list of hedis measures 2022

0000004562 00000 n . HEDIS 2022 Percentile : HEDIS : Annual Dental Visit (Ages 2-20 years) 121,271 . [ means youve safely connected to the .gov website. Measures Reported Using Electronic Clinical Data Systems HEDIS Medicare Health Outcomes Survey CMS Measures Inventory | CMS - Centers for Medicare & Medicaid Services HEDISpublicationsareavailableas electronic publications. Tables 1-3 below include . 0000002663 00000 n 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. 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 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. %%EOF Accountable health care requires both measurement and transparency. Terms of Use, Every year,NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS. 2527 53 0000032016 00000 n 0000007996 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). For full specifications, visit the NCQA store. 4950 0 obj <>stream HEDIS Measures HEDIS includes more than 90 measures across 6 domains of care: Effectiveness of Care. Thismeasurehas beenretired. NCQA > Quality Compass 2023 (MY 2022) Medicaid - Quality Compass 2023 Visitors to this page often checkHEDIS FAQsor ask a question throughMyNCQA. Table 7a: CHIP-MCO Results for 2022 (MY 2021) HEDIS Measures CHIP-MCO 0000012538 00000 n Quality Compass 2023 Medicaid-Trended Data (MY 2022, MY 2021) As low as $5,220.25. Sorry, this page could not be found. | Wellcare 4920 0 obj <> endobj gbv[Dp[,tkg`h`PR``46R @0ft@ ublH$`@K WH@uX^$28C23n`Rbts&H-dpo]n0ch K$l7@ LD%@H00r'UvU h# The Rules for Allowable Adjustments are included in the HEDIS Volume 2 publication after the applicable HEDIS measure specifications. Immunization Schedules. g'jQL[@tsho-0;F3a!~;F^MHFG"Y#HX@=<71AcL\oxdkw2& +i hb```@(1iNlpiK Y_LjV_0`II:~|=0f8+~'8eW!Izw(I~>rIq9NM>8>N7*ksO6Qg4h%&. %PDF-1.7 % reportingforthreeHEDISmeasures:Childhood Immunization Status, Immunizations for AdolescentsandMetabolic Monitoring for ChildrenandAdolescents on Antipsychotics. S/K[ AOIp 0000001386 00000 n !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? 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=[> 0000006694 00000 n The information provided in this HEDIS QRG is to help you improve your practice's HEDIS rates. HEDIS digital future has begun. !3$Y:wn=3. endobj xref JFIF ` ` C Healthcare Efectiveness Data and Information Set (HEDIS ) rates can be calculated in two ways: administrative data or hybrid data. 0000086512 00000 n For example, 2022 claims, encounters, and other HEDIS data are submitted throughout 2022. 0000010141 00000 n HEDIS is a source for data contained in the California Health Care Quality Report Cards obtained from Quality Compass2022 and is used with the permission of the National Committee for Quality Assurance (NCQA). 8 0 obj That makes HEDIS one of health cares most widely used performance improvement tools. Women 30-64 years of age who had cervical high-risk human papillomavirus (hrHPV) !nGK3(@kt !1}wJ5|?7lm^[/ e|_ zLIUQKO5E*;'rc2@wN2| 2e^ w7] x-7q^5(Ms-NYkelK*:gY\5V[l.Anr|XeNBe,KxGnrtmL{_-ApmCw2+E2TA@GhQWyteWLLvpaPeH5XR 0000004219 00000 n PDF Commonwealth of Pennsylvania Department of Human Services Office of Experience of Care. This process ensures that HEDIS measures remain relevant and feasible for implementation. Save your favorite pages and receive notifications whenever theyre updated. 42 0 obj <>/Filter/FlateDecode/ID[]/Index[26 26]/Info 25 0 R/Length 83/Prev 96543/Root 27 0 R/Size 52/Type/XRef/W[1 2 1]>>stream PDF Rhode Island Medicaid Dental Program UnitedHealthcare Dental Annual 0000008644 00000 n 26 0 obj <> endobj Other changes assure that HEDIS will be useful, valid and reliable for a new era of medicine. from January to May for the prior year. G-3245 Beecher Road Flint, Michigan 48532 1320 0 obj <> endobj HEDIS Diabetes Measures - Understanding Comprehensive Care 0000107074 00000 n 0000133484 00000 n 0000003808 00000 n Health Insurance Marketplace Quality Initiatives | CMS andaddedtwocross-cuttingexclusions:palliativecareandadvancedillness/frailty. Utilization and Risk Adjusted Utilization. D('@E$xVK`"P6 ?L dvC) ? Measure Changes Care for Older Adults (COA) - -Removed Advanced Care Planning indicator from COA . QARR List of Required Measures (Table 1) lists by product the measures required for submission. _hRos0Tx|1Ug% 0000000016 00000 n 0000044978 00000 n PDF 2022 Quality Assurance Reporting Requirements Share this page with a friend or colleague by Email. ThiseffortbuildsonNCQAsexistingworkdedicatedtotheadvancinghealthequityindataandqualitymeasurement. 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. Summary Table of Measures, Product Lines and Changes 1 HEDIS MY 2022, Volume 2 HEDIS VOLUME 2 MY 2022 . Quality Compass 2023 Commercial-Trended Data (MY 2022, MY 2021, MY 2020) As low as $7,690.25. o GRs_$ [EN=_sRs 1F/T ? Table 4 displays the HEDIS performance measures for MY 2021 for PCCP. To learnmore, clickherefor a discussion ofthe stratification, how we arrived atthiscurrentpoint andFAQs. 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. Effective 2022, the Promise VIP Program is now called Promise Quality Performance Incentive (PQPI). 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. Rate 2: Two additional well-child visits 15 to 30 months. NCQAwillconcentrateeffortsontheoutcome-basedHbA1cControlforPatientsWithDiabetesmeasure. %%EOF |@Z-Q ThenewestadditionstoHEDISaddresspatient-centered care, as well assafetyand appropriateness. IdentificationofAlcoholandOtherDrugServices/DiagnosedSubstanceUseDisorders. 0000004757 00000 n UseofImagingStudiesforLowBackPain. SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . 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. endstream endobj startxref NCQAisretiringthefollowingmeasures/indicators: Formoreinformation,refertothefullmeasurespecificationsinHEDISMY2022Volume 2:Technical Specifications for HealthPlans. B. Quantifiable Measures. 0000009457 00000 n II . endstream endobj startxref ElectronicClinicalDataSystem(ECDS)Reporting. 0000047019 00000 n 0 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 0000021981 00000 n **For Complaints about the Plan website belongs to an official government organization in the United States. endstream NCQA's Risk Adjustment Tables (the "Tables") and any related documentation (collectively, the "Product"). HEDIS: General Guidelines and Measure Descriptions 0000009893 00000 n 0 0000004794 00000 n To learn more. 0000010840 00000 n 0000011150 00000 n 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). 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. 0000016906 00000 n Include a goal or benchmark for each measure. The Data Display (D2) tool provides a way for patients to compare the quality of care hospitals give.
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