HEDIS and PQA Quality Measures Tip Sheets

HEDIS®1 Quality Measures Tip Sheets

Date

Published

Applies to:

Florida Blue Commercial

FEP2

Florida Blue Medicare Stars

Florida Blue Medicare

Truli for Health3

Antidepressant Medication Mgmt (AMM) September 2021    

 
Adults' Access to Primary Care (AAP) Oct 2020    

 

Alcohol/Drug Abuse/Dependence: Follow Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA)

Jan 2021

 

 

Asthma Medication Ratio (AMR)

Oct 2020

 

 

Asthma: Medication Management for People with Asthma (MMA)

Retired 2020

 

 

 

 

Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB)

Oct 2020

 

 

Back Pain: Use of Imaging Studies for Lower Back Pain (LBP)

Nov 2020

 

 

 

Blood Pressure: Controlling Blood Pressure (CBP)

Nov 2020

Breast Cancer Screening (BCS)

Nov 2020

Cardiovascular Disease: Statin Use in Patients with Cardiovascular Disease (SPC)

Oct 2020

Care for Older Adults (COA)

Oct 2020

 

 

 
Cervical Cancer Screening (CCS)

Nov 2020

 

 

Child and Adolescent Well-Care Visits (WCV) Oct 2020    

 

Children and Adolescents' Access to Primary Care Physician (CAP) Retired 2020    

 

 

Chlamydia Screening for Women (CHL) Jan 2020    

 

 

Colorectal Cancer Screening (COL)

Jan 2021

COPD: Pharmacotherapy Management of COPD Exacerbation (PCE)

Oct 2020

 

 

 

Diabetes: Comprehensive Diabetes Care (CDC)

Nov 2020

Diabetes Care Retinal Exam (DRE)

Oct 2020

 

Follow-Up After Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (FMC)

March 2021

 

 

Immunizations for Adolescents (IMA)

Oct 2020

 

 

 

Immunization: Childhood Immunization Status (CIS)

Oct 2020

 

 

✓*

Kidney Health Evaluation for Adults with Diabetes (KED)

Sept 2021

 

Medication Reconciliation Post-Discharge (MRP)

See TRC

 

 

 

 

Mental Illness: Follow-Up After Emergency Department Visit for Mental Illness (FUM)

Oct 2020

 

 

Mental Illness: Follow-Up After Hospitalization (FUH)

Oct 2020

 

 

Opioids: Use of Opioids From Multiple Providers (UOP)

Jan 2020

 

 

Osteoporosis Management in Women (OMW)

Oct 2020

 

 

Persistent Use of Beta Blockers After Heart Attack (PBH) Oct 2020  

 

Pharyngitis: Appropriate Testing for Pharyngitis (CWP) Oct 2020    

 

Plan All-Cause Readmissions (PCR)

Nov 2020

 

Prenatal and Postpartum Care (PPC)

Oct 2020

 

 

Transitions of Care (TRC)

Oct 2020

 

 

Upper Respiratory Infection: Appropriate Treatment for Upper Respiratory Infection (URI) Oct 2020    

 

Weight Assessment and Counseling in Children (WCC)

May 2021

 

 

 

Well-Child Visit (W30)

Jan 2021

 

 

Pharmacy Quality Alliance (PQA) Quality Measures Tip Sheets

Date

Published

Applies to:

Florida Blue Commercial

FEP

Florida Blue Medicare Stars

Florida Blue Medicare

Medication Adherence: Cholesterol

Sept 2020

 

 

 

Medication Adherence: Diabetes

Sept 2020

 

 

 

Medication Adherence: Hypertension

Sept 2020

 

 

 

1 HEDIS (Healthcare Effective Data and Information Set) is a registered trademark of the National Committee for Quality Assurance (NCQA).

 

2 Federal Employee Program®

3 Health coverage is offered by Truli for Health, an affiliate of Florida Blue. These companies are Independent Licensees of the Blue Cross and Blue Shield Association.

* Truli for Health will not include influenza in CIS measurement.