Quality metrics toolkit

2022 Metrics Medicaid Toolkit 

• Adolescent immunizations
• Alcohol and drug misuse (SBIRT)
• Assessments for children in DHS custody
• Child and adolescent well-care visits (WCV)
• Childhood immunization status
• Cigarette smoking prevalence
• Depression screening and follow-up plan
• Diabetes: HbA1c poor control
• Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET)
• Meaningful Access to Health Care Services for persons with limited English proficiency
• Oral evaluation for adults with diabetes
• Preventive dental or oral services - Ages 1-5 & 6-14
• Social-emotional health metric
• Timeliness of prenatal and postpartum care

2021 Metrics Toolkit 

• Adolescent immunizations
• Alcohol and drug misuse (SBIRT)
• Assessments for children in DHS custody
• Breast cancer screening
• Care for older adults: Functional status assessment
• Care for older adults: Medication review
• Care for older adults: Pain screening
• Childhood immunization status
• Cigarette smoking prevalence
• Colorectal cancer screening
• Controlling high blood pressure
• Depression screening and follow-up plan
• Diabetes: Eye exam
• Diabetes: HbA1c poor control
• Diabetes care: Nephropathy monitoring
• Disparity measure: Emergency department utilization for individuals experiencing mental illness
• HOS: Improving bladder control
• HOS: Monitoring physical activity
• HOS: Reduce the risk of falling
• Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET)
• Inpatient and emergency department utilization for ambulatory care sensitive conditions
• Meaningful Access to Health Care Services for persons with limited English proficiency
• Medication adherence for cholesterol statins
• Medication adherence for diabetes medications
• Medication adherence for hypertension
• Oral evaluation for adults with diabetes
• Osteoporosis
• Statin therapy for patients with cardiovascular disease
• Timeliness of prenatal and postpartum care

More resources

• 2022 Medicaid Metrics toolkit
• 2021 CareOregon Quality Metrics Toolkit
• 2022-23 Columbia Pacific CCO PCPM Program Description 
• OHA Metrics: oregon.gov/oha/HPA/ANALYTICS/Pages/CCO-Metrics.aspx
• OHA Transformation Center: oregon.gov/oha/hpa/csi-tc/pages/index.aspx
• Medicare Star Ratings Technical Specs: cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/PerformanceData
• HEDIS Measures: ncqa.org/hedis-quality-measurement/hedis-measures/hedis-2018
• CMS: cms.gov/
• Value sets can be accessed through the Value Set Authority Center (VSAC) at the National Library of Medicine: vsac.nlm.nih.gov. Value sets include CPT, HCPC, ICD-9, ICD-10, SNOMED, and RXNORM codes
• Quality Improvement: ihi.org/resources/Pages/default.aspx
• Certified Health IT Product List is a resource for determining EMR reporting capacity: chpl.healthit.gov/#/search
• STOP CRC implementation guide
• Diabetes and oral health: Improve patient outcomes
• Pediatric oral health
• 2022 IET Billing guide
• 2022 IBH IET At a Glance
• Words matter
• Recovery oriented language guide
• Diabetes Oral Health Program - Integration Toolkit
• Maternity Oral Health Program - Integration Toolkit
• Pediatric Oral Health Program - Integration Toolkit