Quality measures help ensure our members receive appropriate care. We created tip sheets to help you satisfy quality measures, including Healthcare Effectiveness Data and Information Set (HEDIS®) measures from the National Committee for Quality Assurance.
Complying with these measures may reduce the need for you to provide medical records later for review.
Prevención y exámenes
- Breast Cancer Screening
- Examen de cáncer cervical
- Childhood Immunization Status
- Examen de cáncer colorrectal
- Immunizations for Adolescents
Enfermedades cardiovasculares
Diabetes
- Cuidado integral de la diabetes
- Comprehensive Diabetes Care: Nephropathy
- Comprehensive Diabetes Care: Retinal Eye Exam
- Kidney Health Evaluation for Patients With Diabetes
Salud Mental
- Manejo de medicamentos antidepresivos
- Follow-Up Care for Children Prescribed ADHD Medication
- Follow-Up After Hospitalization for Mental Illness
- Follow-Up After Emergency Department Visit for Mental Illness
- Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications
- Metabolic Monitoring for Children and Adolescents on Antipsychotics
Substance Use
- Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence
- Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment
- Use of Opioids From Multiple Providers
Access/Availability of Care
Overuse/Appropriateness
- Appropriate Treatment for Upper Respiratory Infection
- Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis
- Use of Imaging Studies for Low Back Pain
Utilization and Risk Adjusted Utilization
El material de arriba se ofrece a título informativo y no pretende sustituir el juicio médico independiente de un facultativo. Se recomienda a los médicos y otros profesionales de la salud que apliquen su mejor criterio médico basándose en toda la información disponible y en el estado del paciente para determinar el mejor tratamiento.
HEDIS es una marca comercial registrada de NCQA. Use of this resource is subject to NCQA's copyright, found here .