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National Committee for Quality Assurance Announced Changes to Four Quality Measures for 2019

Posted on October 11, 2018

National Committee for Quality Assurance Announced Changes to Four Quality Measures for 2019

The National Committee for Quality Assurance (NCQA) releases an annual update on the Healthcare Effectiveness Data and Information Set (HEDIS) quality measures. They’ve recently released the updates for 2019 and while there are four new quality measures, the NCQA has also announced changes to four existing measures.

You might not have time in your busy day to troll the news updates and stay on top of the constant changes to HEDIS quality measures, but at HEDIS Nurses, we do! Our team of qualified nurses are well-versed in the latest HEDIS updates and can ensure exemplary services with regards to assisting health plans with their HEDIS tasks. Keep reading for a brief update on the updates to the four existing HEDIS quality measures for 2019.

Controlling High Blood Pressure

The National Committee for Quality Assurance has revised the existing measure of Controlling High Blood Pressure. There is now a new blood pressure target of <140/90 mm Hg for those adults aged 18 to 65 with hypertension. In addition, the National Committee for Quality Assurance also updated this measure to allow more administrative measures to analyze the quality measure. Telehealth encounters were also added to this measure.

Follow-Up After Hospitalization for Mental Illness

The National Committee for Quality Assurance also updated the quality measure dictating follow-up after hospitalization for mental illness. The committee added the principal diagnosis of self-harm to the measure.

Plan All-Cause Readmissions

The National Committee for Quality Assurance also changed the Plan All-Cause Readmissions quality measure so it now includes observation stays as index hospitalizations. In addition, individuals with high frequency hospitalization are being removed from the risk-adjusted readmission rate.

Follow-Up After Emergency Department Visit for Mental Illness

In addition to the three quality measures listed above, the National Committee for Quality Assurance also updated the Follow-Up After Emergency Department Visit for Mental Illness. The main diagnosis of self-harm was added to the denominator, and a primary diagnosis of self-harm with a secondary diagnosis of mental health disorders was also added.

If you need help with your HEDIS tasks, contact HEDIS Nurses today!

At HEDIS Nurses, we have a network of qualified nurses that are well versed in all things HEDIS. We know that updates are frequently being made and our team stays on top of the news to ensure that we’re always working off the most updated set of quality measures.

If you need assistance with your HEDIS projects, contact HEDIS Nurses today. Since 1993, we’ve been aiding health plans needing help with their HEIDS tasks. As a division of Datafied, you can rest assured that our nurses are of the highest quality and will work to ensure that your HEDIS work is completed in an accurate and timely manner. Don’t get bogged down by HEDIS tasks when you can offload it in its entirety to our experienced and qualified nurses. To get started, contact us today at 877-328-2343 or info@datafied.com!