quality-measures

Compute HEDIS quality measures and care gaps from claims data.

13|5|Updated May 4, 2026
One-click install
npx skills add https://github.com/awslabs/hcls-agent-skills --skill quality-measures
Or copy as Structured Prompt for Agent
Please help me install this Agent Skill.
Skill: quality-measures
Source: https://github.com/awslabs/hcls-agent-skills/tree/main/skills/quality-measures
Command: npx skills add https://github.com/awslabs/hcls-agent-skills --skill quality-measures

SYSTEM DOCUMENTATION & REQUIREMENTS

💡 This Skill requires pandas, sqlalchemy, numpy.

What problem does it solve?

This skill solves the complexity of calculating HEDIS quality measures, identifying care gaps, and performing risk stratification, which are often prone to manual errors and inconsistent logic.

Core Features & Use Cases

  • HEDIS Calculation: Compute measure rates, check continuous enrollment, and detect care gaps using standardized logic.
  • Risk Stratification: Calculate Charlson Comorbidity Index and LACE readmission risk scores to prioritize patient outreach.
  • Utilization Analysis: Compute ED, inpatient, and readmission rates per 1000 members to support healthcare operations.

Quick Start

Use the quality-measures skill to calculate the HEDIS HbA1c testing rate for the current measurement year using the provided claims and enrollment data.

Frequently Asked Questions about quality-measures

High-intent search queries and answers about installing and using this skill.

FAQPage Schema
How do I calculate HEDIS quality measures from healthcare claims data?

You can calculate HEDIS quality measures by processing healthcare claims and clinical data through standardized logic that checks continuous enrollment and computes measure rates. This skill supports enterprise-scale SQL pipelines and ad-hoc Python analysis for population health management.

How do I identify care gaps for patient outreach using clinical data?

You can identify care gaps by applying standardized HEDIS calculation logic to your healthcare claims and clinical data. The skill detects missing preventive or chronic care services to help prioritize patient outreach for population health management.

Can I compute Charlson Comorbidity Index and LACE readmission risk scores with Python?

Yes, you can compute Charlson Comorbidity Index and LACE readmission risk scores using Python. The skill calculates these risk stratification indices from healthcare claims data to help prioritize patient outreach and care management.

How do I calculate ED, inpatient, and readmission rates per 1000 members?

You can calculate ED, inpatient, and readmission rates per 1000 members by processing healthcare claims data through the skill's utilization analysis features. This supports healthcare operations by standardizing member-level utilization metrics.

Does this HEDIS calculation tool require pandas and sqlalchemy?

Yes, the skill requires pandas for data manipulation and sqlalchemy for database-integrated measure calculation. These dependencies enable both enterprise-scale SQL pipelines and ad-hoc Python analysis for HEDIS quality measures and care gaps.

What is the best way to perform risk stratification for population health management?

Risk stratification for population health management is best performed by calculating standardized indices like the Charlson Comorbidity Index and LACE readmission risk scores from healthcare claims. This approach standardizes logic to reduce manual errors and prioritize patient outreach.