List Of HEDIS 2017 Measures | Jane Jackson, RN, CRC | RxEconsult
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List Of HEDIS 2017 Measures Category: Healthcare Administration by - November 7, 2016 | Views: 59249 | Likes: 0 | Comment: 0  

3.   Experience of Care

  • 3 measures from Consumer Assessment of Healthcare Providers & Systems (CAHPS) surveys.

4.   Utilization and Risk Adjustment Utilization

Utilization

  • Frequency of Ongoing Prenatal Care (FPC) - MCD
  • Well-Child Visits in the First 15 Months of Life (W15) – MCD, COMM
  • Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life (W34) – MCD, COMM
  • Adolescent Well-Care Visits (AWC) – MCD, COMM
  • Frequency of Selected Procedures (FSP) – MCR, MCD, COMM
  • Ambulatory Care (AMB) – MCR, MCD, COMM
  • Inpatient Utilization – General Hospital/Acute Care (IPU) – MCR, MCD, COMM
  • Identification of Alcohol and Other Drug Services (IAD) – MCR, MCD, COMM
  • Mental Health Utilization (MPT) – MCR, MCD, COMM
  • Antibiotic Utilization (ABX) – MCR, MCD, COMM
  • Standardized Healthcare-Associated Infection Ratio (HAI) – MCR, MCD, COMM

5.   Relative Resource Use

  • Relative Resource Use for People with Diabetes (RDI) – MCR, MCD, COMM
  • Relative Resource Use for People with Cardiovascular Conditions (RCA) – MCR, MCD, COMM
  • Relative Resource Use for People with Hypertension (RHY) – MCR, MCD, COMM
  • Relative Resource Use for People with COPD (RCO) – MCR, MCD, COMM
  • Relative Resource Use for People with Asthma (RAS) – MCR, MCD, COMM

6.   Health Plan Descriptive Information

  • Board Certification (BCR) – MCR, MCD, COMM
  • Enrollment by Product Line (ENP) – MCR, MCD, COMM
  • Enrollment by State (EBS) – MCR, MCD, COMM
  • Language Diversity of Membership (LDM) – MCR, MCD, COMM
  • Race/Ethnicity Diversity of Membership (RDM) – MCR, MCD, COMM
  • Weeks of Pregnancy at Time of Enrollment (WOP) - MCD
  • Total Membership (TLM) – MCR, MCD, COMM

7.   Measures Collected Using Electronic Clinical Data Systems

  • Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS) – MCR, MCD, COMM
  • Depression Remission or Response for Adolescents and Adults (DRR) – MCR, MCD, COMM

It is amazing just to see all the measures listed in one place. No wonder everyone is stress during HEDIS Season and exhausted when it is over.

New or Retired Measures

Did I mention there are 4 new measures for 2017?

  • Follow-up After Emergency Department Visit for Mental Illness
  • Follow-up After Emergency Department Visit for Alcohol and Other Drug Dependence
  • Standardizing Healthcare-Associated Infection Ratio
  • Depression Remission or Response for Adolescents and Adults

And one Retired measure?

  • Human Papillomavirus Vaccine for Female Adolescents (This was added to Immunizations for Adolescents measure)

I realize this isn’t very informative about the individual measures. I will be writing about them in upcoming articles.

About The Author

Jane Jackson has more than  25 years experience in healthcare, including hospital-based care, home health, and managed care. She enjoys sharing her knowledge and can she be reached at Jane.Jackson@DailyDoseHQ.com. Also visit her blog, Daily Dose HQ.

Also Read:

What Is Managed Care?

What Is The 5 Star Rating System For Managed Care? 

Skills And Requirements For HEDIS Review Jobs

Medicaid Versus Medicare 

 


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