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Quality Program Initiatives

Harvard Pilgrim is dedicated to maintaining a robust quality improvement program. Quality initiatives include both clinical and service improvement projects. Each year, Harvard Pilgrim sets a quality improvement agenda, monitors its progress and evaluates its effectiveness.

2017 Quality Program Description
Contains description of Harvard Pilgrim’s Quality Program, including goals and objectives, scope, quality structure, activities and annual evaluation.

2017 Quality Improvement Work Plan Summary*
Contains a complete list of all current clinical and service quality initiatives along with each project's key objectives.

HEDIS^ HMO/POS Commercial results for Harvard Pilgrim Health Care (HPHC)*
Contains the most recent publicly-reported HMO/POS Commercial results for the HEDIS effectiveness-of-care measures for HPHC, Inc. (MA and ME members) and for HPHC-NE (NH members). The national HMO/POS averages are included for comparison.
^ HEDIS (Healthcare Effectiveness Data and Information Set)

HEDIS^ PPO Commercial results for Harvard Pilgrim Health Care, Inc. (HPHC, Inc.)*
Contains the most recent publicly-reported PPO Commercial results for the HEDIS effectiveness-of-care measures for HPHC, Inc. (MA members only). The national PPO averages are included for comparison.
^ HEDIS (Healthcare Effectiveness Data and Information Set)

HEDIS^ PPO Commercial results for Harvard Pilgrim Insurance Company (HPIC)*
Contains the most recent publicly-reported PPO Commercial results for the HEDIS effectiveness-of-care measures for HPIC (MA & CT PPO members only). The national PPO averages are included for comparison.
^ HEDIS (Healthcare Effectiveness Data and Information Set)

Guide to HEDIS^ measures*
Contains a description of the effectiveness-of-care measures detailed in the HEDIS report, including inclusion criteria for age, gender, time frame and clinical parameters.
^ HEDIS (Healthcare Effectiveness Data and Information Set)

Evaluation of Harvard Pilgrim's 2016 Quality Program*
Contains a high-level assessment of the effectiveness of the clinical and service quality projects on HPHC's Quality Improvement Work Plan. It includes an overview of the scope of the prior year's Quality Program and highlights program accomplishments.


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