Clinical Quality Measures Used in Report

CPPI assessed physician performance using clinical quality measures that are evidence-based, nationally standardized and endorsed by major standard-setting bodies (i.e., the National Quality Forum and the AMA's Physician Consortium on Performance Improvement).  The measures address preventive care and chronic condition management.  The measures were reviewed and approved by the CPPI Physician Advisory Group.

The 16 measures listed below are relevant to the commercial population and can be scored using the administrative claims data available in California.  CPPI uses measure specifications from the National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS), and the Physician Consortium for Performance Improvement measurement systems.

A list of clinical quality measures used in the report may be found here.

Adult Diagnostic and Preventive Care

• Breast cancer screening (pdf)
• Colorectal cancer screening (pdf)
• Cervical cancer screening (pdf)

Diabetes Care for Adults

• Diabetes care - LDL screening (pdf)
• Diabetes care - HbA1c screening (pdf)
• Diabetes care - nephropathy screening (pdf)

Cardiovascular Disease Care

• Cardiovascular care - cholesterol management for patients with cardiovascular conditions (pdf)
• Cardiovascular care - beta blocker therapy at six months after a heart attack (pdf)
• Coronary artery disease - LDL drug therapy (pdf)
• Coronary artery disease - LDL drug therapy for CAD patients who also have diabetes (pdf)
• Heart failure patients - left ventricular ejection fraction testing (pdf)
• Heart failure patients - warfarin therapy for patients with atrial fibrillation (pdf)

Medication Management

• Monitoring patients on persistent medications (pdf)

Chronic Obstructive Pulmonary Disease Care (COPD)

• COPD care - pharmacotherapy management of COPD exacerbation (pdf)
• COPD care - use of spirometry testing (pdf)

Musculoskeleton Conditions

• Disease modifying anti-rheumatic drug therapy (DMARD) for rheumatoid arthritis (pdf)

The California Physician Performance Initiative clinical quality results were mailed to more than 13,000 California physicians on July 24, 2009.

Corrections provided by September 18, 2009 were applied to correct the quality results before the information was provided to the CPPI participating health plans.

Corrected results were emailed to physicians who provided an email when requesting a patient list.  Physicians who submitted corrections by the deadline can request a copy of their corrected scores here.

CPPI Project Communications
Julie France, PBGH
jfrance@pbgh.org