Is a result required for the COL measure if it is included in the medical history section of the chart?

The correct answer is based on the guidelines concerning the continuity of care and the necessity for current clinical data in assessing quality metrics, particularly for the COL (Colorectal Cancer Screening) measure. The measure requires an actual result in order to reflect adherence to screening guidelines, regardless of whether there is historical data included in the medical history section of the patient's chart.

For audit and quality measurement purposes, simply noting that a member has had a screening in the past does not suffice. To meet the HEDIS specifications, the HEDIS measure explicitly seeks documentation of a screening that has taken place within a specified timeframe, typically within the last year or according to the age-specific guidelines set forth in the HEDIS measure.

This requirement ensures that healthcare providers are actively engaging with patients regarding preventive health screenings, thereby promoting more timely interventions that could significantly affect patient outcomes. It underscores the importance of capturing up-to-date data rather than relying solely on historical information to satisfy measure calculations and quality assessments.