At Rady Children’s Health Network (RCHN), we are committed to supporting our providers in delivering the highest quality care to children and families across Southern California. Our quality measurement and improvement efforts align with nationally recognized benchmarks established by the National Committee for Quality Assurance (NCQA) through the Healthcare Effectiveness Data and Information Set (HEDIS), as well as the Integrated Healthcare Association (IHA) Align. Measure. Perform. (AMP) program for commercial health plans.
These benchmarks provide an objective way to evaluate preventive and chronic care performance, track progress over time, and identify opportunities to close care gaps. By working together, our network continues to improve outcomes and strengthen the overall health of our pediatric population.
About NCQA and HEDIS
The National Committee for Quality Assurance (NCQA) is a nonprofit organization that develops evidence-based standards and performance measures to assess healthcare quality across the United States. One of its core tools is the Healthcare Effectiveness Data and Information Set (HEDIS), which is used by over 90% of U.S. health plans to measure care and service performance.
HEDIS measures assess how well care is delivered in key areas such as:
- Preventive Care: Well-child visits, immunizations, adolescent preventive visits
- Chronic Care: Asthma management, diabetes care, behavioral health
- Access and Utilization: Primary care access, appropriate testing, and follow-up
➡ Learn more about NCQA HEDIS metric details
➡ View RCHN HEDIS Tools
DHCS MCAS Metrics for Medi-Cal
RCHN focuses on pediatric-specific measures aligned with the Managed Care Accountability Set (MCAS), as developed by the California Department of Health Care Services (DHCS) for Medi-Cal managed care plans. MCAS ensures that performance reporting and improvement efforts reflect the unique needs of California’s pediatric and safety-net populations.
➡ Learn more about DHCS MCAS metrics
Align. Measure. Perform. (AMP) for Commercial Plans
The Integrated Healthcare Association’s Align. Measure. Perform. (AMP) program standardizes performance measurement and benchmarking across California’s commercial health plans and provider organizations. AMP aligns with NCQA HEDIS metrics but includes regionally relevant measures, emphasizing both clinical quality and total cost of care.
RCHN participates in AMP measurement through its commercial plan partnerships, using these metrics to guide continuous improvement in preventive services, chronic condition management, and patient experience.
➡ Learn more about IHA’s AMP program
Priority Measures for RCHN
Our 2025 priority measures reflect alignment across MCAS (Medi-Cal) and AMP (Commercial) to ensure consistent expectations for all practices in the network. Each measure contributes directly to improved population health outcomes and is associated with incentive payments through value-based arrangements with contracted health plans.
Sources
- Blue Shield Promise California. HEDIS Tip Sheets (2024).
- California DHCS. Managed Care Accountability Set (MCAS) Reports (2025).
- Integrated Healthcare Association. Align. Measure. Perform. Program (2025).
- National Committee for Quality Assurance. HEDIS (2025).