HEDIS® Implementation Guide

HEDIS Implementation Guide, published by National Committee for Quality Assurance. This is not an authorized publication; it is the continuous build for version null). This version is based on the current content of https://github.com/cqframework/hedis-ig/ and changes regularly. See the Directory of published versions


Unhealthy Alcohol Use Screening and Follow-up (ASF) Measure

Measure Description

The percentage of members 18 years of age and older who were screened for unhealthy alcohol use using a standardized instrument and, if screened positive, received appropriate follow-up care.

Measurement Period

January 1 – December 31 of the measurement year.

Population Definitions

Initial Population

Members that are 18 years and older at the start of the measurement period.

Exclusions

Exclude members with any of the following:

  • Alcohol use disorder from January 1 the year prior to the measurement year to December 31 of the measurement year.
  • History of dementia any time during the member’s history through the end of the measurement period.
  • In hospice or using hospice services during the measurement period.

Denominator 1 (Unhealthy Alcohol Use Screening)

The initial population, minus exclusions.

Numerator 1 (Unhealthy Alcohol Use Screening)

Members with a documented result for unhealthy alcohol use screening performed between January 1 and November 1 of the measurement period.

Denominator 2 (Counseling or Other Follow-Up on Positive Screen)

All members in Numerator 1 with a positive finding for unhealthy alcohol use screening between January 1 and November 1 of the measurement period.

Numerator 2 (Counseling or Other Follow-Up on Positive Screen)

Members receiving Alcohol Counseling or Other Follow Up Care on or 60 days after the date of the first positive screen (61 days total).

Terminology

ValueSet Resources

  • “Alcohol Use Disorder (2.16.840.1.113883.3.464.1004.1339)”
  • “Dementia (2.16.840.1.113883.3.464.1004.1074)”
  • “Alcohol Counseling or Other Follow up Care (2.16.840.1.113883.3.464.1004.1437)”
  • “Hospice (2.16.840.1.113883.3.464.1004.1418)”
  • “Female (2.16.840.1.113883.3.464.1004.1457)”
  • “Male (2.16.840.1.113883.3.464.1004.1458)”

Direct Reference Codes

  • “How often have you had five or more drinks in one day during the past year [Reported] (LOINC Code 88037-7)”
  • “How often have you had four or more drinks in one day during the past year [Reported] (LOINC Code 75889-6)”
  • “Total score [AUDIT-C] (LOINC Code 75626-2)”
  • “Total score [AUDIT] (LOINC Code 75624-7)”

Common Libraries

Content

Resource Type Description
library-asf-logic Library CQL Library defining the data requirements to support the evaluation of the ASF Measure
CQL Source Code
measure-asf Measure FHIR Measure resource defining the structured, computable definition of the ASF Measure

Example Data/Requests

Description Patient Data Request Expected Response
Patient is 18 years or older with a documented result for unhealthy alcohol use screening (Observation.code in “Total score [AUDIT]” In Numerator 1 .../Measure/measure-asf/$evaluate-measure?patient=asf-in &reportType=patient&periodStart=2019-01-01&periodEnd=2019-12-31 ASF in Numerator 1 MeasureReport
Patient is 18 years or older without a documented result for unhealthy alcohol use screening Out Numerator 1 .../Measure/measure-asf/$evaluate-measure?patient=asf-out &reportType=patient&periodStart=2019-01-01&periodEnd=2019-12-31 ASF out Numerator 1 MeasureReport
Patient is 18 years or older with a documented result for unhealthy alcohol use screening (Observation.code in “Total score [AUDIT]” and received counseling within 60 days (Observation.code in “Alcohol Counseling or Other Follow Up Care”) In Numerator 2 .../Measure/measure-asf/$evaluate-measure?patient=asf-in-2 &reportType=patient&periodStart=2019-01-01&periodEnd=2019-12-31 ASF in Numerator 2 MeasureReport
Patient is 18 years or older without a documented result for unhealthy alcohol use screening Out Numerator 2 .../Measure/measure-asf/$evaluate-measure?patient=asf-out-2 &reportType=patient&periodStart=2019-01-01&periodEnd=2019-12-31 ASF in Numerator 2 MeasureReport