hWO`06~@)N@&d.6l5@[)"$$dm29R1$2.K3LH(y ]3SISTM}~/'Ys9Z @ R M+[|Qs0@!| T8E#F>x=-g? Medicaid benchmarks displayed in these tables come from NCQA's 2022 Quality Compass for measurement year 2021. Several clinical guidelinesrecommend deprescribing benzodiazepinesslowlyandsafely, rather thanstopping use immediately,tominimizewithdrawalsymptomsandimprovepatientoutcomes. SNPs reported the following measures in HEDIS 2016: Colorectal Cancer Screening Care for Older Adults Use of Spirometry Testing in the Assessment and Diagnosis of COPD Pharmacotherapy Management of COPD Exacerbation Controlling High Blood Pressure Persistence of Beta-Blocker Treatment After a Heart Attack 0000133484 00000 n Thismeasurewillallowplanstounderstandifadvancecareplanningisprovidedtobeneficiarieswhoaremostlikelytobenefitfromit. SNPs have reported the following measures since HEDIS Measurement Year (MY) 2016: Please see the link below for the most recent SNP HEDIS Performance Report. To learnmore, clickherefor a discussion ofthe stratification, how we arrived atthiscurrentpoint andFAQs. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). 0000013436 00000 n Technical specifications for the Health Outcomes Survey (HOS). 0000002321 00000 n 0000005676 00000 n Outpatient Compare Data | Veterans Affairs Hedis - Ncqa NCQAseparatedtheindicatorsintothreestandalonemeasures:HemoglobinA1cControlforPatientsWithDiabeteswith indictors for HbA1c Control <8 and Poor Control HbA1c >9,EyeExamPerformedforPatientsWithDiabetes,BloodPressureControlforPatientsWithDiabetes. 0000008982 00000 n 0000000016 00000 n xPX]NG&)R.ng} (1$JMYpwV:] ?^>&d;ijSl+EPe7"z_?0Kx)uQ 1358 0 obj <>stream For more information regarding future quality measure consideration and selection, please visit Measure Selection | CMS MMS Hub. click here for a discussion of this new measure. endobj 0 website belongs to an official government organization in the United States. This process ensures that HEDIS measures remain relevant and feasible for implementation. 0000004757 00000 n Trackingantibioticprescribingforallacute respiratory conditionswillprovide context about a healthplansoverall antibiotic use when viewedwiththree HEDIS measures ofappropriate. Care for Children Prescribed ADHD Medication Initiation and Continuation measures. endstream endobj 4921 0 obj <. DL U `j@ +Y&F] S-ppo>8w4Dg`` C !3$Y:wn=3. 0000016906 00000 n NCQAplanstoexpandtheraceandethnicitystratificationstoadditionalHEDISmeasuresoverseveralyearstohelpreducedisparitiesincareamongpatientpopulations. 0000015971 00000 n Two rates are reported. ,wBInd!d98{9|/.Y1&7wULt~s`GgvXT\/T}[_}bVT=TXk;e*ZkQXH#7hUxQ"zZdP> Share this page with a friend or colleague by Email. PDF MY 2023 Summary Table of Measures Product Lines Changes endobj In January to May of 2023, data for 2022 continues to be submitted along with Medical Record review for Hybrid measures and final HEDIS 2022 rates and results are reported. 0 0000011691 00000 n 0000017732 00000 n Np1W>?,Y{ hbbd```b``akA$%Xd6dbe`X,,r, f_k0yDV[I vS _"A8^FO 0 E 0000029366 00000 n Quality Compass 2023 Commercial-Trended Data (MY 2022, MY 2021, MY 2020) As low as $7,690.25. Rate 2: Two additional well-child visits 15 to 30 months. HEDIS quality measures for Accountable Care Organizations. Trackingantibioticprescribingforallacute respiratory conditionswillprovide context about a healthplansoverall antibiotic use when viewedwiththree HEDIS measures ofappropriatetesting and inappropriate prescribing for upper respiratory infections, pharyngitis and acute bronchitis. HEDIS data help identify performance gaps and establish realistic targets for improvement. 0000035753 00000 n performance reported in the 2022 Quality Compass (measurement year 2021) . 42 0 obj <>/Filter/FlateDecode/ID[]/Index[26 26]/Info 25 0 R/Length 83/Prev 96543/Root 27 0 R/Size 52/Type/XRef/W[1 2 1]>>stream Tables 1-3 below include . x Updated Guideline 7: Measurement Period Adjustments. rFZ /CvN`(,b$CoyeL`Y6P-@ NCQA Communications Every year, NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS). 0000002169 00000 n PDF Rhode Island Medicaid Managed Care Program Neighborhood Health Plan of 0000015786 00000 n HEDIS nonsurvey measures for organizations; instructions on data collection for each measure; general guidelines for calculations and sampling. 0000007996 00000 n <<1EA954AB0783464B894F5E09E2AC546B>]/Prev 295107/XRefStm 1946>> <> Measures Reported UsingElectronic Clinical Data Systems. 0000011142 00000 n Data from the 2020 measurement period (2022 Star Ratings) help us understand how the PHE impacted the care delivery system. AntibioticUtilizationforRespiratoryConditions. 0000007331 00000 n endstream endobj startxref The Inventory lists each measure by program, reporting measure specifications including, but not limited to, numerator, denominator, exclusion criteria, Meaningful Measures domain, measure type, and National Quality Forum (NQF) endorsement status. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz Island managed care plans must provide performance measure data, specifically HEDIS, to the Office of Health . HEDISpublicationsareavailableas electronic publications. 0000024625 00000 n cytology performed between 2020-2022. Follow-UpAfterEmergencyVisitDepartmentVisitforAlcoholandOtherDrugDependence/Follow-UpAfterEDVisitforSubstanceAbuse. Visitors to this page often checkHEDIS FAQsor ask a question throughMyNCQA. Healthcare Effectiveness Data and Information Set (HEDIS) 0000021981 00000 n reportingforthreeHEDISmeasures:Childhood Immunization Status, Immunizations for AdolescentsandMetabolic Monitoring for ChildrenandAdolescents on Antipsychotics. We do not share your information with third parties. endobj 0000001946 00000 n Overview of the HEDIS measurement set and how the data are used. PDF Commonwealth of Pennsylvania Department of Human Services Office of 0000012538 00000 n Laboratory Benefit Management. endstream . 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 !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? 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. X `q@ A`J~m ]l b| 0jHX=x3||DqGTt|\V~Fu3c,$;$c9 -Kd"bv.CXb%*qS-J`}V1h(l1y|8Tr46hOJ NCQAnowcollectsthenewAntibioticsforRespiratoryConditionsmeasure. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). PDF Rhode Island Medicaid Managed Care Program Tufts Health Public Plan 0000050943 00000 n PDF HEDIS 2022 Manual 2 Technical Specifications Update, HEDIS 2020 (MY 2019) Risk Adjustment Tables, HEDIS 2020 Measure Trending Determinations, Quality Rating System 2020 Technical Specifications Update, Volume 3 2020 Technical Specifications Update, Volume 3 2020 Validated Member-Level File Layout, HEDIS MY 2023 Measure Trending Determinations, MY 2023 Validated Member-Level File Layout (, Order this publication (anticipated release date: May 2024). NCQA Proposed Measure Changes for HEDIS 2022 - Ciox %PDF-1.4 % 2023 HEDIS Measures HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Rates for the HEDIS measures were compared to corresponding Medicaid percentiles; comparison results are provided in the tables. %PDF-1.6 % vzp`}jArJ;,-r1cb?>~XVU(pAi-Im kC#)}i^_ eMRNxz;e~FOL:epYMit *9(66a?`4 /[2u0@G5Q^+NDV&h$!~_sO {9oHp3N)I4BP5N1K0Up ]%x2P1xvk?7?]k'a 2 Summary Table of Measures, Product Lines and Changes HEDIS MY 2023, Volume 2 HEDIS MY 2023 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2023 Guidelines for Allowable Adjustments of HEDIS 9 9 9 x Updated Guideline 4: Exclusions to remove optional exclusions. 0000004224 00000 n 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 0000086512 00000 n The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 2021 Cigna INT_21_96354_C 919034 c Additionally,NCQA invites you to join HEDIS Users Group forinside information on HEDIS development and future directions. NCQA screens, trains and certifies organizations that collect or audit data for health plans and providers. xref II. 1311 0 obj <>stream Copyright 2023 National Committee for Quality Assurance. 1CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). Avoidance of Antibiotic Use. Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through My NCQA. Members can access the latest news about measuring performance and gain insight into how HEDIS evolves. 0000001035 00000 n 4940 0 obj <>/Filter/FlateDecode/ID[]/Index[4920 31]/Info 4919 0 R/Length 102/Prev 502761/Root 4921 0 R/Size 4951/Type/XRef/W[1 3 1]>>stream PDF Rhode Island Medicaid Dental Program UnitedHealthcare Dental Annual The Data Display (D2) tool provides a way for patients to compare the quality of care hospitals give. **For Complaints about the Plan ThiseffortbuildsonNCQAsexistingworkdedicatedtotheadvancinghealthequityindataandqualitymeasurement. All other uses of the UB Codes require a license from the AHA. High-qualityhealthcaremustbeequitablehealthcare. Find Doctors, Drugs and Facilities. 5kET"gDka6FT@-hU \N!VGk}J.V29< 0000017889 00000 n ElectronicClinicalDataSystem(ECDS)Reporting. startxref Rate 1: Six or more well-child visits* 0 to 15 months. . % %PDF-1.7 Save your favorite pages and receive notifications whenever theyre updated. NCQAs HEDIS Value Set Directory (VSD) includes the necessary third-party codes for use with adjusted measure specifications. %PDF-1.7 % !nGK3(@kt !1}wJ5|?7lm^[/ e|_ zLIUQKO5E*;'rc2@wN2| 2e^ w7] x-7q^5(Ms-NYkelK*:gY\5V[l.Anr|XeNBe,KxGnrtmL{_-ApmCw2+E2TA@GhQWyteWLLvpaPeH5XR 51 0 obj <>stream 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. 0000020276 00000 n CPT: 87070, 87071, 87081, 87430, 87650-87652, 87880 HEDIS Tip Sheet - Pediatric Measures Key HEDIS Factors to Consider 2527 53 gbv[Dp[,tkg`h`PR``46R @0ft@ ublH$`@K WH@uX^$28C23n`Rbts&H-dpo]n0ch K$l7@ LD%@H00r'UvU h# HEDIS MY2022. The technical specifications for organizations providing Medicaid long-term services and supports (LTSS). 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. 0000009251 00000 n Include a goal or benchmark for each measure. The complete MIPS Quality Measures List published after the PFS final rule does not include Qualified Clinical Data Registry (QCDR) measures as such measures are proposed and selected through a separate process. 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 P}^bGx{Q1F b~/>@ e# endstream endobj 32 0 obj <>stream 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% Anticipated Release Date: September 2023. 0000021716 00000 n Intent:Antibiotics prescribed for acute respiratory conditions are a large driver of antibiotic overuse. 26 0 obj <> endobj SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . Share sensitive information only on official, secure websites. 0000014654 00000 n HEDIS/CAHPS Measures Required for HP AccreditationCommercial *The weight column indicates the weight of the item (maximum value = 3) in the overall score calculation. Share this page with a friend or colleague by Email. trailer 0000007450 00000 n R'A@>r 5^[qLp.p*DB24V,mb66vA8kwFvM@gf` r 9 0 obj NCQAexpandedtheupperagelimitfrom50to75;addedreportingfortheMedicareproductline;addedfourclinicalexclusionsforosteoporosis. (Example: COL, BCS measures). How are rates calculated? Sign up to get the latest information about your choice of CMS topics. ( ( HEDIS measures performance in health care where improvements can make a meaningful difference in peoples lives. A list of potential measures for initial stratification in MY2022 are as follows: Controlling High Blood Pressure (CBP) Comprehensive Diabetes Care (CDC) Antidepressant Medication Management (AMM) Follow-Up After Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (FMC) m="=jVvyNc{ 0000022148 00000 n 0000107074 00000 n This process ensures that HEDIS measures remain relevant and feasible for implementation. Antibiotics prescribed for acute respiratory conditions are a large driver of antibiotic overuse. PDF 2022 Quality Assurance Reporting Requirements ) 0000009457 00000 n [ HSMk@WHM[Zl8 p ccwVrLCV{6GfP!Kh~&)/uY>ak9 0000000016 00000 n 0000068208 00000 n PDF 2023 HEDIS Measures - McLaren Health Plan 0 g'jQL[@tsho-0;F3a!~;F^MHFG"Y#HX@=<71AcL\oxdkw2& +i QI 1 and QI 2 utilize the HEDIS methodology for this measure. 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 ND-)8^r|\q=.Kx.!J"G8IE Follow-UpAfterEDVisitforSubstanceUse. %PDF-1.6 % * Measures from HEDIS and CAHPS used data from the 2020 Star Ratings (collected in 2019 and unaffected by the COVID-19 PHE). } !1AQa"q2#BR$3br 2 0 obj Table 1: Changes in Part C Measure Scores from 2021 to 2023 Star Ratings for MA Contracts 1105 0 obj <>/Filter/FlateDecode/ID[]/Index[1067 245]/Info 1066 0 R/Length 162/Prev 876729/Root 1068 0 R/Size 1312/Type/XRef/W[1 2 1]>>stream S/K[ AOIp 0000006215 00000 n Utilization and Risk Adjusted Utilization. CJ)8kPqQy!h\ADICp%F$NhG-EL'nU%mQ*1HPl. 0000051029 00000 n HEDIS Measures HEDIS includes more than 90 measures across 6 domains of care: Effectiveness of Care. HUG members are health care professionals who produce, report and interpret HEDIS data. 3 0 obj 0000002938 00000 n 0000044978 00000 n You will be prompted to log in to your NCQA account. the HEDIS Measurement Year (MY) 2020 & 2021 Volume 2 Technical Speciications. Accountable health care requires both measurement and transparency. 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, HEDIS Medicare Health Outcomes Survey and the Medicare Health Outcomes Survey Modified, NCQA collects HEDIS data from health plans. endstream endobj startxref HEDIS Measures for Diabetes are assessed to evaluate the effectiveness of the program. Measures relate to many significant public health issues such as cancer, heart disease, behavioral health and diabetes. 0000007305 00000 n D('@E$xVK`"P6 ?L dvC) ? 0000047520 00000 n IdentificationofAlcoholandOtherDrugServices/DiagnosedSubstanceUseDisorders. hb```@(1iNlpiK Y_LjV_0`II:~|=0f8+~'8eW!Izw(I~>rIq9NM>8>N7*ksO6Qg4h%&. 0000009785 00000 n REQUIRED HEDIS1 AND CAHPS2 MEASURES FOR HEDIS REPORTING YEAR 2022 Summary of Changes to Measure List: Added the following measures. The rules provide flexibility for evaluating different populations without altering measures clinical intent (e.g., removal of continuous enrollment or product-line criteria). Table 4 displays the HEDIS performance measures for MY 2021 for PCCP. 0000012465 00000 n 0000036100 00000 n ). 1067 0 obj <> endobj 0000008074 00000 n MHS leadership and healthcare providers continually assess clinical performance data to ensure beneficiaries receive safe, high quality care in military treatment facilities (MTFs) and TRICARE network hospitals. PDF 2022 Star Ratings Fact Sheet 6 0 obj Part D measures are displayed in Tables 2 and 3 for MA-PD and PDP contracts, respectively. Sorry, this page could not be found. | Wellcare %%EOF Most measure score changes between the 2022 and 2023 Star Ratings were small overall in both directions. performance reported in the 2022 Quality Compass (measurement year 2021) for all lines of business that reported measurement year 2021 . Health Plan Descriptive Information. . Save your favorite pages and receive notifications whenever theyre updated. }{7wi\vLU#)J1i#} ;?0L1$Zh\D#$M},[Na_MxQ~+EYs}VgeWPL;hhWs, k>^c-sNWAOHKd3:o <> Measures Reported Using Electronic Clinical Data Systems HEDIS Medicare Health Outcomes Survey NCQA defines how data can be collected for a measure: The HEDIS measurement set is sponsored, supported and maintained by NCQA. 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. Health Insurance Marketplace Quality Initiatives | CMS !A Additionally,NCQA invites you to join HEDIS Users Group forinside information on HEDIS development and future directions. 0000047019 00000 n NCQA > HEDIS MY 2023 Risk Adjustment Tables In these cases, age stratifications will differ from HEDIS MY 2021 technical specifications. PDF Required HEDIS and CAHPS Measures for HEDIS Reporting Year 2022 Thismeasurehas beenretired. PDF Commonwealth of Pennsylvania, Department of Human Services 2022 <> Terms of Use, Every year,NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS. 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. 0000004794 00000 n HEDIS digital future has begun. Tobacco Cessation Program. 2022 HEDIS AND FIVE-STAR QUALITY MEASURES REFERENCE GUIDE HEDIS STAR MEASURE AND REQUIREMENTS DOCUMENTATION NEEDED CPT/CPTII CODES Annual Wellness Exam Measure ID: AHA, PPE, COA Description: Measurement Year Lines: Age: Medicare 18yrs & Older Blood Pressure Control Measure ID: CBP or CDC9 Description: EVERY VISIT Lines: Age: Medicare 18yrs - 75yrs 2527 0 obj <> endobj w !1AQaq"2B #3Rbr Encounter data is crucial for demonstrating accurate quality performance to the Department of Health Care Services (DHCS). endobj 7 0 obj Individual HEDIS Measures Sheets | Providers | Optima Health $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? endobj inappropriate prescribing for upper respiratory infections, pharyngitis and acute bronchitis. Women 30-64 years of age who had cervical high-risk human papillomavirus (hrHPV) <> PDF 2022 - HEDIS Quality Measures Reference Guide (version 1 04.11.2022) HEDIS includes measures for physicians, PPOs and other organizations. 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. 0000003369 00000 n 0000019234 00000 n List and define all quantifiable measures used in this activity. m){w&;9l F*\JR4d87=dkh II . This process ensures that HEDIS measures remain relevant and feasible for implementation. endstream endobj 27 0 obj <> endobj 28 0 obj <> endobj 29 0 obj <>stream Quality Compass 2023 Medicaid-Trended Data (MY 2022, MY 2021) As low as $5,220.25. A,0QV HEDIS Measures. endstream endobj 31 0 obj <>stream Withthisdeprescribing measure, there isan opportunityto promote harm reduction by assessing progress in appropriately reducing benzodiazepine use in the older adult population. AdvanceCarePlanningIndicator. VA outpatient measures closely follow the specifications set forth by the National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS).