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
- Adults’ Access to Preventive/Ambulatory Health Services (AAP)
- Annual Dental Visit (ADV)
- Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET)
- Prenatal and Postpartum Care (PPC)
- Use of First Line Psychosocial Care For Children and Adolescents on Anti-Psychotics (APP)
Effectiveness of Care
Behavioral Health
- Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA)
- Antidepressant Medication Management (AMM)
- Diabetes and Cardiovascular Disease Screening and Monitoring for People With Schizophrenia or Bipolar Disorder (SSD, SMD, SMC)
- Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (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)
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 and Diabetes (SPC, SPD)
Diabetes
Measures Collected Through the CAHPS® Health Plan Survey
- Flu Vaccinations (FVA, FVO)
- Medical Assistance with Smoking and Tobacco Use Cessation (MSC)
- Pneumococcal Vaccination Status for Older Adults (PNU)
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)
Medication Management and Care Coordination
- Follow-Up After Emergency Department Visit for People With High-Risk Multiple Chronic Conditions (FMC)
- Transitions of Care (TRC)
Musculoskeletal Conditions
- Disease-Modifying Anti-Rheumatic Drug Therapy for Rheumatoid Arthritis (ART)
- Osteoporosis Management In Women Who Had a Fracture (OMW)
Overuse/Appropriateness
- Appropriate Treatment for Children With Upper Respiratory Infection (URI)
- Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis (AAB)
- Medication Management in Older Adults (DAE, 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 Imaging Studies for Low Back Pain (LBP)
- Use of Opioids at High Dosage (HDO)
- Use of Opioids from Multiple Providers (UOP)
Prevention and Screening
- Breast Cancer Screening (BCS)
- 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)
- Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC)
Respiratory Conditions
- Appropriate Testing for Children With Pharyngitis (CWP)
- Asthma Medication Ratio (AMR)
- Pharmacotherapy Management of COPD Exacerbation (PCE)
- Use of Spirometry Testing in the Assessment and Diagnosis of COPD (SPR)
Experience of Care
- About CAHPS
- Customer Service
- Getting Care Quickly
- Getting Needed Care
- How Well Doctors Communicate
- Rating of Health Care
- Rating of Health Plan
- Rating of Personal Doctor
- Rating of Specialist
Measures Reported Using Electronic Clinical Data Systems
Risk Adjusted Utilization
- Acute Hospital Utilization (AHU)
- Emergency Department Utilization (EDU)
- Hospitalization Following Discharge From a Skilled Nursing Facility (HFS)
- Hospitalization for Potentially Preventable Complications (HPC)
- Plan All-Cause Readmissions (PCR)