Quality Measures for Encounter Data
Purpose of Quality Measures for Encounter Data (QMED). Measuring data quality is a prerequisite to improving it. High quality data enables DHCS to conduct efficient analyses, inform policy and program design and manage oversight functions. The QMED Report Card measures the quality of Encounter Data submitted by Plans to DHCS. QMED currently only considers data submitted in one of the following formats: a) X12 837I, version 5010 – Institutional Encounters b) X12 837P, version 5010 – Professional Encounters
Resources
4 resources available
-
County
CSV -
Health Plan Code
CSV -
Managed Care Plan
CSV -
All resource data
ZIP
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Complete Metadata
| @type | dcat:Dataset |
|---|---|
| accessLevel | public |
| contactPoint |
{ "fn": "Health Information Management Division", "@type": "vcard:Contact", "hasEmail": "mailto:EPMMCQMD@dhcs.ca.gov" } |
| description | Purpose of Quality Measures for Encounter Data (QMED). Measuring data quality is a prerequisite to improving it. High quality data enables DHCS to conduct efficient analyses, inform policy and program design and manage oversight functions. The QMED Report Card measures the quality of Encounter Data submitted by Plans to DHCS. QMED currently only considers data submitted in one of the following formats: a) X12 837I, version 5010 – Institutional Encounters b) X12 837P, version 5010 – Professional Encounters |
| distribution |
[ { "@type": "dcat:Distribution", "title": "County", "format": "CSV", "mediaType": "text/csv", "description": "This file measures performance based on the County in which a Health Care Plan operates. It allows overall comparison of each county performance.", "downloadURL": "https://data.chhs.ca.gov/dataset/b486773d-03f4-4dc5-bcd0-d5e7c1c39bb7/resource/659554a0-9bfc-4e03-ade7-e27a3ee34961/download/county_2026q2.csv" }, { "@type": "dcat:Distribution", "title": "Health Plan Code", "format": "CSV", "mediaType": "text/csv", "description": "This file measures performance based on the Managed Care Plan Code. It allows overall comparison of the Health Plan Code performance by measurement name.", "downloadURL": "https://data.chhs.ca.gov/dataset/b486773d-03f4-4dc5-bcd0-d5e7c1c39bb7/resource/1fb4ba72-b5d7-4303-be50-56e322790cbf/download/healthplancode_2026q2.csv" }, { "@type": "dcat:Distribution", "title": "Managed Care Plan", "format": "CSV", "mediaType": "text/csv", "description": "This file measures performance based on the Managed Care Plan parent organization name. It allows overall comparison of plan name performance by measurement name.", "downloadURL": "https://data.chhs.ca.gov/dataset/b486773d-03f4-4dc5-bcd0-d5e7c1c39bb7/resource/49532b64-2d05-4f1d-93c3-d4834dd0e666/download/managedcareplan_2026q2.csv" }, { "@type": "dcat:Distribution", "title": "All resource data", "format": "ZIP", "mediaType": "application/zip", "downloadURL": "https://data.chhs.ca.gov/dataset/b486773d-03f4-4dc5-bcd0-d5e7c1c39bb7/resource/5bd83ffb-c657-4129-b387-2fa75fd8bbf8/download/quality-measures-for-encounter-data-2g4qvijx.zip" } ] |
| identifier | 77747de9-190f-4a5a-9a58-ef97cdf942bb |
| issued | 2026-07-31T17:32:27.768675 |
| keyword |
[ "DHCS", "Data Quality", "Encounter Data", "Encounters", "HIMD", "QMED", "Quality Measures for Encounter Data", "Report Card", "california department of health care services" ] |
| license | http://www.opendefinition.org/licenses/cc-by |
| modified | 2026-08-17T22:34:04.203306 |
| publisher |
{ "name": "California Department of Health Care Services", "@type": "org:Organization" } |
| theme |
[ "Health and Human Services" ] |
| title | Quality Measures for Encounter Data |
