Quality Improvement and Population Health

Quality improvement and population health are used to improve patient care quality and outcomes, in care delivery organizations and health plans. Systematic, targeted outreach leverages data and analytics from quality-related content to focus on specific patient populations. NCQA is building practice guidance and standards into digital quality content and developing configurable measures to be usable for quality improvement and population health. This section helps guide digital quality transformation for organizations using quality for purposes of quality improvement through activities like care cap closure, population health, care management, and clinical decision support.

Resources will be continuously added and updated, so check back often or sign up to receive updates.

What Is the Digital Quality Transition Playbook?

This section contains the Digital Quality Transition Playbook and resources that are relevant to the Quality Improvement and Population Health workstream, from identifying digital quality measurement to phasing our traditional measures.

NCQA will be frequently updating content in the playbook sections. Don’t miss anything by signing up for notifications.

Note: This is an overview. In the future, this page will provide a version of the playbook that is more comprehensive and with links to other resources.

Digital Introduction – Phase 1Digital Enabled – Phase 2Fully Digital – Phase 3Digital Only – Phase 4
  • Identify measure programs and how they evolve in the transition to dQMs.
  • Assess current QI and population health programs and software, and their digital quality capabilities and roadmap.
  • Identify a subset of measures to pilot digital quality operations.
  • Start with a small subset of measures.
  • Work with vendors to pilot or utilize Digital Content Services reference engine for digital quality measure processing.
  • Establish a plan and needs to support more measures.
  • Start implementing or updating vendor software to support digital quality use cases.
  • Start plan to phase out traditional measure processing.
  • Phase out hybrid measures and create plan to utilize ECDS data collection.
  • Finish transitioning remaining traditional measure development and certification.
  • Phase out processing of traditional measures.

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