Table 1. Final Measures

Identifying Health Care Quality Measures for Medicaid-Eligible Adults

#NQF IDMeasure StewardMeasure NameLevel at Which Measure is Specified8Programs in Which the Measure is Currently Used

Prevention and Health Promotion

1

0039

NCQA

Flu Shots for Adults Ages 50-64 (Collected as part of HEDIS CAHPS Supplemental Survey)

Health Plan

HEDIS®, NCQA Accreditation

2

N/A

NCQA

Adult BMI Assessment

Clinician, Health Plan

HEDIS®, Health Homes Core

3

0031

NCQA

Breast Cancer Screening

Clinician, Health Plan

MU1, HEDIS®, NCQA Accreditation, PQRS, GPRO, Shared Savings Program

4

0032

NCQA

Cervical Cancer Screening

Clinician, Health Plan

MU1, HEDIS®, NCQA Accreditation

5

0027

NCQA

Medical Assistance With Smoking and Tobacco Use Cessation (Collected as part of HEDIS CAHPS Supplemental Survey)

Clinician, Health Plan

MU1, HEDIS®, Medicare, NCQA Accreditation, State use

6

0418

CMS

Screening for Clinical Depression and Follow-Up Plan

Clinician, Facility

PQRS, CMS QIP, Health Homes Core, Medicare Shared Savings

7

N/A

NCQA

Plan All-Cause Readmission

Health Plan

HEDIS®

8

0272

AHRQ

PQI 01: Diabetes, Short-term Complications Admission Rate

Hospital

Shared Savings Program

9

0275

AHRQ

PQI 05: Chronic Obstructive Pulmonary Disease (COPD) Admission Rate

Hospital

Shared Savings Program

10

0277

AHRQ

PQI 08: Congestive Heart Failure Admission Rate

Hospital

Shared Savings Program

11

0283

AHRQ

PQI 15: Adult Asthma Admission Rate

Hospital

 

12

0033

NCQA

Chlamydia Screening in Women Ages 21-24 (same as CHIPRA core measure, State would report second age stratification as originally specified)

Clinician, Health Plan

MU1, HEDIS®, NCQA Accreditation, CHIPRA Core

Management of Acute Conditions

13

0576

NCQA

Follow-Up After Hospitalization for Mental Illness

Clinician, Health Plan

HEDIS®, NCQA Accreditation, CHIPRA Core, Health Home Core

14

0469

HCA, TJC

PC-01: Elective Delivery

Hospital

HIP QDRP, TJC's ORYX Performance Measurement Program

15

0476

Prov/CWISH/NPIC/QAS/TJC

PC-03 Antenatal Steroids

Hospital

TJC's ORYX Performance Measurement Program

Management of Chronic Conditions

16

0403

NCQA

Annual HIV/AIDS Medical Visit

Health Plan

 

17

0018

NCQA

Controlling High Blood Pressure

Clinician, Health Plan

MU1, HEDIS®, NCQA Accreditation, GPRO, Shared Savings Program

18

0063

NCQA

Comprehensive Diabetes Care: LDL-C Screening

Health Plan

HEDIS®, NCQA Accreditation

19

0057

NCQA

Comprehensive Diabetes Care: Hemoglobin A1c Testing

Health Plan

HEDIS®, NCQA Accreditation

20

0105

NCQA

Antidepressant Medication Management

Clinician, Health Plan

MU1, HEDIS®, NCQA Accreditation, PQRS

21

N/A

CMS-QMHAG

Adherence to Antipsychotics for Individuals With Schizophrenia

Hospital

VHA

22

0021

NCQA

Annual Monitoring for Patients on Persistent Medications

Health Plan

HEDIS®, NCQA Accreditation

Family Experiences of Care

23

0006 & 0007

AHRQ & NCQA

CAHPS Health Plan Survey v. 4.0—Adult Questionnaire with CAHPS Health Plan Survey v. 4.0H—NCQA Supplemental

Health Plan

HEDIS®, NCQA Accreditation, ACO (NQF#0006)

Care Coordination

24

0648

AMA-PCPI

Care Transition—Transition Record Transmitted to Health Care Professional

Facility

Health Homes Core

Availability

25

0004

NCQA

Initiation and Engagement of Alcohol and Other Drug Dependence Treatment

Clinician, Health Plan

MU1, HEDIS®, Health Homes Core

26

1517

NCQA

Prenatal and Postpartum Care: Postpartum Care Rate

Health Plan

HEDIS®

8. Although these measures are specified at different levels, States choosing to report the voluntary measures must provide each measure's results to CMS in an aggregated State rate.

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Current as of December 2010
Internet Citation: Table 1. Final Measures: Identifying Health Care Quality Measures for Medicaid-Eligible Adults. December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/nac/reports/nacqm11/table1.html