| Msr. Type |
Code | CMS Id | Weight | Measure | Avg. Score | Avg. Star |
|---|---|---|---|---|---|---|
| HED | FUH | DMC01 | 0 | Follow-up Visit after Hospital Stay for Mental Illness (within 30 days of discharge) | 50 | 0 |
| HED | AMM | DMC02 | 0 | Antidepressant Medication Management (6 months) | 64 | 0 |
| HED | CBBT | DMC03 | 0 | Continuous Beta Blocker Treatment | 89 | 0 |
| HED | OTO | DMC04 | 0 | Osteoporosis Testing | 74 | 0 |
| HED | TCCOPD | DMC05 | 0 | Testing to Confirm Chronic Obstructive Pulmonary Disease | 30 | 0 |
| CHA | DCW | DMC06 | 0 | Doctors who Communicate Well | 92 | 0 |
| CMS | CCBHT | DMC07 | 0 | Call Center Beneficiary Hold Time | - | 0 |
| CHA | PV | DMC08 | 0 | Pneumonia Vaccine | 69 | 0 |
| HED | APCDV | DMC09 | 0 | Access to Primary Care Doctor Visits | 94 | 0 |
| CMS | CDCCHP | DMC10 | 0 | Call Center Calls Disconnected When Customer Calls Health Plan | 2.32 | 0 |
| HED | PMSC | DMC11 | 0 | Pharmacotherapy Management of COPD Exacerbation Systemic Corticosteroid | 73 | 0 |
| HED | PMB | DMC12 | 0 | Pharmacotherapy Management of COPD Exacerbation Bronchodilator | 82 | 0 |
| HED | IADT | DMC13 | 0 | Initiation of Alcohol or other Drug Treatment | 33 | 0 |
| HED | EADT | DMC14 | 0 | Engagement of Alcohol or other Drug Treatment | 5 | 0 |
| HED | HPPC | DMC15 | 0 | Hospitalization for Potentially Preventable Complications | 16 | 0 |
| HED | CBP | DMC16 | 0 | Controlling High Blood Pressure | 63 | 0 |
| HED | FEDVP | DMC17 | 0 | Follow-up after Emergency Department Visit for Patients with Multiple Chronic Conditions | 58 | 0 |
| HED | TRCMRP | DMC18 | 0 | Transitions of Care Medication Reconciliation Post-Discharge | 64 | 0 |
| HED | TRCNIA | DMC19 | 0 | Transitions of Care Notification of Inpatient Admission | 22 | 0 |
| HED | TRCAID | DMC20 | 0 | Transitions of Care Patient Engagement After Inpatient Discharge | 82 | 0 |
| HED | TRCRDI | DMC21 | 0 | Transitions of Care Receipt of Discharge Information | 17 | 0 |
| HED | TRCA | DMC22 | 0 | Transitions of Care Average | 46 | 0 |
| HED | PCR18 | DMC23 | 0 | Plan All-Cause Readmissions (18+) | 12 | 0 |
| HED | PCR64 | DMC24 | 0 | Plan All-Cause Readmissions (18-64) | 12 | 0 |
| HED | PCR65 | DMC25 | 0 | Plan All-Cause Readmissions (65+) | 12 | 0 |
| HOS | PFADL | DMC26 | 0 | Physical Functioning Activities of Daily Living | 94 | 0 |
| HED | COAFS | DMC27 | 0 | Care of Older Adults Functional Status | 78 | 0 |
| HED | KHEPD | DMC28 | 0 | Kidney Health Evaluation for Patients With Diabetes | 40 | 0 |
| HOS | IMPH | DMC29 | 0 | Improving or Maintaining Physical Health2 | 68 | 0 |
| HOS | IMMH | DMC30 | 0 | Improving or Maintaining Mental Health2 | 80 | 0 |
| CMS | CDCCDH | DMD01 | 0 | Call Center Calls Disconnected When Customer Calls Drug Plan | 2.3 | 0 |
| CMS | DCBHT | DMD02 | 0 | Call Center Beneficiary Hold Time | 35 | 0 |
| CMS | MPFS | DMD03 | 0 | MPF Stability | 100 | 0 |
| CMS | CCPHT | DMD04 | 0 | Call Center Pharmacy Hold Time | 26 | 0 |
| CMS | PSHPD | DMD05 | 0 | Plan Submitted Higher Prices for Display on MPF | 76 | 0 |
| CHA | RFP | DMD06 | 0 | Reminders to Fill Prescriptions | 54 | 0 |
| CHA | RTM | DMD07 | 0 | Reminders to Take Medications | 33 | 0 |
| PQA | APD | DMD08 | 0 | Antipsychotic Use in Persons with Dementia (APD) | 8 | 0 |
| PQA | APDLTN | DMD09 | 0 | Antipsychotic Use in Persons with Dementia for Long-Term Nursing Home Residents (APD- LTNH) | 7 | 0 |
| PQA | COB | DMD10 | 0 | Concurrent Use of Opioids and Benzodiazepines (COB) | 16.49 | 0 |
| PQA | OHD | DMD11 | 0 | Use of Opioids at High Dosage in Persons Without Cancer (OHD) | 7 | 0 |
| PQA | OMP | DMD12 | 0 | Use of Opioids from Multiple Providers in Persons Without Cancer (OMP) | 0.45 | 0 |
| PQA | PMAMOA | DMD13 | 0 | Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) | 8.7 | 0 |
| PQA | MAMOA | DMD14 | 0 | Polypharmacy: Use of Multiple CNS-Active Medications in Older Adults (Poly-CNS) | 6.5 | 0 |
| DR | GR | DME01 | 0 | Grievance Rate | 5.54 | 0 |
| DR | PGP | DME02 | 0 | Disenrollment Reasons Problems Getting the Plan to Provide and Pay for Needed Care(MA-PD, MA-only) | 18 | 0 |
| DR | PCD | DME03 | 0 | Disenrollment Reasons Problems with Coverage of Doctors and Hospitals (MA-PD,MA-only) | 25 | 0 |
| DR | FRD | DME04 | 0 | Disenrollment Reasons Financial Reasons for Disenrollment (MA-PD, MA-only,PDP) | 23 | 0 |
| DR | PDBC | DME05 | 0 | Disenrollment Reasons Problems with Prescription Drug Benefits and Coverage (MA-PD, PDP) | 10 | 0 |
| DR | PGIHP | DME06 | 0 | Disenrollment Reasons Problems Getting Information and Help from the Plan (MA-PD, PDP) | 13 | 0 |
| DR | BAPP | DME07 | 0 | Beneficiary Access and Performance Problems | 97 | 0 |
| Name | URL |
|---|---|
| Part C & D performance data ® | https://www.cms.gov/medicare/prescription-drug-coverage/prescriptiondrugcovgenin/performancedata.html |
| HEDIS ® | http://www.ncqa.org/hedis-quality-measurement/hedis-measures |