HEDIS

Monitoring Clinical Quality
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Quartz's health plans use NCQA's Healthcare Effectiveness Data and Information Set (HEDIS®) as a measurement tool to rate our clinical quality and customer service. HEDIS® is used by health plans throughout the country. It provides the same type of performance information for all health plans, making it easy to compare plans.

Commercial HMO / POS HEDIS®* Selected Results**

Measurement Year 2017 (Reported in September 2018)

PPIC’s Top Performing Measures NCQA Rating (out of 5.0)
Well-child visits, Infants and ages 3-6 4.0
Childhood Immunizations status – Combo 10 5.0
Breast Cancer Screening 5.0
Flu Shots for Adults 5.0
Asthma Drug Management 4.0
Patients with Diabetes– statin adherence 80% 5.0
Patients with Cardiovascular disease– statin adherence 80%4.0
Depression: Adhering to medication for 12 weeks 5.0
Follow-up after hospitalization for mental illness 5.0
Appropriate antibiotic use, adults with acute bronchitis 5.0
Appropriate testing and care, children with sore throat 4.0
Appropriate use of imaging studies for low back pain 5.0
Gundersen’s Top Performing Measures NCQA Rating (out of 5.0)
Childhood Immunizations status – Combo 10 5.0
BMI Percentile Assessment 4.0
Postpartum Care 4.0
Breast Cancer Screening 5.0
Cervical Cancer Screening 5.0
Adult BMI Assessment 4.0
Asthma Drug Management 4.0
Asthma Control 5.0
Diabetes – Blood Pressure Control, Eye Exams, Glucose Control, Received Statin Therapy, Statin Adherence 80%5.0
Heart Disease – Blood Pressure, Received Statin Therapy, Statin Adherence 80% 5.0
Depression: Adhering to Medication for 12 Weeks 5.0
Follow-up after ADHD Diagnosis 5.0
Appropriate Antibiotic Use, Adults with Acute Bronchitis 5.0
Appropriate testing and care, children with sore throat 4.0
Appropriate use of imaging studies for low back pain 5.0
Unity’s Top Performing Measures NCQA Rating (out of 5.0)
Well-child Visits, infants 5.0
Childhood Immunizations status – Combo 10 5.0
Adolescent Immunizations 4.0
BMI Percentile Assessment 4.0
Prenatal Care 5.0
Postpartum Care 5.0
Breast Cancer Screening 5.0
Colorectal Cancer Screening 5.0
Cervical Cancer Screening 5.0
Adult BMI Assessment 5.0
Flu Shots for Adults 4.0
Asthma Control 5.0
Diabetes – Blood Pressure Control, Eye Exams, Glucose Control, Received Statin Therapy, Statin Adherence 80%5.0
Heart Disease – Blood Pressure, Received Statin Therapy, Statin Adherence 80% 4.5
Follow-up After Hospitalization for Mental Illness 5.0
First-Line Psychosocial Care for Youth on Antipsychotic Medications 5.0
Appropriate Antibiotic Use, Adults with Acute Bronchitis 4.0
Bronchodilator After Hospitalization for Acute COPD 4.0
Appropriate Antibiotic Use, Children with Colds 4.0
Appropriate Use of Imaging Studies for Low Back Pain 4.0
*HEDIS® is a registered trademark of NCQA.
**The source for data contained in this publication is Quality Compass® 2015 and is used with the permission of the National Committee for Quality Assurance (NCQA).  Quality Compass 2015 includes certain CAHPS data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion.
***Unity excels in many areas. Displayed rankings include Unity's above average performance measures from the report. These represent a portion of the results and do not reflect Unity’s ranking in all areas.