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H H S Department of Health and Human Services
U.S. Department of Health and Human Services
Health Information Technology and Quality

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Core Clinicial Measures

The Health Resources and Services Administration (HRSA) has begun implementation of a Clinical Quality Core Measure Set of 12 performance measures as part of a larger clinical quality measurement and improvement initiative.  This initiative underscores HRSA’s commitment to quality improvement and begins to measure and demonstrate the quality of care across the Agency as a whole and HRSA’s programs.  The core measures also address priority health conditions of HRSA safety-net populations, cover all life cycles, are amenable for quality improvement, and were selected for their relevance to HRSA programs.

This initiative not only aligns clinical performance measures across HRSA’s clinical service delivery programs, but also makes them consistent with national quality measures endorsed by the National Quality Forum (NQF), AQA, and other national quality organizations. The Core Measures are also consistent with OMB Circular A-119 and relies on a metric and definitions also used by Medicare, Medicaid, HEDIS, and other organizations involved in health care related quality performance measurement in both the public and the private sectors.  

HRSA 12 Core Clinical Measures (PDF - 90 KB)

Core Clinical Measures

Prenatal Prevention

  • First Trimester Care Access

HIV Perinatal Prevention

  • HIV Screening for Pregnant Women

Cancer Screening

  • Breast Cancer Screening
  • Cervical Cancer Screening
  • Colorectal Cancer Screening   


  • Childhood Immunizations
  • Adult Influenza Vaccination
  • Older Adult Influenza Vaccination
  • Older Adult Pneumococcal Immunization
  •  Hepatitis B Vaccine for HIV+  Patients

Chronic Diseases Management

  • Diabetes - HbA1c
  • Hypertension Control
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Core Clinical Measures

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