New Medicaid Quality Measures Published by HHS
Posted by Pauline Heidemann on Wed, Jan 11, 2012 @ 06:06 AM
The Affordable Care Act required the Department of Health and Human Services (HHS) to develop a core set of health quality measures by January 1, 2012. After numerous meetings with representatives from the Centers for Medicare and Medicaid Services and the Agency for Healthcare Research and Quality, HHS published 51 quality measures, however, after receiving comments that 51 was too many, it trimmed the list to 26. (To read the original list of 51, click here.) The list will eventually be used to determine the quality of care that adult Medicaid patients are receiving in each state.
The final list was published in the Federal Register on January 4th. The list is divided into six areas: prevention and health promotion; management of acute conditions; management of chronic conditions; family experiences of care; care coordination; and availability of care.
The 26 measures are listed below.
Prevention & Health Promotion
- Flu Shots for Adults Ages 50-64
- Adult BMI Assessment
- Breast Cancer Screening
- Cervical Cancer Screening
- Medical Assistance with Smoking and Tobacco Use Cessation
- Screening for Clinical Depression and Follow-Up Plan
- Plan All-Cause Readmission
- Diabetes, Short-term Complications Admission Rate
- Chronic Obstructive Pulmonary Disease (COPD) Admission Rate
- Congestive Heath Failure Admission Rate
- Adult Asthma Admission Rate
- Chlamydia Screening in Women Age 21-24
Management of Acute Conditions
- Follow-Up After Hospitalization for Mental Illness
- Elective Delivery
- Antenatal Steroids
Management of Chronic Conditions
- Annual HIV/AIDS Medical Visit
- Controlling High Blood Pressure
- Comprehensive Diabetes Care: LDL-C Screening
- Comprehensive Diabetes Care: Hemoglobin A1c Testing
- Antidepressant Medication Management
- Adherence to Antipsychotics for Individuals with Schizophrenia
- Annual Monitoring for Patients on Persistent Medication
Family Experience of Care
- CAHPS Health Plan Survey
Care Coordination
- Care Transition – Transition Record Transmitted to Health Care Professional
Availability
- Initiation and Engagement of Alcohol and Other Drug Dependence Treatment
- Prenatal and Postpartum Care
To read the full report, click on http://www.ahrq.gov/about/nacqm/.