HEDIS (Healthcare Effectiveness Data and Information Set) measures, such as breast cancer screening, have specific technical specifications defining compliance criteria, including lookback periods.
Option A (American Medical Association (AMA) Guidelines for Preventive Care): AMA guidelines provide general recommendations, not HEDIS-specific criteria like lookback periods.
Option B (Organization’s policy on preventive care guidelines): Organizational policies may align with HEDIS but are not the authoritative source for measure specifications.
Option C (A chart note from the physician stating the patient was compliant): Physician notes document care but do not define HEDIS compliance criteria.
Option D (The technical specifications for the measure): This is the correct answer. The NAHQ CPHQ study guide states, “HEDIS technical specifications provide detailed criteria, including lookback periods, for compliance with measures like breast cancer screening” (Domain 2). These specifications, published by NCQA, define eligible populations and timeframes.
CPHQ Objective Reference: Domain 2: Health Data Analytics, Objective 2.4, “Apply standardized measure specifications,” emphasizes using technical specifications for HEDIS compliance. The NAHQ study guide notes, “Technical specifications are the definitive source for HEDIS measure criteria” (Domain 2).
Rationale: HEDIS technical specifications ensure accurate compliance assessment, aligning with CPHQ’s data analytics principles.
[Reference: NAHQ CPHQ Study Guide, Domain 2: Health Data Analytics, Objective 2.4., , , , ]
