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Clinical Quality Indicators

Clinical Quality Indicators are specifications adapted from the National Committee for Quality Assurance (NCQA). The methodology used for reporting the Clinical Quality Indicators includes all specialty-appropriate practitioners involved in the care of a member during the relevant time frame as that member’s “team.” 

The specific criteria for defining which practitioners to include in the team vary by indicator. All of the Clinical Quality Indicators have been structured so that higher rates represent better performance.

PPO Clinical Quality Indicator Abstracts