Laboratory Services
Medical services designed to
confirm or deny the existence
or severity of a particular
disease or condition.
Diagnostic, Assessment,
and Testing (Medical and
Psychological) Services
Medical services designed to
confirm or deny the existence
or severity of a particular
disease or condition.
Notes: The NCQA Report on the State of Health Care Quality is based on 500 health plans that voluntarily report HEDIS measurements to NCQA.
- Available in the 2007 NCQA State of Health Care Quality Report. Available at: http://web.ncqa.org/
References
All information from NCQA was adapted from:
National Committee for Quality Assurance. The State of Health Care Quality: Industry Trends and Analysis, 2007. Washington, DC:
National Committee for Quality Assurance; 2007.
National Committee for Quality Assurance. The State of Health Care Quality: Industry Trends and Analysis, 2006. Washington, DC:
National Committee for Quality Assurance; 2006.
National Committee for Quality Assurance. The State of Health Care Quality: Industry Trends and Analysis, 2004. Washington, DC:
National Committee for Quality Assurance; 2005.
National Committee for Quality Assurance. HEDIS 2007 Summary Table of Measures and Product Lines. Measure List. Washington,
DC: National Committee for Quality Assurance; 2006. Available at: http://www.ncqa.org/Programs/HEDIS/2007/MeasuresList.pdf.
Accessed August 15, 2007.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
All information related to the Healthy People 2010 guidelines was adapted from:
U.S. Department of Health and Human Services. Healthy People 2010, 2nd ed. With Understanding and Improving Health and
Objectives for Improving Health. 2 vols. Washington. DC: U.S. Government Printing Office; November 2000.
U.S. Department of Health and Human Services. Healthy People 2010. Midcourse Review. Washington, DC: U.S. Department of
Health and Human Services. Office of Disease Prevention and Health Promotion. Available at: http://www.healthypeople.gov/data/
midcourse/comments/objectives.asp. Accessed August 15, 2007.
Maternal and Child Health
Plan Benefit Model
Recommendations
HEDIS® 2007 Measures NCQA 2006 & 2007* State
of Health Care Quality
% of beneficiaries in the
commercially-insured
population who received
service (2004-2006)1
Healthy People 2010 Goals