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Blueprint for Health

Blueprint (SISC)

Statewide average % for Adolescent Well-Care Visits


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Notes on Methodology
  • The statewide average percentage of the Adolescent Well-Child Visit performance measure was generated by Onpoint Health Data, the statewide administrator of the All-Payer Claims Dataset. Onpoint updated this measure every six months, accounting for the next 6-month time period. The statewide average percentage of the Adolescent Well-Child Visit performance measure was listed in every Health Service Area Pediatric profile, which can be found here (
  • The statewide average percentage of the Adolescent Well-Child Visit performance measure is a claim-based measure pertaining only to a subset of the Vermont population - insured patients who received the majority of their primary care from a Blueprint practice.  This measure is not a Vermont population-level estimate. 
  • The local Blueprint Transformation Network, which includes: QI Facilitators, Community Health Team leaders, and Project Managers
  • Staff at Blueprint Patient-Centered Medical Homes  
  • Onpoint Health Data (until 12/31/2019)
Story Behind the Curve

The Adolescent Well-Care (AWC) measure is the first of the four key indicators of quality health care.  This measure assesses the statewide average percentage of members, ages 12–21 years, who had at least one well-care visit with a primary care practitioner or OB/GYN during the measurement year.

The Blueprint includes performance-based payments to encourage providers to participate in population and community health improvement initiatives with the goal of greater collaboration. These are key indicators that are in alignment with the All Payer Model core quality measures. Improvements in these areas are indicative of an evolving and improving system of care.

The trend line above, while moving towards the right direction, suggests an opportunity for improvement. The Blueprint implemented the pay for performance model on this measure in January 2016. This measure was chosen for payment because it reflected a priority of the  provider network (ACO) in Vermont, it could be generated at the Health Service Area level using Vermont’s centralized data source without any need for additional data collection or reporting by providers, it was tied to prevalent underlying health concerns involving complex medical and social determinants, and it could be improved through better coordination, outreach, and transitions between medical and non-medical providers. Since the implementation of the pay for performance model, a number of Health Service Areas have developed quality improvement policies on this measure.

Last updated:  03/02/2020

  • Continue use as a performance payment measure 
Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy