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Provider Quality Ratings

Provider quality ratings can help you choose a provider

Our enhanced online provider quality rating help you make informed decisions about your provider options. AmeriHealth makes this information available to members through agreements with:

HealthGrades, Inc., — a provider of health care quality ratings. HealthGrades provides ratings, information, and advisory services to health care providers, employers, health plans, and insurance companies.

The Pennsylvania Health Care Quality Alliance (PHCQA) — a coalition of Pennsylvania health care providers and insurers that offers you an easy way to review a variety of health care quality measures on all of the general acute care hospitals in Pennsylvania.

HealthGrades Quality Guides

With the Hospital Quality Guide you can view the following information on participating hospitals and make comparisons between hospitals:

  • statistics on survival, complications, and recovery following common procedures
  • the number of procedures performed by the hospital
  • ratings on safe practices
  • average length of hospital stays for common procedures
  • relative cost data

The Physician Quality Guide includes information on:

  • medical education, training and licensure
  • board certification and specialty training
  • foreign languages spoken
  • gender
  • office hours, locations, and hospital affiliations
  • sanctions/medical board actions

HealthGrades is only available to members through the amerihealthexpress online provider directory.

Compare Quality Among Pennsylvania Hospitals with PHCQA

PHCQA’s mission is to improve the quality of patient health by developing a consistent, uniform, statewide approach to hospital quality measures that:

  • enables consumers to compare hospital performance
  • allows health care professionals to evaluate and improve the quality of their patient care
  • helps insurers to evaluate the performance of their provider networks

The health care quality measures available on this site fall into four clinical areas:

  • heart attack
  • heart failure
  • pneumonia
  • infection prevention

These areas represent some of the most commonly measured services hospitals provide.

Go to phcqa.org

Important information about links to other sites

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