HEDIS 2013 and HEDIS 2010 Crosswalk for PRA package 8-27-13

HEDIS 2013 and HEDIS 2010 Crosswalk for PRA package 8-27-13.docx

Healthcare Effectiveness Data and Information Set (HEDIS) Data Collection for Medicare Advantage

HEDIS 2013 and HEDIS 2010 Crosswalk for PRA package 8-27-13

OMB: 0938-1028

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Table 1: HEDIS® Measures for Medicare in 2013 and 2010 (Crosswalk Comparison Table)


HEDIS Measures for Reporting

HEDIS Measures

In 2013


HEDIS

Measures

In 2010



Effectiveness of Care



ABA

Adult BMI Assessment

X

X


BCS

Breast Cancer Screening

X

X


COL

Colorectal Cancer Screening

X

X


GSO

Glaucoma Screening in Older Adults

X

X


COA

Care for Older Adults (SNP-only measure)

X

X


SPR

Use of Spirometry Testing in the Assessment and Diagnosis of Chronic Obstructive Pulmonary Disease (COPD)

X

X


PCE

Pharmacotherapy Management of COPD Exacerbation

X

X


CMC

Cholesterol Management for Patients with Cardiovascular Conditions

X

X


CBP

Controlling High Blood Pressure

X

X


PBH

Persistence of Beta-Blocker Treatment After a Heart Attack

X

X


CDC

Comprehensive Diabetes Care

X

X


ART

Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis

X



OMW

Osteoporosis Management in Women Who Had a Fracture

X

X


AMM

Antidepressant Medication Management

X

X


FUH

Follow-up After Hospitalization for Mental Illness

X

X


MPM

Annual Monitoring for Patients on Persistent Medications

X

X


DDE

Potentially Harmful Drug-Disease Interactions in the Elderly

X

X


DAE

Use of High-Risk Medications in the Elderly

X

X


MRP

Medication Reconciliation Post-Discharge (SNP-only measure)

X

X


HOS

Medicare Health Outcomes Survey

X



FRM

Falls Risk Management (HOS)

X

X


MUI

Management of Urinary Incontinence in Older Adults (HOS)

X

X


OTO

Osteoporosis Testing in Older Women (HOS)

X

X


PAO

Physical Activity in Older Adults (HOS)

X

X


FSO

Flu Shots for Older Adults (CAHPS)

X

X


MSC

Medical Assistance with Smoking Cessation (CAHPS)

X

X


PNU

Pneumonia Vaccination Status (CAHPS)

X

X








Access /Availability of Care



AAP

Adults’ Access to Preventive/Ambulatory Health Services

X

X


IET

Initiation and Engagement of Alcohol and Other Drug Dependence Treatment

X

X


CAB

Call Abandonment


X


CAT

Call Answer Timeliness

X

X



Health Plan Stability



TLM

Total Membership

X

X



Use of Services1

Health Plan Stability



Utilization and Relative Resource Use



FSP

Frequency of Selected Procedures

X

X


PCR

Plan All-Cause Readmissions

X



IPU

Inpatient Utilization --- General Hospital/Acute Care

X

X


AMB

Ambulatory Care

X

X


NON

Inpatient Utilization-Non-Acute Care

X

X


MPT

Mental Health Utilization2

X

X


IAD

Identification of Alcohol and Other Drug Services

X

X


ORX

Outpatient Drug Utilization

X

X


ABX

Antibiotic Utilization

X

X



Health Plan Descriptive Information



BCR

Board Certification

X

X


ENP

Enrollment  by Product Line

X

X


EBS

Enrollment by State

X

X


RDM

Race/Ethnicity Diversity of Membership

X

X


LDM

Language Diversity of Membership

X

X


TLM

Total Membership

X





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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorLori Teichman
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File Created2021-01-28

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