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Quality Measures Summary

Quality Measures Summary 3/18/2015 This document was prepared by Kaytna Thaker. Contents Introduction ..1 Table 1: Accreditation/certification and incentive Measures * ..2 Table 2: Aggregate reports* ..3 Table 3: Quality Improvement Activities ..3 National Quality Forum (NQF) ..4 Table 4: NQF-Endorsed Asthma Measures (As of July 23, 2014) ..5 National Committee for Quality Assurance (NCQA)..6 Healthcare Effectiveness Data and Information Set (HEDIS ) ..6 Data Submission ..7 Recognition Programs Patient Centered Medical Home (PCMH) ..7 Accreditation Accountable Care Organizations (ACO) ..8 Centers for Medicare and Medicaid Services (CMS) .. 10 Physician Feedback/Value-Based Payment Modifier Program .. 10 Physician Quality Reporting System (PQRS) .. 10 Meaningful Use .. 11 Table 5: PQRS Quality Measures Relating to Asthma (As of December 29, 2014).

HEDIS consists of 81 measures across 5 domains of care. Because so many plans collect HEDIS data, and because the measures are so specifically defined, HEDIS makes it possible to compare the performance of health plans. Many health plans report HEDIS data to employers and use their results to make improvements in their quality of care and service.

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