Mount Carmel Health Partners HEDIS Tip Sheets | Page 28

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) Amturnide (aliskiren/amlodipine/HCTZ)
Tekamlo (aliskiren/amlodipine) Tekturna (aliskiren/HCTZ)
ACEIs Include:
Lotrel (amlodipine/benazepril) Vaseretic (enalapril/HCTZ) Uniretic (moexipril/HCTZ)
Lotensin (benazepril) Fosinopril Perindopril
Lotensin HCT (benazepril/hydrochloro-thiazide[HCTZ]) Fosinopril/HCTZ Accupril (quinapril)
Captopril Prinivil (lisinopril) Accuretic (quinapril/HCTZ)
Captopril/HCTZ Zestril (lisinopril) Altace (Ramipril)
Epaned (enalapril powder for oral solution) Zestorectic (lisinopril/HCTZ) Mavik (trandolapril)
Vasotec (enalapril) Univasc (moexipril) Tarka (trendolapril/verapamil)
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