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quality measure

qlty_meas_cd
quality·Updated Jun 23, 2026

Definition

ISO-11179 Definition

A standardized metric used to assess and compare the clinical quality, patient safety, care coordination, patient experience, and population health outcomes delivered by healthcare providers and health plans. Quality measures translate clinical guidelines and evidence-based practices into quantifiable indicators that can be calculated from administrative claims data, electronic health records, or patient surveys. NCQA HEDIS contains over 90 quality measures used in Medicare Advantage Star Ratings and commercial health plan accreditation.

CMS Core Quality Measures Collaborative has aligned quality measures across payer programs to reduce provider reporting burden. Quality measures are classified as process measures tracking whether recommended care was delivered, outcome measures assessing patient health results, structural measures evaluating care infrastructure, and patient experience measures capturing member satisfaction. Healthcare data teams build quality measure calculation engines that identify eligible denominators from claims and enrollment data, capture numerator events from claims and supplemental clinical data, apply NCQA technical specifications, and produce auditable measure rates used in value based payment performance evaluation.

Standard Abbreviation

qlty_meas_cd

Category

quality

Production DDL — FACT_QUALITY_MEASURE

FACT_QUALITY_MEASURE.sql
CREATE OR REPLACE TABLE FACT_QUALITY_MEASURE (
    qlty_key        INTEGER        NOT NULL  -- surrogate key,
    mbr_key         INTEGER        NOT NULL  -- FK to DIM_MEMBER,
    plan_key        INTEGER        NOT NULL  -- FK to DIM_PLAN,
    meas_yr         SMALLINT                 -- measurement year,
    hedis_meas_cd   VARCHAR(20)              -- HEDIS measure code,
    denom_ind       CHAR(1)                  -- denominator eligible,
    numer_ind       CHAR(1)                  -- numerator met,
    excl_ind        CHAR(1)                  -- exclusion indicator,
    gap_open_ind    CHAR(1)                  -- care gap open,
    star_rtg_nbr    DECIMAL(3,1)             -- star rating,
    qlty_scr        DECIMAL(5,2)             -- quality score,
    perf_thrsh_pct  DECIMAL(5,2)             -- performance threshold,
    raf_scr         DECIMAL(10,3)            -- risk adjustment factor,
    outreach_cnt    SMALLINT                 -- outreach attempts,
    load_dt         TIMESTAMP_NTZ  NOT NULL  -- load timestamp
);

Standard Snowflake DDL for the canonical quality table. Convert to BigQuery or Databricks →

Why This Term Matters

Quality measure data determines how payers and providers are rated and reimbursed under CMS Stars, HEDIS, and value-based care contracts. Data engineers who understand quality terminology build measure calculation pipelines that correctly attribute patients, apply denominator exclusions, and flag documentation gaps before submission deadlines. Incorrect quality data directly affects star ratings, pay-for-performance bonuses, and Medicare Advantage plan bids.

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