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.
Overuse and Appropriateness
- Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis (AAB)
- Use of Imaging Studies for Low Back Pain (LBP)
- Non-Recommended Cervical Cancer Screening in Adolescent Females (NCS)
- Non-Recommended PSA-Based Screening in Older Men (PSA)
- Use of Opioids at High Dosage (HDO)
- Use of Opioids from Multiple Providers (UOP)
- Risk of Continued Opioid Use (COU)
Screening, Prevention and Wellness
- Annual Dental Visit (ADV)
- Breast Cancer Screening (BCS)
- Cervical Cancer Screening (CCS)
- Colorectal Cancer Screening (COL)
- Flu Vaccinations (FVA, FVO)
- Medical Assistance with Smoking and Tobacco Use Cessation (MSC)
- Diabetes and Cardiovascular Disease Screening and Monitoring for People With Schizophrenia or Bipolar Disorder (SSD, SMD, SMC)
- Chlamydia Screening in Women (CHL)
- Pneumococcal Vaccination Status for Older Adults (PNU)
Chronic Condition Management
- Use of Spirometry Testing in the Assessment and Diagnosis of COPD (SPR)
- Pharmacotherapy Management of COPD Exacerbation (PCE)
- Asthma Medication Ratio (AMR)
- Controlling High Blood Pressure (CBP)
- Persistence of Beta-Blocker Treatment After a Heart Attack (PBH)
- Statin Therapy for Patients With Cardiovascular Disease and Diabetes (SPC, SPD)
- Comprehensive Diabetes Care (CDC)
- Disease-Modifying Anti-Rheumatic Drug Therapy for Rheumatoid Arthritis (ART)
- Antidepressant Medication Management (AMM)
- Follow-Up After Hospitalization for Mental Illness (FUH)
- Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA)
- Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET)
- Pharmacotherapy for Opioid Use Disorder (POD)
- Follow-Up After Emergency Department Visit for Mental Illness (FUM)
- Follow-Up After High-Intensity Care for Substance Use Disorder (FUI)
- Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA)
Measures Targeted Toward Children and Adolescents
- Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC)
- Childhood Immunization Status (CIS)
- Immunizations for Adolescents (IMA)
- Lead Screening in Children (LSC)
- Appropriate Testing for Children With Pharyngitis (CWP)
- Appropriate Treatment for Children With Upper Respiratory Infection (URI)
- Follow-Up Care for Children Prescribed ADHD Medication (ADD)
- Child and Adolescent Well-Care Visits (W30, WCV)
- Prenatal and Postpartum Care (PPC)
- Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM)
- Use of First Line Psychosocial Care For Children and Adolescents on Anti-Psychotics (APP)
- Prenatal Immunization Status (PRS-E)
Measures Targeted Toward Older Adults
- Physical Activity in Older Adults (PAO)
- Fall Risk Management (FRM)
- Osteoporosis Management In Women Who Had a Fracture (OMW)
- Medication Management in Older Adults (DAE, DDE)
- Management of Urinary Incontinence in Older Adults (MUI)
Measures of Value and Utilization
- Plan All-Cause Readmissions (PCR)
- Hospitalization Following Discharge From a Skilled Nursing Facility (HFS)
- Emergency Department Utilization (EDU)
- Acute Hospital Utilization (AHU)
- Hospitalization for Potentially Preventable Complications (HPC)
Care Coordination
- Follow-Up After Emergency Department Visit for People With High-Risk Multiple Chronic Conditions (FMC)
- Transitions of Care (TRC)
Consumer and Patient Engagement and Experience
- About CAHPS
- Rating of Health Plan
- Rating of Health Care
- Getting Needed Care
- Getting Care Quickly
- How Well Doctors Communicate
- Rating of Personal Doctor
- Rating of Specialist
- Customer Service