HEDIS Measure Tip Sheet Chart

HEDIS® Quality Measures

HEDIS^®¹ Quality Measures Tip Sheets	Date Published	Applies to:
HEDIS^®¹ Quality Measures Tip Sheets	Date Published	Florida Blue Commercial	FEP²	Florida Blue Medicare Stars	Florida Blue Medicare	Truli for Health³
Antidepressant Medication Mgmt (AMM)	Mar 2022	✓	✓		✓	✓
Adults' Access to Primary Care (AAP)	Mar 2022	✓			✓
Alcohol/Drug Abuse/Dependence: Follow Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA)	Jun 2022	✓	✓		✓
Alcohol/Drug Abuse/Dependence: Follow-Up After High-Intensity Care for Substance Use Disorder (FUI)	Jun 2022	✓	✓		✓
Asthma Medication Ratio (AMR)	Dec 2021	✓	✓			✓
Asthma: Medication Management for People with Asthma (MMA)	Retired 2020	✓
Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB)	Dec 2021	✓	✓		✓
Back Pain: Use of Imaging Studies for Lower Back Pain (LBP)	Dec 2021	✓	✓
Blood Pressure: Controlling Blood Pressure (CBP)	Mar 2022	✓	✓	✓	✓	✓
Blood Pressure Control for Patients with Diabetes (BPD)	Dec 2021	✓	✓	✓	✓	✓
Breast Cancer Screening (BCS)	Mar 2022	✓	✓	✓	✓	✓
Cardiovascular Disease: Statin Use in Patients with Cardiovascular Disease (SPC)	Mar 2022	✓	✓	✓	✓	✓
Care for Older Adults (COA)	Dec 2021			✓	✓
Cervical Cancer Screening (CCS)	Dec 2021	✓	✓			✓
Child and Adolescent Well-Care Visits (WCV)	Mar 2022	✓				✓
Children and Adolescents' Access to Primary Care Physician (CAP)	Retired 2020	✓
Chlamydia Screening for Women (CHL)	Mar 2022	✓
Colorectal Cancer Screening (COL)	Mar 2022	✓	✓	✓	✓	✓
COPD: Pharmacotherapy Management of COPD Exacerbation (PCE)	Mar 2022	✓			✓
Eye Exam for Patients with Diabetes (EED)	Mar 2022	✓	✓	✓	✓	✓
Follow-Up After Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (FMC)	Dec 2021			✓	✓
Hemoglobin A1c Control for Patients with Diabetes (HBD)	Mar 2022	✓	✓	✓	✓	✓
Immunizations for Adolescents (IMA)	Mar 2022	✓	✓
Immunization: Childhood Immunization Status (CIS)	Mar 2022	✓	✓			✓*
Kidney Health Evaluation for Adults with Diabetes (KED)	Jul 2022	✓		✓	✓
Medication Reconciliation Post-Discharge (MRP)	See TRC			✓
Mental Illness: Follow-Up After Emergency Department Visit for Mental Illness (FUM)	Jun 2022	✓	✓		✓
Mental Illness: Follow-Up After Hospitalization (FUH)	Mar 2022	✓			✓	✓
Opioids: Use of Opioids From Multiple Providers (UOP)	Mar 2022	✓	✓		✓
Osteoporosis Management in Women (OMW)	Dec 2021			✓	✓
Persistent Use of Beta Blockers After Heart Attack (PBH)	Mar 2022	✓		✓	✓
Pharyngitis: Appropriate Testing for Pharyngitis (CWP)	Mar 2022	✓			✓
Plan All-Cause Readmissions (PCR)	Dec 2021	✓	✓	✓	✓
Prenatal and Postpartum Care (PPC)	Mar 2022	✓	✓			✓
Transitions of Care (TRC)	Jan 2022			✓	✓
Upper Respiratory Infection: Appropriate Treatment for Upper Respiratory Infection (URI)	Oct 2020	✓	✓		✓
Weight Assessment and Counseling in Children (WCC)	Mar 2022	✓				✓
Well-Child Visit (W30)	Dec 2021	✓	✓			✓

Pharmacy Quality Alliance (PQA) Quality Measures

Pharmacy Quality Alliance (PQA) Quality Measures Tip Sheets	Date Published	Applies to:
	Date Published	Florida Blue Commercial	FEP	Florida Blue Medicare Stars	Florida Blue Medicare
Statin Use in Persons with Diabetes (SUPD)	Oct 2021			✓
Medication Adherence: Cholesterol (Statins)	Feb 2022			✓
Medication Adherence: Diabetes	Nov 2021			✓
Medication Adherence: Hypertension	Feb 2022			✓

¹ HEDIS (Healthcare Effective Data and Information Set) is a registered trademark of the National Committee for Quality Assurance (NCQA).

² Federal Employee Program^®

³ Health coverage is offered by Truli for Health, an affiliate of Florida Blue. These companies are Independent Licensees of the Blue Cross and Blue Shield Association.

* Truli for Health will not include influenza in CIS measurement.

FB PRV HEDIS 001 NF 122021

Disclaimers

HEDIS and PQA Quality Measures Tip Sheets

HEDIS® Quality Measures

Pharmacy Quality Alliance (PQA) Quality Measures