Identifying Health Care Quality Measures for Medicaid-Eligible Adults: Background Report

Table 1. Final Measures

#	NQF ID	Measure Steward	Measure Name	Level at Which Measure is Specified⁸	Programs 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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Page last reviewed October 2014
Page originally created December 2010

Internet Citation: Table 1. Final Measures. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/news/events/nac/reports/nacqm11/table1.html