MICMT is excited to announce a new website coming the end of January! As a reminder, please download all certificates off your dashboards as they will not be accessible in the new site.


Back to top

Quality and Population Health Management

(Updated January 19th, 2018)


Ambulatory care quality performance is measured by the Healthcare Effectiveness Data and Information Set. The National Committee for Quality Assurance establishes the Healthcare Effectiveness Data and Information Set, or HEDIS measures to address a broad range of health issues and allows consumers to compare health plans on quality measures.

HEDIS has become an integrated system that improves the accountability of the managed health care industry with the ultimate goal of improving the quality of care for care patients. Primary care providers and the primary care team can improve their HEDIS scores by:

  • Help patients stay healthy through preventive screenings, test and vaccinations
  • Manage and document all acute and chronic patient conditions
  • Ensure that services provided and diagnoses are documented in the medical record
  • Submit accurate and timely claims for every office visit
  • Use electronic registries to review and close care gaps

Population Health Management

Population health management is defined as "the health outcomes of a group of individuals, including the distribution of such outcomes within the group." The goal of population health management is to keep a patient popualtion as healthy as possible minimizing the need for expensive interventions such as emergency department visits, hospitalizations, imaging, tests, and procedures.


Institute of Medicine (IOM), 2001. Crossing the quality chasm: A new health system for the 21st century. Washington , D.C.: National Press

David Kindig and Greg Stoddart, "What is Population Health?" Am J Public Health. 2003;93:380-383.


Webinars and Presentations

MiCMRC Educational Webinar

Jan 17 2018

To receive a certificate of completion Click Here


Webinar replay video

Presented by

Natalie Pirkola, Pharm D, MBA, CCM, CPHIMS, BCACP




IHI Quality Improvement Resources

From the Institute for Healthcare Improvement, Cambridge, MA



Guides and Policies

Quality Improvement Strategy

From the Safety Net Medical Home Initiative


QI Strategy Implementation Guide Part I: Choosing and Using a QI Framework

Part 1 of the QI Strategy Implementation Guide Series includes an overview of QI methods and provides detailed information and case studies. August 2011


QI Strategy Implementation Guide Part 2: Optimizing Health Information Technology for Patient-Centered Medical Homes

This guide describes how clinics can optimize health information technology to power medical home workflows. It also includes tips for clinics without electronic health records. March 2011



Improving Chronic Illness Care

Website focused on chronic care model and includes tools, literature, resources