Four Keys to Improving HEDIS Quality Measure Performance at Your Health Plan

The health care industry hinges on HEDIS quality measure performance and if your performance is not accurately captured by HEDIS scores, you can be hurting your bottom line. The HEDIS measures allow both consumers and employers to assess coverage options and health plan performance, which means you want to stack up well against the competition. Here are a few keys to improving your HEDIS scores:

1. Take Detailed Documentation Seriously

When it comes to HEDIS quality measures, documentation is key. And not just any documentation, detailed documentation. Ensure that your staff is using the latest codes, in this case, ICD-10 and be sure that every medical service is thoroughly documented in the patient’s electronic medical records. Proper documentation and coding on the medical records are key when it comes to quality of care and HEDIS quality measures. Not only is this data important for HEDIS scores, but it can eventually lead to further research in the medical world, which benefits everyone.

2. Utilize Preventative Screenings and Focus on Patient Care

Another way to improve HEDIS scores is to assess patients on a case by case basis. Review care lists for gaps to determine who of your patients may need a well-care assessment. Preventative care measures allow you to catch issues before they become larger and unmanageable. Regular screenings and preventative care measures like mammograms, pap smears, immunizations, and calculating body mass index are all important for improving patient care and HEDIS scores.

3. Incorporate Patient Engagement and Direct Outreach

Patient outreach and engagement is another method you can utilize to improve HEDIS scores. By actively engaging patients, creating a community feeling or incentivizing them to receive their annual wellness screenings or immunizations, you can better manage their health. Patient portals are another great way to do this, by allowing patients to easily access all of their information in one place.

4. Hire HEDIS Nurses to Assist With HEDIS Tasks

If you want to improve HEDIS scores but still aren’t sure where to begin, perhaps it is time to bring in the professionals. At HEDIS Nurses, we connect qualified nurses with health plans looking for assistance with their HEDIS tasks. Our team can provide a variety of services, handling anything from small-scale chart abstractions to full outsourcing of your HEDIS projects. If you are ready to take your HEDIS scores to the next level, HEDIS Nurses can help.

Are you ready to get started with HEDIS Nurses?

At HEDIS Nurses, we know the HEDIS performance measures inside and out. That makes us great partners in boosting your HEDIS scores. If you are taking HEDIS scores seriously—as you should be!—and would like to bring in some professionals to help, give us a call at (877) 328-2343. Our team of qualified nurses will be happy to assist. To learn more about the services that we offer to health plans, visit us on the web at HEDIS Nurses.