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Quality Programs: HEDIS & PQA

HEDIS Measures Tip Sheet

Healthcare Effectiveness Data and Information Set (HEDIS)

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) Mar 2023  

Adults' Access to Primary Care (AAP) Mar 2023    

 

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

Mar 2023

 

 

Asthma Medication Ratio (AMR)

Mar 2023

 

 

Asthma: Medication Management for People with Asthma (MMA)

Retired 2020

 

 

 

 

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

Mar 2023

 

 

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

Jul 2023

 

 

 

Blood Pressure: Controlling Blood Pressure (CBP)

Mar 2023

Blood Pressure Control for Patients with Diabetes (BPD)

Mar 2023 

Breast Cancer Screening (BCS)

Mar 2023

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

Mar 2023

Care for Older Adults (COA)

Mar 2023

 

 

 
Cervical Cancer Screening (CCS) Mar 2023 

 

 

Child and Adolescent Well-Care Visits (WCV) Mar 2023    

 

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

 

 

Chlamydia Screening for Women (CHL) Mar 2023    

 

 

Colorectal Cancer Screening (COL)

Mar 2023

Pharmacotherapy Management of COPD Exacerbation (PCE)

Mar 2023

 

 

 

Eye Exam for Patients with Diabetes (EED)

Mar 2023

✓ 

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

Mar 2023

 

 

 

Hemoglobin A1c Control for Patients with Diabetes (HBD)

Mar 2023

✓ 

Immunizations for Adolescents (IMA)

Mar 2023

 

 

 

Immunization: Childhood Immunization Status (CIS)

Mar 2023

 

 

✓*

Kidney Health Evaluation for Adults with Diabetes (KED)

Mar 2023

 

 

Medication Reconciliation Post-Discharge (MRP)

See TRC

 

 

 

 

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

Mar 2023

 

 

Mental Illness: Follow-Up After Hospitalization (FUH)

Mar 2023

 

 

Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) Mar 2023

 

 

Initiation and Engagement of Substance Use Disorder Treatment (IET)

Mar 2023      

Opioids: Pharmacotherapy for Opioid Use Disorder (POD)

Mar 2023    

Opioids: Use of Opioids From Multiple Providers (UOP)

Mar 2023

 

 

Osteoporosis Management in Women (OMW)

Mar 2023 

 

 

 

Persistent Use of Beta Blockers After Heart Attack (PBH) Mar 2023  

 

Appropriate Testing for Pharyngitis (CWP) Mar 2023    

 

Plan All-Cause Readmissions (PCR)

Mar 2023 

Prenatal and Postpartum Care (PPC)

Sep 2023 

 

 

Transitions of Care (TRC)

Mar 2023

 

 

 

Upper Respiratory Infection: Appropriate Treatment for Upper Respiratory Infection (URI) Mar 2023  

 

Weight Assessment and Counseling in Children (WCC)

Mar 2023

 

 

 

Well-Child Visit (W30)

Mar 2023 

 

 

PQA Measures Tip Sheet

Pharmacy Quality Alliance (PQA)

Pharmacy Quality Alliance (PQA) Quality Measures Tip Sheets

Date Published

Applies to:

Florida Blue
Commercial

FEP

Florida Blue
Medicare Stars

Florida Blue
Medicare

Adherence to Antipsychotic Medications for Schizophrenia (SAA) Apr 2023      
International Normalized Ratio Monitoring of Those on Warfarin (INR) Apr 2023      

Medication Adherence: Cholesterol (Statins PDC-STA)

Apr 2023

 

 

Medication Adherence: Diabetes (PDC-DR)

Apr 2023

 

 

Medication Adherence: Hypertension (PDC-RASA)

Apr 2023

 

 

Monitoring of Individuals on Long-Term Opioid Therapy (AMO) Apr 2023      

Statin Use in Persons with Diabetes (SUPD)

Apr 2023

 

 

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.