Quality Measure
Source
Receipt of Flu Vaccine
Colorectal Cancer
Screening
Cervical Cancer
Screening
Chlamydia Screening 2124 years
Chlamydia Screening 1620 years
(Child & Adolescent)
Use of Imaging for Low
Back Pain
Follow-up for Behavioral
Inpatient (Adult)
Persistence of BetaBlocker Treatment after
Heart Attack
Diabetes Lipid Profile
Diabetes HbA1C
Diabetes eye Exam
Appropriate Asthma
Medication
HIV/AIDS: Medical Visit
Depression Acute Phase
Medication
All Cause Readmission
Developmental Screening
In the First Three Years of
Life
(Child & Adolescent)
Well Care
(Child & Adolescent)
Appropriate Testing for
Pharyngitis
(Child & Adolescent)
Follow-up for Behavioral
Inpatient (Child &
Adolescent)
Diabetes HbA1C
(Child & Adolescent)
Appropriate Asthma
Medication
(Child & Adolescent)
Screening for Clinical
Depression & follow up
plan
NCQA
NCQA
OR
CO
X
NCQA
NCQA
CMS
NIH (Study
specific)
X
X
X
X
X
X
X
X
X
NCQA
NCQA
NCQA
X
X
X
X
NCQA
X
NCQA
NCQA
NCQA
NCQA
X
X
X
X
NCQA
NCQA
NQF 1768
NCQA/CAHMI
NQF 1448
NCQA
NQF 1392
NCQA
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
NCQA
X
NCQA
NCQA
X
NQF 0418
X
X
Quality Measure
Source
Follow Up Care for
Children Prescribed
ADHD meds
Prenatal & Postpartum
Care
Elective delivery
Controlling High Blood
Pressure
Prenatal & Postpartum
care : Postpartum care rate
Childhood immunization
status
Immunization for
adolescents
Medial assistance with
smoking and tobacco use
cessation (CAHPS)
Child & Adolescent
access to primary care
practitioners
Bipolar I Mood Stabilizer
Use
NQF 0108
NQF
1517
NQF 0469
NQF 0018
NQF 1517
NQF 0038
NQF 1407
OR
CO
CMS
X
X
X
X
X
X
X
X
NIH (Study
specific)
X
X
X
NQF 0027
X
NCQA
X
RAND
Schizophrenia: Long-term
anti-psychotic use
RAND
Glycemic & Lipid
Assessment w/ Mood
Stabilizer or Atypical
Antipsychotic
RAND
Annual Monitoring for
Patients with Persistent
Medications
RAND
Behavioral Health
Screening
RAND/CMS
X
X
X
X
X
Coronary Artery Disease
AMA-PCPI
(CAD): Drug Therapy for
Lowering LDL Cholesterol
X
Behavioral Health
Screening (12-20 years)
(Child & Adolescent)
X
Rand/CMS
Otitis Media with Effusion AMA-PCPI
(OME) –Inappropriate Use
of Antimicrobials
(Child & Adolescent)
X
Quality Measure
Source
Glycemic & Lipid
Assessment w/ Mood
Stabilizer or Atypical
Antipsychotic
(Child & Adolescent)
RAND
Alcohol or Substance
Abuse Screening, Brief
Intervention & Referral to
Treatment
SBIRT
Ambulatory Care:
Outpatient & ED
Utilization
CMS
OR
CO
CMS
X
X
X
X
X
Patient Centered Medical
Home Enrollment
X
X
X
CAHPS adult & Child
Composites
X
X
X
EHR adoption
X
X
X
Mental And physical health
assessment withing 60 days
for children in DHS
custody
X
Provider Access Questions
from the Physician
Workforce Survey:
• To what extent is your
primary practice accepting
new Medicaid/OHP
patients?
• Do you currently have
Medicaid/OHP patients
under your care?
• What is the current payer
mix at your primary
practice?
NIH (Study
specific)
X
X
Prevention Quality Indicators (PQIs)
Measure
Source
Diabetes, short-term
complications
Perforated appendicitis
Diabetes, long-term
complications
Chronic obstructive
pulmonary disease
Hypertension
Congestive heart failure
AHRQ PQI #1
NQF 0272
AHRQ PQI #2
AHRQ PQI #3
Dehydration
Bacterial pneumonia
Urinary infections
Angina without procedure
Uncontrolled diabetes
Asthma
Lower extremity
amputations among
patients with diabetes
Behavioral Care
AHRQ PQI #5
NQF 0275
AHRQ PQI #7
AHRQ PQI #8
NQF 0277
AHR PQI#10
AHR PQI#11
AHRQ PQI#12
AHRQPQI#13
AHRQPQI#14
AHRQ PQI#15
NQF 0283
AHRQ PQI#16
OR
CO
CMS
NIH (Study
specific
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
NA
X