Quality Toolkit
Measure 101
Quality Performance
& Data
Roles & Responsibilities
Wild
100

Tracks initiatives in support of quality improvement 

What is the Quality Intervention Workplan?

100

The percentage of members 45–75 years of age who had appropriate screening for colorectal cancer

What is Colorectal Cancer Screening (COL)?

100

You go to me for HEDIS performance data

What is Quality Analytics Solution (QAS)? 

100

I drive the creation of collateral. 

Who is the M&C Lead? 

100

Responsible owners for providing quality health care that meets customer needs

Who is all 1,600 MVP employees? 

200

Submitted to Strat-X monthly for review 

What is Scorecard? 

200

Medicaid Benchmark Performance Goal

What is the 50th Percentile?

200

I have questions on Quality Data, so I go here for answers

Who is Denise Yowell and the Analytics Request Form? 

200

I find data. 

Who is the Data Lead?

200

I was the first person to comment on the Quality Strat-X General channel. 

Who is Robin Maynard? 

300

The 'Quality Top Hits' 

What is Quality Measurement Targets, Quality Workplan, and Quality Strat-X Goals?

300

Percent of plan members with a problem falling, walking, or balancing who discussed it with their doctor and received a recommendation for how to prevent falls during the year.

What is Reducing Risk of Falling?

300

I represent the Quality Measurement Year 2019. 

What is H2020? 

300

I escalate team barriers, status and measure health. 

Who is the Strat-X Representative? 

300

I have questions related to Quality, I go here for answers

What is Strat-X Office Hours, Toolkit and Focus Team Leads? 

400

Third measure tech spec from the bottom on the homepage 

What is W30? 

400

Medicare Performance Score Methodology

What is Stars?

400

Star Rating for Rating of a Health Plan for H3305 in 2021. 

What is 5 Stars? 

400

We Identify, Discuss and Solve in support of all Focus Teams. 

Who are Strat-X?

400

PDAS

What is Plan, Do, Act, Study?

500

Submit Intervention ideas for Strat-X approval 

What is Quality Intervention Approval Form?

500

Percent of time that TTY services and foreign language interpretation were available when needed by people who called the health plan’s prospective enrollee customer service phone line

What is Call Center – Foreign Language Interpreter & TTY Availability?

500

The 50th percentile for Breast Cancer Screening for Medicaid in MY2022 H2023. 

What is 64.89%? 

500

I make sure everything runs smoothly. 

Who is Jalene Webster? 

500

The three year Quality goal

What is the 5 Star Quality Rate Plan?