The Quality Measure Highlights are two to four page documents on HEDIS measures for which Partnership HealthPlan of California is held accountable by the Department of Health Care Services. They also align with most of the Primary Care Provider Quality Improvement Program clinical measures. Each highlight includes the measure specifications, guidance on compliant and non-compliant documentation, and strategies to improve on measure performance.
Asthma Medication Ratio (AMR)
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%
Comprehensive Diabetes Care (CDC) Medical Attention for Nephropathy
Controlling High Blood Pressure (CBP)
Immunizations for Adolescents (IMA)
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC)
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.