Quality Measures

The Connected Care ACOs, including Connected Care of Middle Tennessee, are responsible for the quality measures listed below. Click here for a PDF version.

Press Ganey Survey

  • Getting timely care, appointments, and information
  • How well your providers communicate
  • Patients' rating of provider
  • Access to specialists
  • Health promotion and education
  • Shared decision making
  • Health status/functional status
  • Stewardship of patient resources 

CMS Claims

  • Risk-standardized, all condition readmission 
  • Skilled nursing facility 30-day all-cause readmission measures (SNFRM)
  • All-cause unplanned admissions for patients with diabetes
  • All-cause unplanned admissions for patients with heart failure
  • All-cause unplanned admissions for patients with multiple chronic conditions
  • Acute composite (AHRQ prevention quality indicator [PQI] #91)
  • Use of imaging studies for low back pain

Practice Based EHR

  • Medication reconciliation post discharge
  • Falls: screening for future fall risk
  • Preventive care and screening: influenza immunization 
  • Pneumonia vaccination status for older adults
  • Preventive care and screening: body mass index screening and follow-up
  • Preventive care and screening: tobacco use: screening and cessation intervention 
  • Preventive care and screening: screening for clinical depression and follow-up plan
  • Colorectal cancer screening
  • Breast cancer screening
  • Stain therapy for the prevention and treatment of cardiovascular disease 
  • Depression remission at 12 months
  • Diabetes: hemoglobin A1c poor control
  • Diabetes: eye exam
  • Controlling high blood pressure 
  • Ischemic vascular disease: use of aspirin or another antithrombotic 

Quality Payment Program Data

  • Use of certified EHR technology