list of hedis measures 2022

trailer In these cases, age stratifications will differ from HEDIS MY 2021 technical specifications. Healthcare Efectiveness Data and Information Set (HEDIS ) rates can be calculated in two ways: administrative data or hybrid data. 0000016920 00000 n ,wBInd!d98{9|/.Y1&7wULt~s`GgvXT\/T}[_}bVT=TXk;e*ZkQXH#7hUxQ"zZdP> We do not share your information with third parties. 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 Rate 1: Six or more well-child visits* 0 to 15 months. NCQAwillconcentrateeffortsontheoutcome-basedHbA1cControlforPatientsWithDiabetesmeasure. Thismeasurehas beenretired. 0000004692 00000 n To be able to identify andreduce disparitiesin care, the first step must be measuring and reportingon. HEDIS measures performance in health care where improvements can make a meaningful difference in peoples lives. How are rates calculated? 51 0 obj <>stream 0000018052 00000 n [ hb``` rB cc`ahpb`QN`|A(WY2c0Oeox%{$M94 NSqo endstream endobj startxref akJ9d&'(o,N|cV& }3~_UEiP Intent:The 2019 American Geriatrics Society Beers Criteria recommendthat benzodiazepinesbeavoidedinolderadults. 6 0 obj or Measurement Year 2020 UHCCP-RI 2022 CAHPS Measurement Year 2021 Quality Compass Measurement Year 2021 National Medicaid Benchmark (Met/Exceeded) Quality Compass Measurement Year 2021 National Medicaid Mean Rating of Health Plan1 86.6% 92.4% 86.8% 50th 86.48% Rating of All Health Care 95.0% 88.4% Small Sample Not Applicable 87.34% X `q@ A`J~m ]l b| 0jHX=x3||DqGTt|\V~Fu3c,$;$c9 -Kd"bv.CXb%*qS-J`}V1h(l1y|8Tr46hOJ You will be prompted to log in to your NCQA account. } !1AQa"q2#BR$3br Quality Compass 2022 includes certain CAHPS data. New digital measures reduce the burden of reporting quality results. means youve safely connected to the .gov website. 0000004949 00000 n II . xKK@ { a;;:/DCXlcf_YB^Q(przeq0)# 0y,-h6-2Y=Vf]+[eq[&ge1heucd;)CzGE"z&D%z`SS?I1ZOFb ?=xb =WV!Nfvb)e:R '$t^OWoM9o{$)GlCeSkftDJbR2$n{Y4O}0m$&pmT|yQ;x/8Z$[G@MY?mcwo;oN:p2 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. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> Three of the four diabetes measures rate at the <> HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). HEDIS survey measures and standardized surveys from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) program. .gov 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. NCQArevisedthemeasurestructurefromutilizationtodiagnosed-prevalencementalhealthdisordersandupdatedthenameto. 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. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 2021 Cigna INT_21_96354_C 919034 c Rates for the HEDIS measures were compared to corresponding Medicaid percentiles; comparison results are provided in the tables. endstream endobj 30 0 obj <>stream 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. endstream endobj 32 0 obj <>stream S/K[ AOIp JFIF ` ` C Pn MS% 9W4=9Hu-]Sy+G'5} I!Orx*YtK5"Y"}w l_Zqypx -kind&gW%dj56u|x;cIInF7J^u$SqISS:th6 m%64SxllMjD(oh+z 0000022148 00000 n 2527 0 obj <> endobj Advanced Care Planning. The Rules for Allowable Adjustments are included in the HEDIS Volume 2 publication after the applicable HEDIS measure specifications. SNPs can use HEDIS performance data to identify opportunities for improvement, monitor the success of quality improvement initiatives, track improvement and provide a set of measurement standards that allow comparison with other plans. Share this page with a friend or colleague by Email. HEDIS nonsurvey measures for organizations; instructions on data collection for each measure; general guidelines for calculations and sampling. @_B^GR 0 hb```f``2g`a`ad@ Arl`h\=g}8,{GzGKEGCE\ p10:ki> la %PDF-1.7 https:// 0000016906 00000 n CJ)8kPqQy!h\ADICp%F$NhG-EL'nU%mQ*1HPl. <> Care for Children Prescribed ADHD Medication Initiation and Continuation measures. 0000021981 00000 n Experience of Care. t,f`$yF;zXytHo. HEDIS includes measures for physicians, PPOs and other organizations. ?^>&d;ijSl+EPe7"z_?0Kx)uQ x Updated Guideline 7: Measurement Period Adjustments. (7/1/prior yr. - 6/30/measurement year). Intent:Advancecareplanningisassociatedwithimprovedqualityoflife,increasedprovidertrustanddecreasedhospitalization. |@Z-Q 0000003369 00000 n 0000011969 00000 n %%EOF Copyright 2023 National Committee for Quality Assurance. h^3VN,vAO]{Q@v gK2CxD]*{Dv= Px k7j^AEE]iQcWA/]?N8MhIB HA]2kNHAE Vc"c)\v1s9]OA2mJ)$'8 0000036100 00000 n 0000004219 00000 n 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. endobj hbbd```b``"gIw ""7|-``qT3l0; fH0DHI@H_mj> _ 4 0 obj Np1W>?,Y{ NCQA collects HEDIS data from health plans and other health care organizations. HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting 4950 0 obj <>stream 0000019234 00000 n %%EOF cytology performed between 2020-2022. _hRos0Tx|1Ug% g'jQL[@tsho-0;F3a!~;F^MHFG"Y#HX@=<71AcL\oxdkw2& +i ND-)8^r|\q=.Kx.!J"G8IE % Overview of the HEDIS measurement set and how the data are used. **For Complaints about the Plan 0000015971 00000 n This manual describes in detail only the NYS-specific measures. performance reported in the 2022 Quality Compass (measurement year 2021) . 9745 36 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. 2579 0 obj <>stream QI 1 and QI 2 utilize the HEDIS methodology for this measure. %PDF-1.7 % 26 0 obj <> endobj Medicaid benchmarks displayed in these tables come from NCQA's 2022 Quality Compass for measurement year 2021. Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through MyNCQA. 0000021716 00000 n Every year,NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS). hbbd``b`$ $$zAm b1["A)@"|)k$@@Bv5#JQ' [@ 0000003808 00000 n 2022 HEDIS AND FIVE-STAR QUALITY MEASURES REFERENCE GUIDE HEDIS STAR MEASURE AND REQUIREMENTS DOCUMENTATION NEEDED CPT/CPTII CODES Annual Wellness Exam Measure ID: AHA, PPE, COA Description: Measurement Year Lines: Age: Medicare 18yrs & Older Blood Pressure Control Measure ID: CBP or CDC9 Description: EVERY VISIT Lines: Age: Medicare 18yrs - 75yrs 0 You can decide how often to receive updates. 0000009893 00000 n Island managed care plans must provide performance measure data, specifically HEDIS, to the Office of Health . Measure Changes Care for Older Adults (COA) - -Removed Advanced Care Planning indicator from COA . rFZ /CvN`(,b$CoyeL`Y6P-@ 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. 1358 0 obj <>stream 0000017889 00000 n 1CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). The technical specifications for organizations providing Medicaid long-term services and supports (LTSS). Effective 2022, the Promise VIP Program is now called Promise Quality Performance Incentive (PQPI). endstream %PDF-1.6 % Anticipated Release Date: July 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. 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. endobj 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. 0000002169 00000 n REQUIRED HEDIS1 AND CAHPS2 MEASURES FOR HEDIS REPORTING YEAR 2022 Summary of Changes to Measure List: Added the following measures. 0000011150 00000 n hbbd``b@Bf` $30`l/@ For full specifications, visit the NCQA store. HEDIS MY 2022 includes 96 measures across 6 domains of care: Effectiveness of Care Access/Availability of Care Experience of Care Utilization and Risk Adjusted Utilization Health Plan Descriptive Information Measures Reported Using Electronic Clinical Data Systems 0000013541 00000 n ("$e 0)*[sNwL(((((()#(1/I\HlQ3F7n6 e#+}:~9'M]Fn*m(jfe Z)TRPQZWV+9F x_O. {+Ed. Heres how you know. Other changes assure that HEDIS will be useful, valid and reliable for a new era of medicine. 0000015158 00000 n ComprehensiveDiabetesCare/HemoglobinA1cControlforPatientsWithDiabetes,EyeExamPerformedforPatientsWithDiabetes,BloodPressureforPatientsWithDiabetes. Anticipated Release Date: September 2023. 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. 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). Measures relate to many significant public health issues such as cancer, heart disease, behavioral health and diabetes. 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). QARR List of Required Measures (Table 1) lists by product the measures required for submission. 0000008708 00000 n Additionally,NCQA invites you to join HEDIS Users Group forinside information on HEDIS development and future directions. 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. <> 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 Members can access the latest news about measuring performance and gain insight into how HEDIS evolves. Table 7a: CHIP-MCO Results for 2022 (MY 2021) HEDIS Measures CHIP-MCO As low as $16,810.25. SNPs have reported the following measures since HEDIS Measurement Year (MY) 2016: Please see the link below for the most recent SNP HEDIS Performance Report. P}^bGx{Q1F b~/>@ e# 0000010141 00000 n 0000007450 00000 n 0000004562 00000 n 0000014293 00000 n HSMk@WHM[Zl8 p ccwVrLCV{6GfP!Kh~&)/uY>ak9 HEDIS Technical Specifications include a complete list of new and updated HEDIS measures with instructions on data collection and guidelines for calculations and sampling. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). !9g=SW[h ,3%`~,Z-"3b~lv?.cKQZLHJ*??Y$t)mvdQZt6F^_"g&Oa}t%&QZ./w|PCZE9vG2{m!miVv| Q@?\ti+3#{lgi Intent:Antibiotics prescribed for acute respiratory conditions are a large driver of antibiotic overuse. Follow-UpAfterEDVisitforSubstanceUse. 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. $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? Secure .gov websites use HTTPSA Several clinical guidelinesrecommend deprescribing benzodiazepinesslowlyandsafely, rather thanstopping use immediately,tominimizewithdrawalsymptomsandimprovepatientoutcomes. performance. %PDF-1.6 % lock Advancecareplanningisassociatedwithimprovedqualityoflife,increasedprovidertrustanddecreasedhospitalization. HEDIS MY2022. 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. w !1AQaq"2B #3Rbr Share this page with a friend or colleague by Email. List and define all quantifiable measures used in this activity. NCQAplanstoexpandtheraceandethnicitystratificationstoadditionalHEDISmeasuresoverseveralyearstohelpreducedisparitiesincareamongpatientpopulations.

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