Feedback Wanted on Proposed Changes to the Healthcare Effectiveness Data and Information Set

February 16, 2018

Public Comment Open From February 13 - March 13

The National Committee for Quality Assurance (NCQA) invites the public to comment on proposed changes to the Healthcare Effectiveness Data and Information Set (HEDIS). There are new measures, changes to existing measures and guidelines and strategies for addressing issues that apply across various HEDIS measures.

Submit Comments

This is an opportunity for health plans, purchasers, consumers and other stakeholders to weigh in on the relevance, scientific soundness and feasibility of new and revised measures.

Proposed New Measures

  • Risk of Chronic Opioid Use
  • Hospitalization Following Discharge From a Skilled Nursing Facility
  • Health Assessments for People With Multiple High-Risk Chronic Conditions
  • Adult Immunization Status
  • Prenatal Immunization Status
  • Long-Term Services and Supports Comprehensive Assessment and Update
  • Long-Term Services and Supports Comprehensive Care Plan and Update
  • Long-Term Services and Supports Shared Care Plan With Primary Care Physician
  • Long-Term Services and Supports Reassessment/Care Plan Update After Inpatient Discharge

Proposed Changes to Existing Measures

  • Controlling High Blood Pressure
  • Follow-Up After Emergency Department Visit for Mental Illness
  • Plan All-Cause Readmissions
  • CAHPS® Health Plan Survey 5.0H

Cross-Cutting Topics

  • Exclusions for Advanced Illness
  • Telehealth

Guideline Update

  • General Guideline 2: Product-Specific Reporting
  • General Guideline 19: Self-Insured Members

NCQA reviews all feedback submitted during the public comment period.

Reviewers are asked to submit comments by 11:59 p.m. (ET) Tuesday, March 13. Visit the NCQA website to submit comments.

Last modified on 05/09/2020

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