List of Quality Measures for ACO Quality Score Clause Samples

List of Quality Measures for ACO Quality Score. Quality Measures include claims-based measures, clinical quality measures, and member experience surveys across the following three domains: • Preventive and Pediatric Care • Care Coordination / Care for Chronic & Acute Conditions • Member Experience See Exhibit 2 for the list of Quality Measures. EXHIBIT 2 – ACO Quality Measures Domain 1 Measure Name Measure Description Data Source Measure ▇▇▇▇▇▇▇ NQF No. P4P Transition Year Preventive and Pediatric Care Developmental Screening in the First 3 Years of Life The percentage of children screened for risk of developmental, behavioral and social delays using a standardized screening tool in the 12 months preceding or on their first, second, or third birthday. Claims/ Hybrid OHSU 1448 2025 Immunizations for Adolescents Percentage of members 13 years of age who received all recommended vaccines, including the HPV series Hybrid NCQA 1407 2024 Childhood Immunization Status Percentage of members 2 years of age who received all recommended vaccines by their second birthday Hybrid NCQA 0038 2024 Prenatal and Postpartum Care Percentage of deliveries in which the member received a prenatal care visit in the first trimester or within 42 days of enrollment Hybrid NCQA N/A 2023 Domain 1 Measure Name Measure Description Data Source Measure ▇▇▇▇▇▇▇ NQF No. P4P Transition Year Percentage of deliveries in which women had a postpartum visit on or between 7 and 84 days after delivery Topical Fluoride for Children, Dental or Oral Health Services Percentage of children aged 1–20 years who received at least 2 topical fluoride applications as dental or oral health services within the reporting year Claims ADA DQA 3700 20241 Screening for Depression and Follow Up Plan Percentage of members 12 to 64 years of age screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen Hybrid CMS 0418 2023 1 EOHHS will calculate pay for performance metrics for ages 1 through 5 only. For ages 6 – 20, this subpopulation will be for monitoring purposes only. Domain Measure Name Measure Description Data Source Measure ▇▇▇▇▇▇▇ NQF No. P4P Transition Year Care Coordination/ Care for Acute and Chronic Conditions Follow-Up After Emergency Department Visit for Mental Illness (7 days) Percentage of emergency department (ED) visits for adults and children 6 years of age and older with a diagnosis of mental illness or inten...
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