 Rate 2 Reported None None 0.2879 None 64 0 294 0 0.2177 0 N/A
PY4 DMPH Washington Hospital Healthcare System Q-PC14 Q-CMS138 Rate 3 Reported None None 0.9195 None 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 None None None None None None None None None None 0
PY4 DMPH Washington Hospital Healthcare System Q-CAD1 Q-HBD Comprehensive Diabetes Care: HbA1c Poor Control (>9.0%) (CDC-H9)* Reported None None None None None None None None None None None
PY4 DMPH Washington Hospital Healthcare System Q-CAD1 Q-HBD Black/African-American Reported None None N/A 3 None 1 None 4 None 1 N/A
PY4 DMPH Washington Hospital Healthcare System Q-CAD1 Q-HBD Hispanic/Latino Reported None None 0.3406 None None 1 30 0 None 1 N/A
PY4 DMPH Washington Hospital Healthcare System Q-CAD1 Q-HBD Total Population Reported None None 0.3406 None 35 0 165 0 0.2121 0 N/A