MEDDIC-MS: MEDDICS-MS MONITORING MEASURES March 1, 2005 ‐ Leslie Proctor March / April 2005 MEDDIC-MS MEDDICS-MS MONITORING MEASURES Return to main story: MEDDIC-MS: Wisconsin’s New Quality Performance Measure System for Medicaid Managed Care MEDDIC-MS TARGETED PERFORMANCE IMPROVEMENT MEASURES • Ambulatory care of diabetes (HbA1c and lipid profile rates) • Childhood immunizations • EPSDT (early, periodic screening, diagnosis, and treatment) well-child exams • Blood lead toxicity screens • Preventive dental care • Post-hospitalization care for mental illness/substance abuse within 7 and 30 days • Satisfaction with HMO customer service (using CAHPSÆ survey data) • Satisfaction with HMO referral for mental health/substance abuse care MEDDIC-MS SSI TARGETED PERFORMANCE IMPROVEMENT MEASURES • Ambulatory care of diabetes (HbA1c and lipid profile rates) • Preventive dental care • Post-hospitalization care for mental illness within 7 and 30 days • Post-hospitalization care for substance abuse within 7 and 30 days MEDDIC-MS MONITORING MEASURES • Chronic conditions • Asthma prevalence • Asthma emergency department care • Asthma inpatient care WOMEN’S HEALTH • Cervical cancer detectionãPap tests • Cervical malignancies, pre-malignant lesions, and HPV detected • Breast cancer detection-screening mammography • Breast malignancies detected • Maternity care-live births (not included in MEDDIC-MS SSI) • Cesarean sections • Deliveries with substance abuse treatment in the perinatal period • Deliveries with voluntary HIV testing • Prenatal care coordination CHILD HEALTH (NOT INCLUDED IN MEDDIC-MS SSI) • Well-child examinations (non-EPSDT) MENTAL HEALTH AND SUBSTANCE ABUSE CARE • Outpatient mental health and substance abuse evaluations • Mental health day/outpatient treatment • Substance abuse day/outpatient treatment GENERAL AND SPECIALTY CARE-OUTPATIENT • Emergency department care without subsequent admission • Primary care encounters • Vision care encounters • Audiology care encounters • General dental care encounters GENERAL AND SPECIALTY CARE-INPATIENT • Maternity care (not included in MEDDIC-MS SSI) • Neonatal care (not included in MEDDIC-MS SSI) • Surgery • Medical care • Psychiatry • Substance abuse • Rehabilitation Be the Expert! Share this: