# QMetrics, Inc. > Trusted Solutions. Actionable Insights. Value-Based Decisions. ## Pages - [Health Equity Consulting & Accreditation Support](https://qmetrics.us/home/services/health-equity-consulting/): Health Equity Consulting & Accreditation Support Researchers confirm that health disparities lead to increased treatment costs and adverse health outcomes in underserved populations leading to many state agencies (with more to follow) requiring health plans and organizations to identify and address health disparities. As a woman minority-owned business, the QMetrics team understands the challenges affecting underserved individuals and the cumulative effects on populations. QMetrics is committed to helping health systems identify, prioritize, and improve health equity for the communities they serve.  We provide end-to-end diversity, equity, and inclusion (DEI) consulting that support health equity programs and initiatives that reflect the […] - [QMetrics Academy](https://qmetrics.us/home/services/qmetrics-academy/): QMetrics Academy 🎓 Introducing QMetrics Academy Coming July 7th!   We’re thrilled to launch QMetrics Academy, a new learning platform,  offering free and premium training courses designed for healthcare professionals focused on: NCQA programs (Data Aggregator Validation, HEDIS® audits, and more) Data validation and quality improvement Compliance operations and documentation Whether you’re a compliance leader, data analyst, or program manager, our self-paced courses provide the practical knowledge you need to reduce audit risk, avoid common pitfalls, and strengthen internal processes with confidence.   💡 Join the QMetrics Mailing ListAs an early subscriber, you’ll be the first to know when new trainings launch. You’ll […] - [Survey Services](https://qmetrics.us/home/services/survey-services/): Surveys QMetrics has been a trusted administrator of healthcare surveys in California since 2017, conducting Provider Surveys and, more recently, Enrollee Surveys since 2023.  These surveys are designed to fulfill key regulatory and accreditation requirements for health plans, including mandates from the California Department of Managed Health Care and the National Committee for Quality Assurance.   Regulatory Surveys Surveys targeting the fulfillment of regulatory requirements that we offer include:   Provider Appointment Availability survey Required by the DMHC, this survey assesses timely access to urgent, non-urgent, and behavioral health follow-up appointments.  Outreach is performed by contacting provider offices via fax, […] - [Services](https://qmetrics.us/home/services/): Services The Provider Appointment Availability Survey, required annually by the DMHC, mandates that all providers within a health plan’s network complete the survey to meet Timely Access Requirements. QMetrics is a trusted partner, having successfully reached over 160,000 providers across single and multi-network health plans in up to 58 counties since 2017. With our dedicated internal call center and a domestically based vendor, we ensure live-agent interactions for telephonic outreach and follow-up. Our experienced team of compliance and regulatory professionals, well-versed in DMHC methodology, ensures precise and reliable survey execution. With extensive experience in survey administration, QMetrics delivers customized solutions […] - [Encounter Data Completeness](https://qmetrics.us/home/services/encounter-data-completeness/): Encounter Data Completeness The evolution to innovative value-based contracting continues to reinforce the importance and value of complete encounter data. Successful organizations need to continually assess and evaluate encounter data completeness to facilitate the implementation of effective solutions for maximizing data completeness and value. Most capitated payers, MSO’s, and provider groups report incomplete encounter data due to coding, technical electronic medical record (EMR) challenges, and variant health plan data submission requirements that may be further enhanced by complex and uncoordinated value based contract and incentive rules.   These incomplete data lead to numerous adverse outcomes, including: Reduced Medicare Advantage payments […] - [Advanced Analytics](https://qmetrics.us/home/services/advanced-analytics/): Advanced Analytics QMetrics has created numerous ROI models demonstrating the value of a variety of health plan and care activities. We can assist you with creating models that demonstrate the value of your activities for internal and external audiences.   Below are examples of how we can help you with your analytical needs: Targeting Models for Quality & Risk Score Improvement Predictive Models (Outreach and Revenue Recovery) Our approach is to first clearly elucidate the study/activity objective, then consider the appropriate methodology to evaluate and demonstrate the success in meeting that objective. Our analytics and statistical analyses are rigorous and […] - [Quality Management & Value-based Reporting](https://qmetrics.us/home/services/quality-management-value-based-reporting/): Quality Management & Value-Based Reporting Are your HEDIS® and/or STARS scores stagnant or just not moving in the direction you want? QMetrics can help you evaluate the root causes contributing to low performing measures and STARS. The QMetrics team has the experience and know-how to drive significant improvement in your quality measures.   The QMetrics team has extensive experience in the area of Quality Measure reporting. QMetrics’ leadership team consists of current and former Certified HEDIS® Compliance Auditors who combined have performed more than 400 quality measure audits including, performance measure validation & data validation for HEDIS®, NCQA, CMS, and Align. […] - [Health Equity Accreditation](https://qmetrics.us/home/services/health-equity-accreditation/): Researchers confirm that health disparities lead to increased treatment costs and adverse health outcomes in underserved populations. State agencies will soon require health plans and organizations to identify and address disparities.NCQA is offering Health Equity Accreditation (HEA) as a means of providing an actionable framework for improving health equity. As of April 2022, a number of states including California, Washington DC, Pennsylvania, South Carolina, Tennessee, and Wisconsin, require HEA as part of regulatory requirements. Additional states such as Oregon, North Carolina, Michigan, and California currently or plan to offer incentive payments to health plans prioritizing health equity.   Health equity […] - [Data Aggregator Validation](https://qmetrics.us/home/services/data-aggregator-validation/): Data Aggregator Validation The Data Aggregator Validation program is a collaboration between the National Committee for Quality Assurance (NCQA) and QMetrics since its inception in the fall of 2019. QMetrics worked closely with NCQA to develop program protocols and standards, develop primary source verification (PSV), and conduct validation audits. Two audit cycles (cohorts) begin in January and July each year, with each cohort running for a duration of twenty-two weeks. Each cohort comprises participants from different states nationwide, featuring a varied mix of new and returning organizations. Those who attain validated status can contribute their data as standard supplemental information […] - [Contact Center](https://qmetrics.us/home/services/contact-center/): Contact Center Annual Calls 0 Since its inception in 2021, the QMetrics Domestic Contact Center has been a trusted partner in delivering high-quality customer engagement solutions. Over the past two years, we have made over 55,000 calls annually, consistently meeting deadlines while providing exceptional customer service. Our continued growth is a testament to our commitment to excellence and our ability to adapt to the evolving needs of our clients. Our contact center specializes in conducting regulatory-required surveys, customized surveys, and acting as an extension of other call centers to support appointment scheduling, including annual wellness visits. Every client engagement is […] - [Survey Services_old](https://qmetrics.us/home/services-2/survey-services/): QMetrics has been a trusted administrator of healthcare surveys in California since 2017, conducting Provider Surveys and, more recently, Enrollee Surveys since 2023.  These surveys are designed to fulfill key regulatory and accreditation requirements for health plans, including mandates from the California Department of Managed Health Care (DMHC) and the National Committee for Quality Assurance (NCQA). Provider Appointment Availability survey (pAAS) Required by the DMHC, this survey assesses timely access to urgent, non-urgent, and behavioral health follow-up appointments.  Outreach is performed by contacting provider offices via fax, email/online, and telephone to assess urgent and non-urgent provider availability.  This survey targets […] - [Services_old](https://qmetrics.us/home/services-2/): PAAS Survey Aligned Surveys Custom Surveys The Provider Appointment Availability Survey (PAAS), required annually by the DMHC, mandates that all providers within a health plan’s network complete the survey to meet Timely Access Requirements. QMetrics is a trusted partner, having successfully reached over 160,000 providers across single and multi-network health plans in up to 58 counties since 2017. With our dedicated internal call center and a domestically based vendor, we ensure live-agent interactions for telephonic outreach and follow-up. Our experienced team of compliance and regulatory professionals, well-versed in DMHC methodology, ensures precise and reliable survey execution. Lorem ipsum dolor sit […] - [Philanthropy](https://qmetrics.us/philanthropy/) - [Our Team](https://qmetrics.us/about-us/ourteam-2/): Meet the Team Suzan Mora Dalen, MPA Founder & Chief Executive Officer Suzan is the founder and CEO of QMetrics Inc., a mission-driven healthcare consultancy dedicated to improving quality, equity, and outcomes in care. With deep expertise in managed care, quality auditing, and data-driven infrastructure, Suzan brings over 17 years of experience as a certified HEDIS® Compliance Auditor, supporting health plans, provider organizations, MSOs, and hospitals across the country.   A natural entrepreneur and strategic leader, Suzan built QMetrics to deliver creative, detail-oriented solutions to complex challenges in healthcare delivery. She led the development and launch of NCQA’s Data Aggregator […] - [QMetrics Home](https://qmetrics.us/) - [Press & Media](https://qmetrics.us/resources/about-us/): Contact Us at Info@qmetrics.us Press & Media QMetrics serves as validator for NCQA’s Data Aggregator Validation (DAV) Program – Cohort 9 SAN DIEGO, CA – January 21, 2025 – QMetrics is proud to continue its role as the official Validator for NCQA’s Data Aggregator Validation (DAV) Program, now launching its ninth cohort. Since its inception in 2021, 43 organizations across 21 states have completed the program, supporting data integrity and interoperability in healthcare. Validated participants contribute standard supplemental data for HEDIS® reporting, reducing administrative burdens for providers while enhancing data accuracy for health plans. Since the program’s launch, QMetrics has […] - [Testimonials](https://qmetrics.us/testimonials/) - [Community Engagement](https://qmetrics.us/community-engagement/): Message from the CEO The Power of Ganas: A Defining Principle in My Life If I had to choose a single word that encapsulates my approach to life, it would be ganas. This Spanish term, often translated as “desire” in English, carries a far deeper and more powerful meaning—one that has shaped my personal and professional journey. In its colloquial use, ganas represents an unyielding drive, a tenacious and disciplined pursuit of one’s aspirations. It embodies grit, perseverance, and an unwavering commitment to achieving a goal, no matter the obstacles. For me, ganas is not just about wanting something; it […] - [About Us](https://qmetrics.us/about-us/): About Us QMetrics was founded by Suzan Mora Dalen more than 19 years ago – Valentines Day, February 14, 2006. Suzan saw an opportunity to apply her knowledge in Quality Improvement & HEDIS® auditing along with her passion to bring actionable solutions to clients.    In 2016, Jim began assisting with his programming expertise and became QMetrics second unofficial staff person. As solo-operated company for 12 years, QMetrics experienced its greatest growth over the last 5 years and has since grown 2,000% achieving a State and National footprint in the Quality, Surveys, Audit, and Consulting space.    QMetrics is a managed […] - [Service Card PDF's - Old](https://qmetrics.us/services/service-card-pdfs/) - [Resources](https://qmetrics.us/resources/): Resources Where to Find Us Conferences Attending 2025 CAHP Annual Conference September 29, 2025 – October 1, 2025. Attending NCQA Health Innovation Summit October 13, 2025 – October 15, 2025. Attending Press & Media QMetrics serves as validator for NCQA’s Data Aggregator Validation (DAV) Program – Cohort 9 SAN DIEGO, CA – January 21, 2025 – QMetrics is proud to continue its role as the official Validator for NCQA’s Data Aggregator Validation (DAV) Program, now launching its ninth cohort. Since its inception in 2021, 43 organizations across 21 states have completed the program, supporting data integrity and interoperability in healthcare. […] - [Careers](https://qmetrics.us/about-us/careers/): Careers Health Care Report Writer, Surveys Position Type: Contract, Remote Overview: This role involves developing reports to support QMetrics internal and external projects. The candidate will independently create accurate, insightful, and reliable reports using internal, customer, and third-party data. A strong background in data analysis, health plan/provider organization data, and healthcare survey analysis is required.   View Job Description Director, Survey Services Position Type: Full – Time, Exempt Overview: The Director of Survey Operations will lead survey design, execution, analysis, and reporting while ensuring excellence in client management and stakeholder collaboration. This strategic role requires expertise in developing survey instruments, interpreting […] - [Where to Find Us](https://qmetrics.us/where-to-find-us/): Contact Us at Info@qmetrics.us Where to Find Us - [Our Mission](https://qmetrics.us/our-mission/) - [Services - OLD](https://qmetrics.us/services/) - [Our Team - OLD](https://qmetrics.us/ourteam/) [comment]: # (Generated by Hostinger Tools Plugin)