In observance of the Independence Day holiday, our Member Services departments will be closed. We apologize for any inconvenience.
Clinical Quality Management (CQM) reports help primary care providers track and monitor patient care and manage disease conditions. The CQM reports, available on Tufts Health Plan's secure Provider website, show the most recent date of service for recommended screening tests or prescriptions for each HMO and POS member on a primary care provider’s panel:
Reports are color-coded to show at a glance whether a screening is on schedule, coming due or overdue, or if there is no record of a past screening.
Based on claims data and published monthly, CQM reports are benchmarked against HEDIS performance standards. The online reports can be saved, printed or exported.
The Search/Query function can be used to locate a specific member within each report.
If you do not already have access to CQM reports, contact your Access Administrator.