HEDIS Measure Tip Sheet Chart

HEDIS and PQA Quality Measures Tip Sheets
HEDIS^®¹ Quality Measures Tip Sheets	Date Published	Applies to:
HEDIS^®¹ Quality Measures Tip Sheets	Date Published	Florida Blue Commercial	FEP²	Florida Blue Medicare Stars	Florida Blue Medicare	Truli for Health³
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)	Oct 2020	✓	✓	✓	✓
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:
	Date Published	Florida Blue Commercial	FEP	Florida Blue Medicare Stars	Florida Blue Medicare
Appropriate Medication Use: Statin Use in Persons with Diabetes	June 2021			✓
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.

FB HEDIS 001 NF 042021

HEDIS and PQA Quality Measures Tip Sheets

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HEDIS^®¹ Quality Measures Tip Sheets