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Physician Group Honor Roll Methodology

Harvard Pilgrim uses a domain opportunity methodology which combines HEDIS measures for both adult and pediatric patients into 3 domains, as listed below.

Acute Care Domain

  • Appropriate Testing for Children with Pharyngitis
  • Appropriate Treatment for Children with Upper Respiratory Infection
  • Avoidance of Antibiotic Treatment for Adults with Acute Bronchitis
  • Use of Imaging for Low Back Pain
  • Initiation and Engagement of Alcohol and Other Drug Dependence Treatment
  • Antidepressant Medication Management (continuation phase)

Chronic Care Domain

  • Asthma Medication Ratio Medication Management for People With Asthma: Medication Compliance, for at least 75% of treatment period
  • Comprehensive Diabetes Care (composite of HbA1c testing, Eye Exam, and Nephropathy testing)
  • Annual Monitoring for Patients on Persistent Medications (combined performance for ACE/ARBs and Diuretics)

Preventive Care Domain

  • Breast Cancer Screening
  • Cervical Cancer Screening
  • Chlamydia Screening in Women (all ages)
  • Adolescent Well-Care Visits
  • Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life

The evaluation of each domain compares actual physician group performance to national performance at the 75th and 90th percentiles. Physician groups earn points if their domain score is better than performance at the 75th percentile (1 point) or at the 90th percentile (2 points). Physician groups that earn 4 or more points are named to the Honor Roll (the equivalent of performance at the national 75th percentile for 2 domains and the 90th for the third domain). Physician groups that perform at or above the national 90th percentile in all three domains are named to the Honor Roll with Distinction (as indicated by an asterisk).

Honor Roll Physician Groups