CYE 2014 Performance Measure Crosswalk

Measures	
Acute	
ALTCS E/PD	
DBHS	
SMI	
CMDP	
CRS	
DDD	
HEDIS	CMS Adult Core Measures	CHIPRA Core Measures	
MU Stage I	
MU Stage
2	
ADULT MEASURES	

Inpatient Utilization (days/1,000)	
X	
X	X
(BH primary dx's; aggregate, KidsCare, CMPD, and DDD rates will be reported separately)	
X			
X	
X					

ED Utilization (Days per 1,000)	
X	
X	X
(BH primary dx's; aggregate, KidsCare, CMPD, and DDD rates will be reported separately)	
X			
X	
X					

Readmissions within 30 days of discharge	
X	
X	X
(BH primary dx's; aggregate, KidsCare, CMPD, and DDD rates will be reported separately)	
X			
X	
X	
X				
Adult asthma Admission Rate	X			X					X				
Use of Appropriate Medications for
People with Asthma	X			X				X	X		X	X	
Access to PCP				X				X					

Follow-up After Hospitalization (all cause) within 7 Days	
X	
X	X
(BH primary dx's; aggregate, KidsCare, CMPD, and DDD rates will be reported separately)	
X			
X	
(like)	
X				

Follow-up After Hospitalization (all cause) within 30 Days	
X	
X	X
(BH primary dx's; aggregate, KidsCare, CMPD, and DDD rates will be reported separately)	
X			
X	
(like)	
X				
Access to Behavioral Health Provider (encounter for a visit) within 7 days of being designated as "active care" for an initial visit			
X
(aggregate, KidsCare, CMPD, and DDD
rates will be reported separately)	
X		
X							
Access to Behavioral Health Provider (encounter for a visit) within 23 days of being designated as "active care" for an initial visit			
X
(aggregate, KidsCare, CMPD, and DDD
rates will be reported separately)	
X		
X							
Comprehensive Diabetes Management	
HbA1c Testing	X	X		X			X	(like)	X				
LDL-C Screening	X	X		X			X	(like)	X				
Eye Exam	X	X		X			X	X			X	X	
Flu Shots for Adults	
Ages 50-64	X	X		X			X	(like)	X		X		
Ages 65+	X	X		X			X	(like)			X		
Diabetes Admissions, short-term complications	X	X		X			X		X				

Measures	
Acute	
ALTCS E/PD	
DBHS	
SMI	
CMDP	
CRS	
DDD	
HEDIS	CMS Adult Core Measures	CHIPRA Core Measures	
MU Stage I	
MU Stage
2	
Chronic obstructive pulmonary disease admissions	X	X		X			X		X				
Congestive heart failure admissions	X	X		X			X		X				
HIV/AIDS: Medical visit	X			X					X			X	
Annual monitoring for patients on persistent medications: Combo Rate DELAYED IMPLEMENTATION, Tabled for CYE 2014	
X			
X				
(like)					

Timeliness of prenatal care — prenatal care visit in the first trimester or within 42 days of enrollment	
X			
X				
X	
X	
X			

Prenatal and Postpartum Care: Postpartum Care Rate (second component to CHIPRA core measure “Timeliness of Prenatal Care)	

X			

X				

X	

X	

X			
ADL Maintenance/Improvement (functional status assessment): DELAYED IMPLEMENTATION, Tabled for CYE 2014		
X					
X						
Screening for Clinical Depression and Follow-Up Plan:   DELAYED IMPLEMENTATION, Tabled for CYE
2014		
X						
X				
X	
Advance Directives		X											

Use of High Risk Medications in the Elderly:   DELAYED IMPLEMENTATION, Tabled for CYE 2014		
X						
(like)				
X	
HCBS Member Satisfaction Survey		X					X						
Medication Reconciliation Post Discharge:  DELAYED IMPLEMENTATION, Tabled for CYE
2014		
X						
(like)					

CAHPS Health Plan Survey v 4.0 - Adult
Questionnaire with Supplemental  Items	
X	
X					
X	
X	
X				
CHILDRENS MEASURES	
Children's Access to PCPs, by age:
12-24 mo.	X				X	X	X	X		X			
Children's Access to PCPs, by age:
25 mo.- 6 yrs.	X				X	X	X	X		X			
Children's Access to PCPs, by age:
7 - 11 yrs.	X				X	X	X	X		X			

Measures	
Acute	
ALTCS E/PD	
DBHS	
SMI	
CMDP	
CRS	
DDD	
HEDIS	CMS Adult Core Measures	CHIPRA Core Measures	
MU Stage I	
MU Stage
2	
Children's Access to PCPs, by age:
12 - 19 yrs.	X				X	X	X	X		X			
Well-Child Visits: 15 mo.	X					X		X		X			
Well-Child Visits: 3 - 6 yrs.	X				X	X	X	X		X			

Adolescent Well-Child Visits: 12–21 yrs.	
X				X
(12-18 yrs)	
X	
X	
X		
X			

Children's  Dental Visits (ages 2-21)	
X				X
(2-18 yrs)	
X	
X	
X					

EPSDT Participation	
X	
X	X
(aggregate, KidsCare, CMPD, and DDD
rates will be reported separately)	
X	
X	
X	
X						
EPSDT Dental Participation	X	X			X	X	X						

Annual number of asthma patients (≥ 1 year old) with ≥ 1 asthma related ER visit	
X									
X			
Annual hemoglobin A1C testing (all children and adolescents diagnosed with diabetes)	
X									
X		
X	
Inpatient Utilization (days/1,000)	X				X	X	X	X					

Emergency Department (ED) Utilization
(visits per 1,000 member months)	
X				
X	
X	
X	
X		
X			
Hospital Readmission Rate	X				X	X	X	(like)					
CAHPS Health Plan Survey 4.0, Child Version including Medicaid and Children with Chronic Conditions supplemental items	
X				
X	
X	
X	
X					
Timeliness of Initial Service Plan
Development						X							

Initiation of Services (within 30 days)						X							
Childhood Immunization Status	
DTaP	X				X	X	X	X		X	X	X	
IPV	X				X	X	X	X		X	X	X	
MMR	X				X	X	X	X		X	X	X	

Hib	
X				
X	
X	
X	
X		
X	X
(MU requires
2 instead of	
X	
HBV	X				X	X	X	X		X	X	X	
VZV	X				X	X	X	X		X	X	X	
PCV	X				X	X	X	X		X	X	X	

Measures	
Acute	
ALTCS E/PD	
DBHS	
SMI	
CMDP	
CRS	
DDD	
HEDIS	CMS Adult Core Measures	CHIPRA Core Measures	
MU Stage I	
MU Stage
2	
Hep A	X				X	X	X	X		X	X	X	
Rotavirus	X				X	X	X	X		X	X	X	
Influenza	X				X	X	X	X		X	X	X	
4:3:1:3:3:1 Series	X				X	X	X	X		X	X	X	
4:3:1:3:3:1:4 Series	X				X	X	X	X		X	X	X	
Immunizations for Adolescents	
Adolescent Meningococcal	X				X	X	X	X		X		X	
Adolescent Tdap	X				X	X	X	X		X		X	
Adolescent Combo	X				X	X	X	X		X		X