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On average, people received the preventive services tracked in the reports two-thirds of the time. Moreover, wide variation was found in receipt of different types of preventive services. For instance, 20% of high-risk adults ages 18-64 ever received pneumococcal vaccination, but 94% of children ages 19-35 months received 3 doses of polio vaccine. On average, people received appropriate acute care services three-quarters of the time. Rates of receipt of acute care services ranged from a low of 8% among patients who needed and received treatment for an alcohol problem at a specialty facility to a high of 94% of hospitalized patients who indicated that communication with their doctors was good. On average, patients received recommended chronic disease management services three-quarters of the time. Again, receipt of chronic disease management services varied widely, from 17% of dialysis patients being registered on a kidney transplant waiting list to 95% of hospice patients receiving the right amount of pain medication.

ACO providers are expected to take blood pressure readings of patients 18 years of age or older, a measure proven to reduce the risk of cardiovascular disease. But nowhere in the CMS list of performance measures is there any requirement to do an EKG on such patients.