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Quality Matters

HEDIS

Monitoring Clinical Quality

Commercial HMO/POS HEDIS® Selected Results

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.

Measurement Year 2017 (Reported in September 2018)

Quartz’s Top-Performing MeasuresNCQA Rating (out of 5.0)
Well-Child Visits, Infants5.0
Childhood Immunizations Status – Combo 105.0
Adolescent Immunizations4.0
BMI Percentile Assessment4.0
Prenatal Care5.0
Postpartum Care5.0
Breast Cancer Screening5.0
Colorectal Cancer Screening5.0
Cervical Cancer Screening5.0
Adult BMI Assessment5.0
Flu Shots for Adults4.0
Asthma Control5.0
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 Illness5.0
First-Line Psychosocial Care for Youth on Antipsychotic Medications5.0
Appropriate Antibiotic Use, Adults with Acute Bronchitis4.0
Bronchodilator After Hospitalization for Acute COPD4.0
Appropriate Antibiotic Use, Children with Colds4.0
Appropriate Use of Imaging Studies for Low Back Pain4.0

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