FAQ Directory: Health Plan Accreditation

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2.15.2020 Measure Validity The explanation in Element A in QI 3 and QI 4 does not require that data collected results be valid or reliable measures; however, the explanation for Element C in QI 3 and QI 4 states that the organization must describe its methodology (numerator, denominator, sampling, measurement periods). Does NCQA review the validity and reliability of measure results in either Element A or C?

NCQA does not evaluate the validity or reliability of the measure in Element A, QI 3 and QI 4. In Element C, QI 3 and QI 4, NCQA evaluates the validity of the remeasurement relative to the initial measurement. For example, NCQA evaluates if sampling, timing or other methodological factors introduces bias or other issues of comparison when determining an intervention’s effectiveness.

HP 2020