HEDIS and PQA Quality Measures Tip Sheets

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

 

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)

Dec 2019

 

Asthma Medication Ratio (AMR)

Oct 2020

 

Asthma: Medication Management for People with Asthma (MMA)

Retired 2020

 

 

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

Nov 2020

 

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)

Oct 2020

Care for Older Adults (COA)

Nov 2019

 

 

Cervical Cancer Screening (CCS)

Aug 2019

 

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)

Dec 2019

COPD: Pharmacotherapy Management of COPD Exacerbation (PCE)

Oct 2020

 

 

Diabetes: Comprehensive Diabetes Care (CDC)

Feb 2020

Diabetes Care Retinal Exam (DRE)

Oct 2020

 

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)

Feb 2020

 

 

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

Oct 2020

 

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) Oct 2020  
Pharyngitis: Appropriate Testing for Pharyngitis (CWP) Oct 2020    

Plan All-Cause Readmissions (PCR)

Aug 2019

Prenatal and Postpartum Care (PPC)

Oct 2020

 

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

Dec 2019

 

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)

Oct 2020

 

 

Well-Child Visit (W15)

Dec 2019

 

Pharmacy Quality Alliance (PQA) Quality Measures Tip Sheets

Date

Published

Applies to:

Commercial

FEP

Medicare Stars

Appropriate Medication Use: Statin Use in Persons with Diabetes 

Sept 2020

 

 

Medication Adherence: Cholesterol

Sept 2020

 

 

Medication Adherence: Diabetes

Sept 2020

 

 

Medication Adherence: Hypertension

Sept 2020

 

 

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

 

2Federal Employee Program®