Commitment to Quality: Clinical Measures

Doctor And Nurses In Discussion At Nurses StationThe Primary Care Coalition and clinics participating in Montgomery Cares are committed to improving the quality of health care available to low income, uninsured community members. PCC’s approach to quality is multi-faceted and includes on-site Quality Assurance Reviews of administrative, financial, and clinical standards at all Montgomery Cares participating clinics. Montgomery Cares Medical Directors meet quarterly to discuss quality-related issues including clinical process and outcome measures, best practices, and common challenges. These meetings keep the focus on quality improvement and guideline-concordant care.

The PCC and clinic Medical Directors have selected measures for annual reporting based on several criteria, including:

  • Existence of nationally endorsed measure specifications
  • Evidence that improvement in the measures correlates with improved clinical outcomes
  • Sufficient prevalence of the condition in the Montgomery Cares population
  • Healthcare Effectiveness Data and Information Set (HEDIS) Medicaid results available to serve as meaningful benchmarks and performance targets, where possible

Montgomery Cares currently tracks 16 measures of chronic, preventive, and wellness care on a quarterly basis. Nine of these measures are published annually. Since 2008, the PCC has tracked year-over-year improvements in most clinical measures, with performance reaching or exceeding targets by 2016 in diabetes and hypertension care.

Gains in Cancer Screening Year-Over-Year

Find out more about our programs and initiatives to improve the quality of care within the Montgomery County health safety net.

Funders Commitment to Quality

Thank you to the following funders who have made the PCC’s measurement and improvement work possible:

  • Adventist Health Care
  • Agency for Healthcare Research and Quality
  • American Breast Cancer Foundation
  • Bank of America
  • CareFirst BlueCross BlueShield
  • Consumer Health Foundation
  • Communities IMPACT Diabetes Center/Centers for Disease Control and Prevention
  • Maryland Department of Health and Mental Hygiene
  • Maryland Physicians Care
  • Meyer Foundation
  • Susan G. Komen for the Cure