Care performance according the system and purchased care data are incomplete

Care performance according the system and purchased care data are incomplete. For example, in the direct care component, the average number of days is 12.4 days, well under the identified standard of 28 days. Access to an appointment for patients who need immediate, but not emergency care, averages less than the 24-hours standard for most of the direct care health facilities, but 11 do not meet the established access standard. Comparable purchased care data are not available, primarily due to alternative access measures defined by contract specifications, leaving a sizable blind spot for understanding access in the purchased care component.