The State of Health Care Quality Report summarizes performance from the previous calendar year for key HEDIS and CAHPS measures. For older measures, the report documents almost two decades of yearly results.
You can also find the latest HEDIS and CAHPS measure results as well as additional benchmarks and plan-level results by purchasing access to NCQA’s Quality Compass® tool.
Access/Availability of Care
Effectiveness of Care
Behavioral Health
- Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA)
- Antidepressant Medication Management (AMM)
- Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia (SMC)
- Diabetes Monitoring for People with Diabetes and Schizophrenia (SMD)
- Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD)
- Diagnosed Mental Health Disorders (DMH)
- Diagnosed Substance Use Disorders (DSU)
- Follow-Up After Emergency Department Visit for Substance Use (FUA)
- Follow-Up After Emergency Department Visit for Mental Illness (FUM)
- Follow-Up After High-Intensity Care for Substance Use Disorder (FUI)
- Follow-Up After Hospitalization for Mental Illness (FUH)
- Follow-Up Care for Children Prescribed ADHD Medication (ADD)
- Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM)
- Pharmacotherapy for Opioid Use Disorder (POD)
Care Coordination
- Advance Care Planning (ACP)
- Follow-Up After Emergency Department Visit for People With High-Risk Multiple Chronic Conditions (FMC)
- Transitions of Care (TRC)
Cardiovascular Conditions
- Cardiac Rehabilitation (CRE)
- Controlling High Blood Pressure (CBP)
- Persistence of Beta-Blocker Treatment After a Heart Attack (PBH)
- Statin Therapy for Patients with Cardiovascular Disease (SPC)
Diabetes
- Blood Pressure Control for Patients With Diabetes (BPD)
- Eye Exam for Patients With Diabetes (EED)
- Glycemic Status Assessment for Patients With Diabetes (GSD)
- Kidney Health Evaluation for Patients With Diabetes (KED)
- Statin Therapy for Patients with Diabetes (SPD)
Measures Collected Through the CAHPS® Health Plan Survey
Musculoskeletal Conditions
- Osteoporosis Management In Women Who Had a Fracture (OMW)
- Osteoporosis Screening in Older Women (OSW)
Overuse/Appropriateness
- Appropriate Treatment for Children With Upper Respiratory Infection (URI)
- Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis (AAB)
- Deprescribing of Benzodiazepines in Older Adults (DBO)
- Potentially Harmful Drug-Disease Interactions in Older Adults (DDE)
- Non-Recommended Cervical Cancer Screening in Adolescent Females (NCS)
- Non-Recommended PSA-Based Screening in Older Men (PSA)
- Risk of Continued Opioid Use (COU)
- Use of High-Risk Medications in Older Adults (DAE)
- Use of Imaging Studies for Low Back Pain (LBP)
- Use of Opioids at High Dosage (HDO)
- Use of Opioids from Multiple Providers (UOP)
Prevention and Screening
- Cervical Cancer Screening (CCS)
- Childhood Immunization Status (CIS)
- Chlamydia Screening in Women (CHL)
- Colorectal Cancer Screening (COL)
- Immunizations for Adolescents (IMA)
- Lead Screening in Children (LSC)
- Oral Evaluation, Dental Services (OED)
- Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC)
Respiratory Conditions
Experience of Care
Measures Reported Using Electronic Clinical Data Systems
- Adult Immunization Status (AIS-E)
- Blood Pressure Control for Patients With Hypertension (BPC-E)
- Breast Cancer Screening (BCS-E)
- Cervical Cancer Screening (CCS-E)
- Childhood Immunization Status (CIS-E)
- Colorectal Cancer Screening (COL-E)
- Depression Remission or Response for Adolescents and Adults (DRR-E)
- Depression Screening and Follow-Up for Adolescents and Adults (DSF-E)
- Documented Assessment After Mammogram (DBM-E)
- Follow-Up After Abnormal Mammogram Assessment (FMA-E)
- Follow-Up Care for Children Prescribed ADHD Medication (ADD-E)
- Immunizations for Adolescents (IMA-E)
- Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-E)
- Postpartum Depression Screening and Follow-up (PDS-E)
- Prenatal Depression Screening and Follow-up (PND-E)
- Prenatal Immunization Status (PRS-E)
- Unhealthy Alcohol Use Screening and Follow-Up (ASF-E)
- Utilization of PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E)
Utilization and Risk Adjusted Utilization
Utilization
- Antibiotic Utilization for Respiratory Conditions (AXR)
- Child and Adolescent Well-Care Visits (WCV)
- Well-Child Visits in the First 30 Months of Life (W30)
Risk-Adjusted Utilization
- Acute Hospital Utilization (AHU)
- Emergency Department Visits for Hypoglycemia in Older Adults With Diabetes (EDH)
- Emergency Department Utilization (EDU)
- Hospitalization Following Discharge From a Skilled Nursing Facility (HFS)
- Hospitalization for Potentially Preventable Complications (HPC)
- Plan All-Cause Readmissions (PCR)
Retired Measures
Access/Availability of Care
Effectiveness of Care
Measures Collected Through the CAHPS® Health Plan Survey
Measures Collected Through the Medicare Health Outcomes Survey
- Fall Risk Management (FRM)
- Management of Urinary Incontinence in Older Adults (MUI)
- Physical Activity in Older Adults (PAO)
Prevention and Screening
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