Quality Council
2024 Aligned Measure Set
Quality Council 2024 Aligned Measure Set
Updated July 25, 2023
Background: The Aligned Measure Set is a set of 29 measures from which OHS requests insurers select measures for use in new value-based contracts. The Aligned Measure Set contains Core Measures and Menu Measures. Core Measures are those that OHS asks insurers use in all new value-based contracts. OHS has designated additional measures as Menu Measures. These measures are for optional use in new value-based contracts. Insurers are asked to restrict the quality measures they use in new value-based Advanced Network contracts to only those found in the Core and Menu Sets. OHS does not expect payers to amend existing contracts to align with these Core Measures, although it welcomes insurers willing to do so. For further guidance on how OHS recommends insurers and Advanced Networks implement the Aligned Measure Set, please see OHS’ Implementation Guidance document found at https://portal.ct.gov/OHS/Pages/Quality-Council/2024-Aligned-Measure-Set.
|
# |
Measure Name |
NQF |
Steward |
Source |
|
Core Measure Set (8) |
||||
|
Care Coordination (1) |
||||
|
1 |
Plan All-cause Readmission |
1768 |
NCQA |
Claims |
|
Acute & Chronic Care (2) |
||||
|
2 |
Controlling High Blood Pressure |
0018 |
NCQA |
EHR |
|
3 |
Hemoglobin A1c Control for Patients with Diabetes: HbA1c Poor Control (>9%) |
0059 |
NCQA |
EHR |
|
Prevention (2) |
||||
|
4 |
Child and Adolescent Well-care Visits |
NA |
NCQA |
Claims |
|
5 |
Prenatal and Postpartum Care |
1517 |
NCQA |
EHR |
|
Behavioral Health (1) |
||||
|
6 |
Follow-up After Emergency Department Visit for Mental Illness (7-Day) |
3489 |
NCQA |
Claims |
|
Health Equity (1) |
||||
|
7 |
Health Equity Measure1 |
NA |
CT OHS |
EHR |
|
Social Determinants of Health (1) |
||||
|
8 |
Social Determinants of Health Screening2 |
NA |
CT OHS |
Survey |
|
Menu Measure Set (21) |
||||
|
Consumer Engagement (1) |
||||
|
1 |
PCMH CAHPS Survey |
0005 |
NCQA |
Survey |
|
Care Coordination (1) |
||||
|
2 |
Transitions of Care3 |
NA |
NCQA |
EHR |
|
Prevention (10) |
||||
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1 This measure was previously titled the Race, Ethnicity and Language (REL) Stratification Measure. Specifications for this measure can be found here: https://portal.ct.gov/OHS/Pages/Quality-Council/2024-Aligned-Measure-Set
2 Specifications for this measure can be found here: https://portal.ct.gov/OHS/Pages/Quality-Council/2024-Aligned- Measure-Set
3 This measure is specified as a Medicare-only measure but can be used in commercial and Medicaid contracts; however, not for reporting purposes.
AMA-PCPI: American Medical Association-convened Physician Consortium for Performance Improvement
CMS: Centers for Medicare & Medicaid Services
CT DSS: Department of Social Services
IEHP: Inland Empire Health Plan
NCQA: National Committee for Quality Assurance
OHSU: Oregon Health & Science University
PQA: Pharmacy Quality Alliance
2024 CT Aligned Measure Set Implementation Guidance
Health Equity Measure Specifications
Social Determinants of Health Screening
2024 CT Aligned Measure Set Specifications