Managed Care Organization Measures

Measures provided by the State of New York for NYprofiles.

The measures are currently split up into Domains, which consist of contributing measures. As of now, the contributing measure scores are not provided, and the Domain measures (which are comprised of several contributing measures) are given in star ratings (1-5 stars).

There is also an Overall rating, which has its own measure and is calculated by the state, and factors in the domain measure values

Helpful Queries:

Acquiring Data on All MCO measures

select a.* from entity_values as a, measure_groups_measures as b
where a.measure_id = b.measure_id

and a.entity_id = ######
and b.measure_group_id = 144

Measures

measure_id	name_internal	author_measure_id
17189	Adult Care MCO	MCO_ac
17190	Cardiovascular Care MCO	MCO_cc
17191	Care for Respiratory Conditions MCO	MCO_rc
17192	Child and Adolescent Care MCO	MCO_cac
17193	Diabetes Care MCO	MCO_dc
17194	Maternal Health MCO	MCO_mah
17195	Mental Health MCO	MCO_mh
17196	Satisfaction with Adult Care MCO	MCO_sac
17197	Satisfaction with Children's Care MCO	MCO_scc
17198	Women's Preventive Care MCO	MCO_mpc
17199	Overall Care for Managed Care Organization MCO	MCO_comp

Details on Contributing Measures

This section contains information on the sub-measures that contribute to a domain measure's star rating. Weighting is not provided by the state, and this measure structure is only connected to Managed Care Organizations (MCOs). This information is found in the measures table under the description_long column

measure_id	description_long
17189	Composite Measure for all MCO Adult Care Measures. Contains: Adult BMI Assessment, Avoidance of Antibiotics Therapy in Adults with Acute Bronchitis, Colon Cancer Screening, Discussing Smoking Cessation Medications, Flu Shot for Adults, Use of Imaging Studies for Low Back Pain
17190	Composite Measure for all MCO Cadiovascular Care Measures. Contains: Annual Monitoring for Patients on Persistent Medications- ACE Inhibitors/ARBs, Cholesterol Level Controlled (<100 mg/dL), Controlling High Blood Pressure, Discussion of Aspirin Risks and Benefits, Persistence of Beta-Blocker Treatment
17191	Composite Measure for all MCO Respiratory Measures. Contains: Medical Management for People with Asthma 50% Days Covered (Ages 5-64), Medical Management for People with Asthma 75% Days Covered (Ages 5-64), Pharmacotherapy Management of COPD Exacerbation- Bronchodilator, Pharmacotherapy Management of COPD Exacerbation- Corticosteroid, Use of Spirometry Testing in the Assessment and Diagnosis of COPD
17192	Composite Measure for all MCO Child and Adolescent Care Measures. Contains: Adolescent Immunization Combo, Annual Dental Visit (Ages 2-18), Appropriate Testing for Pharyngitis, Appropriate Treatment for Upper Respiratory Infection (URI), Assessment, Counseling, or Education: Depression, Childhood Immunization Status (Combo 3), Lead Testing, Weight Assessment and Counseling for Children and Adolescents 3-17 Yrs - BMI, Nutrition, or Physical Activity (Composite), Well-Child & Preventive Care Visits in 3rd, 4th, 5th & 6th Year of Life, Well-Child & Preventive Care Visits in First 15 Months of Life (5+ Visits)
17193	Composite Measure for all MCO Diabetes Care Measures. Contains: Managing Diabetes Outcomes - Blood pressure controlled (<140/90 mm Hg), Managing Diabetes Outcomes - HbA1C Control (<8.0%), Monitoring Diabetes - Received All Tests
17194	Composite Measure for all MCO Maternal Health Measures. Contains: Frequency of Ongoing Prenatal Care, Postpartum Care, Prenatal Care in the First Trimester, Risk-Adjusted Low Birthweight (LBW), Timeliness of Prenatal Care
17195	Composite Measure for all MCO Mental Health Measures. Contains: Adherence to Antipsychotic Medications for Individuals with Schizophrenia, Antidepressant Medication Management-Effective Acute Phase Treatment, Antidepressant Medication Management-Effective Continuation Phase Treatment, Follow-Up After Hospitalization for Mental Illness Within 30 Days, Follow-Up After Hospitalization for Mental Illness Within 7 Days, Follow-Up Care for Children Prescribed ADHD Medication:Continuation Phase, Follow-Up Care for Children Prescribed ADHD Medication:Initiation Phase
17196	Composite Measure for all MCO Satisfaction with Adult Care Measures. Contains: Getting Care Needed, Rating of Health Plan, Rating of Overall Healthcare, Satisfaction with Personal Doctor, Satisfaction with Specialist
17197	Composite Measure for all MCO Satisfaction with Children's Care Measures. Contains: Getting Care Needed for Children, Rating of Health Plan for Children, Rating of Overall Healthcare for Children, Satisfaction with Personal Doctor for Children, Satisfaction with Specialist for Children
17198	Composite Measure for all MCO Women's Preventive Care Measures. Contains: Breast Cancer Screening, Chlamydia Screening (Ages 16-20), Chlamydia Screening (Ages 21-24)
17199	Composite Measure for all MCO Measures