Unmatched Dedication to Quality Improvement

The Quality Improvement (QI) department at Johns Hopkins Health Plans uses national measures and best practices to ensure that Johns Hopkins USFHP beneficiaries receive the highest quality health care services available. Our QI department uses key processes for analysis, strategy, implementation, monitoring, and reporting as an integral part of the internal QI process.

QI initiatives and projects are developed after careful consideration that includes the potential positive impact on beneficiary health outcomes. The progress of QI initiatives and projects is regularly evaluated and updated. The outcomes of all quality initiatives and studies are evaluated annually to identify any trends. In addition, results from the annual evaluation are used when setting objectives for the upcoming year.

2022 Quality Improvement Highlights

  • The highest possible percentile ranking (NCQA 90th percentile) for the following Healthcare Effectiveness Data and Information Set (HEDIS®) measures:
    • o Flu Vaccination for Adults Ages 18-64; Colorectal Cancer Screening; Appropriate Antibiotic Use for Colds; Patients with Diabetes – Eye Exams; Patients with Diabetes – Glucose Control; Cholesterol and Blood Sugar Testing for Youth on Antipsychotic Medications; Acute Hospital Utilization; Emergency Department Utilization
  • NCQA HEDIS auditor recognition and audit SEAL for 2022 HEDIS
  • Member rating of health plan, care, personal doctor, coordination of care and getting care easily exceeded the 90th percentile benchmark ranking from Quality Compass as measured by the annual member satisfaction survey.

QI initiatives are aimed at delivering continued improvement


Quality of Care
& Member Safety

Business Process