Hedis PowerPoint PPT Presentations

one tetanus, diphtheria toxoids vaccine (Td) given on or between the 10th and 13th birthday. ... to promote health messages, provide health-related giveaways ...

HEDIS Overview and Update Christopher Eisenberg CMS/CBC HEDIS Overview Healthcare Effectiveness Data and Information Set. The HEDIS measurement set is the most widely ...

Identifying Barriers to Achieving HEDIS Goals Peggy Ketterer, RN, BSN, CHCA Health Services Advisory Group Background Plans are required to report a set of HEDIS ...

HEDIS Medicare Health Outcomes Survey (HOS) Sonya Bowen, MSW HOS Program Administrator sonya.bowen@cms.hhs.gov What is the Medicare HOS? HEDIS Effectiveness of Care ...

Chlamydia Metric using the HEDIS Methodology. Heather Halvorson, MD MPH. Capt, USAF, MC ... Identify Chlamydia tests. Claims/encounter data. Visit or ...

HEDIS Audit Appropriate Monitoring and Oversight of Vendors Presenter: Yolanda Strozier, MBA Project Manager, EQRO Services HEDIS Compliance Audit Standards ...

... of Hepatitis B, and 1 dose of the chicken pox vaccines by their 13th birthday. ... of adolescents who had one chicken pox vaccine by their 13th birthday. ...

SNP Training Topic 1: Introduction to NCQA and HEDIS

HEDIS is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare the ...

(AMM) Antidepressant Medication Management ... A medication list in the medical record AND ... Medication reviews are often a part of plans' MTM programs ...

(SPR) Use of Spirometry Testing in the Assessment and Diagnosis of COPD ... A COPD exacerbation indicated by acute inpatient discharge or ED encounter ...

15-26 year-old females who were classified as sexually active according to ... Adolescent Female Members 15-26 Years Old Classified as Sexually Active by HEDIS ...

'The degree to which health services for individuals and populations increase the ... Receipt of autogenous arteriovenous fistula in end-stage renal disease patient ...

... HEDIS Measures HMO Report: HEDIS Measures PowerPoint Presentation Ambulatory Sensitive Conditions Gastrointestinal Infections (Per 10,000) ...

Details & Content (Graphs-HEDIS) Population Health Navigator. Hx/Data Sources/HEDIS ... Dashboard Content. Compares to other clinics/MTFs. Contrast own clinic ...

... LVNs Nurse Case Managers See All New Patients for Initial Visit and Focus on Individual Needs/HEDIS F/U Visits by NCM prn for HEDIS/Ongoing Care Mgmt Team ...

... Support Systems Regulatory reporting systems Quality measurement reports (HEDIS) ... vs FFS Relationship with case managers Quality and guideline ...

... HEDIS, BTE, NCQA Facility specific performance measures State focused care studies Clinical research support Academic clinical studies Clinical registries ...

... prior visits, allergies, family history, social history, etc. o HEDIS guideline reporting. o Educational materials in multi languages, that is, ...

Advice and Assistance to HMO Enrollees. Recommendations to DMHC ... 200 medical groups 85% of all commercial and Medicare enrollees (HEDIS & CAS) ...

... PhD; Phil Renner, MBA - National Committee for Quality Assurance ... never or rarely appropriate HEDIS Measure: Drugs to be Avoided NCQA expert panel ...

Measurement Committee Year-End Report December 6, 2005 Accomplishments Year to Date HEDIS 2005 data are the most complete they have ever been 6 Commercial Plans ...

... less likely to be hospitalized in an inpatient psychiatric facility and have lower overall psychiatric care costs ... performance measures HEDIS ...

95 % of all prescriptions are produced electronically from clinical information systems ... error study using duplicate prescription pads/EHRs. HEDIS measures ...

Added points for internal group incentive program. Generic prescription performance ... Clinical measures are well recognized based on HEDIS specifications ...

Expansion of HEDIS indicators and NCQA expectations for health plans ... Breast Cancer Screening Mammography. Well Child Visits for the First 15 Months ...

HEDIS Index Clinical Practice Guidelines Overall Hospital Quality Index (ORYX) Coordinated Care for Complex Cases For medically and socially complex patients, ...

Report Cards ( HEDIS , CHQC') Risk-adjusted Outcomes ... The 'free rider' HMO #1 invests in prevention. Patient's insurance transfers to HMO #2 ...

Achieving HEDIS quality measures and adhering to professional guidelines result, on average, in better patient outcomes. 2. Outcomes-Based Compensation: ...

... patients to receive appropriate preventive services to ensure their health and well-being. ... HEDIS measures support and encourage preventive health programs. ...

IOM highlighted our fiduciary responsibility for quality ... Hospital ORYX & core measures. NCQA. Health plans (HEDIS) Physicians. CMS ...

Background Claims-based measures (e.g., HEDIS) are well-defined but limited. The EHR could provide efficient clinical quality measurement.

Key component to the Hudson Valley project is the existing physician EHR install ... THINC Taconic Health Information Network and Community. HEDIS Measures ...

Capitation: forced choices for limited time and fixed resources (HEDIS measures ... Cost-neutral in capitated settings. 58. Next steps ...

Self Reported. Admin. Measurement Year. Average Score. Average P4P HEDIS Score ... Rate of Improvment over MY 2002. CDC - Rate

SNP HEDIS Reporting Requirements Required Measures (COL) Colorectal Cancer Screening* (GSO) Glaucoma Screening in Older Adults (COA) Care for Older Adults ...

... Quality Assurance (NCQA) HEDIS looks at one dimension of asthma care: 'use of ... Severity of asthma not based on objective clinical criteria ...

... weighted by standardized dollars for six chronic conditions with existing HEDIS effectiveness-of-care measures Developed for applications with HMOs, ...

The Leapfrog Group's Impact on Patient Safety and Future Information ... ORYX. NCQA. Physicians. Health plans (HEDIS) Leading Edge Efforts. The Leapfrog Group ...

At the highest level, the Balanced Scorecard is a framework ... New measure for HEDIS quantile data not yet available. 80.00. Prenatal Care in 1st Trimester ...

Percent of Eligible Population with Colo-Rectal Exam. HEDIS Changes in FY07 ... Enhance colorectal cancer screening (3 stool guaiacs/year insensitive and poorly ...

... 4 star quality rating 5% benchmark bonus could be the difference Relies on good relationships with providers for HEDIS ... overall rating of health care ...

private sector accreditation (ORYX, HEDIS) Pay for ... ORYX core data are dozens of performance measures applied to many thousands of ... ORYX Core Measures ...

Key Physicians Value Driven Health Care Conrad L. Flick MD John Meier MD, MBA Value Driven Health Care Key Physicians Primary Care based HEDIS based quality metrics ...

medical billing and coding company is one of the main clinical charging and coding organizations in the clinical rethinking space zeroed in on all parts of income cycle the board which incorporates clinical charging administrations, clinical coding for ICD-10, CPT, HCPCS, HEDIS, coding audit just as protection qualification checks and approvals. We likewise give re-appropriated administrations, for example, patient planning, protection confirmations and approvals and have been helping rehearses across USA for over 15 years.

Getting Every Possible Fraction of a Point for. ... HCQM. 162 Circuit Road. Boston, MA 02152 (617) 249-1757 moses@hcqm.com www. hcqm.com ...

HSAG has reviewed the past two years of data and the ratings (checkmarks) assigned by AHCA. ... standard deviation is used to define a 5-scale check mark rating. ...

Shared Best Practices (HMOs/PSNs) Presented by Dr ... Tahoma Arial Wingdings Calibri Teamwork puzzle design template 1_Teamwork puzzle design template Shared ...

October 16, 2006 The Electronic Health Record Veterans Health Administration Linda F. Fischetti RN MS Acting Chief Health Informatics Officer Linda.fischetti@va.gov

Guhilot, a renowned provider of cutting-edge healthcare solutions, was founded in 1999. Physicians, independent practitioners, HMOs, ACOs, IPAs, MSOs, DME manufacturers, and health insurance companies can all benefit from our healthcare solutions.

Blue Cross Blue Shield of Illinois. 1997 Survey of Diabetics and Members 65 years old ... Blue Cross Blue Shield of Illinois ...

'Neighborhood is rated as one of the Top 10 Medicaid plans in the nation for ... of women age 50 through 69 years who had a mammogram during 2003 or 2004. ...

Neighborhood Health Plan of Rhode Island

Jenny Camponeschi, MS. Epidemiologist. Wisconsin Diabetes ... Wisconsin Heart Disease and Stroke Prevention Program. Wisconsin HMOs. Wisconsin Medicaid Program ...

Telemedicine System for Glaucoma Screening and Disease Management Sean Ianchulev, MD MPH Annual Cost of Treatment: $2 Billion Glaucoma The Office Screening ...

A range of activities in which public and private purchasers engage to ... American Board of Internal Medicine (ABIM) eHealthInitiative (eHI) The Leapfrog Group ...