Preview 2023MY Risk Adjusted Final Clinical Quality Measures
Preview 2023 Measurement Year Risk Adjusted Clinical Quality Measures through Friday, August 30.
This is your opportunity to preview results of the 2023 Measurement Year (2023 dates of service) clinical quality measures with risk adjustment for your practice before they are released publicly.
An email with the password to access the preview files has been sent to participating medical groups.
Risk Adjusted Clinic Quality Measures
- Optimal Asthma Control - Adult
- Risk adjusted by insurance product type and deprivation index
- Optimal Asthma Control - Pediatric
- Risk adjusted by insurance product type and deprivation index
- Colorectal Cancer Screening
- Risk adjusted by insurance product type, patient age and deprivation index
- Optimal Diabetes Care and five components (HbA1c, Blood Pressure, Statin Medication, Tobacco Use, Aspirin Use)
- Risk adjusted by insurance product type, patient age and deprivation index
- Optimal Vascular Care and four components (Blood Pressure, Statin Medication, Tobacco Use, Aspirin Use)
- Risk adjusted by insurance product type, patient age and deprivation index
- Depression Care: 6-month Follow Up Care
- Risk adjusted by insurance product type, initial PHQ-9 severity, patient age and deprivation index, data segmented by Age: 12-17 and 18+
- Depression Care: 6-month Response Rate
- Risk adjusted by insurance product type, initial PHQ-9 severity, patient age and deprivation index, data segmented by Age: 12-17 and 18+
- Depression Care: 6-month Remission Rate
- Risk adjusted by insurance product type, initial PHQ-9 severity, patient age and deprivation index, data segmented by Age: 12-17 and 18+
- Depression Care: 12-month Follow Up Care
- Risk adjusted by insurance product type, initial PHQ-9 severity, patient age and deprivation index, data segmented by Age: 12-17 and 18+
- Depression Care: 12-month Response Rate
- Risk adjusted by insurance product type, initial PHQ-9 severity, patient age and deprivation index, data segmented by Age: 12-17 and 18+
- Depression Care: 12-month Remission Rate
- Risk adjusted by insurance product type, initial PHQ-9 severity, patient age and deprivation index, data segmented by Age: 12-17 and 18+
Dates of service for the colorectal, asthma, diabetes and vascular measures are Jan 1, 2023 through Dec 31, 2023.
Patients included in the depression measure denominator reflect index contacts from Nov 1, 2021 through Oct 31, 2022, with accompanying six- and 12-month follow-up assessments through Dec 31, 2023.
Risk adjustment is the process of adjusting measures to account for the barriers that are outside the control or influence of health care providers. Appropriate risk adjustment creates a more normal distribution of results.
The risk adjustment calculation uses an Actual to Expected methodology. This does not alter the result of a clinic/medical group; instead, that rate is compared to a unique expected rate based on the proportion of each risk category for that clinic/medical group rather than being compared to the raw market average.
To submit a comment, please email support@mncm.org before Friday, August 30.
Depression_Rates_MY2023_PROTECTED.xlsx
Clinical_Quality_Measure_Rates_MY2023_PROTECTED.xlsx
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