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Clinical Quality Measures

The purpose of the Clinical Quality Measures initiative is to provide guidance regarding performance improvement that results in the implementation of evidence-based intervention strategies to improve care. Clinical Quality Measures are reviewed and monitored through special clinical studies, Joint Commission facility reviews, Health Plan performance oversight, and Patient Satisfaction surveys. These external reviews of care help us to identify clinical best practices and areas for improvement.

MHS leadership and healthcare providers continually assess clinical performance data to ensure beneficiaries receive safe, high quality care in military treatment facilities (MTFs) and TRICARE network hospitals. The Data Display (D2) tool provides a way for patients to compare the quality of care hospitals give.

Information Available in D2

Hospital Measures Outpatient Measures

Hospital measures show how often hospitals gave recommended treatments to get the best results for patients with certain medical conditions or surgical procedures. 

The hospital measures available are:

  • Heart Attack
  • Heart Failure
  • Pneumonia
  • Childhood Asthma
  • Surgical Care

Hospital data reflect overall performance for services delivered between April 1, 2014 and March 31, 2015. 

Outpatient measures of care address health issues ranging from wellness and prevention to chronic disease management. 

The outpatient measures available are:

  • Breast Cancer
  • Cervical Cancer
  • Colorectal Cancer
  • Diabetes A1c
  • Asthma Medications
  • Mental Health Follow Up
  • Low Back Pain Imaging
  • Well Child Visits

Outpatient data reflect overall performance for services delivered between October 1, 2014 and September 30, 2015.

How Do I Use This Information?

Patients and their families can use this information when making healthcare decisions. Talk to your healthcare provider about the best way you can get the care you need. The goal rate for each measure is 100 percent. Hospitals or outpatient facilities with higher percentages follow recommended treatments more often than hospitals or outpatient facilities with lower percentages.

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Explanations of Hospital Process of Care Measures

Publication
3/15/2016

This document provides an explanation for each of the hospital process of care measures.

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Clinical Quality Measures | Hospital Measures

HEDIS® Outpatient Measures of Care

Publication
3/15/2016

To see the full list, visit http://www.fchp.org/providers/resources/hedis-measures.aspx

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Clinical Quality Measures | Outpatient Measures
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