In Spring 2022, the introduction of HRSA’s Community Health Quality Recognition (CHQR) measures and a review of Healthy People 2030 (HP 2030) measures and targets prompted a review and update of Quality Measures for the HCCN. A subcommittee of the Connections Advisory Committee reviewed a matrix of various program measures along with CHQR and HP 2030 targets, then selected the following 11 measures for the HCCN to focus on in the future. In July, the Committee recommended, and the Community Care Board of Directors approved, these measures and targets for Health Center Connections.
| 2021 UDS | Targets | |||
| Measure | Performance | Gold | Silver | Rationale |
| Body Mass Index (BMI) Screening and Follow-Up Plan | 73.5% | 83.1% | 78.3% | Gold – CQHR Silver – median of perf and gold |
| Breast Cancer Screening | 48.0% | 77.1% | 62.6% | Gold – HP 2030 Silver – median of perf and gold |
| Cervical Cancer Screening | 57.3% | 84.3% | 70.8% | Gold – HP 2030 Silver – median of perf and gold |
| Childhood Immunization Status | 39.5% | 48.4% | 24.8% | Gold – median of top half Silver – median of bottom half Before choosing, eliminated 6 PHCs with a denominator < 50. |
| Colorectal Cancer Screening | 39.9% | 74.4% | 57.2% | Gold – HP 2030 Silver – median of perf and gold |
| Controlling High Blood Pressure | 60.2% | 80% | 60.8% | Gold – CQHR/MH Silver – CHQR/HP 2030 |
| Dental Sealants | 77.3% | 85.6% | 59.3% | Gold – median of top 4 Silver – median of bottom 4 Before choosing, eliminated 7 PHCs with a denominator < 50. |
| Depression Remission at 12 Months | 7.8% | 18.2% | 13% | Gold – CQHR Silver – median of perf and gold |
| Diabetes: HbA1c Poor Control (>9.0%) | 32.5% | 11.6% | 22.1% | Gold – CHQR/HP 2030 Silver – median of perf and gold |
| Screening for Depression and Follow-Up Plan | 79.4% | 90% | 80.5% | Gold – previous target Silver – CHQR |
| Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents | 66.7% | 77.4% | 72.1% | Gold – CQHR Silver – median of perf and gold |
In late 2018, participants in the Connections Quality Forum added the 4 italicized measures below to the list for future Forum sessions. At the same time, Bronze targets were dropped. From 2018 through July 2022, the HCCN Project Team provided T/TA toward improvement in these measures through the Quality Forum sessions, monthly check-ins, and other forms of assistance.
| 2019-July 2022 Measures of Focus | Gold Target | Silver Target |
| Body Mass Index (BMI) Screening and Follow-Up Plan |
>=72% | >=58% |
| Breast Cancer Screening | >=55% | >=48% |
| Cervical Cancer Screening | >= 93% | >= 65% |
| Childhood Immunization Status | >= 80% | >= 30% |
| Colorectal Cancer Screening | >= 70.5% | >= 50% |
| Controlling High Blood Pressure | >= 75% | >= 70% |
| Dental Sealants | >=60% | >=28.1% |
| Diabetes: HbA1c Poor Control (>9.0%) | <= 16.1% | <= 25% |
| Screening for Depression and Follow-Up Plan | >= 90% | >= 85% |
| Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents | >=92% | >=80% |
In late 2017, participants of the Connections Quality Forum identified 6 measures and targets to focus on during 2018 Forum sessions.
| 2018 Measures of Focus | Gold Target | Silver Target | Bronze Target |
| Cervical Cancer Screening | >= 93% | >= 65% | >=50% |
| Childhood Immunization Status | >= 80% | >= 30% | >=20% |
| Colorectal Cancer Screening | >= 70.5% | >= 50% | >=40% |
| Controlling High Blood Pressure | >= 75% | >= 70% | >=61.2% |
| Diabetes: HbA1c Poor Control (>9.0%) | <= 16.1% | <= 25% | <=40% |
| Screening for Depression and Follow-Up Plan | >= 90% | >= 85% | >=80% |