Healthcare Effectiveness Data and Information Set (HEDIS)
HEDIS is a set of performance measures that are used to compare health plan performance and measure the quality of health plans. These measures were created by the National Committee for Quality Assurance (NCQA). About 90% of health plans use HEDIS as a standard to measure the performance of their plan. The data is tracked from year to year to measure the performance of the health plan and thus provide information regarding the population served.
The data that is collected is used to monitor the health of the general population, evaluate treatment outcomes, etc., and the data is collected through administrative, hybrid, and survey methods.
HEDIS Measure Domains:
About 95 HEDIS measures are categorized under the following six “domains of care”.
Effectiveness of Care
- Controlling High Blood Pressure
- Care for Older Adults
- Hemoglobin A1c Control for Patients With Diabetes
- Blood Pressure Control for Patients With Diabetes
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