HEDIS Measures
This measure assesses whether children receive a recommended series of vaccinations by a specific age milestone.
What is CIS?
This measure assesses whether children newly prescribed stimulant medication receive appropriate follow-up care.
What is ADD?
This measure evaluates screening for depression during pregnancy and the postpartum period, including appropriate follow-up.
What is PDS?
This system summarizes plan-level performance across multiple quality domains into an overall rating structure.
What is HPR?
This nationally recognized toolset is used to evaluate health plan performance across clinical quality and service domains.
What is HEDIS?
This measure evaluates both acute and continuation phases of medication adherence for individuals treated for depression.
What is AMM?
This measure evaluates whether children prescribed antipsychotics receive recommended metabolic screenings.
What is APM?
This preventive measure evaluates screening rates for malignancy using mammography within a defined age range.
What is BCS?
This category of services supports individuals with chronic conditions or disabilities who require ongoing assistance.
What is LTSS?
This model incentivizes providers specifically for achieving quality outcomes rather than volume of services.
What is P4Q?
This measure looks at how quickly individuals begin treatment for substance use disorders and whether they remain engaged.
What is IET?
This measure evaluates whether patients are screened for depression and receive appropriate follow-up when indicated.
What is DSF?
This measure assesses routine screening for malignancy of the cervix in eligible populations.
What is CCS?
This benchmarking resource aggregates national performance data to compare health plan quality outcomes.
What is QC?
This internal performance tracking tool consolidates enterprise-wide results across multiple quality initiatives.
What is HPR scorecard?
This measure evaluates whether adolescents receive BMI assessment along with nutrition and physical activity counseling.
What is WCC?
This measure focuses on follow-up care after an emergency department visit related to substance use.
What is FUA?
This measure evaluates screening rates for a common sexually transmitted infection among young women.
What is CHL?
This standardized survey captures patient experience related to access, communication, and satisfaction with care.
What is CAHPS?
This reporting period is defined by state government fiscal timelines rather than calendar year.
What is SFY?
This measure focuses on continuity of care after discharge from an inpatient stay for a behavioral health condition.
What is FUH?
This measure assesses timely follow-up care after an emergency department visit for a mental health condition.
What is FUM?
This measure evaluates how early in pregnancy a member receives their first prenatal visit.
What is PPC-P?
This group of federally defined measure sets standardizes quality reporting across Medicaid adult and pediatric populations.
What is CMS Core Sets?
This reporting approach relies on structured clinical data sourced directly from electronic health records and other digital systems.
What is ECDS?