URAC Quality Domains

URAC adopted the United States Department of Health and Human Services (HHS) National Quality Priorities that were published in March 2011. The defined set of quality domains identifies areas for improvement within the health care delivery system. The following table lists the HHS National Quality Priorities, as well as one additional priority area URAC determined was critical to address the efficiency and the management of services delivered by the organization.

Health and Human Services (HHS) Priorities1

Domain Name Domain Definition
Engagement & Experience of Care* Measures the degree of patient and family member engagement, their experience with a health care organization, and how well the organization meets patient and family expectations.
Communication & Care Coordination* Measures the effectiveness of communications and service coordination between providers and between providers and their patients.
Access & Affordable Care* Measures the degree of success in making quality health care more affordable and available to those that need it.
Prevention & Treatment* Measures the degree of success in preventing disease and the effectiveness of treatments once a diseased state is present.
Healthy Living* Measures the provision of preventive services for children and adults and the adoption of evidence-based behavioral interventions to improve health.
Safe Care* Measures medical and health care-related errors and infections that account for a significant amount of harm and death.
System/HIT Integration* Measures the degree to which the organizational systems integrate health information technology into its daily workflow.
Health Care Management** Measures the efficiency and effectiveness of the management of services provided by the organization.
Health Care Disparities* Measures “racial or ethnic differences in the quality of health care that are not due to access-related factors or clinical needs, preferences, and appropriateness of intervention.” (IOM, 2002).


*HHS Priority
**URAC Identified Priority

1 United States Department of Health and Human Services. Report to Congress: National Strategy for Quality Improvement in Health Care, March 2011.

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