The Quality Measure Highlights are 2-5 page resources about each Primary Care Provider Quality Improvement Program (PCP QIP) measure. The PCP QIP measures align closely with the HEDIS® measures for which Partnership HealthPlan of California is held accountable by the Department of Health Care Services. Each Quality Measure Highlight includes the measure description, a list of codes associated with the measure, PCP QIP point allocations and thresholds, exclusions (if applicable), guidance on compliant and non-compliant documentation, and best and promising practices to improve on measure performance.
Asthma Medication Ratio (AMR)
Adolescent Well Care (AWC)
Breast Cancer Screening (BCS)
Cervical Cancer Screening (CCS)
Childhood Immunization Status - Combo 10 (CIS-10)
Comprehensive Diabetes Care (CDC) Eye Exam
Comprehensive Diabetes Care (CDC) HbA1C Good Control ≤ 9.0%
Controlling High Blood Pressure (CBP)
Immunizations for Adolescents (IMA-2)
Well-Child Visits in the First 15 Months of Life (W15)
Well-Child Visits in the 3rd, 4th, 5th, & 6th Years of Life (W34)
References: National Committee on Quality Assurance (NCQA) HEDIS® 2019 Vol 2 Technical Specifications for Health Plans; NCQA HEDIS 2018 Vol 1 Narrative. HEDIS® is a registered trademark of NCQA.