ACRONYMS
NCQA
a 501(c)(3) not-for-profit that uses measurement, transparency and accountability to improve health care
What is the National Committee for Quality Assurance?
The most updated patient information can be found in this dimensional view.
What is GlobalMemberDim?
Hybrid Measure Code (CDC) and systematic sampling code is due
When is NOV 29 2019?
This was the year that the NCQA assumed responsibility for management of HEDIS.
What is 1992?
Data sets containing external data not part of KP HealthConnect or legacy sources
What are supplemental data sets?
What is the Healthcare Effectiveness Data and Information Set?
HEDIS continuous enrollment information can be found in this view
What is v_getHEDISContEnrollmentFact?
We can expect the final NDC file from Pharmacy and shared files from KPInsight by this time
When is (mid) January 2020?
These measures use both administrative data & medical record or chart review data.
What are HYBRID Measures?
A complete set of codes used to identify the service or condition
What are Value Sets?
NDC
a unique 10-digit or 11-digit, 3-segment number, and a universal product identifier for human drugs in the United States
What is the National Drug Code?
HEDIS Continuous Enrollment data is scheduled for on update weekly in QIP on this day
What is Sunday?
Preliminary rates and MRN level files for all measures should be pushed to SQL server by this time
When is MAR 6 2020?
NCAL KP Medicare health plans for 2020 received 5 of these
What are stars?
Our Medicare health plans for 2020 received Medicare's highest possible rating, 5 out of 5 stars, in California, Colorado, Georgia, Hawaii, Maryland, Virginia, and Washington D.C., and 4.5 out of 5 stars in Oregon, and Washington
These are measures selected by auditors to be audited
What are Core Measures?
CAHPS
a survey to capture the accuracy and reliability of information from consumers about their experiences with their health plans.
What is the Consumer Assessment of Healthcare Providers and Systems?
Tapestry data on outside claims can only be found in QIP and not Clarity - True or False?
What is False?
Tapestry data in QIP is sourced from Tapestry data in Clarity.
Explanations for denominator changes or rate changes of +/- 5% are due
When is APR 2020?
This is the percentage of health plans that uses HEDIS to measure performance on important dimensions of care and service.
What is 90%?
Commercial, Medicare, Medi-cal, are all examples of this
What are Product Lines?