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  • HEDIS® - QARR Measures Tip Sheets
  • HEDIS® - QARR Measures Tip Sheets

  • Affinity Health Plan is committed to improving patient health outcomes through partnerships with our providers.  As you know, the HEDIS®/QARR measures set is used as a performance tool to help monitor specific quality indicators throughout the year.  To that end, Affinity’s Quality Management Department has developed HEDIS®/QARR measures “Tip Sheets” for providers and clinical staff to clarify the intent and requirements of each measure.

    Each HEDIS®/QARR Tip Sheet is designed to be an at-your-fingertips resource, highlighting key features about the measure, required services to achieve compliance, documentation guidelines, and industry standard suggestions to ensure that you meet the measures’ requirements.

    The HEDIS®/QARR Tip Sheets are organized in alphabetical order based on the proper HEDIS® measure name, with the three letter abbreviation included for your reference.  You can download the HEDIS®/QARR Tip Sheets by individual measure or as a complete set.

    HEDIS®/QARR Tip Sheet Complete Set of Measures (as a PDF).

    Click on the measure(s) below to download the individual pdf.

    • Adherence to Antipsychotic Medication for Individuals with Schizophrenia (SAA)
    • Adolescent Preventive Care (ADL)
    • Adolescent Well-Care Visits (AWC)
    • Adult BMI Assessment (ABA)
    • Annual Dental Visit (ADV)
    • Annual Monitoring for Patients on Persistent Medication (MPM)
    • Antidepressant Medication Management (AMM)
    • Breast Cancer Screening (BCS)
    • Cardiovascular Monitoring for People with Cardiovascular Disease and Schizophrenia (SMC)
    • Cervical Cancer Screening (CCS)
    • Childhood Immunization Status (CIS)
    • Chlamydia Screening in Women (CHL)
    • Colorectal Cancer Screening (COL)
    • Comprehensive Diabetes Care (CDC)
    • Continuity of Care From Inpatient Detox to Lower Level of Care (COD)
    • Continuity of Care From Inpatient Rehabilitation for Alcohol and Other Drug Abuse or Dependence Treatment to Lower Level of Care (COR)
    • Controlling High Blood Pressure (CBP)
    • Diabetes Monitoring for People With Diabetes and Schizophrenia (SMD)
    • Diabetes Monitoring for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD)
    • Disease-Modifying Anti-Rheumatic Drug Therapy for Rheumatoid Arthritis (ART)
    • Flu Vaccinations for Adults (FVA)
    • Follow-Up After Emergency Department Visit for Alcohol and other Drug Abuse or Dependence (FUA)
    • Follow-Up After Hospitalization for Mental Illness (FUH)
    • Follow-Up After Emergency Department Visit for Mental Illness (FUM)
    • Immunizations for Adolescents (IMA)
    • Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET)
    • Initiation of Pharmacotherapy Upon New Episode of Opioid Dependence (POD)
    • Lead Screening in Children (LSC)
    • Medical Assistance with Smoking and Tobacco Use Cessation (MSC)
    • Medication Management for People With Asthma (MMA)
    • Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM)
    • Timeliness of Prenatal and Postpartum Care (PPC)
    • Statin Therapy for Patients with Cardiovascular Disease (SPC)
    • Statin Therapy for Patients with Diabetes (SPD)
    • Use of Pharmacotherapy for Alcohol Abuse or Dependence (POA)
    • Use of Spirometry Testing in the Assessment and Diagnosis of COPD (SPR)
    • Viral Load Suppression
    • Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC)
    • Well-Child Visits in the First 15 Months of Life (W15)
    • Well-Child Visits in the Third, Fourth, Fifth, and Sixth Year of Life (W34)
  • Provider Toolkit
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  • CAHPS Survey Overview
  • HEDIS® - QARR Measures Tip Sheets
  • HEDIS® - QARR Measure Coding Reference Guides
  • Mandatory Public Health Reporting Requirements
  • Provider Quality Education Series
  • Quality Incentive Program

Company Name Affinity Health Plan

 

The mission of Affinity Health Plan is to improve the health and well-being of its Members, their families, and their communities in collaboration with primary care providers.

Affinity strives to be the health plan of choice for its Members and its providers -- known for assuring access to high quality, cost-effective care; delivering the best customer experience; and contributing significantly to achieving a patient-centered health care system.

Contact Us

Affinity Health Plan
1776 Eastchester Road
Bronx, New York, 10461
Phone:866.247.5678
Fax:718.794.7804
TTY/TDD users:711

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