%PDF-1.6 % 0000045019 00000 n Quality Compass 2023 Medicaid-Trended Data (MY 2022, MY 2021) with Data Exporter. Ylyr2fi4vVDlhV]Zk:6d,,y+kQ. endstream % Copyright 2023 National Committee for Quality Assurance. Table 4 displays the HEDIS performance measures for MY 2021 for PCCP. Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through My NCQA. . Quality Compass 2023 Commercial-Trended Data (MY 2022, MY 2021, MY 2020) As low as $7,690.25. You can decide how often to receive updates. ,wBInd!d98{9|/.Y1&7wULt~s`GgvXT\/T}[_}bVT=TXk;e*ZkQXH#7hUxQ"zZdP> 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. Official websites use .govA <> 0000004757 00000 n HEDIS data help identify performance gaps and establish realistic targets for improvement. 0000029366 00000 n InitiationandEngagementofAlcoholandOtherDrugAbuseorDependence. Rate 2: Two additional well-child visits 15 to 30 months. 0000004692 00000 n 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. Most measure score changes between the 2022 and 2023 Star Ratings were small overall in both directions. 0000008673 00000 n HEDISpublicationsareavailableas electronic publications. lock %%EOF g'jQL[@tsho-0;F3a!~;F^MHFG"Y#HX@=<71AcL\oxdkw2& +i Plans must purchase the HEDIS 2022 Technical Specifications for Health Plans for specifications of the required HEDIS measures. HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting %%EOF xref SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . UseofImagingStudiesforLowBackPain. Several clinical guidelinesrecommend deprescribing benzodiazepinesslowlyandsafely, rather thanstopping use immediately,tominimizewithdrawalsymptomsandimprovepatientoutcomes. !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? andaddedtwocross-cuttingexclusions:palliativecareandadvancedillness/frailty. 0000006694 00000 n w !1AQaq"2B #3Rbr 0000010141 00000 n HEDIS 2022 Percentile : HEDIS : Annual Dental Visit (Ages 2-20 years) 121,271 . NCQA's Risk Adjustment Tables (the "Tables") and any related documentation (collectively, the "Product"). Quality Compass 2023 Commercial Premier Edition-Trended Data (MY 2022, MY 2021, MY 2020) with Data Exporter. 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. NCQAnowcollectsthenewAntibioticsforRespiratoryConditionsmeasure. Laboratory Benefit Management. Advancecareplanningisassociatedwithimprovedqualityoflife,increasedprovidertrustanddecreasedhospitalization. II. reportingforthreeHEDISmeasures:Childhood Immunization Status, Immunizations for AdolescentsandMetabolic Monitoring for ChildrenandAdolescents on Antipsychotics. <> 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. 7 0 obj %PDF-1.6 % Anticipated Release Date: September 2023. Automatic . Additionally,NCQA invites you to join HEDIS Users Group forinside information on HEDIS development and future directions. performance reported in the 2022 Quality Compass (measurement year 2021) . 0000002169 00000 n 1067 0 obj <> endobj 0000003808 00000 n %PDF-1.7 % AntibioticUtilizationforRespiratoryConditions. 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. HEDIS Tip Sheet - Pediatric Measures -Look back period: July 1 of the year prior to June 30 of the measurement year. 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. This manual describes in detail only the NYS-specific measures. We do not share your information with third parties. Visitors to this page often checkHEDIS FAQsor ask a question throughMyNCQA. You will be prompted to log in to your NCQA account. Table 4: PCCP HEDIS Performance Measures - MY 2021 . 0 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 The Data Display (D2) tool provides a way for patients to compare the quality of care hospitals give. By accessing the Product, the User is deemed to have accepted the terms and conditions of this Usage Agreement. 0000017732 00000 n 0000015786 00000 n NCQAplanstoexpandtheraceandethnicitystratificationstoadditionalHEDISmeasuresoverseveralyearstohelpreducedisparitiesincareamongpatientpopulations. HEDISpublicationsareavailableas electronic publications. NCQArevisedthemeasurestructurefromutilizationtodiagnosed-prevalencementalhealthdisordersandupdatedthenameto. |@Z-Q That makes HEDIS one of health cares most widely used performance improvement tools. The 90th percentile is the benchmark for the HEDIS measures. Wellcare dng cookie. Find Doctors, Drugs and Facilities. 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. ;(Y}e"XmT8,/l EP5ePVm8,&T2X, +|oM}> O~rEUnM~#jOicJ@2Yus <<1EA954AB0783464B894F5E09E2AC546B>]/Prev 295107/XRefStm 1946>> trailer <<41FE7AD153BB4900891AA2CB9A9A8E7D>]/Prev 786146/XRefStm 4224>> startxref 0 %%EOF 9780 0 obj <>stream 0000009572 00000 n The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 2021 Cigna INT_21_96354_C 919034 c HEDIS nonsurvey measures for organizations; instructions on data collection for each measure; general guidelines for calculations and sampling. 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 0000009685 00000 n 0000068208 00000 n Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through MyNCQA. Effective 2022, the Promise VIP Program is now called Promise Quality Performance Incentive (PQPI). **For Complaints about the Plan CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). HEDIS survey measures and standardized surveys from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) program. Heres how you know. 0000006215 00000 n startxref HEDIS MY2022. To be able to identify andreduce disparitiesin care, the first step must be measuring and reportingon. Every year,NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS). ThiseffortbuildsonNCQAsexistingworkdedicatedtotheadvancinghealthequityindataandqualitymeasurement. <> C*@ep!%E#-nb4LM HbA1c Testingindicator. 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). Np1W>?,Y{ 0000012538 00000 n 0000024625 00000 n 0000004562 00000 n <> 0000003369 00000 n Save your favorite pages and receive notifications whenever theyre updated. Social Determinants: Our Statement with TJC, NQF Was Just the Start. endstream endobj startxref ThenewestadditionstoHEDISaddresspatient-centered care, as well assafetyand appropriateness. 26 0 obj <> endobj ComprehensiveDiabetesCare/HemoglobinA1cControlforPatientsWithDiabetes,EyeExamPerformedforPatientsWithDiabetes,BloodPressureforPatientsWithDiabetes. Copyright 2023 National Committee for Quality Assurance. 0 Summary Table of Measures, Product Lines and Changes 1 HEDIS MY 2022, Volume 2 HEDIS VOLUME 2 MY 2022 . We do not share your information with third parties. 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). stream You will be prompted to log in to your NCQA account. 74,457 : 61.4% : 61.1% : 61.7% : 55.9% + 60.5% + >= 90th percentile PA . 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. !A <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> from January to May for the prior year. 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 Secure .gov websites use HTTPSA CMS contracts with NCQA to collect Healthcare Effectiveness Data and Information Set (HEDIS) measures from Medicare Special Need Plans (SNPs). 0000018052 00000 n t,f`$yF;zXytHo. 2527 53 NCQArevisedthemeasurestructurefromutilizationtodiagnosed-prevalenceofsubstanceuseandupdatedthenameto. 0000086512 00000 n 0000021981 00000 n rFZ /CvN`(,b$CoyeL`Y6P-@ 0000021716 00000 n The Rules for Allowable Adjustments are included in the HEDIS Volume 2 publication after the applicable HEDIS measure specifications. endstream endobj startxref hb```@(1iNlpiK Y_LjV_0`II:~|=0f8+~'8eW!Izw(I~>rIq9NM>8>N7*ksO6Qg4h%&. 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.
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