HEDIS: NCQA Overview of New Measures and Updates to Existing Measures

Cost: $399

HEDIS: NCQA Overview of New Measures and Updates to Existing Measures

NCQA provides and overview of the new HEDIS measures, updates to existing measures and those that are being retired. NCQA staff will discuss the rationale behind retiring measures and developing new ones, share feedback from public comment, and outline updates to existing measures. The programs conclude with the outline of data results for the new measures collected.

  • Hear directly from the source about new HEDIS measures and updates. 

Get an overview of changes to HEDIS measures and new and retiring measures. NCQA staff discuss the rationale behind retiring measures and developing new ones, share feedback from public comment and outline updates to existing measures.

This series includes five courses.

A Deep Dive into the Measures - HEDIS Measure Changes – Part 1

Join NCQA measurement champions as they share insight into the development of the new HEDIS measures. They will share the research and guidelines shaping the rationale for the measures and provide an overview of the themes and considerations to help shape the development of these brand new measures. Spotlight on measures: Well Child Visits, Adolescent Well-Care Visits.

A Deep Dive into the Measures - HEDIS Measure Changes -Part 2

NCQA staff will discuss the rationale behind retiring measures and developing new ones, share feedback from public comment—an important part of the development process—and outline updates to existing measures.

HEDIS 2020 First Year Results

NCQA staff outline first-year analysis results and public reporting status for two new measures targeting treatment of substance use disorders and three recently updated measures including the Plan All-Cause Readmissions measure. In addition, staff will share reporting results for domains of measures gaining growing attention, including the 11 measures collected via electronic clinical data systems (ECDS) and four national measures of Long-Term Services and Supports reported by health plans and community-based organizations.

Measurement Year 2021 Reporting HEDIS Audit Updates

During this session, NCQA staff will review and discuss HEDIS audit updates and enhancements.

A Deep Dive into the New Measures: Kidney Health Evaluation, Cardiac Rehabilitation, Osteoporosis 

Join NCQA measurement champions as they share insight into the development of the new HEDIS measures. They will share the research and guidelines shaping the rationale for the measures and provide an overview of the themes and considerations to help shape the development of these brand new measures. Spotlight on measures: Kidney Health Evaluation, Cardiac Rehabilitation, Osteoporosis Screening in Older Women.

Course summary
Available credit: 
  • 1.00 Participation
  • 5.00 PCMH CCE
Course opens: 
01/01/2021
Course expires: 
09/17/2021
Cost:
$399.00

A Deep Dive into the Measures - HEDIS Measure Changes – Part 1

Katherine Sobel, Senior Health Care Analyst, Quality Measurement & Research Group—NCQA

A Deep Dive into the Measures - HEDIS Measure Changes -Part 2

Cindy Ottone, MHA 
Ms. Ottone is the Director of Policy Measures in Performance Measurement Department of the National Committee for Quality Assurance. In her current position, she supports the development and implementation of the HEDIS Products, as well as other NCQA measures. She represents the policy perspective on several NCQA projects including the Measure Advisory Panels, the Audit Methodology Panel and HEDIS Data Submission. She also supports areas where NCQA measures are used in other organizations’ programs including: QRS/Marketplaces, CHIPRA Core Set, QPP and NQF. As the HEDIS director, she also supervises staff answering NCQA customers and constituents through the HEDIS Policy Clarification Support system and Frequently Asked Questions. 

Prior to working at NCQA, Ottone has worked with health plans and physician practices. She was assigned to quality measurement and improvement at Companion HealthCare, a Blue Cross Blue Shield HMO. While at Companion, she focused her efforts on HEDIS measurement and reporting, Disease Management Programs, and Quality Improvement Activities in both the clinical and operations areas. She has also worked in large provider practices with their billing systems and strategic planning. 

Ottone received her BA in Health Science and Policy from the University of Maryland, Baltimore. She received an MHA from the University of South Carolina, School of Public Health. She is on the Board of Trustees at Palmetto Richland Hospital and Richland Memorial Hospital, and is on the Board of Directors at Prisma Health Midlands. She previously served as adjunct faculty at George Washington University School of Medicine and Health Sciences and University of South Carolina School of Public Health. 

HEDIS 2020 First Year Results

Rachel L. Harrington, PhD
Dr. Harrington is a Research Scientist in Performance Measurement and has been with NCQA since 2019. She leads measure development and testing in the area of health care resource utilization and serves as the scientific and project lead on multiple federally funded NCQA measurement projects. This includes HEDIS® risk-adjusted utilization measures, appropriate medication use in the elderly and strategies for evolving approaches to social determinants of health in quality measurement.
 
Before joining NCQA, Harrington led North American health economics and outcomes research for anti-infective products at Astellas Pharma. She holds a PhD in Pharmacy Systems, Outcomes and Policy from the University of Illinois at Chicago College of Pharmacy and a BA from Marquette University

Junqing Liu, MSW, PhD 
Dr. Junqing Liu, a behavioral health researcher joined the National Committee for Quality Assurance in 2011 as a research scientist. She serves as a researcher and project director on several federally funded child and adult behavioral health measurement projects at NCQA. As the champion of NCQA’s behavioral health measures, she leads the re-evaluation and updates of NCQA’s behavioral health measures. Liu’s research focuses on access to mental health services, evidence-based treatment for behavioral health problems, and child welfare services. Prior to joining NCQA, she was a research assistant professor at University of Maryland School of Social Work and led the evaluation of a federally funded research project on the implementation of evidence-based practices in several state child welfare systems. During her work at University of Maryland, Liu led the research design, development of surveys, data collection and analysis, reports and preparation of paper for publication, and communication with external project partners. She holds a PhD and a Masters in Social Work from University at Albany, State University of New York. She received her undergraduate degree from China Youth University for Political Sciences.

Fern McCree, MPH
Ms. McCree is a Senior Health Care Analyst in the Performance Measurement Department at NCQA. McCree is responsible for managing and coordinating research, measure development and maintenance activities. Her work is primarily focused on behavioral health, geriatric and risk adjustment utilization. Fern also leads efforts to develop measures within the electronic clinical data system (ECDS) domain, which aims to enable reporting health plan level measures using data sources that provide more accurate and timely clinical information. 

McCree holds an MPH from The George Washington University and a BS in Public Health Administration from Temple University.

Lyndsey Nguyen, MS, BA 
Ms. Nguyen currently serves as a Senior Health Care Analyst in the Performance Measurement Department at the National Committee for Quality Assurance (NCQA). She manages, leads, and coordinates activities related to the development of quality metrics for U.S. health care. Her areas of focus include mental health, substance use, and pain management. Nguyen holds an MS in Physiology (Complementary and Alternative Medicine) from Georgetown University, and a BA in Cognitive Science from the University of Virginia.

Lindsey M. Roth, MPP
Ms. Roth is a Senior Health Care Analyst in the Performance Measurement Department at NCQA. She serves as a project manager for the maintenance and development of quality performance measures for NCQA. Ms. Roth’s contract work includes measure development for the 11 prospective payment system-exempt cancer hospitals with Mathematica Policy Research, Inc. She is also the project manager for a demonstration project in which NCQA is piloting and evaluating a model of patient-centered oncology care. 

Prior to joining NCQA, Roth was a Senior Research Associate at the National Association of Public Hospitals and Health Systems. In this position, she managed several research projects focused on topics important to health care providers and hospitals that care for underserved populations. Roth also designed and implemented surveys for administrators and providers in hospitals and health systems and developed and designed quality data performance reports for safety net hospital executives.

Roth holds a BA in Political Science from the Pennsylvania State University and an MPP from the American University in Washington, DC.

Measurement Year 2021 Reporting HEDIS Audit Updates

Wendy Talbot, MPH
Ms. Talbot is the Assistant Vice President for the Measure Collection and Audit departments with NCQA. 
She is responsible for NCQA’s HEDIS Compliance Audit program, which maintains the HEDIS licensure and certification contracts for 9 audit firms and over 70 individual auditors. She is also responsible for NCQA’s Data Collection Department, which maintains and supports the Healthcare Organization Questionnaire (HOQ) and the IDSS, which receives over 2,400 audited data submissions annually. 

Talbot has 18 years of industry experience working with federal, state and local government, managed care and behavioral health organizations and physician groups. Previously she was Director of Performance Measure Validation and Audits for an External Quality Review Organization and one of NCQA’s HEDIS Licensed Organizations. While there, she was an NCQA Certified HEDIS Compliance Auditor and performed over 150 HEDIS, AMP and Performance Measure Validation audits. Before the EQRO, she was an Epidemiologist at the Arizona Department of Health Services. 

Talbot completed her undergraduate education in Health Sciences at the University of Nevada, Reno. She holds an MPH, Epidemiology degree from the University of Arizona. She has been a Certified HEDIS Compliance Auditor since 2007.

A Deep Dive into the New Measures: Kidney Health Evaluation, Cardiac Rehabilitation, Osteoporosis 

Emily Hubbard 
Ms. Hubbard is a Health Care Analyst in the Performance Measurement Department at NCQA. She supports projects related to the development and maintenance of performance measures focused on diabetes and cardiovascular care. She also supports the management and coordination of multi-stakeholder groups, including the Committee on Performance Measurement. 

Hubbard holds a Bachelor of Anthropology and a Bachelor of Public & Nonprofit Administration, with a specialty in Community Health, from Grand Valley State University.  

Nancy A. McGee, MS, MBA
Ms. McGee is Senior Health Care Analyst in the Research and Analysis Department at NCQA. She is responsible for the development and maintenance of HEDIS measures primarily addressing geriatric health care. She also works on research efforts focused on person-driven outcomes for individuals with serious illness, multiple chronic conditions and disabilities. 

Prior to joining NCQA, McGee worked in the area of employee benefits including as a benefits manager for a national organization; as a health and benefits consultant for Mercer; and as a project manager, implementing benefits administration systems, for ADP and Ceridian. 

McGee holds an MS in Gerontology from the University of Utah School of Nursing and an MBA from the University of Utah. 

Daniel P. Roman
Mr. Roman is Director in the Performance Measurement Department at NCQA. He leads development and maintenance of quality performance measures focused on cardiovascular and diabetes care, as well as care coordination. Additionally, he supports efforts to develop and evaluate performance measures for the Medicare Advantage Part C Plan Rating program, Medicaid Managed Long-Term Services and Supports Plans and the Medicare-Medicaid Dual Eligible population. 

Prior to joining NCQA, Roman was a Senior Specialist at the American College of Cardiology (ACC). In this position, he focused on research projects and pilot initiatives related to health information technology. He also supported the development of clinical practice guidelines, performance measures, and data standards. 

Roman holds a BS in Biology from the Pennsylvania State University.
 

This OnDemand webinar grants 5.0 other Continuing Education Unit (CEU) points for PCMH Certified Content Experts.

This is a non CME/CNE/CPE activity.

Available Credit

  • 1.00 Participation
  • 5.00 PCMH CCE

Price

Cost:
$399.00
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