Mount Carmel Health Partners HEDIS Tip Sheets | Page 13

HEDIS Tip Sheet
Chlamydia Screening in Women
Definition: Percentage of women 16-24 years of age who were identified as sexually active and who had at least one
test for chlamydia during the measurement year.
Service Needed: Cervical cytology between January 1 two years prior to the measurement year and December 31 of
the measurement year. For women ages 35 – 64, cervical cytology and an HPV test performed on the same date
between January 1 four years prior to the measurement year and December 31 of the measurement year.
Exclusions:
• Women who have had a pregnancy test and either prescription for Retinoid (isotretinoin) or x-ray on the date or
within 6 days of the pregnancy test. • Hospice care in the measurement year.
Chart Review Tips:
• Chlamydia results are usually listed in the “Lab” section of the chart.
• Review chart for indication patient sees Ob-Gyn for annual cervical cancer screening, if so review
"Correspondence" section for results, you may need to outreach to the patient's Ob-Gyn physician.
Member Outreach Tips:
• Ask patients if they have had a (total, complete, or radical) hysterectomy before reminding them they are due.
• If a patient is due to have her cervical cancer screening within the next 1-2 months, call to remind her to schedule
an appointment with her PCP or Ob-Gyn soon.
Supplemental Data Tips
• A date and result must be present for the screening to meet the measure.
• In order for the patient to meet the hysterectomy exclusion, her cervix must have been completely removed.
• Screening may be performed by either the patient's PCP or OB/GYN, whomever normally does her PAP or pelvic
exams.
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