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Controlling High Blood Pressure HEDIS Results

The availability of audited HEDIS data from participating health plans was impacted by the COVID-19 public health emergency. In response to these issues, MNCM identified an alternative reporting plan for the 2020 Report Year (2019 DOS) HEDIS measures based on the degree to which data was impacted for each measure.  You'll note in the table below that the Controlling High Blood Pressure measure was not able to be reported for 2019 DOS.

PRODUCT LINES TO REPORT

MEASURES

RATIONALE

Can report:

·         Commercial Rate

·         MHCP Rate

·         All Products - aggregated

Chlamydia Screening

Complete data available for all product segments

Can report:

·         Commercial Rate

·         MHCP Rate

Cannot Report:

·         Medicare Rate

·         All Products - aggregated

·      Breast Cancer Screening

·      Diabetes: Eye Exam

·      Use of Spirometry Testing in the Assessment and Diagnosis of COPD

·      Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis

Incomplete data for Medicare members.

Can report:

·         MHCP Rate

Cannot Report

·         Commercial Rate

·         All Products - aggregated

Follow-up Care for Children Prescribed ADHD Medication

Incomplete data for Commercial members.

Cannot Report:

·         Commercial Rate

·         MHCP Rate

·         Medicare Rate

·         All Products - aggregated

Admin:

·      Osteoporosis Management in Women who had a Fracture

Hybrid:

·      Immunizations for Adolescents

·      Cervical Cancer Screening

·      Controlling High Blood Pressure

·      Childhood Immunization Status (Combo 10)

Admin:

·      Incomplete data for Medicare members in a measure where denominator size is historically small lends to an unreliable number of reportable medical groups.

Hybrid:

·      Significant interruption in the ability of the health plans to complete chart abstraction and data validation for all product lines.

·      Impacts not random and account for greater than five percent of the overall sample size.


Results that are able to be reported are currently available on the Resources tab on the DDS Data Portal under "HEDIS Measure Data".  
Creation date: 2/12/2021 10:41 PM (kormanik@mncm.org)      Updated: 2/12/2021 10:41 PM ()
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This category is for questions related to HEDIS measures.