Annually, IHP physician leaders set operational and clinical goals to show evidence of our commitment to high quality, affordable care.
View the 2025 Metrics Completion List Tracking Sheet (updated 6/18/25)
Domain | Measure | Weight | Measurement Level |
Access to Care: | % Patients w/ > PCP visit/rolling 12 months | 15% | PCP |
Quality: | % Diabetes Patients w/ HbA1c <9% | 15%** | PCP |
Quality: | Blood Pressure Control | 15%** | PCP |
Quality: | Breast Cancer Screening | 10% | PCP |
Quality: | % Recommended pts w/ Colorectal Cancer Screening | 5% | PCP |
Quality: | % Adhering w/ Medication for Diabetes (Medicare Advantage) | 10%** | PCP |
Utilization | Outpatient ED Visits/1000 | 10% | TIN |
Risk | HCC Capture Rate for Known Conditions (Medicare Advantage & MSSP) | 15% | PCP |
Care Consolidation | In Network Utilization | 5% | TIN |
Domain | Pediatric Care Measures | Weight | Measurement Level |
Access to Care: | Well-Child visits 6+ (0-15 months old) | 10% | PCP |
Access to Care: | Well-Child visits 2+ (15-30 months old) | 10% | PCP |
Access to Care: | Child & Adolescent Well-Care Visits 1 (3-11 years old) | 10% | PCP |
Quality: | Pharyngitis: Appropriate Testing (3-17 years) | 15% | PCP |
Quality: | URI: No Antibiotic Treatment (3 months - 17 years) | 15% | PCP |
Utilization: | Outpatient ED Visits/1000 (Commercial) | 15% | TIN |
Citizenship: | Attend at least 50% of POD Meetings | 15% | PCP |
Care Consolidation | In Network Utilization | 15% | TIN |