Team Performance Dashboard

Team summary

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Clinical Quality & Outcomes

Heart failure: ACE inhibitor or ARB prescribed

38.3%41.7 pp below your targetTrending to 46.9%

46 below (98%) · 1 at/above (2%)View

Hypertension: BP measured and at target

33.3%31.7 pp below your targetTrending to 33.7%

39 below (83%) · 8 at/above (17%)View

Colorectal cancer screening up-to-date rate

35.4%29.6 pp below your targetTrending to 35.8%

36 below (80%) · 9 at/above (20%)View

Cervical cancer screening up-to-date rate

40.6%29.4 pp below your targetTrending to 44.0%

32 below (78%) · 9 at/above (22%)View

Polypharmacy medication review (10+ medications)

25.0%25.0 pp below your targetTrending to 32.5%

38 below (81%) · 9 at/above (19%)View

Colorectal screening up-to-date (FIT, colonoscopy, or sigmoidoscopy)

44.8%20.2 pp below your targetTrending to 48.6%

25 below (56%) · 20 at/above (44%)View

Influenza immunization rate (age 65+)

55.9%14.1 pp below your targetTrending to 56.6%

18 below (55%) · 15 at/above (45%)View

Mammogram up-to-date rate

65.9%4.1 pp below your targetTrending to 67.7%

14 below (58%) · 10 at/above (42%)View

Diabetes: HbA1c tested (≥2 in 12 months)

68.3%1.7 pp below your targetTrending to 94.7%

15 below (60%) · 10 at/above (40%)View

Diabetes: Statin prescribed (age ≥40)

74.6%0.4 pp below your targetTrending to 73.8%

13 below (52%) · 12 at/above (48%)View

Diabetes: mean HbA1c (mmol/mol)

53.3 mmol/mol0.3 mmol/mol above your targetTrending to 53.0 mmol/mol

14 above (56%) · 11 at/below (44%)View

Diabetes: Retinal exam (≥1 in 24 months)

69.3%4.3 pp above your targetTrending to 70.0%

9 below (36%) · 16 at/above (64%)View

Efficiency & Value

Generic prescribing rate

45.4%29.6 pp below your targetTrending to 45.3%

22 below (47%) · 25 at/above (53%)View

30-day hospital readmissions (per 1,000)

13 per 1,0002 per 1,000 below your targetTrending to 17 per 1,000

20 above (43%) · 27 at/below (57%)View

ED visits for ambulatory-care-sensitive conditions (per 1,000)

27 per 1,0007 per 1,000 above your targetTrending to 35 per 1,000

25 above (53%) · 22 at/below (47%)View

Patient Experience & Access

Same- or next-day appointment access rate

31.0%29.0 pp below your targetTrending to 30.7%

38 below (81%) · 9 at/above (19%)View

Post-discharge follow-up within 7 days

33.2%26.8 pp below your targetTrending to 33.0%

29 below (62%) · 18 at/above (38%)View

3rd-next-available appointment (days)

3.2 days1.8 days below your targetTrending to 3.0 days

16 above (34%) · 31 at/below (66%)View

Low-acuity ED visits (per 1,000)

28 per 1,0003 per 1,000 above your targetTrending to 35 per 1,000

22 above (47%) · 25 at/below (53%)View

Patients newly attached to an empaneled provider

120.8%Trending to 121.4%

47 physicians reported · no target setView

Health Equity

Colorectal screening rate gap (by deprivation band)

-9.2 pp19.2 pp below your target

2 above (14%) · 12 at/below (86%)View

Influenza immunization rate gap (by deprivation band)

-1.2 pp11.2 pp below your target

0 above (0%) · 5 at/below (100%)View

Diabetes HbA1c testing rate gap (by deprivation band)

2.9 pp7.1 pp below your targetTrending to 0.0 pp

0 above (0%) · 2 at/below (100%)View

Cervical screening rate gap (by deprivation band)

13.5 pp3.5 pp above your target

7 above (70%) · 3 at/below (30%)View