St r uggl i ngPr act i cesOver vi ew Tot alMont hs
onSt r uggl i ngPr ac t i c e sl i s t
35%
4. 1
Aver age
( 82/ 232)ofpr ac t i c e si de nt i f i e d ass t r uggl i ng
3
Medi an
Mi ni mum
1 1 8
Maxi mum
Averagebasel i neScoreonKeyMi l est ones Cl e a rTe a m Re s pons i bi l i t i e s
Or g a ni z e dQIS t r a t e g y Pe r f or ma nc eRe por t s
QICa pa bi l i t y
NotSt ruggl i ng
1 . 7
1 . 7
1 . 8
1 . 3
St ruggl i ng
2. 0
0. 8
1 . 2
1 . 2
Di st ri but i onofPATScores atBas e l i ne
NotSt r uggl i ng
St r uggl i ng
Av g%ofg oa l s c or ea c hi e v e d
Av g%ofg oa l s c or ea c hi e v e d
42. 0%
47. 7%
0
10
20
30
40
50
0
10
20
30
40
50
100% 80% 60% 40% 20%
NotS t r ug g l i ng
06/ 19
02/ 19
10/ 18
06/ 18
02/ 18
10/ 17
06/ 17
02/ 17
10/ 16
06/ 16
0% 02/ 16
Av e r a g e%ofGoa l S c or eAc hi e v e d
PercentofGoalScoreAchi evedOverTi me
S t r ug g l i ng
AverageMi l est oneScoreatBasel i ne 24/ 7Ac c e s s Cl e a rTe a m Re s pons i bi l i t i e s F i na nc i a l Da t aTr a ns pa r e nc y F or ma l Appr oa c ht oWor kPr oc e s s e s I mpr ov i ngMe t r i c s J oyi nWor k Me di c a l Ne i g hbor hood Or g a ni z e dQIS t r a t e g y Pa t i e ntF a mi l yCol l a bor a t i on Pa t i e ntF a mi l yF e e dba c k Pe r f or ma nc eRe por t s QICa pa bi l i t y Re a dyf orAPMs Re duc eUnne c e s s a r yHos pi t a l i z a t i ons Re f e r r a l t oCommuni t yRe s our c e s Ri s kS t r a t i f i c a t i on S oundBus i ne s sPr a c t i c e s Te c hnol og yUs e Vi s i on&Pl a nf orTr a ns f or ma t i on 0
1
2 Mi l e s t oneS c or e
3
Urban& RuralSt ruggl i ngPract i cesCompari son 23. 23% ( 36)
Ur ban
76. 77% ( 119) 58. 97% ( 46)
Rur al S t r ug g l i ng
41. 03% ( 32)
NotS t r ug g l i ng
Tot alMont hs
onSt r uggl i ngPr ac t i c e sLi s t 3. 9
Aver age
3
Medi an Mi ni mum
4. 4 2
1
1
Maxi mum
1 3
1 8 Rur a l
Ur ba n
Di st ri but i onofPATScores atBas e l i ne
Av g%ofg oa l s c or ea c hi e v e d
Av g%ofg oa l s c or ea c hi e v e d
41. 8%
42. 2%
0
10
20
30
40
0
10
20
30
40
AverageBasel i neScoreonKeyMi l est ones Cl e a rTe a m Re s pons i bi l i t i e s
Or g a ni z e dQIS t r a t e g y
Pe r f or ma nc eRe por t s
QICa pa bi l i t y
Urban
2. 2
0. 6
1 . 0
1 . 1
Rural
1 . 9
0. 9
1 . 4
1 . 3
100% 80% 60% 40% 20%
Ur ba n
04/ 19
12/ 18
08/ 18
04/ 18
12/ 17
08/ 17
04/ 17
12/ 16
08/ 16
0% 04/ 16
Av e r a g e%ofGoa l S c or eAc hi e v e d
PercentofGoalScoreAchi evedOverTi me
Rur a l
AverageMi l est oneScoreatBasel i ne 24/ 7Ac c e s s Cl e a rTe a m Re s pons i bi l i t i e s F i na nc i a l Da t aTr a ns pa r e nc y F or ma l Appr oa c ht oWor kPr oc e s s e s I mp r ov i ngMe t r i c s J oyi nWor k Me di c a l Ne i g hbor hood Or g a ni z e dQIS t r a t e g y Pa t i e ntF a mi l yCol l a bor a t i on Pa t i e ntF a mi l yF e e dba c k Pe r f or ma nc eRe por t s QICa pa bi l i t y Re a dyf orAPMs Re duc eUnne c e s s a r yHos pi t a l i z a t i ons Re f e r r a l t oCommuni t yRe s our c e s Ri s kS t r a t i f i c a t i on S oundBus i ne s sPr a c t i c e s Te c hnol og yUs e Vi s i on&Pl a nf orTr a ns f or ma t i on 0
1
2 Mi l e s t oneS c or e
3
Syst em & I ndependentSt ruggl i ngPract i cesCompari son 50. 00% ( 54)
I ndependent
50. 00% ( 54)
22. 40% ( 28)
Sys t em
77. 60% ( 97)
S t r ug g l i ng
NotS t r ug g l i ng
Tot alMont hs
onSt r uggl i ngPr ac t i c e sLi s t Aver age
4. 1 3. 5
Medi an Mi ni mum
4. 2 2
1
1
Maxi mum
1 1
1 8 S y s t e m
I nde pe nde nt
Di st ri but i onofPATScores atBas e l i ne
Av g%ofg oa l s c or ea c hi e v e d
Av g%ofg oa l s c or ea c hi e v e d
44. 8%
0
10
20
30
40. 6%
40
0
10
20
30
40
AverageBasel i neScoreonKeyMi l est ones Cl e a rTe a m Re s pons i bi l i t i e s
Or g a ni z e dQIS t r a t e g y
Pe r f or ma nc eRe por t s
QICa pa bi l i t y
I nde pe nde nt
2. 1
0. 4
0. 9
1 . 1
Sy s t e m
1 . 9
1 . 4
1 . 7
1 . 4
100% 80% 60% 40% 20%
I nde pe nde nt
04/ 19
12/ 18
08/ 18
04/ 18
12/ 17
08/ 17
04/ 17
12/ 16
08/ 16
0% 04/ 16
Av e r a g e%ofGoa l S c or eAc hi e v e d
PercentofGoalScoreAchi evedOverTi me
S y s t e m
AverageMi l est oneScoreatBasel i ne 24/ 7Ac c e s s Cl e a rTe a m Re s pons i bi l i t i e s F i na nc i a l Da t aTr a ns pa r e nc y F or ma l Appr oa c ht oWor kPr oc e s s e s I mp r ov i ngMe t r i c s J oyi nWor k Me di c a l Ne i g hbor hood Or g a ni z e dQIS t r a t e g y Pa t i e ntF a mi l yCol l a bor a t i on Pa t i e ntF a mi l yF e e dba c k Pe r f or ma nc eRe por t s QICa pa bi l i t y Re a dyf orAPMs Re duc eUnne c e s s a r yHos pi t a l i z a t i ons Re f e r r a l t oCommuni t yRe s our c e s Ri s kS t r a t i f i c a t i on S oundBus i ne s sPr a c t i c e s Te c hnol og yUs e Vi s i on&Pl a nf orTr a ns f or ma t i on 0
1
Mi l e s t oneS c or e
2
3
Pri mary& Speci al t yCareSt ruggl i ngPract i cesCompari son 19. 12% ( 13)
Pr i mar y
80. 88% ( 55) 41. 82% ( 69)
Speci al t y S t r ug g l i ng
58. 18% ( 96)
NotS t r ug g l i ng
Tot alMont hs
onSt r uggl i ngPr ac t i c e sLi s t 4. 3
Aver age
4. 1
3
Medi an
3
1
Mi ni mum
1 1 1
Maxi mum
1 8 Pr i ma r y
S pe c i a l t y
Di st ri but i onofPATScores atBas e l i ne
Av g%ofg oa l s c or ea c hi e v e d
Av g%ofg oa l s c or ea c hi e v e d
43. 1%
0
10
20
30
41. 8%
40
0
10
20
30
40
AverageBasel i neScoreonKeyMi l est ones Cl e a rTe a m Re s pons i bi l i t i e s
Or g a ni z e dQIS t r a t e g y
Pe r f or ma nc eRe por t s
QICa pa bi l i t y
Pr i mar y
1 . 9
0. 9
1 . 2
1 . 5
Spe c i al t y
2. 0
0. 7
1 . 2
1 . 1
100% 80% 60% 40% 20%
Pr i ma r y
04/ 19
12/ 18
08/ 18
04/ 18
12/ 17
08/ 17
04/ 17
12/ 16
08/ 16
0% 04/ 16
Av e r a g e%ofGoa l S c or eAc hi e v e d
PercentofGoalScoreAchi evedOverTi me
S pe c i a l t y
AverageMi l est oneScoreatBasel i ne 24/ 7Ac c e s s Cl e a rTe a m Re s pons i bi l i t i e s F i na nc i a l Da t aTr a ns pa r e nc y F or ma l Appr oa c ht oWor kPr oc e s s e s I mpr ov i ngMe t r i c s J oyi nWor k Me di c a l Ne i g hbor hood Or g a ni z e dQIS t r a t e g y Pa t i e ntF a mi l yCol l a bor a t i on Pa t i e ntF a mi l yF e e dba c k Pe r f or ma nc eRe por t s QICa pa bi l i t y Re a dyf orAPMs Re duc eUnne c e s s a r yHos pi t a l i z a t i ons Re f e r r a l t oCommuni t yRe s our c e s Ri s kS t r a t i f i c a t i on S oundBus i ne s sPr a c t i c e s Te c hnol og yUs e Vi s i on&Pl a nf orTr a ns f or ma t i on 0
1
2 Mi l e s t oneS c or e
3