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

2024 Aligned Measure Set  

Health Equity Measure Specifications

Social Determinants of Health Screening

2024 CT Aligned Measure Set Specifications