Common Quality Metrics Reference Guide

Know your metrics before you track them. This reference guide covers 25-plus of the most widely used quality measures in ambulatory and primary care settings, with plain-language definitions, calculation formulas, national benchmark targets, and data source guidance for each. Essential for selecting your KPIs, setting realistic targets, and speaking the language of quality at the leadership table.

What you get:

•      HEDIS clinical quality measures — HbA1c, CRC screening, blood pressure control, and more

•      Patient safety metrics — fall rates, HAI rates, medication error rates, sentinel events

•      Operational quality metrics — RCA completion, CAP closure, policy review compliance

•      Patient experience measures — HCAHPS, CAHPS, complaint rates

•      Risk adjustment metrics — HCC capture rate, RAF score, AWV completion

•      National benchmark targets and recommended data sources for each measure