HEDIS® is the gold standard in health care performance measurement, used by more than 90 percent of the nation's health plans and many leading employers and regulators. HEDIS is a set of standardized measures that specifies how organizations collect, audit and report performance information across the most pressing clinical areas, as well as important dimensions of customer satisfaction and patient experience.
Volume 1 is an indispensable reference that will help you understand the science of health care quality measurement. The Narrative gives a background on what is in HEDIS and an explanation of why the measures are important to consumers, purchasers and health plans. The Narrative also features user-friendly descriptions of each performance measure, plus valuable guidance on interpreting and using HEDIS data.
HEDIS 2013 Volume 1 (Print edition)
HEDIS 2013 Volume 1 e-pub
HEDIS 2012 Volume 1 (Print edition)
HEDIS 2012 Volume 1 e-pub
A required resource for anyone involved in collecting, calculating or submitting HEDIS data, Volume 2 features the complete technical specifications for each measure, including all relevant CPT©, ICD-9, HCPCS, UB-92 and DRG codes. It also includes general guidelines for data collection and reporting, detailed instructions on how to perform the necessary calculations and guidelines for sampling.
HEDIS 2013 Volume 2 (Print edition)
HEDIS 2013 Volume 2 e-pub
HEDIS 2013 Volume 2 eReader (single user)
(Available September 2012)
HEDIS 2013 Volume 2 Kindle (single user)
(Available August 2012)
HEDIS 2012 Volume 2 (Print edition)
HEDIS 2012 Volume 2 e-pub
This volume contains complete instructions for administering all the survey-based HEDIS Measures, including surveys from the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) program. Specifically, it includes the CAHPS Health Plan Survey, 4.0H Adult Version, CAHPS Health Plan Survey 3.0H Child Version, Medical Assistance with Smoking Cessation, Flu Shots for Adults Ages 50-64, Flu Shots for Older Adults and Pneumonia Vaccination Status for Older Adults. Volume 3 also includes technical specifications, background information, protocols necessary for administering the survey instruments and accompanying correspondence.
HEDIS 2013 Volume 3 (Print edition)
HEDIS 2013 Volume 3 e-pub
HEDIS 2012 Volume 3 (Print edition)
HEDIS 2012 Volume 3 e-pub
Health plans must submit audited HEDIS data to achieve NCQA Accreditation and/or meet employer expectations. HEDIS Compliance Audit™ Standards, Policies and Procedures describes in detail the methodology used for auditing a health plan’s data collection programs, calculation processes and HEDIS measure results. This Volume also includes the standards and guidelines for assessing a health plan’s information systems capabilities, and the standards and guidelines used to evaluate a plan’s ability to comply with HEDIS specifications.
HEDIS 2013 Volume 5 (Print edition)
HEDIS 2013 Volume 5 e-pub
HEDIS 2012 Volume 5 (Print edition)
HEDIS 2012 Volume 5 e-pub
The Medicare Health Outcomes Survey (HOS) measure was developed to monitor and evaluate the quality of care and service provided to Medicare beneficiaries and provide them with information the supports plan-to-plan comparison. This volume features details about the measure, the survey instrument and information that health plans and vendors need to report results.
HEDIS 2013 Volume 6 (Print edition)
HEDIS 2013 Volume 6 e-pub
HEDIS 2012 Volume 6 (Print edition)
HEDIS 2012 Volume 6 e-pub
Technical Specifications for Physician Measurement
HEDIS is the most widely used set of inpatient and ambulatory performance measures in the health care industry. This publication is the newest addition to NCQA’s suite of HEDIS products. Its purpose is to support standardized measurement by providing the technical specifications necessary to enable reliable, equitable and valid measurement and reporting of physician-specific performance.
This publication applies to individual physicians, practice sites or medical groups. Measures included were in most cases developed through adaptation of HEDIS health plan-level measures. A wide array of organizations will find HEDIS Physician Measurement to be a useful resource—health plans, physician groups, offices, community coalitions, employers, the public sector and others.
HEDIS 2013 Technical Specifications for Physician Measurement (Print edition)
Item # 10273-100-13
HEDIS 2013 Technical Specifications for Physician Measurement e-pub
HEDIS 2012 Technical Specifications for Physician Measurement (Print edition)
Item # 10273-100-12
HEDIS 2012 Technical Specifications for Physician Measurement e-pub
Available in XML, the ECTs provide an easy way to incorporate CPT, ICD-9-CM, HCPCS, UB-92 and DRG codes into your organization’s data collection program to save programming hours, eliminate the manual search for code and reduce keying errors.
HEDIS 2013 ECT (Single site)
HEDIS 2013 ECT (2-5 sites)
HEDIS 2013 ECT (6-10 sites)
HEDIS 2013 ECT (11-20 sites)
HEDIS 2013 ECT (21+ sites)
HEDIS 2012 ECT (Single Site)
HEDIS 2012 ECT (2-5 sites)
HEDIS 2012 ECT (6-10 sites)
HEDIS 2012 ECT (11-20 sites)
HEDIS 2012 ECT (21+sites)
This package includes the print edition of HEDIS Volumes 1, 2, 3, 5 and 6. Each publication is delivered as soon as it is available. Order the HEDIS 2013 Package and save $200.
HEDIS 2013 Package
Please note that implementation (i.e., data collection and reporting) of HEDIS 2012 for the 2011 Reporting Year (using 2011 data) will require, at a minimum, Volumes 2, 3 and 5.
Each organization implementing HEDIS is strongly encouraged to join NCQA's HEDIS User Group (HUG) for technical assistance and guidance on interpreting the specifications. Membership benefits include newsletters, discount vouchers and up-to-date technical information, as well as the inside track on measure development. For more information, click here
2013 HUG Package 1
This package includes printed editions of HEDIS 2013 Volumes 1, 2, 3, 5, and 6 and a single-user, member-exclusive e-pub copy of Volume 2 that incorporates all changes from the October Update. Each publication is delivered as soon as it is available.
2013 HUG Package 1
2013 HUG Package 2
This package includes printed editions of HEDIS 2013 Volumes 1, 2, 3, 5 and 6; a single-user, member-exclusive e-pub copy of Volume 2 that incorporates all changes from the October Update; and the 2013 Standards and Guidelines for the Accreditation of Health Plans. Each publication is delivered as soon as it is available.
2013 HUG Package 2
CPT codes copyright 2011. American Medical Association (AMA). All Rights Reserved. CPT is a trademark of the AMA. No schedules, basic units, relative values or related listings are included in CPT. The AMA assumes no liability for the data contained herein.
This publication contains complete instructions for administering the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) PCMH (Patient-Centered Medical Home) Survey. It includes technical specifications, survey questionnaires, standardized protocols required for data collection and accompanying correspondence. This publication is intended for survey vendors and organizations interested in administering the survey for the PCMH Distinction in Patient Experience Reporting. More information on the Distinction in Patient Experience Reporting is located here.
HEDIS 2012 Specifications for CAHPS PCMH Survey e-pub
CAHPS surveys are produced by the federal Agency for Healthcare Research and Quality. To obtain a free copy of this CAHPS survey instrument:
Clinician & Group Survey for PCMH (Adult)
Clinician & Group Survey for PCMH (Child)
A necessary resource for anyone involved in collecting, calculating or submitting HEDIS data for Accountable Care Organizations (ACOs). This publication features general guidelines for data collection and the complete technical specifications for the performance measures referenced in NCQA's Standards and Guidelines for the Accreditation of Accountable Care Organizations. The publication includes detailed instructions on sampling, how to perform the necessary calculations, and all relevant data elements for reporting ACO measure results for accreditation or quality improvement initiatives.
HEDIS 2013 Technical Specifications for ACO Measurement