Attachment #1: Examples of Encounter Data Health Plan ID Beneficiary ID Date of Service Place of Service Provider Name Provider Number Prior Authorizations Referrals Diagnosis Codes Procedure Codes Medications/Prescriptions Surgical Codes Admission Dates Discharge Dates Patient Status Code Long-term care Number of days X-Rays and Imaging Laboratory Services “What diagnosis was made? What tests were performed? What treatments were provided?”

Attachment #2: HEDIS Measurements Well-Child Visits (Years 3-6) Adolescent Well-Care Visits Childhood Immunization Status-Combo 3 Prenatal & Postpartum Care (Timeliness of Prenatal Care, Postpartum Care) Use of Imaging Studies for Low Back Pain Cervical Cancer Screening Weight Assessment & Counseling for Nutrition & Physical Activity for Children & Adolescents Comprehensive Diabetes Care (e.g. Eye exam, LDL-C screening & control, HbA1c testing & control, medical attention for Nephropathy, blood pressure) Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis HbA1c Testing indicator used for Auto Assignment (Diabetes) Children & Adolescents' Access to Primary Care Practitioners* Immunizations for Adolescents* Ambulatory care: Outpatient visits, Emergency Department visits* Annual Monitoring for Patients on Persistent Medications (w/out anticonvulsant indicator)* All-Cause Readmissions - Statewide Collaborative QIP measure* * New for 2012