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Enhancements

Release notes 1.8

HEDIS 2022 updates

Description

Update breast cancer screening (BCS) measure.

Impact

Changes include:

  • Added a radio button to replace the question: Was the correct test performed?
  • Added a Yes/No radio button with the following verbiage: Was the correct test completed?
    Behavior: Default is NO, this will suppress display of the following questions: Date of Service, Screening Procedure
  • Selecting Yes will display the above questions.
    Removed the age range from the description of the measure.

Description

Update controlling high blood pressure (CBP) measure.

Impact

Changes include:

  • Alter the font for the Alert verbiage so that it is red and bolded.
  • There is an ongoing issue with the attempt to remove the question: "Is a diagnosis of essential hypertension documented in the record?" Removal of this question will occur in a later release.

Description

Update CCS measure screen.

Impact

Changes include:

  • Added the ability to report both HPV and cervical cytology testing, either HPV or cytology or both will close the gap. The Yes/No radio buttons will act as an assertion that the test was performed.
  • Alter the font for the Alert verbiage so that it is red and bolded.

Description

Update colorectal cancer screening (COL) measure.

Impact

Changes include:

  • Removed age range from description.
  • Altered the font for the alert verbiage so that it is red and bolded.

Description

Update LBP - use of imaging studies for low back pain measure.

Impact

Changes include:

  • Removed age range from the description of LBP.

Description

Update WCC - BMI percentile weight assessment and counseling measure.

Impact

Changes include:

  • Removed the edits restricting values for weight and height. Added indicators for units of measurement (feet/inches, centimeters, pounds, kilograms).

General enhancements

Description

Add PQA measures to Care Optimizer.

Impact

Changes include:

  • The following measures were added to Care Optimizer as display only.
    • Statin use in persons with diabetes
    • Medication adherence - oral diabetes medications
    • Medication adherence - hypertension
    • Medication adherence - cholesterol
  • No reconsideration screens were added to Theon.

Release notes 2.4.3

Controlling high blood pressure measure

Description

The controlling high blood pressure HEDIS® measure is now displayed.

Impact

Changes include:

  • This measure will now be available for collection of supplemental data towards the closure of quality measures.
  • Users will also be able to view the progress towards completion.

Release notes 2.4.2

Updates to diabetes care – HbA1c reconsideration screens

Description

Update the reconsideration screen to allow all testing results to be entered into one screen.

Impact

Changes include:

  • HbA1c > 9 Reconsideration screen has been removed.
  • The HbA1c < 8 Reconsideration screen has been modified to accept all testing results.

Release notes 2.3.1

Updates to the breast cancer screening reconsideration screen and pseudo claim logic

Description

Update the reconsideration screen to reflect HEDIS 2018 specifications & update the logic to create the correct pseudo claims. 

Impact

Changes include:

  • Update the existing alert statement with more detailed information on what types of services can be used to address the opportunity.
  • Update the existing description statement to align with the HEDIS 2018 specification wording.
  • Add the ability to collect a modifier for each unilateral mastectomy service entered. 
  • Add pseudo claim logic to create a record that indicates the modifier entered into the screen.

Change the existing “mammography” answer in the screening procedure dropdown to “mammography, including 3-D tomosynthesis”.

Updates to diabetes care – blood pressure reconsideration screen

Description

Update the reconsideration screen to reflect HEDIS 2018 specifications.

Impact

Changes include:

  • Add a note statement describing the type of services that cannot be used to address the opportunity.

Updates to colorectal cancer screening reconsideration screen and pseudo claim logic

Description

Update the reconsideration screen to reflect HEDIS 2018 specifications & update the logic to create the correct pseudo claims.

Impact

Changes include:

  • Change the existing iFOBT/Immunochemical answer in the FOBT type dropdown to “FIT/Immunochemical”.
  • Add the ability to collect data for 2 new screening procedures:
    • “FIT-DNA” procedures
    • “CT Colonography” procedures
    • Add a new date field for the “FIT-DNA” procedure service date which allows dates to be entered during the measurement period or the 24 months prior to the measurement period.
    • Add a new date field for the “CT Colonography” procedure service date which allows dates to be entered during the measurement period or the 48 months prior to the measurement period.
    • Add pseudo claim logic to create a record for the FIT-DNA procedure.
    • Add pseudo claim logic to create a record for the CT Colonography procedure.
    • Change the procedure code assigned on the pseudo claim for the colorectal cancer exclusion.

Updates to adolescent immunization – human papillomavirus vaccine reconsideration screen

Description

Update the reconsideration screen to reflect HEDIS 2018 specifications.

Impact

Changes include:

  • Change the existing alert statement to a directions statement and include reference to the general guideline 38 “14 day rule” for services that can be used to address the opportunity.
  • Rearrangement of the screen to be consistent with the other adolescent immunization sub-measures.
  • The addition of a dose type field to allow the screen to move through the workflow when complete dosage information is entered.
  • Update the existing description statement to align with the HEDIS 2018 specification wording.

Dosing requirements updated to allow for 2 or 3 dose vaccine to count towards gap closure.

Updates to STARS indicators to HEDIS18 specifications

Description

Updated the measures that are marked as being part of the CMS STARS program to align with HEDIS 2018 Part C & D Star ratings measures.

Impact

Indicators within Theon® will reflect CMS HEDIS 2018 guidelines 
 

Release notes 2.3

Deconstruct comprehensive diabetes care (CDC) screen into screens for each sub-measure

Description

Deconstruct the current complex CDC1 screen into separate screens for each sub-measure: blood pressure, HbA1c, medical attention for nephropathy, and retinal or dilated eye exam.

The HbA1c screen covers opportunities for members with either the HbA1c testing or HbA1c <8.0% sub-measure that is open.

Impact

All return reasons that can be selected or assigned within the Theon® platform are now listed and explained within table 3.0 – quality opportunity form return reasons in the user guide.

Deconstruct immunization for adolescents (IMA) screen into screens for each sub-measure

Description

Deconstruct current complex IMA screen into separate screens for each sub-measure: Meningococcal and Tdap.

Impact

Users can now enter the data for each sub-measure and submit individually rather than partially filling out the screen when data for the entire complex measure is not available.

Deconstruct weight assessment and counseling for nutrition and physical activity for children (WCC) screen into screens for each sub-measure

Description

Deconstruct the current complex WCC screen into separate screens for each sub-measure: BMI, counseling for physical activity, and counseling for nutrition.

Impact

Users can now enter the data for each sub-measure and submit individually rather than partially filling out the screen when data for the entire complex measure is not available.

Deconstruct childhood immunization status (CIS) screen into screens for each sub-measure

Description

Deconstruct the current complex CIS screen into separate screens for each sub-measure: DTaP, Flu, HepA, HepB, HiB, IPV, MMR, PCV, RV, and VZV. 

Impact

Users can now enter the data for each sub-measure and submit individually rather than partially filling out the screen when data for the entire complex measure is not available.

Update sub-measure screen headers in deconstructed form

Description

Form headers have been shortened to fit the space available on the page. The measure names within Care Optimizer® module (CO) were adjusted to be consistent with the names in the Care Collaborator® module (CC).

Impact

Users are now able to see the name of the measure without having any characters cut off. Examples of these headers include:

  • MCR – Medicare
  • MKT – Marketplace
  • COMM – Commercial
  • MCD – Medicaid

Ability to ‘pend’ form when single line entry is completed

Description

Workflow will allow a form to be moved to ‘pending’ when a single line of data is to be abstracted when all boxes are checked.

Impact

Users are now able to enter the data available to them when applicable.  This enhancement applies to measures AWC and W34.  In addition, if all subcomponents of this measure are not documented in one visit, the measure will return to ‘open’ status.

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Comprehensive performance measures guide