Health Care Research

HEDIS Measure: Unhealthy Alcohol Use Screening and Follow-Up
Unhealthy alcohol use is a common and serious issue, ranging from risky drinking to alcohol dependence. About 30% of the U.S. population misuses alcohol, and 21% of adults report engaging in risky or hazardous drinking. Alcohol misuse accounts for 1 out of 10 deaths in the United States.

National Collaborative for Innovation in Quality Measurement: Implementing and Improving (NCINQ)
Using national HEDIS measures, NCINQ will conduct a quality improvement project to encourage judicious use of antipsychotic medications and better depression management in youth.

Measuring What Matters Most to Older Adults
Many existing quality measures do not effectively measure what is most important to individuals, particularly older adults experiencing disability. We need a new approach to measurement that assesses how well organizations are helping people to achieve the outcomes they self-identify as important – we call these person-driven outcomes.

Goals to Care: How to Keep the Person in “Person-Centered”
The ability to understand what is most important to an individual is foundational to the provision of person-centered care. The ability for providers and care managers to communicate and coordinate care based on a shared understanding of the individual’s goals directly impacts the outcomes and experience of the person receiving care. Although commonsense, application of these principles is anything but commonplace.

Setting Goals with People with Complex Needs: A Collaborative Approach
People who have or who are at risk for complicated health conditions (e.g. those over the age of 65 and/or people with physical, intellectual or developmental disabilities) depend on person-centered care management to meet their needs, preferences and goals.

Policy Approaches to Advancing Person-Centered Outcome Measurement
Quality of care for people with complex needs begins with a person-centered assessment and care planning process that addresses what is most important to the individual. Better integration can improve care for people with complex needs, but failure to rigorously measure quality could result in cost savings at the expense of quality.  

Issue Brief | Quality of Child Health Care
Expanding the Scope and Flexibility of Measurement Approaches (May 2009)

Measures for Dual-Eligibles
A March 2013 white paper, developed with support from The SCAN Foundation, describes a strategy for evaluating the quality and person-centeredness of integrated care.

CLAS: Health Care Disparities


The Reliability of Provider Profiling: A Tutorial

HEDIS and the Impact Act
The Centers for Medicare & Medicaid Services commissioned NCQA to assess whether Medicare Advantage plans that enroll a disproportionate number of vulnerable beneficiaries are systematically disadvantaged by programs that use performance measures to assess quality.

Publications and Presentations


Improving Chlamydia Screening 
  Strategies from Top Performing Health Plans

Reducing Health Care Disparities

NCQA recognizes innovation in multicultural health care annually. See how you can support this important effort to combat health care disparities.

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NCQA Health Care Research Resources

Quality Compass