HEDIS Quality Measures
Healthcare Effectiveness Data and Information Set — Measurement Year 2025
Composite Score
78.4%
↑ 3.2% YoY
Across 15 measures
Meeting Target
9 / 15
↑ 2 from prior year
Measures at or above target
Near Target
4 / 15
Within 5% of target
Care Gaps
3,847
↓ 12.4% YoY
Total outstanding gaps
HEDIS Measure Performance
| Measure Name | Domain | Current Rate | National Avg | Target | Gap Count | Trend | Status |
|---|---|---|---|---|---|---|---|
| Colorectal Cancer Screening COL-E |
Effectiveness of Care |
82.1%
|
76.3% | 80.0% | 412 | On Target | |
| Breast Cancer Screening BCS-E |
Effectiveness of Care |
79.4%
|
73.5% | 78.0% | 287 | On Target | |
| Controlling High Blood Pressure CBP |
Effectiveness of Care |
68.7%
|
72.1% | 75.0% | 623 | Below Target | |
| Diabetes Care — HbA1c Control CDC |
Effectiveness of Care |
61.2%
|
66.4% | 72.0% | 891 | At Risk | |
| Statin Therapy — ASCVD SPC |
Effectiveness of Care |
84.5%
|
79.2% | 82.0% | 198 | On Target | |
| Annual Wellness Visit AWV |
Effectiveness of Care |
71.8%
|
70.5% | 76.0% | 344 | Near Target | |
| Medication Reconciliation Post-Discharge MRP |
Effectiveness of Care |
88.3%
|
81.7% | 85.0% | 142 | On Target | |
| Depression Screening DSF-E |
Effectiveness of Care |
77.6%
|
74.2% | 75.0% | 267 | On Target | |
| Antidepressant Med Management AMM |
Behavioral Health |
58.4%
|
63.1% | 68.0% | 512 | At Risk | |
| Follow-up After Hospitalization FUH |
Behavioral Health |
72.9%
|
71.4% | 77.0% | 289 | Near Target | |
| Immunizations for Adolescents IMA-E |
Effectiveness of Care |
91.2%
|
87.4% | 88.0% | 89 | On Target | |
| Care for Older Adults — PMP COA |
Access/Availability |
83.7%
|
80.2% | 82.0% | 176 | On Target | |
| Osteoporosis Management in Women OMW |
Effectiveness of Care |
63.8%
|
64.1% | 68.0% | 234 | Near Target | |
| Kidney Health Eval — Diabetes KED |
Effectiveness of Care |
74.1%
|
69.8% | 72.0% | 298 | On Target | |
| COPD Spirometry Testing SPR-E |
Effectiveness of Care |
54.6%
|
58.9% | 65.0% | 385 | At Risk |
Top Care Gaps
3,847 totalDiabetes HbA1c Control
CDC — Critical gap
891
members
Antidepressant Med Mgmt
AMM — High priority
512
members
Blood Pressure Control
CBP — Moderate gap
623
members
COPD Spirometry
SPR — High priority
385
members
Annual Wellness Visit
AWV — Moderate gap
344
members
HEDIS Composite Score Trend
Rolling 8-quarter performance vs national average