HEDIS - 2014 Update

HEDIS

The following measures were retired from accreditation 2013 scoring and will not be scored for organizations accredited on the 2013 or 2014 standards. However, organizations accredited on the 2012 standards or earlier will be scored using the organization’s submitted rate for these measures.

 

 

• Prenatal and Postpartum Care—Timeliness of Prenatal Care Rate (commercial).

 

Note: Only the Postpartum Care Rate in the Prenatal and Postpartum Care measure will be scored for the commercial product line for organizations accredited on the 2013 or 2014 standards. Both rates will be scored for organizations accredited on the 2012 standards or earlier. Both the Timeliness of Prenatal Care and Postpartum Care rates will be scored for the Medicaid product line for all accreditation standards years.

 

• Use of Appropriate Medications for People With Asthma (commercial).

• Annual Monitoring for Patients on Persistent Medications (Medicare).

• Use of High-Risk Medications in the Elderly—Rate 2 (Medicare).

  

Note: Only Rate 1 in the Use of High-Risk Medications in the Elderly measure will be scored for organizations accredited on the 2013 or 2014 standards. Both rates will be scored for organizations accredited on the 2012 standards or earlier.

  The following measures will be reviewed and updated, if necessary, in the Mid-Year Update.

 

• Antidepressant Medication Management (both rates).

• Breast Cancer Screening.

• Flu Vaccinations for Adults Ages 18–64.

• Flu Vaccinations for Adults Ages 65 and Older.

• Use of Appropriate Medications for People With Asthma.

 

 

HEDIS by Region:

 

  

Region 1: Connecticut, Maine, Rhode Island, Massachusetts, New Hampshire, Vermont

 

Region 2: New Jersey, New York, Puerto Rico, Virgin Islands

 

Region 3: Delaware, Maryland, Virginia, District of Columbia, Pennsylvania, West Virginia

 

Region 4: Alabama, Georgia, Mississippi, South Carolina, Florida, Kentucky, North Carolina, Tennessee

 

Region 5: Illinois, Michigan, Ohio, Indiana, Minnesota, Wisconsin

 

Region 6: Arkansas, New Mexico, Texas, Louisiana, Oklahoma

 

Region 7: Iowa, Missouri, Kansas, Nebraska

 

Region 8: Colorado, North Dakota, Utah, Montana, South Dakota, Wyoming

 

Region 9: American Samoa, California, Hawaii, Arizona, Guam, Nevada

 

Region 10: Alaska, Oregon, Idaho, Washington