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HEDIS® Measures

The Healthcare Effectiveness Data and Information Set (HEDIS) is one of the most widely used sets of health care performance measure in the United States. The term “HEDIS” originated in the late 1980s as the product of a group of forward-thinking employers and quality experts, and was entrusted to NCQA in the early 1990s. The NCQA measurement development process has expanded the size and scope of HEDIS to include measures for physicians, PPOs and other organizations. This data is collected via the HEDIS Data Submission (HOQ and IDSS) System

HEDIS 2017

HEDIS 2016

HEDIS 2015

Published in July of 2014 and covering the 2014 measurement year (calendar year), HEDIS 2015 includes 83 measures across 5 domains of care.

HEDIS Archives

NCQA’s collection of previous HEDIS measures.

Related Performance Measures

Wellness and Health Promotion (WHP)

WHP is a broad-based accreditation program for organizations that offer comprehensive wellness and health promotion services.

Disease Management (DM) Technical Specifications

NCQA’s specifications address standardized performance measures that cover dimensions of care for people with asthma, diabetes, chronic obstructive pulmonary disease (COPD), heart failure and ischemic vascular disease (IVD), as well as tobacco use, influenza vaccination and pneumococcal vaccination.

*HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).

HEDIS and Relative Resource Use (RRU)

When linked with HEDIS quality data, RRU measures help members, plans, employers, benefit managers and other interested groups, make informed choices about health care services. Members get a more detailed look at the value of services they pay for, while plans can see how effectively they use resources, compared to other plans, when delivering health care. Learn More

- See more at: http://www.ncqa.org/hedis-quality-measurement/hedis-and-quality-measure-improvement#sthash.AybhVLmf.dpuf

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HEDIS Users Group (HUG)
HUG membership packages offer you access to the most up-to-date information on HEDIS specifications so you can begin planning for the future.

HEDIS and ICD-10
To accommodate the switch from ICD-9-CM to ICD-10, NCQA created a plan to identify a valid and appropriate set of ICD-10 codes for each HEDIS measure.

 

NCQA Policy Support