HEDIS (Healthcare Effectiveness Data and Information Set) Quality Measurement

HEDIS (Healthcare Effectiveness Data and Information Set) Quality Measurement
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Started in 2008, HEDIS has been used to measure performance on care and services by more than 90% of America’s health plans. Developed by NCQA (National Committee for Quality Assurance) , HEDIS consists of 75 measures across eight domains of care: Asthma medication use Persistence of beta-blocker treatment after a heart attack Controlling high blood […]Continue reading «HEDIS (Healthcare Effectiveness Data and Information Set) Quality Measurement»

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Started in 2008, HEDIS has been used to measure performance on care and services by more than 90% of America’s health plans. Developed by NCQA (National Committee for Quality Assurance) , HEDIS consists of 75 measures across eight domains of care:

  • Asthma medication use
  • Persistence of beta-blocker treatment after a heart attack
  • Controlling high blood pressure
  • Comprehensive diabetes care
  • Breast cancer screening
  • Antidepressant medication management
  • Childhood and adolescent immunization status
  • Childhood and adult weight/BMI assessment

HEDIS encompasses many health plans with clear, confusion-proof definitions and prides itself for enabling “apples-to-apples” comparisons for consumers, employers and health providers. To ensure the accuracy of the data, NCQA has established a process to update the dataset each year. Notably NCQA has already started to incorporate the ongoing ICD-9 to ICD-10 conversion into HEDIS.


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