Quality
At Wray Hospital and Clinic we strive for the best quality of care. We are committed to transparently share our performance and how we are working to provide safety and care to our patients.

Purpose
The purpose of Wray Community District Hospital and Clinic Quality Management is to provide ongoing high-quality health care services that promote quality, safety and meet or exceed regulatory standards with a compassionate approach. Every effort will be made to achieve customer satisfaction and reduce risk and unnecessary waste within the facility.

Mission
Within Wray Community District Hospital and Clinic, quality is a holistic approach involving all potential patient encounters. To provide superior comprehensive services within our facility, quality will be viewed as top priority throughout the continuum of care.

Comprehensive Primary Care Plus (CPC+)
CPC+ is a national advanced primary care medical home model that aims to strengthen primary care through regionally-based multi-payer payment reform and care delivery transformation.
eCQM
Electronic Clinical Quality Measures
Measure Title |
30th Percentile |
70th Percentile |
WCDH Current Percentile |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 99.45 | 46.84 | 21.99 |
Controlling High Blood Pressure | 43.05 | 83.65 |
60.96 |
Utilization |
50th Percentile |
80th Percentile |
WCDH Current Percentile |
Acute Hospital Utilization |
1.16 |
0.96 |
0.93 |
Emergency Department Utilization |
1.03 |
0.81 |
0.96 |

Hospital Transformation Program
The HTP will focus on improving population health across targeted communities through the development of the significant infrastructure, delivery system integration, and care interventions needed to allow the state’s hospitals to join alongside the ongoing improvements in care efforts underway throughout the state’s ambulatory health care system. The HTP will seek to incentivize processes of care changes that, integrate the Medicaid delivery system and use data to improve care delivery, incentivize value-based payment and serve as a pathway to a robust dynamic health care delivery system that meets Colorado’s long-term needs. In alignment with the CHASE Act, the HTP envisions coordinating and finding efficiencies in care delivery, addressing social determinants, and making efforts towards impacting population health and total cost of care in critical priority areas:
- Care Coordination and Care Transitions
- Complex Care Management for Targeted Populations
- Behavioral Health and Substance Use Disorder Coordination
- Maternal Health, Perinatal Care and Improved Birth Outcomes
- Social Determinants
- Total Cost of Care

Scopes of Care
Wray Community District Hospital, in collaboration with the Eastern Plains Healthcare Consortium will be working on the following scopes of care:
1. RAH 1: Planned follow-up care with your Primary Care Provider prior to Hospital Discharge
2. RAH 2: Planned 30 Day follow-up care with your Primary Care Provider after an Emergency Care Visit
3. SW-CP 1: Social Needs Screening focusing on five domains:
- Housing Instability
- Food Insecurity
- Transportation Problems
- Utility Help Needs
- Interpersonal Safety
4. SW-BH 1: The development and implementation of Care Management Planning upon a discharge of Substance Use Disorder
5. COE 1: Transmissions of a Summary of Care Record to your Primary Care Provider after a Hospital Discharge