Provider Engagement: Performance & Quality Resources

Provider Engagement Liaison and Clinical Transformation Team (PECT)

Johns Hopkins Health Plans PECT team fosters collaborative relationships with providers of all specialties to achieve the following goals:

  • to ensure that each health plan member is a priority
  • to support overall business and operational success
  • to drive quality and health care performance measures

The PECT Team uses the Population Health Incentive Program (PHIP), Healthcare Effectiveness Data and Information Set (HEDIS®) measures and CMS Star Ratings to align with equitable health care industry standards.

HEDIS, PHIP, CMS Five-Star Quality Rating System

  • HEDIS: consists of 60 to 75 measures, depending on the type of health plan, across eight domains of care. Please refer to the HEDIS Quality Measures Toolkit for more information on how you can affect performance.
  • Maryland Department of Health (MDH)’s Population Health Incentive Program (PHIP): The PHIP from MDH is driven by performance and includes VBP HEDIS measure goals defined by the National Committee for Quality Assurance (NCQA) and MDH.
  • CMS Five-Star Quality Rating System: evaluates quality and performance of Medicare Advantage plans and prescription drug plans.

For more information, please contact the Johns Hopkins Health Plans PECT team at [email protected]


2024 HEDIS Measures Toolkit (QM Tip Sheet)

2024 HEDIS Measures Toolkit (Download QM Tip Sheet PDF)

Other Tools

CAHPS Survery Toolkit
MY2024 Prospective Fax Cover Sheet
WHA Provider Quick Reference Card
Advantage MD - Whole Health Assessment (Form Stack)
Advantage MD - Whole Health Assessment

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).