![]() The NCQA will continue promoting existing measure digitization-i.e., Electronic Clinical Data Systems (ECDS) reporting-during the multi-year transition to dQM, an approach that will be more automated and comprehensive.Objectives: Results of previous studies of Medicare beneficiaries have shown that more fragmented ambulatory care is associated with more emergency department (ED) visits and hospital admissions. Measure requirements and reporting updates Flu Vaccinations for Adults Ages 18–64 (FVA), Flu Vaccinations for Adults Ages 65 and Older (FVO), Pneumococcal Vaccination Status for Older Adults (PNU).Annual Dental Visit (ADV): This measure focused on access to dental care, rather than quality of dental care.The agency has retired the following metrics, names and descriptions: The NCQA states that it will "explore additional opportunities to transform HEDIS measures to be more inclusive and affirming of sexual and gender minority members." In its 2023 measures update, this included an update that "pregnancy and childbirth are not experienced exclusively by individuals who identify as women … reduce the likelihood of transgender members are inadvertently excluded or inappropriately included in a measure due to gender identity." Related: Early Updates from the NCQA Digital Quality Solutions Pilot Additional updates for gender affirmation The NCQA states that it "plans to continue expanding the race and ethnicity stratifications to HEDIS measures over the next several years to help identify disparities in care among patient populations." Immunizations for Adolescents, Asthma Medication Ratio, Follow-Up After Emergency Department Visit for Substance Use, Pharmacotherapy for Opioid Use Disorder, Initiation and Engagement of Substance Use Disorder Treatment, Well-Child Visits in the First 30 Months of Life, Breast Cancer Screening, and Adult Immunization Status. ![]() The agency has also added race and ethnicity stratifications to eight more HEDIS metrics: The agency added a fifth new measure, name and description: NCQA increases focus on social determinant screening, intervention, and data Emergency Department Visits for Hypoglycemia in Older Adults with Diabetes (EDH). For Medicare members 67 years of age and older with diabetes (types 1 and 2), the risk-adjusted ratio of observed to expected emergency department (ED) visits for hypoglycemia.Medicare members 67 years of age and older who were dispensed benzodiazepines who achieved a ≥20% decrease reduction in benzodiazepine dose. Deprescribing of Benzodiazepines in Older Adults (DBO).Topical Fluoride for Children (TFC). Medicaid members 1-4 years of age who received at least two fluoride varnish applications.Medicaid members under 21 years of age who received a comprehensive or periodic oral evaluation with a dental provider. Oral Evaluation, Dental Services (OED).The following first-time metric names and descriptions are quoted verbatim for full accuracy: NCQA made 14 updates spanning measure additions, reductions, and more. The revisions span multiple populations and conditions while addressing social determinants.Īs the National Committee for Quality Assurance (NCQA) advances digital quality measurement (dQM), it will continue publishing its print-based measures manual-the Healthcare Effectiveness Data and Information Set (HEDIS)-which has just been updated for 2023.
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