%%EOF 0000022424 00000 n @_B^GR 0000035489 00000 n You will be prompted to log in to your NCQA account. All other uses of the UB Codes require a license from the AHA. xKK@ { a;;:/DCXlcf_YB^Q(przeq0)# 0y,-h6-2Y=Vf]+[eq[&ge1heucd;)CzGE"z&D%z`SS?I1ZOFb ?=xb =WV!Nfvb)e:R '$t^OWoM9o{$)GlCeSkftDJbR2$n{Y4O}0m$&pmT|yQ;x/8Z$[G@MY?mcwo;oN:p2 rFZ /CvN`(,b$CoyeL`Y6P-@ HEDIS Measures. We do not share your information with third parties. 0000004224 00000 n Healthcare Efectiveness Data and Information Set (HEDIS ) rates can be calculated in two ways: administrative data or hybrid data. z.XM)Z- b#|UX&)E#T"5Y2]AmiJR Ju:'GVx w9E,*343P@moN$33XN}jl^F-|]}Z{lRt~wOr$.-ks>:599_zrapw)?OqKTa^th>LM _R`]~%Qyqx` 1~ 0000107074 00000 n 0000004794 00000 n Intent:Advancecareplanningisassociatedwithimprovedqualityoflife,increasedprovidertrustanddecreasedhospitalization. NCQA Communications Every year, NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS). ComprehensiveDiabetesCare/HemoglobinA1cControlforPatientsWithDiabetes,EyeExamPerformedforPatientsWithDiabetes,BloodPressureforPatientsWithDiabetes. As low as $16,810.25. 0000045019 00000 n 0000021716 00000 n HbA1c Testingindicator. NCQAisretiringthefollowingmeasures/indicators: Formoreinformation,refertothefullmeasurespecificationsinHEDISMY2022Volume 2:Technical Specifications for HealthPlans. Share sensitive information only on official, secure websites. 0000009251 00000 n 2 0 obj Heres how you know. 0000012538 00000 n CPT: 87070, 87071, 87081, 87430, 87650-87652, 87880 HEDIS Tip Sheet - Pediatric Measures Key HEDIS Factors to Consider 0000017803 00000 n HSn0+THK[iF(P=2@oA.kY"cL@YG6u}(K]*-50 j"1J0B(E$akG) 0000068137 00000 n 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 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. Withthisdeprescribing measure, there isan opportunityto promote harm reduction by assessing progress in appropriately reducing benzodiazepine use in the older adult population. 2023 HEDIS Measures HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). 9 0 obj <> Anticipated Release Date: July 2023. 3 0 obj NCQArevisedthemeasurestructurefromutilizationtodiagnosed-prevalencementalhealthdisordersandupdatedthenameto. II. HEDIS measures performance in health care where improvements can make a meaningful difference in peoples lives. 0000015158 00000 n Anticipated Release Date: September 2023. 0000001035 00000 n .gov NCQAs HEDIS Value Set Directory (VSD) includes the necessary third-party codes for use with adjusted measure specifications. 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. An official website of the United States government The HEDIS measurement set is sponsored, supported and maintained by NCQA. Part D measures are displayed in Tables 2 and 3 for MA-PD and PDP contracts, respectively. Visitors to this page often checkHEDIS FAQsor ask a question throughMyNCQA. Tables 1-3 below include . Data from the 2020 measurement period (2022 Star Ratings) help us understand how the PHE impacted the care delivery system. 0000009457 00000 n NCQA screens, trains and certifies organizations that collect or audit data for health plans and providers. 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. or HEDIS Tip Sheet - Pediatric Measures -Look back period: July 1 of the year prior to June 30 of the measurement year. 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. 0000010840 00000 n website belongs to an official government organization in the United States. %%EOF 0000020276 00000 n Care for Children Prescribed ADHD Medication Initiation and Continuation measures. hb```f``2g`a`ad@ Arl`h\=g}8,{GzGKEGCE\ p10:ki> la R'A@>r 5^[qLp.p*DB24V,mb66vA8kwFvM@gf` r m){w&;9l F*\JR4d87=dkh hWO`06~@)N@&d.6l5@[)"$$dm29R1$2.K3LH(y ]3SISTM}~/'Ys9Z @ R M+[|Qs0@!| T8E#F>x=-g? 0000009685 00000 n 26 0 obj <> endobj HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting Additionally,NCQA invites you to join HEDIS Users Group forinside information on HEDIS development and future directions. NCQArevisedthemeasurestructurefromutilizationtodiagnosed-prevalenceofsubstanceuseandupdatedthenameto. Table 1: Changes in Part C Measure Scores from 2021 to 2023 Star Ratings for MA Contracts 0000001946 00000 n !3$Y:wn=3. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). X `q@ A`J~m ]l b| 0jHX=x3||DqGTt|\V~Fu3c,$;$c9 -Kd"bv.CXb%*qS-J`}V1h(l1y|8Tr46hOJ Measures relate to many significant public health issues such as cancer, heart disease, behavioral health and diabetes. You can decide how often to receive updates. To be able to identify andreduce disparitiesin care, the first step must be measuring and reportingon. HEDIS SPECIFICATION OVERVIEW 2021 KEY: Indicates triple weight measure Revised January 2021 All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. 0 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. 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). %PDF-1.7 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 For full specifications, visit the NCQA store. * Measures from HEDIS and CAHPS used data from the 2020 Star Ratings (collected in 2019 and unaffected by the COVID-19 PHE). endobj m="=jVvyNc{ P}^bGx{Q1F b~/>@ e# Visitors to this page often checkHEDIS FAQsor ask a question throughMyNCQA. The information provided in this HEDIS QRG is to help you improve your practice's HEDIS rates. ElectronicClinicalDataSystem(ECDS)Reporting. vzp`}jArJ;,-r1cb?>~XVU(pAi-Im kC#)}i^_ eMRNxz;e~FOL:epYMit *9(66a?`4 /[2u0@G5Q^+NDV&h$!~_sO {9oHp3N)I4BP5N1K0Up ]%x2P1xvk?7?]k'a endobj HEDIS Measures HEDIS includes more than 90 measures across 6 domains of care: Effectiveness of Care. <> 0000050943 00000 n %PDF-1.7 % h^3VN,vAO]{Q@v gK2CxD]*{Dv= Px k7j^AEE]iQcWA/]?N8MhIB HA]2kNHAE Vc"c)\v1s9]OA2mJ)$'8 0000021981 00000 n 4950 0 obj <>stream Antibiotics prescribed for acute respiratory conditions are a large driver of antibiotic overuse. Toorder,call888-275-7585orvisittheNCQAPublicationswebsite. 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 t,f`$yF;zXytHo. 1358 0 obj <>stream We do not share your information with third parties. Recognizing that HEDIS measures have traditionally been specified for health plan reporting, NCQA developed the Rules for Allowable Adjustment of HEDIS to accommodate the application of HEDIS measures to various levels of the health care system for quality improvement initiatives. 0000019234 00000 n trailer 0000007450 00000 n 0000029366 00000 n 0000004949 00000 n Other changes assure that HEDIS will be useful, valid and reliable for a new era of medicine. (HEDIS) measures that assess quality of health care provided to Blue Shield Promise Medi-Cal members. Pn MS% 9W4=9Hu-]Sy+G'5} I!Orx*YtK5"Y"}w l_Zqypx -kind&gW%dj56u|x;cIInF7J^u$SqISS:th6 m%64SxllMjD(oh+z InitiationandEngagementofAlcoholandOtherDrugAbuseorDependence. To learnmore, clickherefor a discussion ofthe stratification, how we arrived atthiscurrentpoint andFAQs. Measures Reported UsingElectronic Clinical Data Systems. This process ensures that HEDIS measures remain relevant and feasible for implementation. Optum Managed Transplant Program. inappropriate prescribing for upper respiratory infections, pharyngitis and acute bronchitis. 0 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). 0000004757 00000 n startxref IdentificationofAlcoholandOtherDrugServices/DiagnosedSubstanceUseDisorders. hbbd```b``"gIw ""7|-``qT3l0; fH0DHI@H_mj> _ Several clinical guidelinesrecommend deprescribing benzodiazepinesslowlyandsafely, rather thanstopping use immediately,tominimizewithdrawalsymptomsandimprovepatientoutcomes. Trackingantibioticprescribingforallacute respiratory conditionswillprovide context about a healthplansoverall antibiotic use when viewedwiththree HEDIS measures ofappropriate. Thismeasurewillallowplanstounderstandifadvancecareplanningisprovidedtobeneficiarieswhoaremostlikelytobenefitfromit. Formoreinformation,refertothefullmeasurespecificationsinHEDISMY2022. means youve safely connected to the .gov website. UseofImagingStudiesforLowBackPain. 0000004692 00000 n Medicaid benchmarks displayed in these tables come from NCQA's 2022 Quality Compass for measurement year 2021. Copyright 2023 National Committee for Quality Assurance. 0000002938 00000 n Quality Compass 2023 Medicaid-Trended Data (MY 2022, MY 2021) with Data Exporter. Additionally,NCQA invites you to join HEDIS Users Group forinside information on HEDIS development and future directions. 0000008982 00000 n |@Z-Q !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 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. 0000009893 00000 n 0000002321 00000 n 0000035753 00000 n 0000008747 00000 n 0000133309 00000 n endstream endobj startxref 0000006215 00000 n Copyright 2023 National Committee for Quality Assurance. Social Determinants: Our Statement with TJC, NQF Was Just the Start. You will be prompted to log in to your NCQA account. Sign up to get the latest information about your choice of CMS topics. HEDIS nonsurvey measures for organizations; instructions on data collection for each measure; general guidelines for calculations and sampling. VA outpatient measures closely follow the specifications set forth by the National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS). 0000011150 00000 n hbbd```b``akA$%Xd6dbe`X,,r, f_k0yDV[I vS _"A8^FO 0 E Follow-UpAfterEDVisitforSubstanceUse. 0000004562 00000 n andaddedtwocross-cuttingexclusions:palliativecareandadvancedillness/frailty. HEDIS digital future has begun. The Data Display (D2) tool provides a way for patients to compare the quality of care hospitals give. 0000009785 00000 n QI 1 and QI 2 utilize the HEDIS methodology for this measure. Patient-Centered Specialty Practice (PCSP), Credentials Verification Organization (CVO), Managed Behavioral Healthcare Organization (MBHO), Health Information Technology Prevalidation Programs, Virtual Seminars, Webinars and On-demand Training, Advertising and Marketing Your NCQA Status. endobj User may need additional software to use the Product, and NCQA is not responsible for such additional software. ("$e 0)*[sNwL(((((()#(1/I\HlQ3F7n6 e#+}:~9'M]Fn*m(jfe Z)TRPQZWV+9F x_O. x Updated Guideline 7: Measurement Period Adjustments. 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 endobj 0000007305 00000 n Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through My NCQA. DL U `j@ +Y&F] S-ppo>8w4Dg`` C 0000133484 00000 n HEDIS quality measures for Accountable Care Organizations. ,wBInd!d98{9|/.Y1&7wULt~s`GgvXT\/T}[_}bVT=TXk;e*ZkQXH#7hUxQ"zZdP> %PDF-1.6 % 0000011969 00000 n ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ T " 0 ?^>&d;ijSl+EPe7"z_?0Kx)uQ reportingforthreeHEDISmeasures:Childhood Immunization Status, Immunizations for AdolescentsandMetabolic Monitoring for ChildrenandAdolescents on Antipsychotics. 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). Laboratory Benefit Management. HEDIS CHEAT SHEET 2022 - 2023 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Documented yearly for ages 3-17. 2527 53 % <> List and define all quantifiable measures used in this activity. 9745 36 74,457 : 61.4% : 61.1% : 61.7% : 55.9% + 60.5% + >= 90th percentile PA . 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. 0000002169 00000 n REQUIRED HEDIS1 AND CAHPS2 MEASURES FOR HEDIS REPORTING YEAR 2022 Summary of Changes to Measure List: Added the following measures. Share this page with a friend or colleague by Email. Find Doctors, Drugs and Facilities. We do not share your information with third parties. . %PDF-1.4 % That makes HEDIS one of health cares most widely used performance improvement tools. 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 Table 4: PCCP HEDIS Performance Measures - MY 2021 . 0000008074 00000 n Utilization and Risk Adjusted Utilization. II . You will be prompted to log in to your NCQA account. <<1EA954AB0783464B894F5E09E2AC546B>]/Prev 295107/XRefStm 1946>> Thismeasurehas beenretired. trailer <<41FE7AD153BB4900891AA2CB9A9A8E7D>]/Prev 786146/XRefStm 4224>> startxref 0 %%EOF 9780 0 obj <>stream performance. 4 0 obj 0000005411 00000 n NYS will calculate the measure result for MY2021 2 - For measures that you may have reported using the hybrid sample in the PLD for QARR, Save your favorite pages and receive notifications whenever theyre updated. _hRos0Tx|1Ug% 0000047019 00000 n D('@E$xVK`"P6 ?L dvC) ? (Example: COL, BCS measures). Rhode Island Medicaid Managed Care Page 48 of 69 2021 External Quality Review Technical Report . Members can access the latest news about measuring performance and gain insight into how HEDIS evolves. Island managed care plans must provide performance measure data, specifically HEDIS, to the Office of Health . Wellcare dng cookie. 0000007331 00000 n 0000010486 00000 n %%EOF 2022 MEDICAID HEDIS REFERENCE SHEET FOR PROVIDERS 3 PEDIATRIC HEDIS MEASURES HEDIS MEASURE AGE MEASURE DESCRIPTION BILLING CODES WELL-VISIT Well Child Visits 0-30 Months of Life (W30) 0-30 months Telehealth exclusion removed. Rate 1: Six or more well-child visits* 0 to 15 months. 0000010141 00000 n 0000014293 00000 n !9g=SW[h ,3%`~,Z-"3b~lv?.cKQZLHJ*??Y$t)mvdQZt6F^_"g&Oa}t%&QZ./w|PCZE9vG2{m!miVv| Q@?\ti+3#{lgi 0000016906 00000 n Accountable health care requires both measurement and transparency. lock ND-)8^r|\q=.Kx.!J"G8IE Table 7a: CHIP-MCO Results for 2022 (MY 2021) HEDIS Measures CHIP-MCO G-3245 Beecher Road Flint, Michigan 48532 0000018438 00000 n High-qualityhealthcaremustbeequitablehealthcare. Access/Availability of Care. For the denominator, NCQA added ED visits for unintentional or undetermined overdose for commonly used drugs with addiction potential in any diagnosis position. 0000003369 00000 n Effective 2022, the Promise VIP Program is now called Promise Quality Performance Incentive (PQPI). HEDIS includes measures for physicians, PPOs and other organizations. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz 0000024625 00000 n Avoidance of Antibiotic Use. 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. 0000022148 00000 n ThiseffortbuildsonNCQAsexistingworkdedicatedtotheadvancinghealthequityindataandqualitymeasurement. 0000000016 00000 n 0000013541 00000 n The rules provide flexibility for evaluating different populations without altering measures clinical intent (e.g., removal of continuous enrollment or product-line criteria). Secure .gov websites use HTTPSA %PDF-1.6 % Quality Compass 2023 Commercial-Trended Data (MY 2022, MY 2021, MY 2020) As low as $7,690.25. 0000051029 00000 n Share this page with a friend or colleague by Email. Quality Compass 2022 includes certain CAHPS data. xref HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). 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). HEDIS Measures for Diabetes are assessed to evaluate the effectiveness of the program. %PDF-1.7 % ). NCQAwillconcentrateeffortsontheoutcome-basedHbA1cControlforPatientsWithDiabetesmeasure. 0000004219 00000 n MentalHealthUtilization/DiagnosedMentalHealthDisorders. 0000001386 00000 n NCQA's Risk Adjustment Tables (the "Tables") and any related documentation (collectively, the "Product"). } !1AQa"q2#BR$3br How are rates calculated? 0000010320 00000 n Save your favorite pages and receive notifications whenever theyre updated. The Healthcare Effectiveness Data and Information Set (HEDIS) is one of health cares most widely used performance improvement tools. 0000010811 00000 n 0000015786 00000 n 0 The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 2021 Cigna INT_21_96354_C 919034 c The percentage of episodes for members 3 months of age and older with a diagnosis of a respiratory condition that resulted in an antibiotic dispensing event. 0000002663 00000 n Measure Changes Care for Older Adults (COA) - -Removed Advanced Care Planning indicator from COA . 65 years of age and older who were dispensed benzodiazepines and achieved a 20% decrease or greater in benzodiazepine dose during the measurement year. HTn0*hk!4J[&5i7Y%I yf Automatic . HtTYO@~e/wysRx 1311 0 obj <>stream 4920 0 obj <> endobj Technical specifications for the Health Outcomes Survey (HOS). 8 0 obj A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. akJ9d&'(o,N|cV& }3~_UEiP 0000010005 00000 n NCQAalsorevisedthechildandadolescentagegroupsforreportingto117. w !1AQaq"2B #3Rbr Np1W>?,Y{ <> 51 0 obj <>stream Experience of Care. o GRs_$ [EN=_sRs 1F/T ? For the numerator, NCQA allowed follow-up visits with SUD indicated in any diagnosis position; and added pharmacotherapy for alcohol or opioid use disorder; and incorporated outpatient or telehealth visits, for a diagnosis of drug use or overdose; services defined as addressing substance use (per CPT code description), without a diagnosis requirement; visits where a behavioral health assessment or screening is performed; outpatient or telehealth visits with a mental health provider; and substance use services provided by a peer recovery support specialis. For HEDIS measures that report age cohorts beyond 19 years old, rates reported below only extend to 19 years old to align with CHIP enrollment and are noted as such. <> 0000011393 00000 n For example, 2022 claims, encounters, and other HEDIS data are submitted throughout 2022. NCQA also revised themeasuredenominatortoreflectthenumberofmembers,ratherthanmemberyears, andtoincludesubstanceusedisordercodes; andrevisedtheagegroupsforreportingto1317,1864and65+. 0000006694 00000 n 0000017889 00000 n <> 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. 0000044978 00000 n 5kET"gDka6FT@-hU \N!VGk}J.V29< More than 200 million people are enrolled in plans that report HEDIS results. Advancecareplanningisassociatedwithimprovedqualityoflife,increasedprovidertrustanddecreasedhospitalization. HEDIS 2022 Percentile : HEDIS : Annual Dental Visit (Ages 2-20 years) 121,271 . 0000005676 00000 n Plans must purchase the HEDIS 2022 Technical Specifications for Health Plans for specifications of the required HEDIS measures. endstream endobj 31 0 obj <>stream ThiseffortbuildsonNCQAsexistingworkdedicatedtotheadvancinghealthequityindataandqualitymeasurement. 9745 0 obj <> endobj xref NCQA defines how data can be collected for a measure: 5 0 obj 1320 0 obj <> endobj 0000068208 00000 n This table contains the measures and brief descriptions that are included in HEDIS MY 2022. Save your favorite pages and receive notifications whenever theyre updated. endstream endobj 30 0 obj <>stream 0000008708 00000 n This process ensures that HEDIS measures remain relevant and feasible for implementation. Ur"J,3Xhi"k;}06]rn(0i b~GiQ">sTMj 2p1IcvIwsudr HEDIS MY2022. 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. NCQAexpandedtheupperagelimitfrom50to75;addedreportingfortheMedicareproductline;addedfourclinicalexclusionsforosteoporosis. 0000018052 00000 n HSMk@WHM[Zl8 p ccwVrLCV{6GfP!Kh~&)/uY>ak9 Follow-UpAfterEmergencyVisitDepartmentVisitforAlcoholandOtherDrugDependence/Follow-UpAfterEDVisitforSubstanceAbuse. 0000000016 00000 n HEDIS data help identify performance gaps and establish realistic targets for improvement. The 90th percentile is the benchmark for the HEDIS measures. 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=[> Height, weight, BMI percentile (use Z68.51-Z68.54) and nutrition (97802, 97803, 97804) and physical activity counseling (Z02.5, Z71.82) Lead Screening in Children: Thismeasurewillallowplanstounderstandifadvancecareplanningisprovidedtobeneficiarieswhoaremostlikelytobenefitfromit. 1 0 obj 0000047520 00000 n To learn more. 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. That is why we publish what we learn from HEDIS in many forums and formats. endstream endobj 32 0 obj <>stream To learnmore, clickherefor a discussion ofthe stratification, how we arrived atthiscurrentpoint andFAQs. {+Ed. The Rules for Allowable Adjustments are included in the HEDIS Volume 2 publication after the applicable HEDIS measure specifications. . $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . hb``` rB cc`ahpb`QN`|A(WY2c0Oeox%{$M94 NSqo NCQAseparatedtheindicatorsintothreestandalonemeasures:HemoglobinA1cControlforPatientsWithDiabeteswith indictors for HbA1c Control <8 and Poor Control HbA1c >9,EyeExamPerformedforPatientsWithDiabetes,BloodPressureControlforPatientsWithDiabetes. CMS contracts with NCQA to collect Healthcare Effectiveness Data and Information Set (HEDIS) measures from Medicare Special Need Plans (SNPs). Include a goal or benchmark for each measure. By accessing the Product, the User is deemed to have accepted the terms and conditions of this Usage Agreement.
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