Screening for breast A QOC Annual % of women ages 50-74 who had a +/- MCO Every 3 yrs cancer HEDIS mammogram to screen for breast cancer in measurement yr or 2 yrs prior Screening for colon A QOC Annual % of members ages 50-75 who had +/- MCO Annual cancer Ages 50-75 HEDIS appropriate screening for colorectal cancer in measurement yr & 1 yr prior Screening for chronic B QOC Annual % of members age 11 & > screened +/- Star service auto fill Annual infectious diseases: HIV Ages 11 & > Screening for chronic B QOC Annual % of members ages 11 & > +/- Star service auto fill Annual infectious diseases: Ages 11 & > American screened Hepatitis B Assoc of Pediatrics Screening for chronic B QOC Annual % of members ages 11 & > +/- Star service auto fill Annual infectious diseases: Ages 11 & > American screened Hepatitis C Assoc of Pediatrics Metabolic monitoring for C QOC Annual % of members ages 1–17 (in 3 age 2 actual MCO Annual children & adolescents on stratifications: 1-5 yrs; 6-11 yrs; values HEDIS antipsychotics 12-17 yrs & total) who had 2 or more anti-psychotic prescriptions and had metabolic testing Child abuse screening B QOC Annual % of members screened for past or +/- Star assessment or Annual present child abuse within the service auto fill measurement year Intimate Partner Violence B QOC Annual % of members all ages screened for +/- Star assessment or Annual screening domestic violence within the service auto fill measurement year Goal II: Promote acute and long-term health of individuals with SMI/SED Intermediate Actions Adult/child/ Domain Reporting Measure Value Data source Quality
Screening for breast cancer A QOC HEDIS Annual % of women ages 50-74 who had a mammogram to screen for breast cancer in measurement yr or 2 yrs prior +/- MCO Every 3 yrs Screening for colon cancer A Ages 50-75 QOC HEDIS Annual % of members ages 50-75 who had appropriate screening for colorectal cancer in measurement yr & 1 yr prior +/- MCO Annual Screening for chronic infectious diseases: HIV B Ages 11 & > QOC Annual % of members age 11 & > screened +/- Star service auto fill Annual Screening for chronic infectious diseases: Hepatitis B B Ages 11 & > QOC American Assoc of Pediatrics Annual % of members ages 11 & > screened +/- Star service auto fill Annual Screening for chronic infectious diseases: Hepatitis C B Ages 11 & > QOC American Assoc of Pediatrics Annual % of members ages 11 & > screened +/- Star service auto fill Annual Metabolic monitoring for children & adolescents on antipsychotics C QOC HEDIS Annual % of members ages 1–17 (in 3 age stratifications: 1-5 yrs; 6-11 yrs; 12-17 yrs & total) who had 2 or more anti-psychotic prescriptions and had metabolic testing 2 actual values MCO Annual Child abuse screening B QOC Annual % of members screened for past or present child abuse within the measurement year +/- Star assessment or service auto fill Annual Intimate Partner Violence screening B QOC Annual % of members all ages screened for domestic violence within the measurement year +/- Star assessment or service auto fill Annual Goal II: Promote acute and long-term health of individuals with SMI/SED Intermediate Actions Adult/child/ Domain Reporting Measure Value Data source Quality
Provider%20Pol%20Manual%20MP%20SW%2011_30_17.docx