NCQA > Programs > Accreditation > Health Plan Accreditation > 2008 Standards and Guidelines

What performance measures are plans required to report?

2008 HEDIS Measures Required as Part of the NCQA Accreditation Process for Commercial Health Plans

Antidepressant Medication Management
Appropriate Treatment for Children With Upper Respiratory Infection
Appropriate Testing for Children With Pharyngitis
Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis
Breast Cancer Screening
Cervical Cancer Screening
Childhood Immunization Status (combination 2)
Cholesterol Management for Patients With Cardiovascular Disease (LDL-C Screening Performed)
Comprehensive Diabetes Care-Screening (Eye Examination, LDL-C Screening Performed, HbA1c Testing, Nephropathy Monitoring)
Controlling High Blood Pressure (Overall rate only)
Follow-Up After Hospitalization for Mental Illness (7-day rate only)
Comprehensive Diabetes Care-HbA1c Poorly Controlled (>9.0%)
Medical Assistance With Smoking Cessation (Advising Smokers to Quit only)
Persistence of Beta-Blocker Treatment After a Heart Attack
Prenatal and Postpartum Care (both rates)
Use of Appropriate Medications for People With Asthma (combined measure)
Use of Imaging Studies for Low Back Pain
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

2008 HEDIS Measures Required as Part of the NCQA Accreditation Process for Medicare Health Plans

Annual Monitoring for Patients on Persistent Medications
Antidepressant Medication Management
Breast Cancer Screening (52-69 age band)
Cholesterol Management for Patients with Cardiovascular Conditions (screening rate only)
Comprehensive Diabetes Care (Eye Examination, Cholesterol Screening rate, Hemoglobin Blood Test, Nephropathy Monitoring)
Comprehensive Diabetes Care-HbA1c Poorly Controlled (>9.0%)
Controlling High Blood Pressure (Overall rate only)
Flu Shots for Older Adults
Follow-Up After Hospitalization for Mental Illness (7-day rate only)
Glaucoma Screening in Older Adults
Medical Assistance With Smoking Cessation (Advising Smokers to Quit only)
Osteoporosis Management in Women Who Had a Fracture
Persistence of Beta-Blocker Treatment After a Heart Attack
Pneumonia Vaccination Status for Older Adults
Use of High-Risk Medications in the Elderly
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

2008 HEDIS Measures Required as Part of the NCQA Accreditation Process for Medicaid Health Plans

Antidepressant Medication Management (all 3 rates)
Appropriate Treatment for Children With Upper Respiratory Infection
Appropriate Testing for Children With Pharyngitis
Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis
Breast Cancer Screening (52-69 age band)
Cervical Cancer Screening
Childhood Immunization Status (combination 2)
Cholesterol Management for Patients With Cardiovascular Conditions (screening rate only)
Comprehensive Diabetes Care (Eye Examination, Cholesterol Screening rate, Hemoglobin Blood Test, Nephropathy Monitoring)
Comprehensive Diabetes Care-HbA1c Poorly Controlled (>9.0%)
Controlling High Blood Pressure (Overall rate only)
Follow-Up After Hospitalization for Mental Illness (7-day rate only)
Medical Assistance With Smoking Cessation (Advising Smokers to Quit only)
Prenatal and Postpartum Care
Persistence of Beta-Blocker Treatment After a Heart Attack
Use of Appropriate Medications for People With Asthma (combined measure)
Use of Imaging Studies for Low Back Pain
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

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