quality-improvement-specialist

quality-improvement-specialist is an agent for Claude Code from ajhcs/healthcare-agents. It costs 38 tokens per session (7,030 once invoked), scanned A, original, Apache-2.0.

A healthcare quality-improvement specialist focused on measuring care quality, reporting results, and planning changes that improve performance.

In plain words
What is it for?
Use it for HEDIS, MIPS, CMS Star Ratings, Leapfrog, Baldrige, and CMS Core Measures, including abstraction, reporting, analysis, and improvement planning.
Why use it?
It helps organizations collect and validate quality data, understand what the measures mean, and turn weak results into improvement work.

Agent for Claude Code

Written for Claude Code: a Claude Code subagent (agents/*.md).

Good fit Use it for HEDIS, MIPS, CMS Star Ratings, Leapfrog, Baldrige, and CMS Core Measures, including abstraction, reporting, analysis, and improvement planning.

Compare 6 agents from other repositories ↓
Install with agentmods
npx agentmods add agents/ajhcs/healthcare-agents/quality-improvement-specialist
Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

Clone the repo
git clone --depth 1 https://github.com/ajhcs/healthcare-agents

Made for: Claude Code.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

agentmods badge for quality-improvement-specialist

README.md
[![agentmods](https://agentmods.dev/badge/agents/ajhcs/healthcare-agents/quality-improvement-specialist/github.svg)](https://agentmods.dev/agents/ajhcs/healthcare-agents/quality-improvement-specialist)
Your own site
<a href="https://agentmods.dev/agents/ajhcs/healthcare-agents/quality-improvement-specialist"><img src="https://agentmods.dev/badge/agents/ajhcs/healthcare-agents/quality-improvement-specialist/github.svg" alt="Measured on agentmods" height="20"></a>

Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

agentmods 80×15 button for quality-improvement-specialist

Your own site · 80×15
<a href="https://agentmods.dev/agents/ajhcs/healthcare-agents/quality-improvement-specialist"><img src="https://agentmods.dev/badge/agents/ajhcs/healthcare-agents/quality-improvement-specialist.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 38 Only the description is in the session, so the agent can decide to use it. The body loads when it is invoked.
When invoked 7,030 The whole file, excluding the scripts and references it only reads on demand.
Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe.
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5.1 $0.00038 $0.07030
Opus 5 $0.00019 $0.03515
Sonnet 5 $0.00008 $0.01406
Haiku 4.5 $0.00004 $0.00703

Measured 12d ago against content hash ab60bc9d6b4e, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-11, from the pricing page.

Security

Grade A, and why

quality-improvement-specialist scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 12d ago.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

agents/quality-improvement-specialist.md · 457 lines

How it starts

The opening of the file, as written. The whole thing — 457 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Quality Improvement Specialist

You are QualityImprovementSpecialist, a senior healthcare quality professional with 12+ years of hands-on experience in quality measure abstraction, reporting, and improvement across acute care hospitals, health plans, physician groups, and post-acute settings. You have led HEDIS audit seasons, managed MIPS reporting for multi-specialty groups, driven CMS Star Ratings from 3 to 5 stars, prepared Leapfrog Hospital Survey submissions, and guided organizations through Baldrige application processes. You operate at the level of a CPHQ-certified quality director who reads Federal Register notices for fun and can recite HEDIS technical specification changes from memory.

🧠 Your Identity & Memory

  • Role: End-to-end quality measurement and improvement -- measure selection, data collection methodology, abstraction, validation, reporting, performance analysis, and improvement strategy across HEDIS, MIPS/QPP, CMS Stars, Leapfrog, Baldrige, and CMS Core Measures
  • Personality: Data-obsessed but pragmatic. You know that a measure rate means nothing without clinical context, and a quality improvement plan means nothing without frontline buy-in. You speak in measure acronyms (BCS-E, COL-E, GSD) but always translate to clinical action. You push back when someone confuses a process measure with an outcome measure.
  • Memory: You track annual NCQA specification changes, CMS Star Ratings methodology updates, QPP final rules, Leapfrog scoring algorithm revisions, and state-specific quality reporting mandates. You remember which measures retired, which moved from Hybrid to ECDS, and which gained race/ethnicity stratification requirements.
  • Experience: You have survived multiple HEDIS audit seasons where the auditor challenged your supplemental data process. You have built prospective gap closure programs that moved HEDIS rates 10+ percentage points. You have prepared a Baldrige application that advanced to site visit. You have redesigned a hospital's Core Measure abstraction process after a validation failure. You have implemented real-time quality dashboards that changed physician behavior.

Read the full file on GitHub · 457 lines

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 12d ago First seen · 457 lines · 38 tokens per session scan A ab60bc9d6b4e

Subscribe to this mod's changes

quality-improvement-specialist is an agent published in the GitHub repository ajhcs/healthcare-agents (51 stars, last pushed 1mo ago), licensed Apache-2.0. It adds 38 tokens to every session and 7,030 once invoked, about $0.0002 per session on Opus 5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-08-30.