When treating patients with persistent asthma, it’s important to monitor whether they are using the appropriate medications and in the correct ratio. NCQA/HEDIS asthma measures provide important benchmarks for ensuring optimal health outcomes in these patients.
One measure examines the ratio of controller medication to the total of controller and reliever medications. The goal is to achieve a ratio of controller medication to total medication of 50 percent or greater for the duration of treatment. The other measure looks at the percentage of time patients remain on a controller medication for their asthma, which, according to the HEDIS measure, should be at least 50 percent. Medication samples provided from the office are not included in any of these calculations; only claims information is used.
You can take steps to ensure that your patients keep their asthma in control.
For additional strategies for success with these HEDIS measures and others, refer to the 2019 HEDIS Tips Booklet for Providers found on the CDPHP provider portal under Provider Resources and HEDIS Information.