Exhibit 1: Quality Measures EOHHS has defined the following quality measures pursuant to Section 2.14 of the Contract. For measures that are not HEDIS, EOHHS will further define measure specifications, including due dates, sample size, and submission requirements. These measures are to be submitted annually to EOHHS. The Contractor should report measures separately for Dual Eligible and Medicaid only eligible Enrollees. This list is subject to modifications. Measure Name Set Domain ID 2371 HEDIS Patient Safety Annual monitoring for patients on persistent medications (MPM) 0105 HEDIS Behavioral Health and Substance Antidepressant Medication Abuse Management (AMM) Board Certification NA HEDIS Care for Older Adult (COA) - Advanced care planning Colorectal Cancer Screening 0326 HEDIS Care Coordination & Transitions (COL) 0034 HEDIS Screening and Prevention Controlling high blood pressure (CBP) Eye examination every two 0018 HEDIS At Risk Populations years: percentage of Enrollees who received vision screening in N/A CMS/EHS the past two years requireme Follow-Up After nt Hospitalization for Mental Illness (FUH) 0576 HEDIS Behavioral Health and Substance Abuse Hearing examination every two years: percentage of Enrollees N/A CMS/EHS who received a hearing screening requireme in the past two years. nt Influenza immunization 0041 Screening and Prevention Attack (PBH) Medication Reconciliation Post- Pharmacotherapy Management of COPD Discharge (MRP) Exacerbation (PCE) Consumer Assessment of Healthcare Providers and Services (CAHPS) 0097 HEDIS Care Coordination & Transitions Osteoporosis Management in Women Who Had a Fracture (OMW) N/A Persistence of Beta-Blocker Treatment after Heart
Exhibit 1: Quality Measures EOHHS has defined the following quality measures pursuant to Section 2.14 of the Contract. For measures that are not HEDIS, EOHHS will further define measure specifications, including due dates, sample size, and submission requirements. These measures are to be submitted annually to EOHHS. The Contractor should report measures separately for Dual Eligible and Medicaid only eligible Enrollees. This list is subject to modifications. Measure Name ID Set Domain Annual monitoring for patients on persistent medications (MPM) Antidepressant Medication Management (AMM) 2371 HEDIS Patient Safety 0105 HEDIS Behavioral Health and Substance Abuse Board Certification NA HEDIS Care for Older Adult (COA) - Advanced care planning Colorectal Cancer Screening (COL) Controlling high blood pressure (CBP) Eye examination every two years: percentage of Enrollees who received vision screening in the past two years Follow-Up After Hospitalization for Mental Illness (FUH) Hearing examination every two years: percentage of Enrollees who received a hearing screening in the past two years. 0326 HEDIS Care Coordination & Transitions 0034 HEDIS Screening and Prevention 0018 HEDIS At Risk Populations N/A CMS/EHS requireme nt 0576 HEDIS Behavioral Health and Substance Abuse N/A CMS/EHS requireme nt Influenza immunization 0041 Screening and Prevention Medication Reconciliation Post- Discharge (MRP) Consumer Assessment of Healthcare Providers and Services (CAHPS) Osteoporosis Management in Women Who Had a Fracture (OMW) Persistence of Beta-Blocker Treatment after Heart Attack (PBH) Pharmacotherapy Management of COPD Exacerbation (PCE) 0097 HEDIS Care Coordination & Transitions N/A
Fully-Executed-Senior-Whole-Health-First-Amended-Restated-SCO-Contract-January-2018.docx