0000008644 00000 n Several clinical guidelinesrecommend deprescribing benzodiazepinesslowlyandsafely, rather thanstopping use immediately,tominimizewithdrawalsymptomsandimprovepatientoutcomes. HEDIS includes more than 90 measures across 6 domains of care: Under contract to CMS, NCQA supports the implementation of the HEDIS Medicare Health Outcomes Survey and the Medicare Health Outcomes Survey Modified. Auditsprotect results validity and reliability. 7 0 obj 1{z>Y^1(|@jF{iPu~tPmu]1fGdBg8T]\;j/y=d[cug.HPVOIFf?,e?~Z.IieF;&QU;L.ltC9=Ah&Bo*Xn;al}tZF M&3#n$eu-}^ LeofhpaA^3[o%d%aGfif~qUV(b|*+l'62[4Od!$|y6q*l;n V$QhTT/L3T{:]3bc+kG.J~}!r:WNY'~#&zLAo!b[!n}gRWvFE;uq\ct_'[NM~I yO=+ePxku^;{& h:t: pLW\{I\p-%iv) SA, 4w5%J*0$Ja!q_p=gDvqWA:O ON$v@x2Hj. VA has utilized data from NCQA's Quality Compass to establish regional averages for hospitals that fall within geographic boundaries that match areas covered by Veterans Integrated Service Networks (VISN). X `q@ A`J~m ]l b| 0jHX=x3||DqGTt|\V~Fu3c,$;$c9 -Kd"bv.CXb%*qS-J`}V1h(l1y|8Tr46hOJ Rate 2: Two additional well-child visits 15 to 30 months. User may need additional software to use the Product, and NCQA is not responsible for such additional software. %PDF-1.6 % For MY 2022, HEDIS added three new measures, retired three measures/indicators and changed seven existing measures and two cross-cutting topics that address enhancements across multiple measures. Tables 1-3 below include . Heres how you know. Quality Compass 2023 Medicaid-Trended Data (MY 2022, MY 2021) As low as $5,220.25. trailer <<41FE7AD153BB4900891AA2CB9A9A8E7D>]/Prev 786146/XRefStm 4224>> startxref 0 %%EOF 9780 0 obj <>stream HEDIS Measures. NCQA screens, trains and certifies organizations that collect or audit data for health plans and providers. List and define all quantifiable measures used in this activity. HEDIS measures performance in health care where improvements can make a meaningful difference in peoples lives. Updates on HEDIS Measures MY2022. Patient-Centered Specialty Practice (PCSP), Credentials Verification Organization (CVO), Managed Behavioral Healthcare Organization (MBHO), Health Information Technology Prevalidation Programs, Virtual Seminars, Webinars and On-demand Training, Advertising and Marketing Your NCQA Status. Wellcare dng cookie. Formoreinformation,refertothefullmeasurespecificationsinHEDISMY2022. HEDIS/CAHPS Measures Required for HP AccreditationCommercial *The weight column indicates the weight of the item (maximum value = 3) in the overall score calculation. 2 0 obj Additionally,NCQA invites you to join HEDIS Users Group forinside information on HEDIS development and future directions. ;(Y}e"XmT8,/l EP5ePVm8,&T2X, +|oM}> O~rEUnM~#jOicJ@2Yus click here for a discussion of this new measure. 4950 0 obj <>stream Access/Availability of Care. QI 1 and QI 2 utilize the HEDIS methodology for this measure. CPT: 87070, 87071, 87081, 87430, 87650-87652, 87880 HEDIS Tip Sheet - Pediatric Measures Key HEDIS Factors to Consider Specifications outline measure definition and details, which outline the specifications required to evaluate the recommended standards of quality for the element(s) in the measure. . Anticipated Release Date: September 2023. Every year,NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS). All other uses of the UB Codes require a license from the AHA. Bng vic tip tc s dng trang web ca chng ti, qu v ng vi Chnh Sch V Quyn Ring T v iu Khon S Dng ca chng ti.. OK Intent:Antibiotics prescribed for acute respiratory conditions are a large driver of antibiotic overuse. 0000013436 00000 n Save your favorite pages and receive notifications whenever theyre updated. The information provided in this HEDIS QRG is to help you improve your practice's HEDIS rates. % cytology performed between 2020-2022. Immunization Schedules. 0000011150 00000 n x Updated Guideline 7: Measurement Period Adjustments. inappropriate prescribing for upper respiratory infections, pharyngitis and acute bronchitis. Visitors to this page often checkHEDIS FAQsor ask a question throughMyNCQA. HEDIS nonsurvey measures for organizations; instructions on data collection for each measure; general guidelines for calculations and sampling. Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through MyNCQA. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). 42 0 obj <>/Filter/FlateDecode/ID[]/Index[26 26]/Info 25 0 R/Length 83/Prev 96543/Root 27 0 R/Size 52/Type/XRef/W[1 2 1]>>stream Np1W>?,Y{ 0000001035 00000 n endstream endobj startxref or endstream endobj startxref 0000010840 00000 n hWO`06~@)N@&d.6l5@[)"$$dm29R1$2.K3LH(y ]3SISTM}~/'Ys9Z @ R M+[|Qs0@!| T8E#F>x=-g? Visitors to this page often checkHEDIS FAQsor ask a question throughMyNCQA. DeprescribingofBenzodiazepinesinOlderAdults. performance. 0000002938 00000 n ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ T " In these cases, age stratifications will differ from HEDIS MY 2021 technical specifications. . S/K[ AOIp Table 1: Changes in Part C Measure Scores from 2021 to 2023 Star Ratings for MA Contracts hbbd``b@Bf` $30`l/@ 1358 0 obj <>stream 0000007331 00000 n SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . That makes HEDIS one of health cares most widely used performance improvement tools. rFZ /CvN`(,b$CoyeL`Y6P-@ HbA1c Testingindicator. 0 DL U `j@ +Y&F] S-ppo>8w4Dg`` C %%EOF Copyright 2023 National Committee for Quality Assurance. Terms of Use, Every year,NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS. endstream endobj startxref HEDIS survey measures and standardized surveys from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) program. Ylyr2fi4vVDlhV]Zk:6d,,y+kQ. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). %%EOF ("$e 0)*[sNwL(((((()#(1/I\HlQ3F7n6 e#+}:~9'M]Fn*m(jfe Z)TRPQZWV+9F x_O. NCQAexpandedtheupperagelimitfrom50to75;addedreportingfortheMedicareproductline;addedfourclinicalexclusionsforosteoporosis. Currently, HEDIS consists of 90 different measures across six domains of care: Effectiveness of Care Access/Availability of Care Experience of Care Utilization and Risk Adjusted Utilization Health Plan Descriptive Information Measures Reported Using Electronic Clinical Data Systems 0000036100 00000 n CMS released the Plan Year 2023 Nationwide Quality Rating System Public Use File (PUF) (ZIP) to outline underlying measure data as well as star ratings for all eligible Qualified Health Plan (QHP) issuers, operating in all Exchange types, that received QRS star ratings for Plan Year 2023. HEDIS is a source for data contained in the California Health Care Quality Report Cards obtained from Quality Compass2022 and is used with the permission of the National Committee for Quality Assurance (NCQA). %PDF-1.4 % 0 UseofImagingStudiesforLowBackPain. 0000013541 00000 n We dont take HEDIS updates and changes lightly: Measure development and updates follow a rigorous process that includes a public comment period and input from advisory panels. 0000017889 00000 n NCQAplanstoexpandtheraceandethnicitystratificationstoadditionalHEDISmeasuresoverseveralyearstohelpreducedisparitiesincareamongpatientpopulations. performance reported in the 2022 Quality Compass (measurement year 2021) for all lines of business that reported measurement year 2021 . HEDISpublicationsareavailableas electronic publications. NCQA also revised themeasuredenominatortoreflectthenumberofmembers,ratherthanmemberyears, andtoincludesubstanceusedisordercodes; andrevisedtheagegroupsforreportingto1317,1864and65+. 2527 53 NCQAs HEDIS Value Set Directory (VSD) includes the necessary third-party codes for use with adjusted measure specifications. Follow-UpAfterEDVisitforSubstanceUse. ( For example, 2022 claims, encounters, and other HEDIS data are submitted throughout 2022. Social Determinants: Our Statement with TJC, NQF Was Just the Start. \\R4G_$g$T!7(9 xref REQUIRED HEDIS1 AND CAHPS2 MEASURES FOR HEDIS REPORTING YEAR 2022 Summary of Changes to Measure List: Added the following measures. (7/1/prior yr. - 6/30/measurement year). . NCQA's Risk Adjustment Tables (the "Tables") and any related documentation (collectively, the "Product"). 0 HSn0+THK[iF(P=2@oA.kY"cL@YG6u}(K]*-50 j"1J0B(E$akG) NCQA revised this risk-adjusted outcome measure to exclude planned hospitalizations and updated it to remove separate Medical and Surgical reporting categories, retaining the Total rate (which includes medical and surgical admissions). 0000009893 00000 n ComprehensiveDiabetesCare/HemoglobinA1cControlforPatientsWithDiabetes,EyeExamPerformedforPatientsWithDiabetes,BloodPressureforPatientsWithDiabetes. o GRs_$ [EN=_sRs 1F/T ? Additionally,NCQA invites you to join HEDIS Users Group forinside information on HEDIS development and future directions. NCQA defines how data can be collected for a measure: Share this page with a friend or colleague by Email. <> gbv[Dp[,tkg`h`PR``46R @0ft@ ublH$`@K WH@uX^$28C23n`Rbts&H-dpo]n0ch K$l7@ LD%@H00r'UvU h# 0000006694 00000 n The UB Codes contained in the HEDIS specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting HEDIS measure results or using HEDIS measure results for their internal quality improvement purposes. Include a goal or benchmark for each measure. HTn0*hk!4J[&5i7Y%I yf MY 2002 was the yearfirst that follow-up rates were reported. 0000008673 00000 n https:// 0000047019 00000 n 51 0 obj <>stream 0000004219 00000 n ). Recognizing that HEDIS measures have traditionally been specified for health plan reporting, NCQA developed the Rules for Allowable Adjustment of HEDIS to accommodate the application of HEDIS measures to various levels of the health care system for quality improvement initiatives. Encounter data is crucial for demonstrating accurate quality performance to the Department of Health Care Services (DHCS). ThiseffortbuildsonNCQAsexistingworkdedicatedtotheadvancinghealthequityindataandqualitymeasurement. 0000021716 00000 n Anticipated Release Date: September 2023. endstream endobj 4921 0 obj <. Rate 1: Six or more well-child visits* 0 to 15 months. Intent:Advancecareplanningisassociatedwithimprovedqualityoflife,increasedprovidertrustanddecreasedhospitalization. !9g=SW[h ,3%`~,Z-"3b~lv?.cKQZLHJ*??Y$t)mvdQZt6F^_"g&Oa}t%&QZ./w|PCZE9vG2{m!miVv| Q@?\ti+3#{lgi <> Data from the 2020 measurement period (2022 Star Ratings) help us understand how the PHE impacted the care delivery system. %PDF-1.7 SNPs can use HEDIS performance data to identify opportunities for improvement, monitor the success of quality improvement initiatives, track improvement and provide a set of measurement standards that allow comparison with other plans. Women 30-64 years of age who had cervical high-risk human papillomavirus (hrHPV) That is why we publish what we learn from HEDIS in many forums and formats. MHS leadership and healthcare providers continually assess clinical performance data to ensure beneficiaries receive safe, high quality care in military treatment facilities (MTFs) and TRICARE network hospitals. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Healthcare Effectiveness Data and Information Set (HEDIS), CMS contracts with NCQA to collect Healthcare Effectiveness Data and Information Set (HEDIS, Use of Spirometry Testing in the Assessment and Diagnosis of COPD, Pharmacotherapy Management of COPD Exacerbation, Persistence of Beta-Blocker Treatment After a Heart Attack, Osteoporosis Management in Women Who Had a Fracture, Follow-Up After Hospitalization for Mental Illness, Potentially Harmful Drug-Disease Interactions in Older Adults, Use of High-Risk Medications in Older Adults, Transitions of Care (Reporting began in HEDIS MY 2020), Chronic Condition Special Needs Plans (C-SNPs), Dual Eligible Special Needs Plans (D-SNPs), Institutional Special Needs Plans (I-SNPs). HEDIS Tip Sheet - Pediatric Measures -Look back period: July 1 of the year prior to June 30 of the measurement year. AdvanceCarePlanningIndicator. endobj 0000009572 00000 n 0000018438 00000 n endstream endobj 31 0 obj <>stream Overview of the HEDIS measurement set and how the data are used. 0000010141 00000 n Thismeasurehas beenretired. 1CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). Anticipated Release Date: July 2023. SNPs have reported the following measures since HEDIS Measurement Year (MY) 2016: Please see the link below for the most recent SNP HEDIS Performance Report. 0000016906 00000 n 0000008747 00000 n Toorder,call888-275-7585orvisittheNCQAPublicationswebsite. Measures relate to many significant public health issues such as cancer, heart disease, behavioral health and diabetes. 1343 0 obj <>/Filter/FlateDecode/ID[<2D87A2A235A2694FB1EEAE97FC4AEC75>]/Index[1320 39]/Info 1319 0 R/Length 109/Prev 246119/Root 1321 0 R/Size 1359/Type/XRef/W[1 3 1]>>stream Automatic . Withthisdeprescribing measure, there isan opportunityto promote harm reduction by assessing progress in appropriately reducing benzodiazepine use in the older adult population. HEDIS MY2022. CJ)8kPqQy!h\ADICp%F$NhG-EL'nU%mQ*1HPl. CMS contracts with NCQA to collect Healthcare Effectiveness Data and Information Set (HEDIS) measures from Medicare Special Need Plans (SNPs). 0000002663 00000 n 0000017803 00000 n Measures Reported UsingElectronic Clinical Data Systems. 0 We dont take HEDIS updates and changes lightly: Measure development and updates follow a rigorous process that includes a public comment period and input from advisory panels. You will be prompted to log in to your NCQA account. 0000017732 00000 n 0000010005 00000 n 0000068208 00000 n VA outpatient measures closely follow the specifications set forth by the National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS). Technical specifications for the Health Outcomes Survey (HOS). HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Tobacco Cessation Program. endstream endobj startxref The rules provide flexibility for evaluating different populations without altering measures clinical intent (e.g., removal of continuous enrollment or product-line criteria). 1311 0 obj <>stream Share this page with a friend or colleague by Email. As low as $6,835.25. 0000004224 00000 n Individual HEDIS Measures Sheets. Plans must purchase the HEDIS 2022 Technical Specifications for Health Plans for specifications of the required HEDIS measures. 0000012538 00000 n Optum Managed Transplant Program. 0000014654 00000 n hXmTW3`IBH5@) ZmmP)pZA;H)Tt=lM"VPH`[[Z?j]MTz ) **For Complaints about the Plan The PA-specific indicators were added to include services with high utilization in the BH Program that could HC not be mapped to any of the standard coding used in the HEDIS measure to identify follow-up office visits. 9 0 obj How are rates calculated? 0000086512 00000 n D('@E$xVK`"P6 ?L dvC) ? 5kET"gDka6FT@-hU \N!VGk}J.V29< Thismeasurewillallowplanstounderstandifadvancecareplanningisprovidedtobeneficiarieswhoaremostlikelytobenefitfromit. Quality Rating System Measure Technical Specifications are unique to the issuers offering plans on the Exchange and participating in the CMS Quality Rating System (QRS). Thismeasurewillallowplanstounderstandifadvancecareplanningisprovidedtobeneficiarieswhoaremostlikelytobenefitfromit. To learnmore, clickherefor a discussion ofthe stratification, how we arrived atthiscurrentpoint andFAQs. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> R'A@>r 5^[qLp.p*DB24V,mb66vA8kwFvM@gf` r 9745 36 B. Quantifiable Measures. . Copyright 2023 National Committee for Quality Assurance. Intent:The 2019 American Geriatrics Society Beers Criteria recommendthat benzodiazepinesbeavoidedinolderadults. } !1AQa"q2#BR$3br Effective 2022, the Promise VIP Program is now called Promise Quality Performance Incentive (PQPI). Measurement Year 2020 UHCCP-RI 2022 CAHPS Measurement Year 2021 Quality Compass Measurement Year 2021 National Medicaid Benchmark (Met/Exceeded) Quality Compass Measurement Year 2021 National Medicaid Mean Rating of Health Plan1 86.6% 92.4% 86.8% 50th 86.48% Rating of All Health Care 95.0% 88.4% Small Sample Not Applicable 87.34% We do not share your information with third parties. HEDIS Measure PCCP Well-Child Visits First 15 Months 74.74% Well-Child Visits 1530 Months 81.79% Quality Compass 2022 includes certain CAHPS data. Measure Changes Care for Older Adults (COA) - -Removed Advanced Care Planning indicator from COA . Quality Compass 2023 Commercial-Trended Data (MY 2022, MY 2021, MY 2020) As low as $7,690.25. 3 0 obj hUYk@+R=`;Q&8[[Ewfq= F$\ S4x2$ !\DDFk-bG,"imAsL]KA$D1UdlG:ibkz3OvDn svD~0${xH4XMs\x-'IkMg51za#A3h!7O,-0Yn "71*~sK(_~KutedF},&KVL}Ve>Yj`SQC}OWpt\c7Ij][ K=[> The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 2021 Cigna INT_21_96354_C 919034 c <<1EA954AB0783464B894F5E09E2AC546B>]/Prev 295107/XRefStm 1946>> You can decide how often to receive updates. stream QLeRQ~{?$u>%)G7,]m?oaS`AD>O)>fC*b9Zj #b&=c;m4lYVy7&>c)|5+Z7Sw 3tUfQ|x]zZ>!B2P10d@9>UE*EE$6PZtegv:(J5#,ojt1mGL+9AYdeQ4ec`"omT2%^(_&/>~8_+7F]e*}1b>(Q}\4t0 HEDIS Measurement Year 2022 Measures Measure Description: The percentage of children newly prescribed attention-deficit/ hyperactivity disorder ADHD medication who had at least three follow-up care visits within a 10-month period, one of which was within 30 days of when the first ADHD medication was dispensed. HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting 0000032016 00000 n II. HEDIS Technical Specifications include a complete list of new and updated HEDIS measures with instructions on data collection and guidelines for calculations and sampling. %PDF-1.6 % endobj w !1AQaq"2B #3Rbr Volume 2:Technical Specifications for HealthPlans. The technical specifications for organizations providing Medicaid long-term services and supports (LTSS). Table 4: PCCP HEDIS Performance Measures - MY 2021 . We do not share your information with third parties. Anticipated Release Date: September 2023. (Example: COL, BCS measures). 0000003808 00000 n endobj HEDIS Measures HEDIS includes more than 90 measures across 6 domains of care: Effectiveness of Care. Part D measures are displayed in Tables 2 and 3 for MA-PD and PDP contracts, respectively. 0000035753 00000 n New digital measures reduce the burden of reporting quality results. Share sensitive information only on official, secure websites. 1 0 obj Quality Compass 2023 Commercial Premier Edition-Trended Data (MY 2022, MY 2021, MY 2020) with Data Exporter. 0000002321 00000 n endstream endobj 30 0 obj <>stream You will be prompted to log in to your NCQA account. QARR List of Required Measures (Table 1) lists by product the measures required for submission. As low as $16,810.25. 0000005676 00000 n 4920 0 obj <> endobj A,0QV HEDIS digital future has begun. Follow-UpAfterEmergencyVisitDepartmentVisitforAlcoholandOtherDrugDependence/Follow-UpAfterEDVisitforSubstanceAbuse. Table 7a: CHIP-MCO Results for 2022 (MY 2021) HEDIS Measures CHIP-MCO ,wBInd!d98{9|/.Y1&7wULt~s`GgvXT\/T}[_}bVT=TXk;e*ZkQXH#7hUxQ"zZdP> ThiseffortbuildsonNCQAsexistingworkdedicatedtotheadvancinghealthequityindataandqualitymeasurement. endstream endobj 32 0 obj <>stream endobj _hRos0Tx|1Ug% Utilization and Risk Adjusted Utilization. 0000035489 00000 n Two rates are reported. 0000009457 00000 n Pn MS% 9W4=9Hu-]Sy+G'5} I!Orx*YtK5"Y"}w l_Zqypx -kind&gW%dj56u|x;cIInF7J^u$SqISS:th6 m%64SxllMjD(oh+z 0000004757 00000 n [ 0000011393 00000 n 2527 0 obj <> endobj 0000009685 00000 n performance reported in the 2022 Quality Compass (measurement year 2021) . The Centers for Medicare & Medicaid Services (CMS) uses a five- Diabetes blood sugar control Diabetes kidney function Discharge medication reconciliation Osteoporosis management Cardiovascular disease statin management Breast cancer screening Medication review Pain screening Colorectal cancer screening Controlling high blood pressure 0000004794 00000 n In January to May of 2023, data for 2022 continues to be submitted along with Medical Record review for Hybrid measures and final HEDIS 2022 rates and results are reported. .gov HtTYO@~e/wysRx 6 0 obj 0000011142 00000 n 0000022424 00000 n 0000020276 00000 n For the denominator, NCQA added ED visits for unintentional or undetermined overdose for commonly used drugs with addiction potential in any diagnosis position. This process ensures that HEDIS measures remain relevant and feasible for implementation. 0000016920 00000 n TABLE 1: 2022 VBP LIST OF REQUIRED MEASURES - Required to Report NA - Not Applicable to the Arrangement Shading - Purple- Not required to be reported 1 - There are no reporting requirements for this measure. ?^>&d;ijSl+EPe7"z_?0Kx)uQ HEDIS data help identify performance gaps and establish realistic targets for improvement. b~GiQ">sTMj 2p1IcvIwsudr <> %PDF-1.6 % NCQArevisedthemeasurestructurefromutilizationtodiagnosed-prevalenceofsubstanceuseandupdatedthenameto. 0000004949 00000 n For full specifications, visit the NCQA store. 0000005411 00000 n <> Utilization and Risk Adjusted Utilization. The approved method for auditing the HEDIS production process, including an information systems capabilities assessment, an evaluation of compliance with HEDIS specifications and standards that Certified HEDIS Compliance Auditors must use when conducting a HEDIS audit. lock An official website of the United States government HSMk@WHM[Zl8 p ccwVrLCV{6GfP!Kh~&)/uY>ak9 P}^bGx{Q1F b~/>@ e# startxref (HEDIS) measures that assess quality of health care provided to Blue Shield Promise Medi-Cal members. HUG members are health care professionals who produce, report and interpret HEDIS data. 5 0 obj NCQAintroducedraceandethnicitystratificationstofiveHEDISmeasures: Colorectal Cancer Screening, Controlling High Blood Pressure, Hemoglobin A1c Control for Patients with Diabetes, Prenatal and Postpartum Care, and Child and Adolescent Well Care Visits, NCQAplanstoexpandtheraceandethnicitystratificationstoadditionalHEDISmeasuresoverseveralyearstohelp, disparitiesincareamongpatientpopulations. For more information regarding future quality measure consideration and selection, please visit Measure Selection | CMS MMS Hub. Share this page with a friend or colleague by Email. HEDIS Measures for Diabetes are assessed to evaluate the effectiveness of the program. Island managed care plans must provide performance measure data, specifically HEDIS, to the Office of Health . endobj NCQAwillconcentrateeffortsontheoutcome-basedHbA1cControlforPatientsWithDiabetesmeasure. The 90th percentile is the benchmark for the HEDIS measures. NCQAseparatedtheindicatorsintothreestandalonemeasures:HemoglobinA1cControlforPatientsWithDiabeteswith indictors for HbA1c Control <8 and Poor Control HbA1c >9,EyeExamPerformedforPatientsWithDiabetes,BloodPressureControlforPatientsWithDiabetes. {+Ed. By accessing the Product, the User is deemed to have accepted the terms and conditions of this Usage Agreement. 0000044978 00000 n Trackingantibioticprescribingforallacute respiratory conditionswillprovide context about a healthplansoverall antibiotic use when viewedwiththree HEDIS measures ofappropriate. 1067 0 obj <> endobj <> 0000010486 00000 n hb```f``2g`a`ad@ Arl`h\=g}8,{GzGKEGCE\ p10:ki> la endobj m){w&;9l F*\JR4d87=dkh 0000024625 00000 n 74,457 : 61.4% : 61.1% : 61.7% : 55.9% + 60.5% + >= 90th percentile PA . 2023 HEDIS Measures HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Terms of Use, Patient-Centered Specialty Practice (PCSP), Credentials Verification Organization (CVO), Managed Behavioral Healthcare Organization (MBHO), Health Information Technology Prevalidation Programs, Virtual Seminars, Webinars and On-demand Training, Advertising and Marketing Your NCQA Status, HEDIS Electronic Clinical Data Systems (ECDS) Reporting, Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC), Appropriate Testing for Pharyngitis (CWP), Use of Spirometry Testing in the Assessment and Diagnosis of COPD (SPR), Pharmacotherapy Management of COPD Exacerbation (PCE), Persistence of Beta-Blocker Treatment After a Heart Attack (PBH), Statin Therapy for Patients With Cardiovascular Disease and Diabetes (SPC, SPD), Kidney Health Evaluation for Patients With Diabetes (KED), Osteoporosis Testing and Management in Older Women (OMW), Antidepressant Medication Management (AMM), Follow-Up Care for Children Prescribed ADHD Medication (ADD), Follow-Up After Hospitalization for Mental Illness (FUH), Follow-Up After Emergency Department Visit for Mental Illness (FUM), Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA), Diabetes and Cardiovascular Disease Screening and Monitoring for People With Schizophrenia or Bipolar Disorder (SSD, SMD, SMC), Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA), Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM), Pharmacotherapy for Opioid Use Disorder (POD), Follow-Up After High-Intensity Care for Substance Use Disorder (FUI), Follow-Up After Emergency Department Visit for People With Multiple High-Risk Chronic Conditions (FMC), Non-Recommended Cervical Cancer Screening in Adolescent Females (NCS), Non-Recommended PSA-Based Screening in Older Men (PSA), Appropriate Treatment for Upper Respiratory Infection (URI), Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB), Use of Imaging Studies for Low Back Pain (LBP), Medication Management in Older Adults (DDE, DAE), Use of Opioids from Multiple Providers (UOP), Management of Urinary Incontinence in Older Adults (MUI), Medical Assistance with Smoking and Tobacco Use Cessation (MSC), Pneumococcal Vaccination Status for Older Adults (PNU), Adults Access to Preventive/Ambulatory Health Services (AAP), Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET), Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP), Child and Adolescent Well-Care Visits (W30, WCV), Identification of Alcohol and Other Drug Services (IAD), Hospitalization Following Discharge From a Skilled Nursing Facility (HFS), Hospitalization for Potentially Preventable Complications (HPC), Follow-Up Care for Children Prescribed ADHD Medication (ADD-E), Depression Screening and Follow-Up for Adolescents and Adults (DSF-E), Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (EMS-E), Depression Remission or Response for Adolescents and Adults (DRR-E), Unhealthy Alcohol Use Screening and Follow-Up (ASF-E), Prenatal Depression Screening and Follow-up (PND-E), Postpartum Depression Screening and Follow-up (PDS-E), Order the HEDIS MY 2023 Digital Measures Bundle, HEDIS MY 2023 Medication List Directory (NDC codes), HEDIS Electronic Clinical Data System (ECDS), HEDIS for the Quality Rating System Value Set Directory, HEDIS for the Quality Rating System Technical Specifications, Technical Specifications Update for the Quality Rating System, Order the HEDS MY 2022 Digital Measures Bundle (includes HEDIS Volume 2), HEDIS MY 2022 Medication List Directory (NDC codes), HEDIS MY 2022 Measure Trending Determinations, MY 2022 Validated Member-Level File Layout, HEDIS MY 2021 Measure Trending Determinations, MY 2021 Validated Member-Level File Layout, HEDIS MY 2020 Volume 2 Technical Specifications Update, NCQA HEDIS Measurement Year (MY) 2020 Requirements and COVID-19, HEDIS MY 2020 Medication List Directory (NDC codes), HEDIS MY 2020 Measure Trending Determinations, MY 2020 Quality Rating System Value Set Directory, MY 2020 Quality Rating System: Technical Update, MY 2020 Volume 3 Technical Specifications Update, Volume 3 MY 2020 Validated Member-Level File Layout, HEDIS Volume 2 & Digital Measures Bundles Comparison, HEDIS 2020 (MY 2019) Vol.
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