What performance measures are plans required to report?
2007 HEDIS Measures Required as Part of the NCQA Accreditation Process for Commercial Health Plans
- Adolescent Immunization Status (combination 2)
- Antidepressant Medication Management (all 3 rates)
- Appropriate Medications for People With Asthma
- Appropriate Treatment for Children With Upper Respiratory Infection
- Appropriate Testing for Children With Pharyngitis
- Persistence of Beta-Blocker Treatment After a Heart Attack
- Breast Cancer Screening
- Cervical Cancer Screening
- Childhood Immunization Status (combination 2)
- Cholesterol Management After Acute Cardiovascular Events (screening rate only)
- Comprehensive Diabetes Care (Eye Examination rate, Cholesterol Screening rate, HbA1c Screening rate, Nephropathy Monitoring)
- Comprehensive Diabetes Care—HbA1c Poorly Controlled (>9.0%)
- Controlling High Blood Pressure
- Follow-Up After Hospitalization for Mental Illness (7-day rate only)
- Medical Assistance With Smoking Cessation (Advising Smokers to Quit rate only)
- Prenatal and Postpartum Care (both rates)
- Claims Processing
- Customer Service
- Getting Care Quickly
- Getting Needed Care
- How Well Doctors Communicate
- Rating of All Health Care
- Rating of Health Plan
- Rating of Personal Doctor
- Rating of Specialist Seen Most Often
2007 HEDIS Measures Required as Part of the NCQA Accreditation Process for Medicare Health Plans
- Antidepressant Medication Management (all 3 rates)
- Persistence of Beta-Blocker Treatment After a Heart Attack
- Breast Cancer Screening
- Glaucoma Screening in Older Adults
- Cholesterol Management After Acute Cardiovascular Events (screening rate only)
- Comprehensive Diabetes Care (Eye Examination rate, Cholesterol Screening rate, HbA1c Screening rate, Nephropathy Monitoring)
- Comprehensive Diabetes Care—HbA1c Poorly Controlled (>9.0%)
- Controlling High Blood Pressure
- Flu Shots for Older Adults
- Follow-Up After Hospitalization for Mental Illness (7-day rate only)
- Medical Assistance With Smoking Cessation (Advising Smokers to Quit rate only)
- Osteoporosis Management in Women Who Had a Fracture
- Pneumonia Vaccination Status for Older Adults
- Customer Service
- Getting Care Quickly
- Getting Needed Care
- How Well Doctors Communicate
- Rating of All Health Care
- Rating of Health Plan
- Rating of Personal Doctor
- Rating of Specialist Seen Most Often
2007 HEDIS Measures Required as Part of the NCQA Accreditation Process for Medicaid Health Plans
- Adolescent Immunization Status (combination 2)
- Antidepressant Medication Management (all 3 rates)
- Appropriate Medications for People With Asthma
- Appropriate Treatment for Children With Upper Respiratory Infection
- Appropriate Testing for Children With Pharyngitis
- Breast Cancer Screening
- Cervical Cancer Screening
- Childhood Immunization Status (combination 2)
- Cholesterol Management After Acute Cardiovascular Events (screening rate only)
- Comprehensive Diabetes Care (Eye Examination rate, Cholesterol Screening rate, HbA1c Screening rate, Nephropathy Monitoring)
- Comprehensive Diabetes Care—HbA1c Poorly Controlled (>9.0%)
- Controlling High Blood Pressure
- Follow-Up After Hospitalization for Mental Illness (7-day rate only)
- Medical Assistance With Smoking Cessation (Advising Smokers to Quit rate only)
- Prenatal and Postpartum Care (both rates)
- Customer Service
- Getting Care Quickly
- Getting Needed Care
- How Well Doctors Communicate
- Rating of All Health Care
- Rating of Health Plan
- Rating of Personal Doctor
- Rating of Specialist Seen Most Often