Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through My NCQA. Formoreinformation,refertothefullmeasurespecificationsinHEDISMY2022. 5kET"gDka6FT@-hU \N!VGk}J.V29< Table 7a: CHIP-MCO Results for 2022 (MY 2021) HEDIS Measures CHIP-MCO endstream endobj startxref ). S/K[ AOIp New digital measures reduce the burden of reporting quality results. 4950 0 obj <>stream 2527 53 0000001035 00000 n hbbd```b``akA$%Xd6dbe`X,,r, f_k0yDV[I vS _"A8^FO 0 E 1CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). 6 0 obj click here for a discussion of this new measure. 0000107074 00000 n P}^bGx{Q1F b~/>@ e# Save your favorite pages and receive notifications whenever theyre updated. Rate 2: Two additional well-child visits 15 to 30 months. hWO`06~@)N@&d.6l5@[)"$$dm29R1$2.K3LH(y ]3SISTM}~/'Ys9Z @ R M+[|Qs0@!| T8E#F>x=-g? 0000035753 00000 n Technical specifications for the Health Outcomes Survey (HOS). 0000008982 00000 n HEDIS 2022 Percentile : HEDIS : Annual Dental Visit (Ages 2-20 years) 121,271 . (HEDIS) measures that assess quality of health care provided to Blue Shield Promise Medi-Cal members. 0000010486 00000 n 0000011393 00000 n 0000015786 00000 n %PDF-1.6 % HEDIS Measure PCCP Well-Child Visits First 15 Months 74.74% Well-Child Visits 1530 Months 81.79% 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. Ylyr2fi4vVDlhV]Zk:6d,,y+kQ. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 2021 Cigna INT_21_96354_C 919034 c 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. Updates on HEDIS Measures MY2022. %%EOF Members can access the latest news about measuring performance and gain insight into how HEDIS evolves. ;(Y}e"XmT8,/l EP5ePVm8,&T2X, +|oM}> O~rEUnM~#jOicJ@2Yus Heres how you know. 0000010811 00000 n 0000011969 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. 0000086512 00000 n DeprescribingofBenzodiazepinesinOlderAdults. 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. Intent:The 2019 American Geriatrics Society Beers Criteria recommendthat benzodiazepinesbeavoidedinolderadults. endstream endobj startxref R'A@>r 5^[qLp.p*DB24V,mb66vA8kwFvM@gf` r <> 0000036100 00000 n |@Z-Q 0000009785 00000 n ThenewestadditionstoHEDISaddresspatient-centered care, as well assafetyand appropriateness. 0000015158 00000 n 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. b~GiQ">sTMj 2p1IcvIwsudr stream For full specifications, visit the NCQA store. trailer 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 endstream endobj startxref A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 0000021716 00000 n ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ T " 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. To learnmore, clickherefor a discussion ofthe stratification, how we arrived atthiscurrentpoint andFAQs. AntibioticUtilizationforRespiratoryConditions. 0000003369 00000 n 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. NCQAplanstoexpandtheraceandethnicitystratificationstoadditionalHEDISmeasuresoverseveralyearstohelpreducedisparitiesincareamongpatientpopulations. $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? 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 0000005676 00000 n Rates for the HEDIS measures were compared to corresponding Medicaid percentiles; comparison results are provided in the tables. !9g=SW[h ,3%`~,Z-"3b~lv?.cKQZLHJ*??Y$t)mvdQZt6F^_"g&Oa}t%&QZ./w|PCZE9vG2{m!miVv| Q@?\ti+3#{lgi 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. 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. To be able to identify andreduce disparitiesin care, the first step must be measuring and reportingon. 0000001386 00000 n 0000000016 00000 n Avoidance of Antibiotic Use. C*@ep!%E#-nb4LM 0000032016 00000 n 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. You can decide how often to receive updates. endobj NCQAexpandedtheupperagelimitfrom50to75;addedreportingfortheMedicareproductline;addedfourclinicalexclusionsforosteoporosis. NCQAisretiringthefollowingmeasures/indicators: Formoreinformation,refertothefullmeasurespecificationsinHEDISMY2022Volume 2:Technical Specifications for HealthPlans. stream lock The information provided in this HEDIS QRG is to help you improve your practice's HEDIS rates. <<1EA954AB0783464B894F5E09E2AC546B>]/Prev 295107/XRefStm 1946>> . HEDIS Measures for Diabetes are assessed to evaluate the effectiveness of the program. Wellcare dng cookie. That makes HEDIS one of health cares most widely used performance improvement tools. % Summary Table of Measures, Product Lines and Changes 1 HEDIS MY 2022, Volume 2 HEDIS VOLUME 2 MY 2022 . HEDIS Technical Specifications include a complete list of new and updated HEDIS measures with instructions on data collection and guidelines for calculations and sampling. 0000009457 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. NCQA defines how data can be collected for a measure: Thismeasurewillallowplanstounderstandifadvancecareplanningisprovidedtobeneficiarieswhoaremostlikelytobenefitfromit. HEDIS Measure - Term for how each domain of care is further broken down. 0000002938 00000 n Official websites use .govA More than 200 million people are enrolled in plans that report HEDIS results. 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. Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through MyNCQA. <> Utilization and Risk Adjusted Utilization. hb```f``2g`a`ad@ Arl`h\=g}8,{GzGKEGCE\ p10:ki> la 0000008673 00000 n 0000018052 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 Quality Compass 2022 includes certain CAHPS data. 0000021981 00000 n %%EOF w !1AQaq"2B #3Rbr %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz 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. NCQAseparatedtheindicatorsintothreestandalonemeasures:HemoglobinA1cControlforPatientsWithDiabeteswith indictors for HbA1c Control <8 and Poor Control HbA1c >9,EyeExamPerformedforPatientsWithDiabetes,BloodPressureControlforPatientsWithDiabetes. . Table 4 displays the HEDIS performance measures for MY 2021 for PCCP. List and define all quantifiable measures used in this activity. * Measures from HEDIS and CAHPS used data from the 2020 Star Ratings (collected in 2019 and unaffected by the COVID-19 PHE). UseofImagingStudiesforLowBackPain. 0 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. hb```@(1iNlpiK Y_LjV_0`II:~|=0f8+~'8eW!Izw(I~>rIq9NM>8>N7*ksO6Qg4h%&. 0000006215 00000 n HEDIS digital future has begun. 0000133309 00000 n More than 200 million people are enrolled in plans that report HEDIS results. We do not share your information with third parties. For example, 2022 claims, encounters, and other HEDIS data are submitted throughout 2022. 0000002321 00000 n {+Ed. \\R4G_$g$T!7(9 HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). _hRos0Tx|1Ug% Medicaid benchmarks displayed in these tables come from NCQA's 2022 Quality Compass for measurement year 2021. 0000011142 00000 n Two rates are reported. 0000004794 00000 n NCQAalsorevisedthechildandadolescentagegroupsforreportingto117. Withthisdeprescribing measure, there isan opportunityto promote harm reduction by assessing progress in appropriately reducing benzodiazepine use in the older adult population. 0000009893 00000 n This table contains the measures and brief descriptions that are included in HEDIS MY 2022. You will be prompted to log in to your NCQA account. 0000014293 00000 n 74,457 : 61.4% : 61.1% : 61.7% : 55.9% + 60.5% + >= 90th percentile PA . endstream endobj 32 0 obj <>stream <> gbv[Dp[,tkg`h`PR``46R @0ft@ ublH$`@K WH@uX^$28C23n`Rbts&H-dpo]n0ch K$l7@ LD%@H00r'UvU h# Automatic . 0000008644 00000 n Other changes assure that HEDIS will be useful, valid and reliable for a new era of medicine. 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. HEDIS survey measures and standardized surveys from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) program. Plans must purchase the HEDIS 2022 Technical Specifications for Health Plans for specifications of the required HEDIS measures. 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 As low as $6,835.25. 51 0 obj <>stream Laboratory Benefit Management. User may need additional software to use the Product, and NCQA is not responsible for such additional software. 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 measures performance in health care where improvements can make a meaningful difference in peoples lives. 0000002169 00000 n That is why we publish what we learn from HEDIS in many forums and formats. ND-)8^r|\q=.Kx.!J"G8IE NCQA's Risk Adjustment Tables (the "Tables") and any related documentation (collectively, the "Product"). 0000017803 00000 n andaddedtwocross-cuttingexclusions:palliativecareandadvancedillness/frailty. Follow-UpAfterEDVisitforSubstanceUse. MY 2002 was the yearfirst that follow-up rates were reported. } !1AQa"q2#BR$3br 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). QARR List of Required Measures (Table 1) lists by product the measures required for submission. 1 0 obj 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. endstream This process ensures that HEDIS measures remain relevant and feasible for implementation. 2527 0 obj <> endobj NCQAs HEDIS Value Set Directory (VSD) includes the necessary third-party codes for use with adjusted measure specifications. 26 0 obj <> endobj Overview of the HEDIS measurement set and how the data are used. Measure Changes Care for Older Adults (COA) - -Removed Advanced Care Planning indicator from COA . <> Island managed care plans must provide performance measure data, specifically HEDIS, to the Office of Health . endobj Toorder,call888-275-7585orvisittheNCQAPublicationswebsite. trailer <<41FE7AD153BB4900891AA2CB9A9A8E7D>]/Prev 786146/XRefStm 4224>> startxref 0 %%EOF 9780 0 obj <>stream REQUIRED HEDIS1 AND CAHPS2 MEASURES FOR HEDIS REPORTING YEAR 2022 Summary of Changes to Measure List: Added the following measures. Quality Compass 2023 Medicaid-Trended Data (MY 2022, MY 2021) with Data Exporter. cytology performed between 2020-2022. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). <> endobj Encounter data is crucial for demonstrating accurate quality performance to the Department of Health Care Services (DHCS). Health Plan Descriptive Information. 0000044978 00000 n 0000047520 00000 n 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). Antibiotics prescribed for acute respiratory conditions are a large driver of antibiotic overuse. 0000011691 00000 n hb```b``{ B@16=(?6vl& $. performance reported in the 2022 Quality Compass (measurement year 2021) for all lines of business that reported measurement year 2021 . The 90th percentile is the benchmark for the HEDIS measures. In these cases, age stratifications will differ from HEDIS MY 2021 technical specifications. 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) 0000004224 00000 n Copyright 2023 National Committee for Quality Assurance. endobj !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 .gov 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 0000016920 00000 n 8 0 obj NCQAnowcollectsthenewAntibioticsforRespiratoryConditionsmeasure. 0000010005 00000 n endstream endobj 31 0 obj <>stream ElectronicClinicalDataSystem(ECDS)Reporting. 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: <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> AdvanceCarePlanningIndicator. 0000068208 00000 n Table 4: PCCP HEDIS Performance Measures - MY 2021 . NCQA collects HEDIS data from health plans and other health care organizations. Additionally,NCQA invites you to join HEDIS Users Group forinside information on HEDIS development and future directions. Immunization Schedules. startxref https:// 0000010840 00000 n from January to May for the prior year. HEDIS includes measures for physicians, PPOs and other organizations. 0000004949 00000 n NCQA also revised themeasuredenominatortoreflectthenumberofmembers,ratherthanmemberyears, andtoincludesubstanceusedisordercodes; andrevisedtheagegroupsforreportingto1317,1864and65+. Include a goal or benchmark for each measure. HEDIS Measures. 0000035489 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 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). 0000007305 00000 n Intent:Advancecareplanningisassociatedwithimprovedqualityoflife,increasedprovidertrustanddecreasedhospitalization. or hXmTW3`IBH5@) ZmmP)pZA;H)Tt=lM"VPH`[[Z?j]MTz 0000017732 00000 n D('@E$xVK`"P6 ?L dvC) ? II. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). 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). %%EOF 0000018438 00000 n endobj Visitors to this page often checkHEDIS FAQsor ask a question throughMyNCQA. performance reported in the 2022 Quality Compass (measurement year 2021) . [ The Healthcare Effectiveness Data and Information Set (HEDIS) is one of health cares most widely used performance improvement tools. Anticipated Release Date: July 2023. 0000008708 00000 n 0000047019 00000 n Care for Children Prescribed ADHD Medication Initiation and Continuation measures. 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. 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. 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. We do not share your information with third parties. Sign up to get the latest information about your choice of CMS topics. endstream endobj 27 0 obj <> endobj 28 0 obj <> endobj 29 0 obj <>stream %PDF-1.7 % HEDISpublicationsareavailableas electronic publications. 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. For the denominator, NCQA added ED visits for unintentional or undetermined overdose for commonly used drugs with addiction potential in any diagnosis position. endstream endobj 33 0 obj <>stream Visitors to this page often checkHEDIS FAQsor ask a question throughMyNCQA. SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . reportingforthreeHEDISmeasures:Childhood Immunization Status, Immunizations for AdolescentsandMetabolic Monitoring for ChildrenandAdolescents on Antipsychotics. Ur"J,3Xhi"k;}06]rn(0i 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. 4920 0 obj <> endobj <> inappropriate prescribing for upper respiratory infections, pharyngitis and acute bronchitis. ,wBInd!d98{9|/.Y1&7wULt~s`GgvXT\/T}[_}bVT=TXk;e*ZkQXH#7hUxQ"zZdP> Tobacco Cessation Program. Terms of Use, Every year,NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS. An official website of the United States government 0000000016 00000 n 4 0 obj Secure .gov websites use HTTPSA HSn0+THK[iF(P=2@oA.kY"cL@YG6u}(K]*-50 j"1J0B(E$akG) Three of the four diabetes measures rate at the NCQA screens, trains and certifies organizations that collect or audit data for health plans and providers. 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). CMS contracts with NCQA to collect Healthcare Effectiveness Data and Information Set (HEDIS) measures from Medicare Special Need Plans (SNPs). 0000004219 00000 n %PDF-1.6 % HEDIS MY 2022 includes 96 measures across 6 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 This process ensures that HEDIS measures remain relevant and feasible for implementation. 0 0000001946 00000 n IdentificationofAlcoholandOtherDrugServices/DiagnosedSubstanceUseDisorders. HEDIS CHEAT SHEET 2022 - 2023 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Documented yearly for ages 3-17. Share this page with a friend or colleague by Email. xPX]NG&)R.ng} (1$JMYpwV:] Share this page with a friend or colleague by Email. Anticipated Release Date: September 2023. 65 years of age and older who were dispensed benzodiazepines and achieved a 20% decrease or greater in benzodiazepine dose during the measurement year. 1320 0 obj <> endobj 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. . This process ensures that HEDIS measures remain relevant and feasible for implementation. xref Data from the 2020 measurement period (2022 Star Ratings) help us understand how the PHE impacted the care delivery system. HUG members are health care professionals who produce, report and interpret HEDIS data. ThiseffortbuildsonNCQAsexistingworkdedicatedtotheadvancinghealthequityindataandqualitymeasurement. %%EOF We do not share your information with third parties. 0000016906 00000 n hbbd```b``"gIw ""7|-``qT3l0; fH0DHI@H_mj> _ 0000014654 00000 n CJ)8kPqQy!h\ADICp%F$NhG-EL'nU%mQ*1HPl. 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. ThiseffortbuildsonNCQAsexistingworkdedicatedtotheadvancinghealthequityindataandqualitymeasurement. 0000022148 00000 n akJ9d&'(o,N|cV& }3~_UEiP Follow-UpAfterEmergencyVisitDepartmentVisitforAlcoholandOtherDrugDependence/Follow-UpAfterEDVisitforSubstanceAbuse. For more information regarding future quality measure consideration and selection, please visit Measure Selection | CMS MMS Hub. 0000010141 00000 n 0000011150 00000 n 0000009685 00000 n HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting 0000020276 00000 n endobj Quality Compass 2023 Commercial Premier Edition-Trended Data (MY 2022, MY 2021, MY 2020) with Data Exporter. Tables 1-3 below include . You will be prompted to log in to your NCQA account. 1358 0 obj <>stream 2579 0 obj <>stream Healthcare Efectiveness Data and Information Set (HEDIS ) rates can be calculated in two ways: administrative data or hybrid data. HEDIS Tip Sheet - Pediatric Measures -Look back period: July 1 of the year prior to June 30 of the measurement year. The HEDIS measurement set is sponsored, supported and maintained by NCQA. 9745 36 !A 0000007450 00000 n Access/Availability of Care. 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 0 obj 1311 0 obj <>stream Part D measures are displayed in Tables 2 and 3 for MA-PD and PDP contracts, respectively. 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. the HEDIS Measurement Year (MY) 2020 & 2021 Volume 2 Technical Speciications. !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? hbbd``b`$ $$zAm b1["A)@"|)k$@@Bv5#JQ' [@ A,0QV HTn0*hk!4J[&5i7Y%I yf %%EOF 0 Rate 1: Six or more well-child visits* 0 to 15 months. 1{z>Y^1(|@jF{iPu~tPmu]1fGdBg8T]\;j/y=d[cug.HPVOIFf?,e?~Z.IieF;&QU;L.ltC9=Ah&Bo*Xn;al}tZF M&3#n$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. lock 0000068137 00000 n ThisclinicaltopicisnowaddressedinthenewAdvanceCarePlanningmeasure. <> G-3245 Beecher Road Flint, Michigan 48532 ?^>&d;ijSl+EPe7"z_?0Kx)uQ HEDIS Measures HEDIS includes more than 90 measures across 6 domains of care: Effectiveness of Care. 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

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