Clinical Tools

Clinical Performance Improvement Resources: HEDIS^®

The National Committee for Quality Assurance (NCQA) develops and maintains a set of performance measures in the managed care industry referred to as Healthcare Effectiveness Data Information Set (HEDIS).  These measures allow consumers to compare health plan performance to national or regional benchmarks. Several HEDIS measures relate to behavioral health, and to assist providers with improving member outcomes, Beacon is offering the following education materials.

HEDIS Tip Sheets

• HEDIS Provider Toolkit
  The Provider Toolkit is a compilation of all Tip Sheets together in one document with some additional resources
• ADD: Follow-up Care for Children Prescribed ADHD Medication
• AMM: Antidepressant Medication Management
• APM: Metabolic Monitoring for Children & Adolescents on Antipsychotics
• APP: Use of First-Line Psychosocial Care for Children & Adolescents on Antipsychotics
• FUA: Follow-up after ED Visit for Alcohol/ Drug Abuse or Dependence
• FUH: 7-Day and 30-Day Follow-up After Hospitalization for Mental Illness
• FUI: Follow-up After High Intensity Care for Substance Abuse Disorder
• FUM: Follow-up After ED Visit for Mental Illness
• HDO: Use of Opioids at High Dosages
• IET: Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence
• POD: Pharmacotherapy for Opioid Use Disorder
• SAA: Adherence to Antipsychotic Medications for Individuals with Schizophrenia
• SMC: Cardiovascular Monitoring for People with Cardiovascular Disease and Schizophrenia
• SMD: Diabetes Monitoring for People with Diabetes and Schizophrenia
• SSD: Diabetes Screening for People with Schizophrenia or Bipolar Disorder who are using Antipsychotic Medications
• UOP: Use of Opioids from Multiple Providers

Provider Training

• Medicare Opioid Treatment Programs – video | powerpoint
• Treating Patients with Depression Using Coordinated Medication Management – Slides
• Treating Patients with Depression Using Coordinated Medication Management – Recording

In the below webinar, Beacon’s Quality Management department provides an in-depth look at HEDIS and discusses interventions that support HEDIS activities and measures. Note: Continuing Education Units (CEUs) are no longer available for taking this training.

• 2018 HEDIS Behavioral Health Measures – Slides
• 2018 HEDIS Behavioral Health Measures – Recording

Additional Resources

Motivational Interviewing

• Motivational Interviewing Webinar: June 10, 2020 – video | powerpoint
• Motivational Interviewing Questions to Ask

Clinical Toolkits

• Alcohol Screening Tool

Metabolic Syndrome Monitoring

• Recommended Monitoring for Patients Taking Second Generation Antipsychotics (SGAs)
• Metabolic Monitoring Form (1)
• Metabolic Monitoring Form (2) Blank
• Improving Monitoring for Metabolic Syndrome for Members Taking Antipsychotic Medications

Geriatric Depression

• Geriatric Depression Webinar
• Geratric Depression Webinar Slides
• Geriatric Depression Resource Tipsheet

HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).