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21 Patriot Road
Building 21
Fort Buchanan 00934-3400

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Rodriguez Army Health Clinic website

787-707-4392

  • Monday – Friday, 7:00 a.m. to 4:00 p.m.
  • Closed every Thursday after 11:30 a.m. for training.

Rodriguez Army Health Clinic

The Rodriguez Army Health Clinic provides a system of health assuring the readiness of the warfighter and the wellness of our family members, retirees and veterans of the Armed Forces. We’re committed to operational readiness, outstanding customer service, and world-class health care delivery for our beneficiaries.

  • You can see how well we’re doing.
  • Click on one of the links to learn how we measure our performance.

Disclaimer:

  • One measure is not an indication of a facility's quality. Sometimes a smaller population can make a measure move pretty drastically from quarter to quarter, so don't be alarmed if you see a dip or a spike.
  • If there is no data included with the description of the measures below, it may be because your facility doesn't offer that particular service or treatment.
  • Some data is reported every month or quarter and some is reported once a year. Occasionally, a measure is no longer used. But we continue to provide the data from past years as a reference.
  • The dates we report data may vary by measure. Measuring quality, safety, access and patient experience requires time to ensure data is valid and accurate.
  • We report the same Healthcare Effectiveness Data and Information Set ( Click to closeHEDISThe Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of the National Committee for Quality Assurance (NCQA).HEDIS) used by many civilian health care practices to monitor quality of care provided in the MHS. Before posting HEDIS data, a National Committee for Quality Assurance (NCQA) certified auditor reviews and approves the measure process and data.
  • We report some of the measures in Calendar Year (CY) and some measures in Fiscal Year (FY). Calendar years begin on January 1st. Fiscal years begin on October 1st.
  • If you have questions, please contact the Patient Administration office at your military medical treatment facility or a beneficiary counseling and assistance coordinator

Download Spreadsheet of Metrics  New MTF Search

Patient Safety

There are many factors the Military Health System tracks related to Patient Safety. Additional measures will be added here as they are made available.

  • Joint Patient Safety Reporting

    You expect us to keep you safe when you’re in one of our hospitals or clinics. One way we do that is by reporting and reviewing Patient Safety Events. That way, we can identify and fix potentially unsafe conditions in our hospitals and clinics. Patient Safety Events are any avoidable event that could result in harm to a patient. This includes what we call "near miss" or “close call” events. These are events that never reaches the patient, but could have resulted in harm under different circumstances. All facilities in the MHS Click to closeDirect CareDirect care refers to military hospitals and clinics, also known as “military treatment facilities” and “MTFs.”Direct Care system voluntarily report their patient safety events to the MHS Patient Safety Program. Unlike most other health systems, we also report events in our dental program. This is because the MHS integrates dental into its medical system. More reporting doesn’t necessarily mean that a facility is less safe. It actually provides MHS with data to learn from and make improvements. Joint Patient Safety Reporting (JPSR) data are updated in April for the previous calendar year.

    Table: Joint Patient Safety Reporting

    Comparison to Benchmark
    2021202220232024
    2313Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		17
  • Sentinel Events

    We encourage our medical staffs to report all types of patient safety events – injuries, illnesses, and especially deaths. Sentinel Events are those that result in harm or death to a patient. They require immediate reporting, response, and investigation. This measure is a facility specific one that shows you what sentinel events occurred in individual hospitals or clinics. Your military hospital or clinic may not be on this list. Some don’t provide services that can result in a Sentinel Event. Others may not have enough data to report in a way that protects patient privacy. Data are updated in April of each year and cover the previous calendar year.

    Table: Sentinel Events

    Comparison to Benchmark
    2021202220232024
    Click to closeNDND = No data availableNDClick to closeNDND = No data availableNDClick to closeNDND = No data availableNDClick to closeNDND = No data availableND

Patient Satisfaction / Access

There are many factors the Military Health System tracks related to Patient Satisfaction and Access. For your convenience we have categorized these in the below sections:

  • Access to Acute Care Appointments

    Seeing your provider in a timely manner is important to you—and to us. Our goal is for you get the right level of care, at the right time, by the right provider.

    What we measure

    We measure the average number of days it takes to be seen for an acute medical condition. If the military hospital or clinic can't get you an appointment with your primary care manager within the access standards, they will get you an appointment with another provider. We monitor this metric on a monthly basis and make more appointments available when the measure shows we need to.

    Graph: Access to Acute Care Appointments

    Average Days Until Third Next Available Appointment Within 24 Hours

    Table: Access to Acute Care Appointments

    Average Days Until Third Next Available Appointment Within 24 Hours
    2023-Aug2023-Sep2023-Oct2023-Nov2023-Dec2024-Jan2024-Feb2024-Mar2024-Apr2024-May2024-Jun2024-Jul2024-Aug2024-Sep2024-Oct2024-Nov2024-Dec2025-Jan2025-Feb2025-Mar2025-Apr2025-May2025-Jun2025-Jul2025-Aug2025-Sep2025-Oct2025-Nov2025-DecGoal
    1.371.751.7318.7618.083.344.643.994.585.512.8436.9412.315.095.192.681.982.272.784.331.260.590.790.610.770.611.261.661.241
  • Access to Routine Care Appointments

    Seeing your provider in a timely manner is important to you—and to us. Our goal is for you get the right level of care, at the right time, by the right provider.

    What we measure

    We measure the average number of days it takes to be seen for routine appointment. If the military hospital or clinic can't get you an appointment with your primary care manager within the access standards (within 7 days), they will get you an appointment with another provider. We monitor this metric on a monthly basis and make more appointments available when the measure shows we need to.

    Graph: Access to Routine Care Appointments

    Average Days Until Third Next Available Appointment For Routine or Follow-up Care

    Table: Access to Routine Care Appointments

    Average Days Until Third Next Available Appointment For Routine or Follow-up Care
    2023-Aug2023-Sep2023-Oct2023-Nov2023-Dec2024-Jan2024-Feb2024-Mar2024-Apr2024-May2024-Jun2024-Jul2024-Aug2024-Sep2024-Oct2024-Nov2024-Dec2025-Jan2025-Feb2025-Mar2025-Apr2025-May2025-Jun2025-Jul2025-Aug2025-Sep2025-Oct2025-Nov2025-DecGoal
    2.7113.9910.0112.0111.214.457.3410.138.4810.346.5810.1213.4511.6711.186.915.37.48.78.729.5117.3212.3410.1313.935.76.917.916.997
  • Primary Care Manager Continuity

    When your provider team is familiar with your medical history, it's good for you, especially if you have more complex medical issues. Our Patient Centered Medical Homes (PCMHs) help you see the same provider team. Your PCMH team aims to keep you healthy by suggesting preventive services that may prevent more complex problems later. We track this measure to find out how often you are seen by your assigned primary care manager (PCM).

    What we measure

    We measure the percent of appointments where the patient saw their own provider. We use our electronic health record to monitor which provider you see. We understand that there may be times when you want to be seen quickly – and don’t need to see your PCM, but we want to make sure you're seen by your primary medical team when you want. Ask for your provider by name. If we can’t get you an appointment with your provider, we'll try to get you seen by a provider on the same team. They know your medical needs and history. And, if you aren’t concerned about continuity of provider in some circumstances, let us know that, too.

    Graph: Primary Care Manager Continuity

    Percentage of Time a Provider Treats His/Her Assigned Patients

    Table: Primary Care Manager Continuity

    Percentage of Time a Provider Treats His/Her Assigned Patients
    2021-Jun2021-Jul2021-Aug2021-Sep2021-Oct2021-Nov2021-Dec2022-Jan2022-Feb2022-Mar2022-Apr2022-May2023-Oct2023-Nov2023-Dec2024-Jan2024-Feb2024-Mar2024-Apr2024-May2024-Jun2024-Jul2024-Aug2024-Sep2024-Oct2024-Nov2024-Dec2025-Jan2025-Feb2025-Mar2025-Apr2025-May2025-Jun2025-Jul2025-Aug2025-Sep2025-Oct2025-Nov2025-Dec2026-Jan2026-Feb2026-Mar2026-AprGoal
    81%82%84%82%88%84%81%88%91%89%88%87%59%76%77%80%55%86%85%87%79%79%83%81%91%87%81%84%85%88%81%85%86%83%89%85%84%82%84%79%84%85%83%65%
  • Provider Communication

    It is important that providers communicate clearly and effectively with patients, their families, and caregivers. We want to ensure everyone understands and can use the information we provide to make healthy choices and good decisions about their healthcare. When provider-patient communication is effective, adherence to treatment recommendations increases, better health outcomes are achieved, and the patients and their families’ satisfaction with health care improves.

    What we measure

    Patients reported how well their provider explained things clearly, listened, showed respect, and whether they spent enough time with them. Please complete and return any surveys you receive to us. We want to know what you think and to learn what we are doing well and how we can improve.

    This measure is reported quarterly. If the data appears to be a little delayed, please remember, it takes time to make sure the information is statistically valid in order to make improvements in our system that will benefit our patients.

    Graph: Provider Communication

    Percentage of Joint Outpatient Experience Survey (JOES) respondents selecting the top rating on select questions related to quality of care

    Table: Provider Communication

    Percentage of Joint Outpatient Experience Survey (JOES) respondents selecting the top rating on select questions related to quality of care
    2021-Q22022-Q32022-Q42023-Q12025-Q12025-Q22025-Q32025-Q4Benchmark
    85%95%88%90%91%96%96%95%86%
  • Satisfaction With Getting Needed Care

    Seeing your provider when you need to is important to you – and to us. We want to ensure that you get the care you need when you need it. This measure lets us know if you think we responded appropriately to your appointment request.

    What we measure

    We send out surveys to a sample of our patients after their health care appointments. We measure your satisfaction and study trends by each hospital or clinic, by networks, by regions, by Service, and for the entire system. This helps us see where and how we can do better. Please complete and return any surveys you receive to us. We want to know what you think and how we can improve. Take advantage of all of the opportunities to get care you need: the 24/7 Nurse Advice Line, secure email with your provider, or same-day appointments. We aim to ensure you get the care you need when you need it.

    Graph: Satisfaction With Getting Needed Care

    Percentage of Beneficiaries' Rating "Able to See Provider When Needed (Agree/Strongly Agree)"

    Table: Satisfaction With Getting Needed Care

    Percentage of Beneficiaries' Rating "Able to See Provider When Needed (Agree/Strongly Agree)"
    2021-Jun2021-Jul2021-Aug2021-Sep2021-Oct2021-Nov2021-Dec2022-Jan2022-Feb2022-Mar2022-Apr2022-Jul2022-Aug2022-Oct2022-Nov2022-Dec2023-May2023-Jul2023-Aug2023-Nov2023-Dec2024-Jan2024-Mar2024-Apr2024-Sep2024-Dec2025-Jan2025-Feb2025-Mar2025-Apr2025-May2025-Jun2025-Jul2025-Aug2025-Sep2025-Oct2026-Jan
    98%74%99%80%83%92%89%71%88%89%78%80%77%69%100%100%83%100%91%78%96%82%76%99%37%76%67%86%85%74%64%80%84%82%84%69%75%

Quality of Care

There are many factors the Military Health System tracks related to Quality of Care. For your convenience we have categorized these in the below sections:

  • Breast Cancer Screening

    This measure tracks the percentage of women 50–74 years of age who had at least one mammogram to screen for breast cancer in the past two years. Data shown for this Click to closeHEDISThe Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of the National Committee for Quality Assurance (NCQA).HEDIS measure is the most recently approved by NCQA. 

    This is one of the measures from the Core Quality Measures Collaborative. Additional information can be found at: https://p4qm.org/CQMC.

    Graph: Breast Cancer Screening

    Percentage of Women 50 - 74 Years Old Who Had At Least One Mammogram to Screen For Breast Cancer in the Past Two Years

    Table: Breast Cancer Screening

    Percentage of Women 50 - 74 Years Old Who Had At Least One Mammogram to Screen For Breast Cancer in the Past Two Years
    2021-Jun2021-Jul2021-Aug2021-Sep2021-Oct2021-Nov2021-Dec2022-Jan2022-Feb2022-Mar2022-Apr2022-May2022-Jun2022-Jul2022-Aug2022-Sep2022-Oct2022-Nov2022-Dec2023-Jan2023-Feb2023-Mar2023-Apr2023-May2023-Jun2023-Jul2023-Aug2023-Sep2023-Oct2023-Nov2023-Dec2024-Jan2024-Feb2024-Mar2024-Apr2024-May2024-Jun2024-Jul2024-Aug2024-Sep2024-Oct2024-Nov2024-Dec2025-Jan2025-Feb2025-Mar2025-Apr2025-May2025-Jun2025-Jul2025-Aug2025-Sep2025-Oct2025-Nov2025-Dec2026-JanAverage for health plans nationwide (HEDIS 50th Percentile)
    78%83%79%71%62%67%62%58%57%60%65%71%75%77%78%79%78%79%76%79%79%76%81%81%80%74%72%74%72%72%76%79%81%81%85%83%81%85%92%93%93%93%90%89%90%89%90%90%90%90%91%91%91%91%91%89%Click to closePDPD = Proprietary dataPD
  • Cervical Cancer Screening

    This measure shows the percentage of women age 21–64 years who had one or more Pap tests to screen for cervical cancer in the past 3 years. Data shown for this Click to closeHEDISThe Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of the National Committee for Quality Assurance (NCQA).HEDIS measure is the most recently approved by NCQA. 

    This is one of the measures from the Core Quality Measures Collaborative.  Additional information can be found at: https://p4qm.org/CQMC.

    Graph: Cervical Cancer Screening

    Percentage of Women 21 - 64 Years Old Who Had One or More Pap Tests to Screen For Cervical Cancer in the Past Three Years

    Table: Cervical Cancer Screening

    Percentage of Women 21 - 64 Years Old Who Had One or More Pap Tests to Screen For Cervical Cancer in the Past Three Years
    2021-Jun2021-Jul2021-Aug2021-Sep2021-Oct2021-Nov2021-Dec2022-Jan2022-Feb2022-Mar2022-Apr2022-May2022-Jun2022-Jul2022-Aug2022-Sep2022-Oct2022-Nov2022-Dec2023-Jan2023-Feb2023-Mar2023-Apr2023-May2023-Jun2023-Jul2023-Aug2023-Sep2023-Oct2023-Nov2023-Dec2024-Jan2024-Feb2024-Mar2024-Apr2024-May2024-Jun2024-Jul2024-Aug2024-Sep2024-Oct2024-Nov2024-Dec2025-Jan2025-Feb2025-Mar2025-Apr2025-May2025-Jun2025-Jul2025-Aug2025-Sep2025-Oct2025-Nov2025-Dec2026-JanAverage for health plans nationwide (HEDIS 50th Percentile)
    86%87%85%87%87%86%86%85%85%86%86%86%86%86%86%86%88%88%88%89%89%89%90%90%90%90%90%90%89%88%88%89%88%88%87%87%87%87%86%86%86%85%86%86%86%85%86%86%88%87%88%89%89%89%90%89%Click to closePDPD = Proprietary dataPD
  • Chlamydia Screening

    The percentage of women 16 to 24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement year. Data shown for this Click to closeHEDISThe Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of the National Committee for Quality Assurance (NCQA).HEDIS measure is the most recently approved by NCQA.

    This is one of the measures from the Core Quality Measures Collaborative.  Additional information can be found at: https://p4qm.org/CQMC.

    Graph: Chlamydia Screening

    Percentage of Woman Who Had At Least One Test For Chlamydia

    Table: Chlamydia Screening

    Percentage of Woman Who Had At Least One Test For Chlamydia
    2021-Jun2021-Jul2021-Aug2021-Sep2021-Oct2021-Nov2021-Dec2022-Jan2022-Feb2022-Mar2022-Apr2022-May2022-Jun2022-Jul2022-Aug2022-Sep2022-Oct2022-Nov2022-Dec2023-Jan2023-Feb2023-Mar2023-Apr2023-May2023-Jun2023-Jul2023-Aug2023-Sep2023-Oct2023-Nov2023-Dec2024-Jan2024-Feb2024-Mar2024-Apr2024-May2024-Jun2024-Jul2024-Aug2024-Sep2024-Oct2024-Nov2024-Dec2025-Jan2025-Feb2025-Mar2025-Apr2025-May2025-Jun2025-Jul2025-Aug2025-Sep2025-Oct2025-Nov2025-DecBenchmark
    48%43%40%39%44%41%48%44%37%38%41%39%41%29%35%32%30%34%32%34%47%55%52%54%52%52%48%41%45%45%41%44%42%38%41%39%50%48%43%52%68%67%55%52%59%59%60%59%58%55%59%61%51%40%45%Click to closePDPD = Proprietary dataPD
  • Colorectal Cancer Screening

    This measure shows the number of our patients age 45 to 75 years who had a screening test for colorectal cancer. Data shown for this Click to closeHEDISThe Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of the National Committee for Quality Assurance (NCQA).HEDIS measure is the most recently approved by NCQA.

    This is one of the measures from the Core Quality Measures Collaborative. Additional information can be found at: https://p4qm.org/CQMC.

    Graph: Colorectal Cancer Screening

    Percentage of Patients 45 - 75 Years Old Who Had a Screening Test for Colorectal Cancer

    Table: Colorectal Cancer Screening

    Percentage of Patients 45 - 75 Years Old Who Had a Screening Test for Colorectal Cancer
    2021-Jun2021-Jul2021-Aug2021-Sep2021-Oct2021-Nov2021-Dec2022-Jan2022-Feb2022-Mar2022-Apr2022-May2022-Jun2022-Jul2022-Aug2022-Sep2022-Oct2022-Nov2022-Dec2023-Jan2023-Feb2023-Mar2023-Apr2023-May2023-Jun2023-Jul2023-Aug2023-Sep2023-Oct2023-Nov2023-Dec2024-Jan2024-Feb2024-Mar2024-Apr2024-May2024-Jun2024-Jul2024-Aug2024-Sep2024-Oct2024-Nov2024-Dec2025-Jan2025-Feb2025-Mar2025-Apr2025-May2025-Jun2025-Jul2025-Aug2025-Sep2025-Oct2025-Nov2025-Dec2026-JanAverage for health plans nationwide (HEDIS 50th Percentile)
    53%51%50%53%54%54%54%55%55%55%57%59%62%63%64%65%67%69%69%70%71%71%72%70%71%71%72%72%74%75%74%74%74%75%76%76%76%76%76%77%79%79%78%77%77%79%79%80%79%79%79%80%80%79%80%80%Click to closePDPD = Proprietary dataPD
  • Glycemic Status Assessment for Patients With Diabetes: HbA1c Control (<8.0%)

    For people with diabetes, it’s important to test your blood sugar levels. Data shown for this Click to closeHEDISThe Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of the National Committee for Quality Assurance (NCQA).HEDIS measure is the most recently approved by NCQA.

    What we measure

    This measure shows the percentage of adults age 18-75 years old with diabetes (types 1 and 2) whose blood sugar levels were under control. This means the hemoglobin A1c rate was less than 8.0% during the year.

    Graph: Glycemic Status Assessment for Patients With Diabetes: HbA1c Control (<8.0%)

    Percentage of adults ages 18-75 years old with diabetes (types 1 and 2) with controlled blood sugar levels <8%

    Table: Glycemic Status Assessment for Patients With Diabetes: HbA1c Control (<8.0%)

    Percentage of adults ages 18-75 years old with diabetes (types 1 and 2) with controlled blood sugar levels <8%
    2021-Oct2021-Nov2021-Dec2022-Jan2022-Feb2022-Mar2022-Apr2022-May2022-Jun2022-Jul2022-Aug2022-Sep2022-Oct2022-Nov2022-Dec2023-Jan2023-Feb2023-Mar2023-Apr2023-May2023-Jun2023-Jul2023-Aug2023-Sep2023-Oct2023-Nov2023-Dec2024-Jan2024-Feb2024-Mar2024-Apr2024-May2024-Jun2024-Jul2024-Aug2024-Sep2024-Oct2024-Nov2024-Dec2025-Jan2025-Feb2025-Mar2025-Apr2025-May2025-Jun2025-Jul2025-Aug2025-Sep2025-Oct2025-Nov2025-DecBenchmark
    63%64%60%58%60%66%61%60%61%58%49%48%59%67%62%58%52%50%45%50%42%44%45%50%38%38%38%43%43%48%52%42%40%46%42%41%44%43%45%42%44%54%48%55%55%56%63%65%63%67%68%Click to closePDPD = Proprietary dataPD
  • Glycemic Status Assessment for Patients With Diabetes: HbA1c Poor Control (>9.0%)

    For people with diabetes, it's important to test your blood sugar levels. Data shown for this Click to closeHEDISThe Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of the National Committee for Quality Assurance (NCQA).HEDIS measure is the most recently approved by NCQA.

    What we measure

    This measure shows the percentage of adults age 18-75 years old with diabetes (types 1 and 2) whose blood sugar levels were poorly controlled. This means the hemoglobin A1c rate was more than 9.0% during the year.

    This measure is one of the Core Quality Measures Collaborative's measures from the Consensus Core Set: Accountable Care Organizations (ACOs), Patient-Centered Medical Homes (PCMHs), and Primary Care. Additional information can be found at: https://p4qm.org/CQMC

    Graph: Glycemic Status Assessment for Patients With Diabetes: HbA1c Poor Control (>9.0%)

    Percentage of adults ages 18-75 years old with diabetes (types 1 and 2) with poorly controlled blood sugar levels >9%

    Table: Glycemic Status Assessment for Patients With Diabetes: HbA1c Poor Control (>9.0%)

    Percentage of adults ages 18-75 years old with diabetes (types 1 and 2) with poorly controlled blood sugar levels >9%
    2021-Oct2021-Nov2021-Dec2022-Jan2022-Feb2022-Mar2022-Apr2022-May2022-Jun2022-Jul2022-Aug2022-Sep2022-Oct2022-Nov2022-Dec2023-Jan2023-Feb2023-Mar2023-Apr2023-May2023-Jun2023-Jul2023-Aug2023-Sep2023-Oct2023-Nov2023-Dec2024-Jan2024-Feb2024-Mar2024-Apr2024-May2024-Jun2024-Jul2024-Aug2024-Sep2024-Oct2024-Nov2024-Dec2025-Jan2025-Feb2025-Mar2025-Apr2025-May2025-Jun2025-Jul2025-Aug2025-Sep2025-Oct2025-Nov2025-DecBenchmark
    34%33%37%39%33%28%32%27%29%33%40%38%28%22%27%31%32%33%36%30%42%50%45%41%48%52%52%57%57%52%44%50%52%46%46%48%44%46%45%46%44%39%41%38%39%38%31%32%33%30%26%Click to closePDPD = Proprietary dataPD
  • Low Back Pain Imaging

    Evidence shows that many patients diagnosed with low back pain receive excessive medical tests that can lead to unnecessary worry and unneeded surgery. For the majority of individuals who experience severe low back pain, pain improves after two weeks. Avoiding imaging tests like x-ray, MRI, and CT scans can prevent harm to patients and reduce health care costs. Data shown for this Click to closeHEDISThe Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of the National Committee for Quality Assurance (NCQA).HEDIS measure is the most recently approved by NCQA.

    What we measure

    We measure the percentage of adults age 18 to 50 years with a primary diagnosis of low back pain who didn’t have an imaging test (e.g., plain X-ray, MRI or CT scan) within 28 days of the diagnosis. A higher score means a better performance. Talk with your provider about alternatives to unnecessary medical tests for low back pain, and discuss alternatives to surgery for addressing your pain.

    This is one of the measures from the Core Quality Measures Collaborative.  Additional information can be found at: https://p4qm.org/CQMC.

    Graph: Low Back Pain Imaging

    Percentage of Patients 18 - 50 Years Old Who Did Not Have an Imaging Test Within 28 Days of a Primary Diagnosis of Low Back Pain

    Table: Low Back Pain Imaging

    Percentage of Patients 18 - 50 Years Old Who Did Not Have an Imaging Test Within 28 Days of a Primary Diagnosis of Low Back Pain
    2021-Jun2021-Jul2021-Aug2021-Sep2021-Oct2021-Nov2021-Dec2022-Jan2022-Feb2022-Mar2022-Apr2022-May2022-Jun2022-Jul2022-Aug2022-Sep2022-Oct2022-Nov2022-Dec2023-Jan2023-Feb2023-Mar2023-Apr2023-May2023-Jun2023-Jul2023-Aug2023-Sep2023-Oct2023-Nov2023-Dec2024-Jan2024-Feb2024-Mar2024-Apr2024-May2024-Jun2024-Jul2024-Aug2024-Sep2024-Oct2024-Nov2024-Dec2025-Jan2025-Feb2025-Mar2025-Apr2025-May2025-Jun2025-Jul2025-Aug2025-Sep2025-Oct2025-Nov2025-Dec2026-JanAverage for health plans nationwide (HEDIS 50th Percentile)
    77%79%82%82%83%84%80%80%80%77%78%77%73%71%73%71%73%75%71%72%73%71%67%68%70%72%69%67%68%68%71%69%69%71%70%67%68%66%65%64%63%66%68%73%75%65%70%70%72%73%77%76%71%66%64%63%Click to closePDPD = Proprietary dataPD
  • Mental Health Follow Up 30 Days

    Patients hospitalized to treat mental illness need follow up care. This follow up care helps make sure the progress made during the patient’s hospital stay transitions to the home or work environment. It also helps your health care team catch problems that might arise after leaving the hospital. Data shown for this Click to closeHEDISThe Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of the National Committee for Quality Assurance (NCQA).HEDIS measure is the most recently approved by NCQA.

    What we measure

    We measure the percentage of discharges of individuals age 6 years and older who had a follow-up outpatient visit within 7 days and 30 days of discharge after being hospitalized for treatment of certain mental illnesses. If you have recently been discharged from a hospital for mental health care, please keep any scheduled appointments. If you aren’t sure if you have an appointment, call your mental health provider and schedule one.

    This is one of the measures from the Core Quality Measures Collaborative. Additional information can be found at: https://p4qm.org/CQMC.

    Graph: Mental Health Follow Up 30 Days

    Percentage of Discharges of Individuals Ages 6 Years and Older who had a Follow-up Outpatient Visit Within 30 Days of Discharge After Being Hospitalized for Treatment of Certain Mental Illnesses

    Table: Mental Health Follow Up 30 Days

    Percentage of Discharges of Individuals Ages 6 Years and Older who had a Follow-up Outpatient Visit Within 30 Days of Discharge After Being Hospitalized for Treatment of Certain Mental Illnesses
    2021-Oct2021-Nov2021-Dec2022-Jan2022-Feb2022-Mar2022-Apr2022-May2022-Jun2022-Jul2022-Aug2022-Sep2022-Oct2022-Nov2022-Dec2023-Jan2023-Feb2023-Mar2023-Apr2023-May2023-Jun2023-Jul2023-Aug2023-Sep2023-Oct2023-Nov2023-Dec2024-Jan2024-Feb2024-Mar2024-Apr2024-May2024-Jun2024-Jul2024-Aug2024-Sep2024-Oct2024-Nov2024-Dec2025-Jan2025-Feb2025-Mar2025-Apr2025-May2025-Jun2025-Jul2025-Aug2025-Sep2025-Oct2025-Nov2025-Dec2026-JanAverage for health plans nationwide (HEDIS 50th Percentile)
    91%92%92%92%100%93%92%87%93%93%91%92%90%Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		80%Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		90%92%92%92%83%92%92%100%100%93%92%Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		100%100%100%100%Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		91%91%91%90%Click to closePDPD = Proprietary dataPD
  • Mental Health Follow Up 7 Days

    Patients hospitalized to treat mental illness need follow up care. This follow up care helps make sure the progress made during the patient’s hospital stay transitions to the home or work environment. It also helps your health care team catch problems that might arise after leaving the hospital. Data shown for this Click to closeHEDISThe Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of the National Committee for Quality Assurance (NCQA).HEDIS measure is the most recently approved by NCQA.

    What we measure

    We measure the percentage of discharges of individuals age 6 years and older who had a follow-up outpatient visit within 7 days and 30 days of discharge after being hospitalized for treatment of certain mental illnesses. If you have recently been discharged from a hospital for mental health care, please keep any scheduled appointments. If you aren’t sure if you have an appointment, call your mental health provider and schedule one.

    This is one of the measures from the Core Quality Measures Collaborative.  Additional information can be found at: https://p4qm.org/CQMC.

    Graph: Mental Health Follow Up 7 Days

    Percentage of Discharges of Individuals Ages 6 Years and Older who had a Follow-up Outpatient Visit Within 7 Days of Discharge After Being Hospitalized for Treatment of Certain Mental Illnesses

    Table: Mental Health Follow Up 7 Days

    Percentage of Discharges of Individuals Ages 6 Years and Older who had a Follow-up Outpatient Visit Within 7 Days of Discharge After Being Hospitalized for Treatment of Certain Mental Illnesses
    2021-Oct2021-Nov2021-Dec2022-Jan2022-Feb2022-Mar2022-Apr2022-May2022-Jun2022-Jul2022-Aug2022-Sep2022-Oct2022-Nov2022-Dec2023-Jan2023-Feb2023-Mar2023-Apr2023-May2023-Jun2023-Jul2023-Aug2023-Sep2023-Oct2023-Nov2023-Dec2024-Jan2024-Feb2024-Mar2024-Apr2024-May2024-Jun2024-Jul2024-Aug2024-Sep2024-Oct2024-Nov2024-Dec2025-Jan2025-Feb2025-Mar2025-Apr2025-May2025-Jun2025-Jul2025-Aug2025-Sep2025-Oct2025-Nov2025-Dec2026-JanAverage for health plans nationwide (HEDIS 50th Percentile)
    73%75%83%85%100%93%92%87%86%87%82%75%70%Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		60%Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		70%75%83%83%75%85%77%92%85%79%92%Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		90%90%90%90%Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		Click to closePHI**PHI = Too few patients to display due to risk of PHI release
    ** = Low number of cases, percentages may vary greatly    PHI**    		91%91%91%90%Click to closePDPD = Proprietary dataPD
  • Strep Test

    Pharyngitis, or inflammation of the throat, is the only condition among upper respiratory infections where your provider may determine that antibiotic use is appropriate. U.S. medical leaders recommend that individuals diagnosed with group A streptococcus (strep) pharyngitis be treated with antibiotics. A strep test is the definitive test of group A strep pharyngitis. Data shown for this Click to closeHEDISThe Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of the National Committee for Quality Assurance (NCQA).HEDIS measure is the most recently approved by NCQA.

    What we measure

    We measure the percentage of enrollees ages 3 months of age and older, who were diagnosed with pharyngitis, received a strep test and were given an antibiotic. If you think you may have strep, ask for the test. If the test comes back positive and your child has strep, they should get an antibiotic. But, if the test is negative, an antibiotic isn’t needed.

    This is one of the measures from the Core Quality Measures Collaborative.  Additional information can be found at: https://p4qm.org/CQMC. 

    Graph: Strep Test

    Percentage of Beneficiaries Diagnosed with Pharyngitis Through a Strep Test and Received Antibiotics

    Table: Strep Test

    Percentage of Beneficiaries Diagnosed with Pharyngitis Through a Strep Test and Received Antibiotics
    2021-Jun2021-Jul2021-Aug2021-Sep2021-Oct2021-Nov2021-Dec2022-Jan2022-Feb2022-Mar2022-Apr2022-May2022-Jun2022-Jul2022-Aug2022-Sep2022-Oct2022-Nov2022-Dec2023-Jan2023-Feb2023-Mar2023-Apr2023-May2023-Jun2023-Jul2023-Aug2023-Sep2023-Oct2023-Nov2023-Dec2024-Jan2024-Feb2024-Mar2024-Apr2024-May2024-Jun2024-Jul2024-Aug2024-Sep2024-Oct2024-Nov2024-Dec2025-Jan2025-Feb2025-Mar2025-Apr2025-May2025-Jun2025-Jul2025-Aug2025-Sep2025-Oct2025-Nov2025-Dec2026-Jan2026-FebBenchmark
    27%19%19%24%24%18%20%20%20%23%21%27%36%50%46%40%40%46%59%69%75%69%69%71%70%70%65%68%71%74%71%71%67%70%76%68%68%65%78%79%56%58%54%53%47%50%43%60%60%68%59%65%76%78%79%80%84%Click to closePDPD = Proprietary dataPD