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附录F: Health Plan Employer Data and Information Set (HEDIS) Measures for Physicians


Effectiveness of Care

Adherence to Antipsychotic Medications for Individuals with Schizophrenia

Adult BMI Assessment

Annual Monitoring for Patients on Persistent Medications

Antidepressant Medication Management

Appropriate Testing for Children with Pharyngitis

Appropriate Treatment for Children with Upper Respiratory Infection

Asthma Medication Ratio

Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis

Breast Cancer Screening

Cardiovascular Monitoring for People with Cardiovascular Disease and Schizophrenia

Care for Older Adults

Cervical Cancer Screening

Childhood Immunization Status

Chlamydia Screening in Women

Colorectal Cancer Screening

Comprehensive Adult Diabetes Care

Controlling High Blood Pressure

Diabetes Monitoring for People with Diabetes and Schizophrenia

Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications

Disease Modifying Anti-Rheumatic Drug Therapy for Rheumatoid Arthritis

Follow-Up after Emergency Department Visit for Alcohol and Other Drug Dependence

Follow-Up after Emergency Department Visit for Mental Illness

Follow-Up after Hospitalization for Mental Illness

Follow-Up Care for Children Prescribed ADHD Medication

Immunizations for Adolescents

Lead Screening in Children

Medication Management for People with Asthma

Medication Reconciliation Post-Discharge

Metabolic Monitoring for Children and Adolescents on Antipsychotics

Non-Recommended Cervical Cancer Screening in Adolescent Females

Non-Recommended PSA-Based Screening in Older Men

Osteoporosis Management in Women Who Had a Fracture

Persistence of Beta-Blocker Treatment after a Heart Attack

Pharmacotherapy Management of COPD Exacerbation

Potentially Harmful Drug–Disease Interactions in the Elderly

Statin Therapy for Patients with Cardiovascular Conditions

Statin Therapy for Patients with Diabetes

Use of High-Risk Medications in the Elderly

Use of Imaging Studies for Low Back Pain

Use of Multiple Concurrent Antipsychotics in Children and Adolescents

Use of Spirometry Testing in the Assessment and Diagnosis of COPD

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents

Access/Availability

Adults’ Access to Preventive/Ambulatory Health Services

Children’s and Adolescents’ Access to Primary Care Practitioners

Initiation and Engagement of Alcohol and Other Drug Dependence Treatment Prenatal and Postpartum Care

Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics

Utilization

Adolescent Well-Care Visits

Frequency of Ongoing Prenatal Care

Well-Child Visits in the First 15 Months of Life

Well-Child Visits in the Third, Fourth, Fifth, and Sixth Years of Life

Source: HEDIS 2017 Measures Volume 1. www.ncqa.org/hedis-quality-measurement/hedis -measures /hedis-2017.