2022 TCGP Measure Set list by Domain
- TCGP Measure List also available in Portable Document Format (PDF)
The table below displays a listing of the 2022 Total Care for General Population VBP Quality Measures by domain (e.g., Primary Care, Mental Health, Substance Use Disorder, HIV/AIDS, Maternity, Children´s) that are required for inclusion in TCGP VBP contract development based on the VBP Roadmap.
Section 1:
| 2022 Primary Care Measures You must choose at least 1 measure from the following domain to be included in the VBP Contract. |
||
|---|---|---|
| Measure Name | ID | Class |
| Adherence to Mood Stabilizers for Individuals with Bipolar I Disorder | NFQ 1880 | P4P |
| Antidepressant Medication Management - Effective Acute & Effective Continuation Phase Treatment | NFQ 0105 | P4P |
| Asthma Medication Ratio | NFQ 1800 | P4P |
| Breast Cancer Screening | NFQ 2372 | P4P |
| Cervical Cancer Screening | NFQ 0032 | P4P |
| Chlamydia Screening in Women | NFQ 0033 | P4P |
| Colorectal Cancer Screening | NFQ 0034 | P4P |
| Controlling High Blood Pressure | NFQ 0018 | P4P |
| Diabetes Screening for People w/ Schizophrenia or Bipolar Disorder Using Antipsychotic Medications | NFQ 1932 | P4P |
| Eye Exam for Patients With Diabetes* | NFQ 55^ | P4P |
| Hemoglobin A1c Control for Patients With Diabetes* | NFQ 59^ | P4P |
| Initiation and Engagement of Alcohol & Other Drug Abuse or Dependence Treatment (IET) | NFQ 0004 | P4P |
| Kidney Health Evaluation for Patients with Diabetes (KED)^^ | P4R | |
Section 2:
| 2022 Mental Health Measures You must choose at least 1 measure from the following domain to be included in the VBP Contract. |
||
|---|---|---|
| Measure Name | ID | Class |
| Adherence to Antipsychotic Medications for Individuals with Schizophrenia | NFQ 1879 | P4P |
| Depression Remission or Response for Adolescents and Adults | - | P4P |
| Follow-Up After Emergency Department Visit for Mental Illness | NFQ 2605 | P4P |
| Follow-Up After Hospitalization for Mental Illness* | NFQ 0576 | P4P |
| Potentially Preventable Mental Health Related Readmission Rate 30 Days | - | P4P |
Section 3:
| 2022 Substance Use Disorder Measures You must choose at least 1 measure from the following domain to be included in the VBP Contract. |
||
|---|---|---|
| Measure Name | ID | Class |
| Follow–Up After Emergency Department Visit for Substance Use* | NFQ 3488^ | P4P |
| Follow-Up After High-Intensity Care for Substance Use Disorder | - | P4P |
| Initiation of Pharmacotherapy upon New Episode of Opioid Dependence | - | P4P |
| Pharmacotherapy for Opioid Use Disorder | NFQ 3175 | P4P |
| Unless you are excluding or carving out HIV+ individuals, pregnant women, or children members in your TCGP arrangement, you must choose at least one Category 1 P4P measure from each of the applicable domains below**. |
Section 4:
| 2022 HIV/AIDS Measure** You must choose at least 1 measure from the following domain to be included in the VBP Contract. |
||
|---|---|---|
| Measure Name | ID | Class |
| HIV Viral Load Suppression | NFQ 2082 | P4P |
Section 5:
| 2022 Maternity Measures** You must choose at least 1 measure from the following domain to be included in the VBP Contract. |
||
|---|---|---|
| Measure Name | ID | Class |
| Prenatal and Postpartum Care* | NFQ 1517 | P4P |
Section 6:
| 2022 Children´s Measures** You must choose at least 1 measure from the following category to be included in the VBP Contract. |
||
|---|---|---|
| Measure Name | ID | Class |
| Asthma Admission Rate - PDI #14 | NFQ 0728 | P4P |
| Child and Adolescent Well-Care Visits | P4P | |
| Childhood Immunization Status – Combination 3* | NFQ 0038 | P4P |
| Immunizations for Adolescents – Combination 2* | NFQ 1407 | P4P |
| Well-Child Visits in the First 30 Months of Life | NFQ 1516 | P4P |
Specification/Measure Name Change/Removed from HEDIS MY2022
*Measure Revised for MY2022
^ New Spec Under NQF Review
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