HEDIS® Results
Medicaid HEDIS® Annual Rates.
Senior Whole Health’s scores for the past year are below. You can see how Senior Whole Health performs compared to our target goal.
Measure |
2022 |
Goal |
Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA) |
NA |
64.52% |
Annual Dental Visits (ADV) Total |
NA |
53.67% |
Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment |
NA |
46.09% |
Appropriate Testing for Pharyngitis (CWP) |
NA |
74.02% |
Appropriate Treatment for Upper Respiratory Infection (URI) Total |
NA |
92.46% |
Asthma Medication Ratio (AMR) Total |
NA |
68.21% |
Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB) |
NA |
58.74% |
Breast Cancer Screening (BCS) |
62.63% |
53.96% |
Cervical Cancer Screening (CCS) |
NA |
60.83% |
Childhood Immunization Status (CIS) Combination #10 |
NA |
39.42% |
Chlamydia Screening in Women (CHL) Total |
NA |
60.24% |
Comprehensive Diabetes Care (CDC) BP Control < 140/90 |
56.61% |
65.21% |
Comprehensive Diabetes Care (CDC) HbA1c Control < 8.0% |
68.25% |
52.80% |
Comprehensive Diabetes Care (CDC) Eye Exam |
52.38% |
54.74% |
Controlling High Blood Pressure (CBP) |
47.69% |
63.50% |
Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) |
NA |
81.21% |
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA) 7-Day Follow-Up Total |
NA |
16.16% |
Follow-Up After Emergency Department Visit for Mental Illness (FUM) 7-Day Follow-Up Total |
NA |
45.35% |
Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day Follow-Up Total |
NA |
42.75% |
Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) 7-Day Follow-Up Total |
NA |
37.86% |
Follow-Up for Children Prescribed ADHD Medication (ADD) Continuation and Maintenance Phase |
NA |
55.40% |
Immunizations for Adolescents (IMA) Combination #2 |
NA |
39.16% |
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Total |
NA |
16.57% |
Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Total |
NA |
39.29% |
Pharmacotherapy for Opioid Use Disorder (POD) Total |
NA |
33.15% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Systemic Corticosteroids |
NA |
74.76% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Bronchodilator |
NA |
87.83% |
Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio 18-64 Years |
NA |
≤ 94.44% |
Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care |
NA |
87.83% |
Prenatal and Postpartum Care (PPC) Postpartum Care |
NA |
80.00% |
Prenatal Immunization Status (PRS) Combination Rate |
NA |
27.32% |
Risk of Continued Opioid Use (COU) 31-Day Total |
3.33% |
≤ 2.35% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Statin Therapy Total |
NA |
82.29% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Statin Adherence 80% Total |
NA |
73.75% |
Statin Therapy for Patients with Diabetes (SPD) Received Statin Therapy |
90.09% |
68.32% |
Statin Therapy for Patients with Diabetes (SPD) Statin Adherence 80% |
17.00% |
70.00% |
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) Total |
NA |
65.63% |
Use of Imaging Studies for Low Back Pain (LBP) |
NA |
76.82% |
Use of Opioids at High Dosage (HDO) |
NA |
≤ 2.65% |
Use of Opioids from Multiple Providers (UOP) Multiple Prescribers and Multiple Pharmacies |
0% |
≤ 0.90% |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) BMI Percentile |
NA |
82.73% |
NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate