Phase 1 Measures

Asthma Medication Ratio

NCQA

Percentage of patients 5–64 years of age who were identified as having persistent asthma and had a ratio of controller medications to total asthma medications of 0.50 or greater during the measurement year

State, Market, Payer, Advanced Network

Controlling High Blood Pressure

NCQA

Percentage of patients 18 to 85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled (<140/90 mmHg) during the measurement year

State, Market, Payer, Advanced Network

Hemoglobin A1c (HbA1c) Control for Patients with Diabetes: HbA1c Poor Control

NCQA

Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period

State, Market, Payer, Advanced Network

Phase 2 Measures

Child and Adolescent Well-Care Visits

NCQA

Percentage of members 3–21 years of age who had at least one comprehensive well-care visit with a primary care provider or an OB/GYN practitioner during the measurement year

State, Market, Payer, Advanced Network

Follow-up After Emergency Department (ED) Visit for Mental Illness (7-day)

NCQA

Percentage of ED visits for members 6 years of age and older with a principal diagnosis of mental illness or intentional self-harm, who had a follow-up visit for mental illness

within 7 days of the ED visit

State, Market, Payer, Advanced Network

Follow-up After Hospitalization Visit for Mental Illness (7-day)

NCQA

Percentage of discharges for members 6 years of age and older who were hospitalized for treatment of selected mental health disorders and who had an outpatient visit, an intensive outpatient encounter, or partial hospitalization with a mental health practitioner within 7 days of discharge

State, Market, Payer, Advanced Network

Obesity Equity Measure

CT OHS (using data from BRFSS)

A ratio of statewide obesity rates for the Black, non-Hispanic population and the White, non-Hispanic population

State