HEDIS MY 2022 and MY 2023: Essential Updates for Reporting

About this On Demand Training

HEDIS^® MY 2022 and MY 2023: Essential Updates for Reporting

If you missed any of the HEDIS updates from the 2022 Health Innovation Summit, here is your opportunity to catch up on all of the new changes you need to prepare for reporting HEDIS MY 2022 and MY 2023. This four-part self-paced series presented by NCQA staff gives you an inside look at current HEDIS requirements and a sneak peek at changes on the horizon for the future.

HEDIS Measurement Year 2022 & 2023 Updates
Duration: 50 minutes

NCQA will review and discuss updates for HEDIS MY 2022 as they relate to the HEDIS Volume 2 Technical Update and Audit and Data Collection requirements. NCQA will also provide the rationale behind the development of new measures, changes to existing measures and overall Volume 2 updates for HEDIS MY 2023.

HEDIS Results for Measures Leveraging Electronic Clinical Data
Duration: 35 minutes

NCQA will share the latest reporting results for 11 measures collected via the HEDIS Electronic Clinical Data Systems (ECDS) reporting standard. This reporting method uses standardized electronic data to facilitate measurement of important quality concepts and sharing of data across health care entities.

HEDIS Specifications Redesigned for the Digital Quality Future
Duration: 50 minutes

In this session, NCQA will share information about how the HEDIS measure specifications are evolving to support the future of digital quality measurement. NCQA will introduce the new HEDIS measure specification template and review the planned timeline for when key changes to HEDIS Volume 2 will be implemented. We want to hear from you! This session will also include time for questions and getting feedback from attendees about what they think of these changes.

Social Needs Quality Measurement in HEDIS
Duration: 52 Minutes

NCQA will share details of the final Social Need Screening and Intervention measure specification and share clarifications on some frequently asked questions that may be helpful to plans in implementing this new ECDS-reported measure.  Additionally, NCQA will introduce our new measure concept on social connection planned for HEDIS MY 2024, which incorporates identifying indiviudals at risk of social isolation, loneliness and inadequate social support.

What You Will Learn

• Discuss updates for HEDIS MY 2022 as they relate to the HEDIS Volume 2 Technical Update and Audit and Data Collection requirements.
• Summarize NCQA’s strategy and discuss key findings to leverage electronic clinical data in HEDIS.
• Summarize and Outline NCQA updated template for HEDIS measure specifications.
• Describe the Social Needs Screening and Intervention (SNS-E) measure and introduce the new Social Connection Screening and Intervention (SCS-E) measure under development.

HEDIS^® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Faculty

Cindy Ottone, MHA

Cindy Ottone is Director of Policy Measures in Performance Measurement at NCQA. She supports the development and implementation of HEDIS and other NCQA measures. Ms. Ottone represents the policy perspective on several NCQA projects, including Measure Advisory Panels, the Audit Methodology Panel and HEDIS Data Submission. She also supports areas where NCQA measures are used in other organizations’ programs including, QRS/Exchanges, the CHIPRA Core Set, QPP and NQF.

Prior to working at NCQA, Ms. Ottone was assigned to quality measurement and improvement at Companion HealthCare, a Blue Cross Blue Shield HMO. While at Companion, Ms. Ottone focused her efforts on HEDIS measurement and reporting, Disease Management Programs, and Quality Improvement Activities in both the clinical and operations areas. Ms. Ottone has also worked in large provider practices with their billing systems and strategic planning.

Cindy Ottone received her Bachelor of Arts in Health Science and Policy from the University of Maryland, Baltimore. She received a Master of Health Administration from the University of South Carolina, School of Public Health. Ms. Ottone is on the Board of Trustees at Palmetto Richland Hospital and has previously served as adjunct faculty at George Washington University School of Medicine and Health Sciences and University of South Carolina School of Public Health. Currently, Ms. Ottone serves her community as a Trustee on the Richland Memorial Hospital Board of Trustees and the Prisma Health Midlands Board of Directors.

Theresa Hwee, MPH

Theresa Hwee, MPH, is a Senior Health Care Analyst in the Performance Measurement group at NCQA. She supports various projects focused on improving health care access, equity, and quality of care. She has a demonstrated history of leading qualitative research, digesting and presenting complex results and technical information to various audiences, managing timelines and scope for federal contracts, developing client and subcontractor relationships, conducting evidence reviews to inform decision-making and strategy, and mentoring junior staff. She is interested in the intersection of digital health and health equity, care transformation, health policy, qualitative and mixed-methods approaches, and developing meaningful quality measures in the areas of kidney, cardiovascular, and behavioral health. Theresa has a MPH from Johns Hopkins Bloomberg School of Public Health and Bachelor's degree from the University of Minnesota.

Anne Smith, MHA

Anne Smith is an Assistant Vice President in Performance Measurement at the National Committee for Quality Assurance (NCQA). She assists in annual updates for the electronic clinical quality measures (eCQM) used in CMS programs and oversees the annual production of HEDIS products, including the digital measure packages. Prior to joining NCQA, Ms. Smith was Project Analyst at UnitedHealthCare, where she worked to ensure data validity as a liaison between research sponsors and programming staff and managed the integration of data and production of HEDIS reports for UnitedHealthCare health plans. In addition, she participated in several NCQA committees, including the Technical Advisory Group and the Audit Methodology Panel. She holds a BS in Nursing from St. Olaf College and a Masters in Health Administration, with an emphasis in Health Informatics, from the University of Phoenix.

Adrianna Nava, PhD, RN, MSN, NAHN, MPA 

Adrianna Nava PhD, MPA, MSN, RN is a Research Scientist at the National Committee for Quality Assurance. Dr. Nava serves the Latino community as President (2021-2024) of the National Association of Hispanic Nurses (NAHN). In this role, she is focused on building the leadership capacity of nurses, with a focus on Latino nurses-who continue to be underrepresented in health care leadership positions across the country. Dr. Nava also serves our nation’s Veterans as the Chief Nurse of Quality and Systems Improvement at the Edward Hines Jr. VA Hospital. Dr. Nava has a MPA’20 from Harvard University; PhD’19 in Nursing and Health Policy from the University of Massachusetts Boston; a MSN’12 in Health Leadership with a health policy focus from the University of Pennsylvania; and a BSN’09 from Saint Francis Medical Center College of Nursing. She completed a pre-doctoral VA Quality Scholarship (VAQS) fellowship at the Dartmouth Institute for Health Policy and Clinical Practice in 2019 and the U.S. Latino Leadership Fellowship from Harvard Kennedy School in 2020.

Adrianna professional interests include: health equity, access to primary care and workforce development. For her leadership in advancing Veteran and Latino Health, Dr. Nava has been awarded the 2021 Latina Style Leadership Award; the 2020 U.S. Latino Leadership Fellowship from Harvard Kennedy School; the 2020 Secretary of Veterans Affairs (VA) Award for Excellence in Nursing; the 2017 Outstanding Alumni-Excellence in Leadership Award from OSF Saint Francis Medical Center College of Nursing; the 2017 NAHN’s 40 under 40 Recognition Award; the 2016-2018 PhD Jonas Nurse Leader Scholar Award; the 2014 Community Education Service Award from AARP-IL; and the 2011 VA Going the Extra Mile Service Award.

Sarah Paliani, MPH 

Sarah Paliani is a Senior Health Care Analyst in the Performance Measurement division at NCQA. She provides content and project management leadership over large, complex projects related to the development and evaluation of quality measure initiatives and NCQA programs. Prior to joining NCQA, Sarah supported primary care practices in optimizing electronic health record workflows, transforming care delivery to achieve Patient-Centered Medical Home Recognition, and implementing continuous quality improvement processes. She earned a Master’s in Public Health from Columbia University Mailman School of Public Health, with a concentration in Sociomedical Sciences and a certificate in Health Promotion Research and Practice.

Continuing Education

This is a non AMA PRA Category 1 Credit^TM, ANA CNE, ACPE activity.

Event Type

1. Self Paced