The National Committee for Quality Assurance (NCQA) has chosen its quality
measures wisely. NCQA has demanded that the measures address care processes
that have a strong scientific base, and because of awareness of the cost of
quality reviews, has chosen measures that can be defined in terms of data
that are present in most administrative computer systems. For example, the
denominator for the Health Plan Employer Data Information Set (HEDIS) measure
of pneumoccocal immunization rate is derived from a computer search for patients
eligible for pneumococcal vaccine, ie, those older than 65 years, or having
an International Classification of Diseases, Ninth Revision
(ICD-9) diagnosis of heart failure, chronic lung disease, and a few
other chronic diseases. Its numerator is derived by a search of procedure
codes that indicate pneumococcal vaccine use or by a chart review of a sample
of the denominator cases. Thus, a computer can do much of the review work.
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 21
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
and access these and other features:
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.