Mount Carmel Health Partners HEDIS Tip Sheets - Page 21

HEDIS Tip Sheet Medication Adherence for Hypertension Definition: Percentage of Part D beneficiaries, ages 18 and older, who fill their hypertension medication enough to cover 80% or more of the time they are taking their medication. Service Needed: Filling prescriptions for hypertension medications. Exclusions: Hospice care in the measurement year. Chart Review Tips: • Hypertension medications are defined as renin angiotensin system (RAS) antagonists (angiotensin converting enzyme inhibitors (ACEI), angiotensin receptor blockers (ARB), or direct renin inhibitor medications). • Hypertension medications can be found in the “Medications” section of the chart or noted in the recent office visit/progress note. Member Outreach Tips: • Ask patients if they are taking (or have been prescribed) a medication for hypertension. • Encourage patients to take medications as prescribed. If patients do not take medication as prescribed, ask why: Lack of funds? A problem with side effects? Supplemental Data Tips • This measure must be met through either pharmacy data or claims, meaning supplemental data cannot be used. • Patients may be taking medication as prescribed and not using their insurance benefits (for example: $4 prescriptions), which would cause them to appear not meet the metric falsely. Direct Renin Inhibitors: Terturna (aliskiren) Tekamlo (aliskiren/amlodipine) ACEIs Include: Lotrel (amlodipine/benazepril) Lotensin (benazepril) Lotensin HCT (benazepril/hydrochloro-thiazide[HCTZ]) Captopril Captopril/HCTZ Epaned (enalapril powder for oral solution) Vasotec (enalapril) Amturnide (aliskiren/amlodipine/HCTZ) Tekturna (aliskiren/HCTZ) Vaseretic (enalapril/HCTZ) Fosinopril Fosinopril/HCTZ Prinivil (lisinopril) Zestril (lisinopril) Zestorectic (lisinopril/HCTZ) Univasc (moexipril) Uniretic (moexipril/HCTZ) Perindopril Accupril (quinapril) Accuretic (quinapril/HCTZ) Altace (Ramipril) Mavik (trandolapril) Tarka (trendolapril/verapamil) (continues next page) 21