HEDIS 2022: Summary of changes from NCQA
NCQA has separated the Comprehensive Diabetes indicators into stand-alone measures:
To address health care disparities, the first step is reporting and measuring performance. Given this, NCQA has added race and ethnicity stratifications to the following HEDIS measures:
- Colorectal Cancer Screening
- Controlling High Blood Pressure
- Hemoglobin A1c Control for patients with Diabetes
- Prenatal and Post-Partum Care
- Child and Adolescent Well Care Visits
Antibiotic Utilization for Respiratory Conditions. Measures the percentage of episodes for members 3 months of age and older with a diagnosis of a respiratory condition that resulted in an antibiotic dispensing event. This measure was added given antibiotics prescribed for acute respiratory conditions are a large driver of antibiotic overuse.
Tracking antibiotic prescribing for all acute respiratory conditions will provide context about overall antibiotic. Given this new measure, the Antibiotic Utilization measure has been retired.
Deprescribing of Benzodiazepines in Older Adults. The percentage of Medicare members 65 years of age and older who were dispensed benzodiazepines and achieved a 20 percent decrease or greater in benzodiazepine dose during the measurement year.
Guidelines recommend that benzodiazepines be avoided in older adults, and deprescribing benzodiazepines slowly and safely, rather than stopping use immediately. There is an opportunity to promote harm reduction by assessing progress in appropriately reducing benzodiazepine use in the older adult population.
Advanced Care Planning. Measures the percentage of adults 65 to 80 years of age, with advanced illness, an indication of frailty or who are receiving palliative care, and adults 81 years of age and older, who had advance care planning during the measurement year.
Advance care planning is associated with improved quality of life, this measure will allow an understanding if it is provided to those who are most likely to benefit from it. Given this new measure, the Care for Older Adults measure has been retired.
Use of Imaging Studies for Low Back Pain. This measure was expanded to the Medicare line of business and the upper age limit for this measure was expanded to age 75. Additional exclusions to the measure were also added.
A complete summary of 2022 HEDIS changes and more information, can be found at NCQA HEDIS 2022.
April 2022 Anthem Provider News - Nevada