Quality Improvement Tip Sheets

Quality measures help ensure our members receive appropriate care. We created tip sheets to help you satisfy quality measures, including Healthcare Effectiveness Data and Information Set (HEDIS®) measures from the National Committee for Quality Assurance.

Complying with these measures may reduce the need for you to provide medical records later for review.

Prevention and Screening

Cardiovascular Conditions

Diabetes

Mental Health

Substance Use

Access/Availability of Care

Overuse/Appropriateness

Utilization and Risk Adjusted Utilization

The above material is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. Physicians and other health care providers are encouraged to use their own best medical judgment based upon all available information and the condition of the patient in determining the best course of treatment.

HEDIS is a registered trademark of NCQA. Use of this resource is subject to NCQA’s copyright, found here .