0000013541 00000 n endobj This process ensures that HEDIS measures remain relevant and feasible for implementation. 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. 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. %PDF-1.7 Measures relate to many significant public health issues such as cancer, heart disease, behavioral health and diabetes. NCQArevisedthemeasurestructurefromutilizationtodiagnosed-prevalencementalhealthdisordersandupdatedthenameto. Quality Compass 2023 Commercial Premier Edition-Trended Data (MY 2022, MY 2021, MY 2020) with Data Exporter. Save your favorite pages and receive notifications whenever theyre updated. %%EOF User may need additional software to use the Product, and NCQA is not responsible for such additional software. 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. SNPs reported the following measures in HEDIS 2016: Colorectal Cancer Screening Care for Older Adults Use of Spirometry Testing in the Assessment and Diagnosis of COPD Pharmacotherapy Management of COPD Exacerbation Controlling High Blood Pressure Persistence of Beta-Blocker Treatment After a Heart Attack 8 0 obj Healthcare Efectiveness Data and Information Set (HEDIS ) rates can be calculated in two ways: administrative data or hybrid data. To be able to identify andreduce disparitiesin care, the first step must be measuring and reportingon. Accountable health care requires both measurement and transparency. X `q@ A`J~m ]l b| 0jHX=x3||DqGTt|\V~Fu3c,$;$c9 -Kd"bv.CXb%*qS-J`}V1h(l1y|8Tr46hOJ PDF 2022 Star Ratings Fact Sheet ElectronicClinicalDataSystem(ECDS)Reporting. hb```@(1iNlpiK Y_LjV_0`II:~|=0f8+~'8eW!Izw(I~>rIq9NM>8>N7*ksO6Qg4h%&. hbbd``b@Bf` $30`l/@ UseofImagingStudiesforLowBackPain. The HEDIS measurement set is sponsored, supported and maintained by NCQA. QARR List of Required Measures (Table 1) lists by product the measures required for submission. 4 0 obj Summary Table of Measures, Product Lines and Changes 1 HEDIS MY 2022, Volume 2 HEDIS VOLUME 2 MY 2022 . Rhode Island Medicaid Managed Care Page 48 of 69 2021 External Quality Review Technical Report . 0000000016 00000 n Most measure score changes between the 2022 and 2023 Star Ratings were small overall in both directions. Members can access the latest news about measuring performance and gain insight into how HEDIS evolves. II. Find Doctors, Drugs and Facilities. Quality Compass 2023 Medicaid-Trended Data (MY 2022, MY 2021) with Data Exporter. NCQA's Risk Adjustment Tables (the "Tables") and any related documentation (collectively, the "Product"). 74,457 : 61.4% : 61.1% : 61.7% : 55.9% + 60.5% + >= 90th percentile PA . To learnmore, clickherefor a discussion ofthe stratification, how we arrived atthiscurrentpoint andFAQs.
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