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HEDIS 3.0 Performance Measures,
Commercial Population
Effectiveness of Care
Childhood immunization
Adolescent Immunization
Advising smokers to quit
Screening mammography
Cervical cancer screening
Prenatal care in first trimester
Low birthweight babies
Check-ups after delivery
Treating children’s ear infections
Beta-blocker treatment after heart attack
Eye exams for people with diabetes
Follow-up after hospitalization for mental illness
Access/Availability of Care
Adult's access to preventive/ambulatory health services
Availability of primary care providers
Satisfaction With the Experience of Care
Member satisfaction survey
Health Plan Stability
Disenrollment
Provider turnover
Years in business and membership
Indicators of financial stability
Use of Services
Frequency of selected procedures
Inpatient utilization (hospital days)
Ambulatory visits
Maternity/newborn utilization
Mental health and chemical dependency utilization
Outpatient drug utilization
Cost of Care
Rate trends
High-occurrence/high-cost diagnosis-related groups
Informed Health Care Choices
New member orientation
Language translation services
Health Plan Descriptive Information
Providers: Board certification and compensation
Case, utilization, and risk management
Quality assessment and improvement
Recredentialling
Preventive care and health promotion
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