Pediatric Criteria Quality Measures:

These quality measures align with Medicaid. Practices are scored on how they perform on Quality Measures based on HEDIS National Benchmarks (percentiles). Practices at 50th percentile or below need to complete Plan Do Study Act (PDSA).

• 90th | 50 points • 75th | 40 points • 50th | 0 points and complete Plan Do Study Act (PDSA) (pdf) • 25th | 0 points and PDSA

Quality Measures:

1. Appropriate Testing for Children with Pharyngitis 2. ADHD-1 ADHD Follow Up: INITIATION PHASE 3. ADHD-2 ADHD Follow Up: CONTINUATION AND MAINTENANCE PHASE 4. Appropriate treatment for children with Upper Respiratory Infection 5. Childhood Immunizations Comb CIS 10 6. Childhood Immunizations Comb CIS 7 (without Flu vaccine) 7. WCC1_ BMI percentile

Measures below are reporting only (no points) setting a baseline and education for 2019. Enter value/numbers in the quality scorecard for all reporting measures. There is high probability to be held accountable in 2019.

1. Well Child Visits in years 3,4,5,6 (W34) 2. Well Child Visits in the first 15 months of life (W15) 3. Adolescent Well Visits (AWC) 4. Immunizations for Adolescents combination 1 - IMA includes HPV 5. Med Management Asthma total - rate 75% - MMA