Behavioral Health Quality Metrics 

Review Healthcare Effectiveness Data and Information Set (HEDIS), National Quality Forum (NQF) endorsed, and Centers for Medicare & Medicaid Services (CMS) Star Ratings measures for bipolar disorder all in one easy-to-use tool. 

A number of quality metrics focused on behavioral health care have been developed by various national organizations. The measures created by these health care quality entities focus on different aspects of population health management and vary in scope from process-related to clinically-focused metrics, as well as medication adherence and other aspects of health care quality measurement.* 

*This tool provides summaries from three, nationally-recognized, quality entities. Note: Other quality organizations may offer additional measures for individuals with bipolar disorder. 

Select a health care quality entity to expand and read more.

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About National Committee for Quality Measures (NCQA) HEDIS Measures1
HEDIS Measure for Follow-up After Hospitalization for Mental Illness1,2
HEDIS Measure for Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications1,3
About NQF-Endorsed Measures4
NQF 1880: Adherence to Mood Stabilizers for Individuals With Bipolar I Disorder5
NQF 1927: Cardiovascular Health Screening for People With Schizophrenia or Bipolar Disorder Who Are Prescribed Antipsychotic Medications5
NQF 1932: Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications5
NQF 0003: Bipolar Disorder: Assessment for Diabetes5
NQF 0112: Bipolar Disorder: Level-of-Function Evaluation5
About CMS Star Ratings Measures6
C05—Improving or Maintaining Mental Health6
C21—Plan All-Cause Readmissions6
C22—Getting Needed Care6
C32—Plan Makes Timely Decisions About Appeals6
D09—Getting Needed Prescription Drugs6

References
  1. Healthcare Effectiveness Data and Information Set [HEDIS]. Available at https://www.health.gov/healthypeople/objectives-and-data/data-sources-and-methods/data-sources/healthcare-effectiveness-data-information-set. Accessed May 27, 2022.
  2. Follow up After Hospitalization for Mental Illness. Available at https://www.hedis/measures/follow-up-after-hospitalization-for-mental-illness. Accessed May 27, 2022
  3. Diabetes Screening for People With SSD. Available at https://www.bcbsil/pdf.clinical/qi/HEDIS_Measure_Diabetes_Screening_for_People_with_SSD.pdf. Accessed May 31, 2022.
  4. National Quality Forum. NQF's History. Available at www.qualityforum.org/about_nqf/history. Accessed May 31, 2022.
  5. National Quality Forum. NQF-Endorsed Measures. Available at www.qualityforum.org/QPS/QPSTool.aspx. Accessed May 31, 2022.
  6. Medicare 2018 Part C & D Star Ratings - Technical Notes. Centers for Medicaid and Medicare Services. Available at https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/PerformanceData.html. Accessed May 31, 2022.
  7. HEDIS Measure for Metabolic Monitoring of Children & Adolescents on Antipsychotics.
  8. Available at https://www.ncqa.org/hedis/measures/metabolis-monitoring-for-children-and-adolescents-on-antipsychotics. Accessed on May 31, 2022.
  9. APP Tip Sheet. https://ndbh.com/Docs/PCP/HEDIS/App%20Tip%20Sheet.pdf. Accessed May 31, 2022.