NCQA HEDIS Quality Measures Adjusted For Increased Telehealth Use Due to COVID-19

NCQA HEDIS Quality Measures Adjusted For Increased Telehealth Use Due to COVID-19

COVID-19 has impacted all of our lives in various ways. It has obviously had a tremendous impact on the healthcare industry, including HEDIS measures. Wondering how COVID-19 has impacted HEDIS measures? HEDIS Nurses is here to help! Keep reading to learn more about the various changes to HEDIS quality measures due to COVID-19.

What HEIDS quality measures have been altered?

Due to COVID-19 and the impact that it has had on the healthcare industry, over 3 dozen HEDIS measures have been adjusted to reflect new telemedicine services that are being offered. The impacted HEDIS quality measures include:

Prevention and Screening

  • Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
  • Breast Cancer Screening
  • Colorectal Cancer Screening
  • Care for Older Adults

Respiratory

  • Use of Spirometry Testing in the Assessment and Diagnosis of COPD
  • Asthma Medication Ratio

Cardiovascular Conditions

  • Controlling High Blood Pressure
  • Persistence of Beta-Blocker Treatment After a Heart Attack
  • Statin Therapy for Patients with Cardiovascular Disease
  • NEW MEASURE: Cardiac Rehabilitation

Diabetes

  • Comprehensive Diabetes Care
  • NEW MEASURE: Kidney Health Evaluation for Patients with Diabetes
  • Statin Therapy for Patients with Diabetes

Musculoskeletal Conditions

  • Disease-Modifying Anti-Rheumatic Drug Therapy for Rheumatoid Arthritis- Scheduled for Retirement
  • Osteoporosis Management in Women Who Had a Fracture
  • NEW MEASURE: Osteoporosis Screening in Older Women

Behavioral Health

  • Antidepressant Medication Management
  • Follow-up Care for Children Prescribed ADHD Medication
  • Follow-up After Hospitalization for Mental Illness
  • Follow-up After Emergency Department Visit for Mental Illness
  • Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medication
  • Cardiovascular Monitoring for People with Cardiovascular Disease and Schizophrenia
  • Diabetes Monitoring for People with Diabetes and Schizophrenia
  • Adherence to Antipsychotic Medications for Individuals with Schizophrenia

Care Coordination

  • Transitions of Care
  • Follow-up After Emergency Department Visit for People with Multiple High-Risk Chronic Conditions

Access/Availability of Care

  • Prenatal and Postpartum Care
  • Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics

Utilization

  • Well-Child Visits in the First 30 Months of Life
  • Child and Adolescent Well Care Visits
  • Mental Health Utilization

Risk-Adjusted Utilization

  • Plan All-Cause Readmissions
  • Hospitalization Following Discharge from a Skilled Nursing Facility
  • Acute Hospital Utilization
  • Emergency Department Utilization
  • Hospitalization for Potentially Preventable Complications

Measures Reported Using Electronic Clinical Data Systems

  • Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults
  • Depression Screening and Follow-up for Adolescents and Adults
  • Postpartum Depression Screening and Follow-up
  • Prenatal Depression Screening and Follow-up
  • Breast Cancer Screening
  • Colorectal Cancer Screening
  • Follow-up Care for Children Prescribed ADHD Medication

For help with HEDIS measures, contact HEDIS Nurses!

At HEDIS Nurses, we know how difficult it can be to keep up with constantly changing HEDIS quality measures. What used to change annually has now had a massive shift due to COVID-19. Thankfully, HEDIS Nurses is here to help. With over 2020 years of experience, we are able to manage your HEDIS projects, big and small. Contact us today at (877) 328-2343 to get started!

To learn more about the reliable and quality HEDIS services that we offer, visit us on the web at HEDIS Nurses.