2018-2019 Adult Clinical Quality Measure Recommendations Measures and Thresholds The following measures and targets will be used for performance evaluation. Practices are expected to use (Note: to be updated once approved by OHIC Practice Transformation Committee) when reporting clinical quality measure performance. Practices are expected to attend the monthly Practice Reporting/Practice Transformation Committee meeting which provides practice” sharing on capturing, generating and using information. Blood pressure control “best measure has been updated to HEDIS 2019. Note: some measures have different targets for practices where 50% or more patients are covered by Medicaid than those with a higher percentage of patients covered by commercial plans. Measure 2017-2018 2017-2018 2018-2019 2018-2019 Comments Medicaid Threshold Threshold 50%+ threshold 50% less 50%+ Medicaid Medicaid Medicaid threshold Adult BMI 95% 95% 95% 95% Care plan not a requirement DM A1c Control (<8) 72% 67% 72% 67% Hypertension BP Control 82% 75% Retired 12/1/18 81% 74% (<140/90) age 60-85 < 150/90 w/diabetes age 60-85 <140/90 Hypertension BP control 79% 74% Start reporting for 4th N/A N/A <140/90 age 18-85 quarter with option of re-submitting 1st quarter 2018 (4/1/17-3/31/18) Tobacco Cessation 90% 90% 90% 90% Capped at 90% 2014 Intervention Depression Screen and follow 80% 80% 85% 85% Measure requires care up plan or additional evaluation Colorectal Cancer Screening N/A N/A Baseline year Baseline year 1st report due to CTC and OHIC 10/15/18 Eye Exams for Patients with N/A N/A Baseline year Baseline year 1st report due to CTC Diabetes and OHIC 10/15/18
2018-2019 Adult Clinical Quality Measure Recommendations Measures and Thresholds The following measures and targets will be used for performance evaluation. Practices are expected to use (Note: to be updated once approved by OHIC Practice Transformation Committee) when reporting clinical quality measure performance. Practices are expected to attend the monthly Practice Reporting/Practice Transformation Committee meeting which provides “best practice” sharing on capturing, generating and using information. Blood pressure control measure has been updated to HEDIS 2019. Note: some measures have different targets for practices where 50% or more patients are covered by Medicaid than those with a higher percentage of patients covered by commercial plans. Measure 2017-2018 Medicaid threshold 2017-2018 50%+ Medicaid threshold 2018-2019 Threshold 50% less Medicaid 2018-2019 Threshold 50%+ Medicaid Comments Adult BMI 95% 95% 95% 95% Care plan not a requirement DM A1c Control (<8) 72% 67% 72% 67% Hypertension BP Control (<140/90) age 60-85 < 150/90 w/diabetes age 60-85 <140/90 81% 74% 82% 75% Retired 12/1/18 Hypertension BP control <140/90 age 18-85 N/A N/A 79% 74% Start reporting for 4th quarter with option of re-submitting 1st quarter 2018 (4/1/17-3/31/18) Tobacco Cessation Intervention 90% 90% 90% 90% Capped at 90% 2014 Depression Screen and follow up 80% 80% 85% 85% Measure requires care plan or additional evaluation Colorectal Cancer Screening N/A N/A Baseline year Baseline year 1st report due to CTC and OHIC 10/15/18 Eye Exams for Patients with Diabetes N/A N/A Baseline year Baseline year 1st report due to CTC and OHIC 10/15/18
CTC%20Contractual%20Performance%20Standards%20for%202018-2019%2011%2026%2018.docx