HEDIS stands for Healthcare Effectiveness Data and Information Set, and it was created by NCQA to measure performance in the managed healthcare industry. There are many interesting facts about HEDIS that you may not know about. Read on to learn more about this helpful information set.
1. Organizations such as hospitals are compared to similar organizations and held accountable for a high level of care through HEDIS measures.
2. NCQA has been collecting HEDIS for commercial, Medicaid, and Medicare managed plans since 1997 for over 17 years.
3. More than 90% of all healthcare plans in the US use HEDIS measures.
4. There are 71 categories that organizations are evaluated on which are divided into 8 domains of care. The 71 categories include measures such as persistence of beta-blocker treatment after a heart attack, comprehensive diabetes care, and antidepressant medication management.
5. In order to be accredited by the NCQA, all healthcare plans are required to report audited HEDIS data.
6. NCQA does field tests to determine how certain HEDIS measures are implemented and tested to ensure they’re done properly.
7. There’s a detailed review process when a HEDIS measure is added to the review. It takes about 12 months from start to finish.
8. There are many organizations that rely on HEDIS measures for benchmarking, including the Accreditation Scoring Report, Quality Compass, and State of Health Care Quality.
If something isn’t being measured, it’s pretty much impossible to improve. HEDIS measures are improving the healthcare industry across the US. If you’re a well-qualified nurse, consider joining our team submit your resume or give us a call today.
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