Initiation and Engagement of Substance Use Disorder Treatment; changed the measurefrommember-basedtoepisode-based; changed thedenominatortolengthenthenegativeSUDhistoryperiodfrom60daysto194daysandremoveEDvisitsandmedicallymanagedwithdrawalfromthenegativeSUDhistoryperiod;removed the numerator requirementthatpsychosocialtreatmentaccompanypharmacotherapy; and revisedtheagestratificationstoreflectages1864yearsand65+years. Social Determinants: Our Statement with TJC, NQF Was Just the Start. Thismeasurewillallowplanstounderstandifadvancecareplanningisprovidedtobeneficiarieswhoaremostlikelytobenefitfromit. 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. 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. 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 Copyright 2023 National Committee for Quality Assurance. performance reported in the 2022 Quality Compass (measurement year 2021) . To be able to identify andreduce disparitiesin care, the first step must be measuring and reportingon. 6 0 obj HSMk@WHM[Zl8 p ccwVrLCV{6GfP!Kh~&)/uY>ak9 In these cases, age stratifications will differ from HEDIS MY 2021 technical specifications. HEDIS CHEAT SHEET 2022 - 2023 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Documented yearly for ages 3-17. 0000022424 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. 2 0 obj 2022 Value Based Payment Reporting Requirements - New York State stream 0000045019 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. PDF Commonwealth of Pennsylvania Department of Human Services Office of m){w&;9l F*\JR4d87=dkh NCQAnowcollectsthenewAntibioticsforRespiratoryConditionsmeasure. 8 0 obj Accountable health care requires both measurement and transparency. Individual HEDIS Measures Sheets. SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . We do not share your information with third parties. NCQAplanstoexpandtheraceandethnicitystratificationstoadditionalHEDISmeasuresoverseveralyearstohelpreducedisparitiesincareamongpatientpopulations. PDF HEDIS SPECIFICATION OVERVIEW 2021 - Cigna NCQArevisedthemeasurestructurefromutilizationtodiagnosed-prevalenceofsubstanceuseandupdatedthenameto. NCQA Communications Every year, NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS). Rhode Island Medicaid Managed Care Page 48 of 69 2021 External Quality Review Technical Report . Measure Changes Care for Older Adults (COA) - -Removed Advanced Care Planning indicator from COA . HEDIS Measures HEDIS includes more than 90 measures across 6 domains of care: Effectiveness of Care. 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). Clinical Quality Measures | Health.mil - Military Health System gbv[Dp[,tkg`h`PR``46R @0ft@ ublH$`@K WH@uX^$28C23n`Rbts&H-dpo]n0ch K$l7@ LD%@H00r'UvU h# Utilization and Risk Adjusted Utilization. CMS Measures Inventory | CMS - Centers for Medicare & Medicaid Services HSn0+THK[iF(P=2@oA.kY"cL@YG6u}(K]*-50 j"1J0B(E$akG) hb```b``{ B@16=(?6vl& $. Summary Table of Measures, Product Lines and Changes 1 HEDIS MY 2022, Volume 2 HEDIS VOLUME 2 MY 2022 . HEDIS quality measures for Accountable Care Organizations. Wellcare dng cookie. \\R4G_$g$T!7(9 In January to May of 2023, data for 2022 continues to be submitted along with Medical Record review for Hybrid measures and final HEDIS 2022 rates and results are reported. 0000004794 00000 n NCQA > HEDIS MY 2023 Risk Adjustment Tables Contacts and frequently asked questions | Blue Shield of CA Provider 0000005411 00000 n {+Ed. * Measures from HEDIS and CAHPS used data from the 2020 Star Ratings (collected in 2019 and unaffected by the COVID-19 PHE). X `q@ A`J~m ]l b| 0jHX=x3||DqGTt|\V~Fu3c,$;$c9 -Kd"bv.CXb%*qS-J`}V1h(l1y|8Tr46hOJ |@Z-Q NCQAs HEDIS Value Set Directory (VSD) includes the necessary third-party codes for use with adjusted measure specifications. Sign up to get the latest information about your choice of CMS topics. 0000035753 00000 n HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). DL U `j@ +Y&F] S-ppo>8w4Dg`` C 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: 7 0 obj endstream endobj 32 0 obj <>stream Hedis - Ncqa CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). PDF HEDIS Benchmarks and Coding Guidelines for Quality Care (HEDIS) measures that assess quality of health care provided to Blue Shield Promise Medi-Cal members. 0 0000004562 00000 n %PDF-1.6 % ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ T "
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