HEDIS®1 Quality Measures Tip Sheets

Date

Published

Applies to:

Commercial 

FEP2

Medicare Stars

Acute Bronchitis: Avoidance of Antibiotics in Adults with Acute Bronchitis (AAB)

Feb 2018

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Acute Hospital Utilization (AHU)

Oct 2018

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✓

 

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

Oct 2018

✓

✓

 

Asthma Medication Ratio (AMR)

May 2018

✓

✓

 

Asthma: Medication Management for People with Asthma (MMA)

May 2018

✓

 

 

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

Oct 2016

✓

✓

 

Blood Pressure: Controlling Blood Pressure (CBP)

Dec 2018

✓

✓

✓

Body Mass Index: Adult BMI Assessment (ABA)

Jan 2017

✓

 

✓
Breast Cancer Screening (BCS)

April 2018

✓

✓

✓

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

April 2018

✓

✓

✓

Care for Older Adults (COA)

May 2018

✓

 

✓
Cervical Cancer Screening (CCS)

May 2018

✓

✓

 

Colorectal Cancer Screening (COL)

May 2017

✓

✓

✓

COPD: Pharmacotherapy Management of COPD Exacerbation (PCE)

Feb 2017

✓

 

 

Diabetes: Comprehensive Diabetes Care (CDC)

July 2016

✓

✓

✓

Diabetes Care Retinal Exam (DRE)

Oct 2017

✓

 

✓

Immunizations for Adolescents (IMA)

Oct 2018

✓

✓

 

Immunization: Childhood Immunization Status (CIS)

Oct 2018

✓

 

 

Medication Reconciliation Post-Discharge (MRP)

Oct 2018

✓

 

✓

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

Oct 2018

✓

✓

 

Mental Illness: Follow-Up After Hospitalization (FUH)

Oct 2018

✓

✓

 

Opioids: Use of Opioids From Multiple Providers (UOP)

Jan 2018

✓

✓

 

Osteoporosis Management in Women (OMW)

April 2018

✓

 

✓

Plan All-Cause Readmissions

Coming soon

✓

✓

✓

Prenatal and Postpartum Care (PPC)

May 2019

✓

✓

 

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

March 2017

✓

 

✓

Transitions of Care (TRC)

Oct 2018

✓

 

✓

Weight Assessment and Counseling in Children (WCC)

Jan 2019

✓

 

 

Well-Child Visit (W15)

March 2018

✓

✓

 
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

March 2017

 

 

✓

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).

[‎5/‎31/‎2019 12:54 PM] Hand, Brent:

2Federal Employee Program®