What performance measures must plans report?
2009 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 only)
- Colorectal Cancer Screening (new for 2009)
- Comprehensive Diabetes Care-Screening (Eye Examination, LDL-C Screening, HbA1c Testing, Nephropathy Monitoring)
- Comprehensive Diabetes Care - HbA1c Poorly Controlled (>9.0%)
- Controlling High Blood Pressure
- Flu Shots for Adults Ages 50-64 (new for 2009)
- Follow-Up After Hospitalization for Mental Illness
- 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
- Use of Imaging Studies for Low Back Pain
- Use of Spirometry Testing in the Assessment and Diagnosis of COPD (new for 2009)
- 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
2009 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
- Cholesterol Management for Patients With Cardiovascular Conditions (LDL-C Screening only)
- Colorectal Cancer Screening (new for 2009)
- Comprehensive Diabetes Care (Eye Examination, LDL-C Screening, HbA1c Testing, 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
- 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
- Use of Spirometry Testing in the Assessment and Diagnosis of COPD (new for 2009)
- 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
2009 HEDIS Measures Required as Part of the NCQA Accreditation Process for Medicaid 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
- Cholesterol Management for Patients With Cardiovascular Conditions (LDL-C Screening only)
- Comprehensive Diabetes Care (Eye Examination, LDL-C Screening, HbA1c Testing, Nephropathy Monitoring)
- Controlling High Blood Pressure
- Follow-Up After Hospitalization for Mental Illness
- 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
- Use of Appropriate Medications for People With Asthma
- Use of Imaging Studies for Low Back Pain
- Use of Spirometry Testing in the Assessment and Diagnosis of COPD (new for 2009)
- 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