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Code CMS Id Weight Measure Avg. Score Avg. Star
HED BCS C01 1 Breast Cancer Screening 75 3.5 C01HEDBreast Cancer ScreeningHED-BCS
HED COL C02 1 Colorectal Cancer Screening 74 3.9 C02HEDColorectal Cancer ScreeningHED-COL
HOS FLU C03 1 Annual Flu Vaccine 73 3.2 C03HOSAnnual Flu VaccineHOS-FLU
HOS PHL C04 3 Improving or Maintaining Physical Health 69 3.2 C04HOSImproving or Maintaining Physical HealthHOS-PHL
HOS MHL C05 3 Improving or Maintaining Mental Health 82 3.3 C05HOSImproving or Maintaining Mental HealthHOS-MHL
HOS MPA C06 1 Monitoring Physical Activity 52 3.5 C06HOSMonitoring Physical ActivityHOS-MPA
HED ABA C07 1 Adult BMI Assessment 97 4.3 C07HEDAdult BMI AssessmentHED-ABA
CMS SNPCM C08 1 Special Needs Plan (SNP) Care Management 71 3.4 C08CMSSpecial Needs Plan (SNP) Care ManagementCMS-SNPCM
HED COAMR C09 1 Care for Older Adults Medication Review 92 4.3 C09HEDCare for Older Adults Medication ReviewHED-COAMR
HED COAFS C10 1 Care for Older Adults – Functional Status Assessment 87 4 C10HEDCare for Older Adults – Functional Status AssessmentHED-COAFS
HED COAPS C11 1 Care for Older Adults Pain Assessment 93 4.5 C11HEDCare for Older Adults Pain AssessmentHED-COAPS
HED OMW C12 1 Osteoporosis Management in Women who had a Fracture 48 3.1 C12HEDOsteoporosis Management in Women who had a FractureHED-OMW
HED CDCEYE C13 1 Diabetes Care Eye Exam 75 3.8 C13HEDDiabetes Care Eye ExamHED-CDCEYE
HED CDCNPH C14 1 Diabetes Care Kidney Disease Monitoring 96 4.2 C14HEDDiabetes Care Kidney Disease MonitoringHED-CDCNPH
HED CDCA1C C15 3 Diabetes Care Blood Sugar Controlled 80 4.2 C15HEDDiabetes Care Blood Sugar ControlledHED-CDCA1C
HED ART C16 1 Rheumatoid Arthritis Management 79 3.6 C16HEDRheumatoid Arthritis ManagementHED-ART
HOS FRM C17 1 Reducing the Risk of Falling 58 3 C17HOSReducing the Risk of FallingHOS-FRM
CHA BLA C18 1 Improving Bladder Control 45 3.2 C18CHAImproving Bladder ControlCHA-BLA
HED MPR C19 1 Medication Reconciliation Post-Discharge 65 3 C19HEDMedication Reconciliation Post-DischargeHED-MPR
HED SUPC C20 1 Statin Therapy for Patients with Cardiovascular Disease 81 3.1 C20HEDStatin Therapy for Patients with Cardiovascular DiseaseHED-SUPC
CHA GNC C21 2 Getting Needed Care 83 3.3 C21CHAGetting Needed CareCHA-GNC
CHA APTQ C22 2 Getting Appointments and Care Quickly 78 3.4 C22CHAGetting Appointments and Care QuicklyCHA-APTQ
CHA SVC C23 2 Customer Service 91 3.5 C23CHACustomer ServiceCHA-SVC
CHA HCQ C24 2 Rating of Health Care Quality 86 3.3 C24CHARating of Health Care QualityCHA-HCQ
CHA RPLA C25 2 Rating of Health Plan 86 3.2 C25CHARating of Health PlanCHA-RPLA
CHA COORD C26 2 Care Coordination 86 3.4 C26CHACare CoordinationCHA-COORD
CMS C-CMPL C27 2 Complaints about the Health Plan 0.23 4.8 C27CMSComplaints about the Health PlanCMS-C-CMPL
CMS C-DSNR C28 2 Members Choosing to Leave the Plan 13 4 C28CMSMembers Choosing to Leave the PlanCMS-C-DSNR
CMS C-IMPR C29 5 Health Plan Quality Improvement - 3.2 C29CMSHealth Plan Quality ImprovementCMS-C-IMPR
CMS C-TIME C30 2 Plan Makes Timely Decisions about Appeals 95 4.3 C30CMSPlan Makes Timely Decisions about AppealsCMS-C-TIME
CMS C-FAIR C31 2 Reviewing Appeals Decisions 93 4.5 C31CMSReviewing Appeals DecisionsCMS-C-FAIR
CMS C-LANG C32 2 Call Center Foreign Language Interpreter and TTY Availability 94 4.3 C32CMSCall Center Foreign Language Interpreter and TTY AvailabilityCMS-C-LANG
CMS D-LANG D01 2 Call Center Foreign Language Interpreter and TTY Availability 94 4.4 D01CMSCall Center Foreign Language Interpreter and TTY AvailabilityCMS-D-LANG
CMS D-TIME D02 2 Appeals Auto - Forward 3.9 4.2 D02CMSAppeals Auto - ForwardCMS-D-TIME
CMS D-FAIR D03 2 Appeals Upheld 90 3.6 D03CMSAppeals UpheldCMS-D-FAIR
CMS D-CMPL D04 2 Complaints about the Drug Plan 0.23 4.8 D04CMSComplaints about the Drug PlanCMS-D-CMPL
CMS D-DSNR D05 2 Members Choosing to Leave the Plan 13 4 D05CMSMembers Choosing to Leave the PlanCMS-D-DSNR
CMS D-IMPR D06 5 Drug Plan Quality Improvement - 3.5 D06CMSDrug Plan Quality ImprovementCMS-D-IMPR
CMS D-RDRG D07 2 Rating of Drug Plan 85 3 D07CMSRating of Drug PlanCMS-D-RDRG
CHA GETRX D08 2 Getting Needed Prescription Drugs 90 3.5 D08CHAGetting Needed Prescription DrugsCHA-GETRX
CMS MPF D09 1 MPF Price Accuracy 99 4.9 D09CMSMPF Price AccuracyCMS-MPF
PQA DIAB D10 3 Medication Adherence for Diabetes Medications 84 3.7 D10PQAMedication Adherence for Diabetes MedicationsPQA-DIAB
PQA HTN D11 3 Medication Adherence for Hypertension (RAS antagonists) 85 3.2 D11PQAMedication Adherence for Hypertension (RAS antagonists)PQA-HTN
PQA CHOL D12 3 Medication Adherence for Cholesterol (Statins) 84 3.3 D12PQAMedication Adherence for Cholesterol (Statins)PQA-CHOL
CMS MTM D13 1 MTM Program Completion Rate for CMR 81 3.7 D13CMSMTM Program Completion Rate for CMRCMS-MTM
PQA SUPD D14 3 Statin Use in Persons with Diabetes (SUPD) 82 3.1 D14PQAStatin Use in Persons with Diabetes (SUPD)PQA-SUPD
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