HEDIS®1 Quality Measures Tip Sheets

Date

Published

Applies to:

Commercial 

FEP2

Medicare Stars

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

Dec 2019

 

Acute Hospital Utilization (AHU)

Oct 2018

 

Adolescent Well-Care Visits (AWC) Feb 2020    
Adults' Access to Primary Care (AAP) Feb 2020    

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

Dec 2019

 

Asthma Medication Ratio (AMR)

June 2020

 

Asthma: Medication Management for People with Asthma (MMA)

Dec 2019

 

 

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

Oct 2019

 

Blood Pressure: Controlling Blood Pressure (CBP)

Nov 2019

Body Mass Index: Adult BMI Assessment (ABA)

Jan 2017

 

Breast Cancer Screening (BCS)

Dec 2019

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

Dec 2019

Care for Older Adults (COA)

Nov 2019

 

 

Cervical Cancer Screening (CCS)

Aug 2019

 

Children and Adolescents' Access to Primary Care Physician (CAP) Jan 2020    
Chlamydia Screening for Women (CHL) Jan 2020    

Colorectal Cancer Screening (COL)

Dec 2019

COPD: Pharmacotherapy Management of COPD Exacerbation (PCE)

Dec 2019

 

 

Diabetes: Comprehensive Diabetes Care (CDC)

Feb 2020

Diabetes Care Retinal Exam (DRE)

Oct 2017

 

Immunizations for Adolescents (IMA)

Dec 2019

 

Immunization: Childhood Immunization Status (CIS)

Dec 2019

 

Medication Reconciliation Post-Discharge (MRP)

Feb 2020

 

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

Dec 2019

 

Mental Illness: Follow-Up After Hospitalization (FUH)

Dec 2019

 

Opioids: Use of Opioids From Multiple Providers (UOP)

Jan 2018

 

Osteoporosis Management in Women (OMW)

Dec 2019

 

Persistent Use of Beta Blockers After Heart Attack (PBH) Jan 2020  
Pharyngitis: Appropriate Testing for Pharyngitis (CWP) June 2020    

Plan All-Cause Readmissions (PCR)

Aug 2019

Prenatal and Postpartum Care (PPC)

Aug 2019

 

Rheumatoid Arthritis: Disease-Modifying Anti-Rheumatic Drug Therapy (ART)

Dec 2019

 

Transitions of Care (TRC)

Oct 2018

 

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

Weight Assessment and Counseling in Children (WCC)

Dec 2019

 

 

Well-Care Visits, 3-6 Years of Life (W34) Jan 2020    

Well-Child Visit (W15)

Dec 2019

 

Pharmacy Quality Alliance (PQA) Quality Measures Tip Sheets

Date

Published

Applies to:

Commercial

FEP

Medicare Stars

Diabetes: Statin Use in Persons with Diabetes (SUPD) PQA Measure

Coming soon

 

 

Medication Adherence: Diabetes

Coming soon

 

 

Medication Adherence: Hypertension

Coming soon

 

 

Medication Adherence: Statins

Coming soon

 

 

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

 

2Federal Employee Program®