Performance Measure Resources
Arizona Complete Health-Complete Care Plan contracts with the Arizona Health Care Cost Containment System (AHCCCS) and reports required quality and performance metrics to ensure members receive a high quality of care. Metrics are identified by AHCCCS and associated with specifications, primarily the Health Effectiveness Data and Information Set (HEDIS) and the Centers for Medicare & Medicaid Services (CMS) Core Set.
What is HEDIS?
HEDIS is the Healthcare Effectiveness Data and Information Set defined by the National Committee for Quality Assurance (NCQA). It is the gold standard in healthcare performance measurement and consists of over 70 measures affecting mortality and morbidity. The use of HEDIS measures is an exciting opportunity to show the quality of our services in an integrated care environment. Specifications for HEDIS measures are proprietary and must be purchased through the National Committee for Quality Assurance (NCQA). More information is available on the NCQA website.
What is CMS Core?
The Center for Medicaid and CHIP Services (CMCS) developed a set of core measures reflective of an overall quality strategy.
Arizona Complete Health-Complete Care Plan and Performance Measures
Arizona Complete Health-Complete Care Plan is responsible for meeting the CMS Child and Adult Health Care Quality Measures, national Medicaid Median (CMS Medicaid Median), and/or the NCQA HEDIS® Medicaid Mean for performance measures selected by AHCCCS
Performance Measures
CAHPS is a survey that asks members about their health care experience, like how easy it is to get care and how well doctors communicate. By watching these results, our health plan can learn what we are doing well and what we need to improve so members get the best care possible. We review performance annually:
AHCCCS Performance
Information on performance measures and surveys posted by AHCCCS: