The following is a summary of changes being made to the measures used in the
Quality Performance Measure (QPM) score program for measurement year 2014.
Elimination of measures
As a result of a clinical review and provider feedback, the following
quality performance measures have been eliminated from measurement year 2014:
- Cholesterol management (LDL-C) for patients with cardiovascular
conditions
- Diabetic care
- - LDL-C screening
- - LDL-C results
Changes to existing measures
In addition, the following quality performance measures have been updated
for measurement year 2014 based on changes to the Healthcare Effectiveness Data
and Information Set (HEDIS®):
Measure
Change
Adolescent immunization —
Tdap or Td
The measure has been revised to allow for separate tetanus and diphtheria
vaccinations.
Diabetic care —
Dilated retinal eye examination
The need for a normal eye examination in the year prior to the measurement year
has been changed as follows:
- Previous. Dilated retinal eye examination in the
measurement year (2014) by an ophthalmologist or optometrist, or a negative
retinal exam in the year prior to the measurement year (2013).
- Updated. Dilated retinal eye examination by an
ophthalmologist or optometrist in the measurement year (2014) or in the year
prior to the measurement year (2013).
Osteoporosis management in women who had a fracture
- The age range has changed to 67 through 85. Previously, there was no upper
age limit.
- Pathological fractures have been removed from qualifying fractures.
If you have any questions about these program changes, contact your Network
Coordinator.