Unmatched Dedication to Quality Improvement

The Quality Improvement (QI) department at Johns Hopkins HealthCare (JHHC) uses national measures and best practices to ensure that Johns Hopkins USFHP members 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 member 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.

2018 Quality Improvement Highlights

  • “Excellent” accreditation status through the National Committee for Quality Assurance (NCQA®)
  • One of the highest rated health insurance plans in the nation (rated 4.5 out of 5) with Excellent Accreditation
  • The highest possible percentile ranking (NCQA 90th percentile) for the following Healthcare Effectiveness Data and Information Set (HEDIS®) measures:
    • Adult BMI Assessment; Asthma Medication Ratio; Cervical Cancer Screening; Comprehensive Diabetes Care – HbA1c Control (<8); Comprehensive Diabetes Care – Eye Exam; Comprehensive Diabetes Care – Poor HbA1c Control (>9.0%); Controlling High Blood Pressure; Flu Vaccination for Adults Ages 18-64; Follow-Up for ADHD Medications – Initiation Phase; Immunizations for Adolescents (Combo 1); Medication Management for People with Asthma; Pharmacotherapy Management of COPD – Systemic Corticosteroid; Pharmacotherapy Management of COPD – Bronchodilator and Timeliness of Prenatal Care. View the full HEDIS results.
  • NCQA HEDIS auditor recognition and audit SEAL for 2018 HEDIS
  • Member rating of health plan, personal doctor, health care, customer service, rating of specialist, coordination of care, customer service and getting needed care exceeded the 90th percentile benchmark ranking from Quality Compass as measured by the annual member satisfaction survey.  View the full 2019 Consumer Assessment of Healthcare Providers and Systems (CAHPS®) results.

QI initiatives are aimed at delivering continued improvement


Quality of Care
& Member Safety

Business Process