NCQA adds new measurements to 2019 plan year

The National Committee for Quality Assurances (NCQA) released updates to 2019 performance measures. The update included four new measures to guide population health management initiatives. These new measurements are part of the Healthcare Effectiveness Data and Information Set (HEDIS) which focus primarily on the effects of the care on the general population.

New NCQA Performance Measures

The ­four new measures are:

  1. Hospitalization Following Discharge from a Skilled Nursing Facility – percentage of hospitalization within 30 days and 60 days of being discharged from a Skilled Nursing Facility
  2. Risk of Continued Opioid Use – two rates of members 18 and older are reported.
    1. Percentage of individuals whose opioid use last at least 15 days in a 30-day period
    2. Percentage of individuals whose opioid use last
  3. Prenatal Immunization Status – Percentage of deliveries on or after 37 weeks in which women received influenza, diphtheria, and pertussis vaccines
  4. Adult Immunization Status – Percentage pf adults 19 and older who are up-to-date on recommended vaccines; including: influenza, tetanus, diphtheria, herpes zoster, and pneumococcal.

 Updates to existing measurements

In addition to the four new measurements coming to HEDIS, NCQA is updating the measurements for a few existing guidelines. They are: hospital admissions for mental illness, hospital readmissions for any reasons, and the elimination of beneficiaries 65 and older with terminal illnesses.

To learn more about this topic see below.

More Info: “NCQA Updates Quality Measures for HEDIS® 2019” by The National Committee for Quality Assurances

Source: NCQA Updates, Adds HEDIS Performance Measures for Plan Year 2019” by Thomas Beaton. HealthPayerIntelligence.com

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