HEDIS Measure Library & Historical Data
Insights into health plans’ collective performance on HEDIS and CAHPS measures over time.
The HEDIS Measure Library & Historical Data outlines the latest HEDIS® measures and definitions and provides an annual summary of national performance for key HEDIS and CAHPS® measures. This data offers insights into critical health care areas such as cardiovascular disease, diabetes, cancer screening, and patient experience. It summarizes performance from the previous calendar year and documents nearly two decades of results for older measures.
While the data highlights national performance, you can explore additional benchmarks, plan-level results, and insights into year-over-year trending impacts by purchasing access to NCQA’s Quality Compass®.
Key Notes:
- The HEDIS Measure Library & Historical Data is updated annually with the latest performance data.
- The data presented does not account for changes to the measure specifications that may impact year-over-year comparisons. For trending implications, inquire now about access to NCQA’s Quality Compass.
Recently Published Measures
- Follow-Up After Positive Colorectal Cancer Non-Invasive Screening Test (COF-E)
- Prenatal Syphilis Screening (PSY-E)
- Person-Centered Outcome - Goal Identification, Follow-Up and Achievement (GID-E, GIF-E, GIA-E)
- Continuous Glucose Monitoring for Patients With Diabetes (CGD-E)
- Blood Pressure Control for Patients With Diabetes (BPD, BPD-E)
- Glycemic Status Assessment for Patients With Diabetes (GSD, GSD-E)
- Follow-Up After Positive Colorectal Cancer Non-Invasive Screening Test (COF-E)
- Long-Term Services and Supports Comprehensive Care Plan and Update (LTSS-CPU)
- Long-Term Services and Supports Reassessment/ Care Plan Update After Inpatient Discharge (LTSS-RAC)
- Long-Term Services and Supports Shared Care Plan With Primary Care Practitioner (LTSS-SCP)
Access/Availability of Care
Effectiveness of Care
Behavioral Health
- Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA)
- Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia (SMC)
- Depression Remission or Response for Adolescents and Adults (DRR-E)
- Depression Screening and Follow-Up for Adolescents and Adults (DSF-E)
- Diabetes Monitoring for People with Diabetes and Schizophrenia (SMD)
- Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD)
- Diagnosed Mental Health Disorders (DMH)
- Diagnosed Substance Use Disorders (DSU)
- Follow-Up After Emergency Department Visit for Substance Use (FUA)
- Follow-Up After Emergency Department Visit for Mental Illness (FUM)
- Follow-Up After High-Intensity Care for Substance Use Disorder (FUI)
- Follow-Up After Hospitalization for Mental Illness (FUH)
- Follow-Up Care for Children Prescribed ADHD Medication (ADD-E)
- Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-E)
- Postpartum Depression Screening and Follow-up (PDS-E)
- Prenatal Depression Screening and Follow-up (PND-E)
- Pharmacotherapy for Opioid Use Disorder (POD)
- Unhealthy Alcohol Use Screening and Follow-Up (ASF-E)
- Utilization of PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS-E)
Care Coordination
Cardiovascular Conditions
Diabetes
Measures Collected Through the Medicare Health Outcomes Survey
Musculoskeletal Conditions
Overuse/Appropriateness
- Appropriate Treatment for Children With Upper Respiratory Infection (URI)
- Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis (AAB)
- Deprescribing of Benzodiazepines in Older Adults (DBO)
- Non-Recommended PSA-Based Screening in Older Men (PSA)
- Potentially Harmful Drug-Disease Interactions in Older Adults (DDE)
- Risk of Continued Opioid Use (COU)
- Use of High-Risk Medications in Older Adults (DAE)
- Use of Imaging Studies for Low Back Pain (LBP)
- Use of Opioids at High Dosage (HDO)
- Use of Opioids from Multiple Providers (UOP)
Prevention and Screening
- Adult Immunization Status (AIS-E)
- Breast Cancer Screening (BCS-E)
- Care for Older Adults (COA)
- Cervical Cancer Screening (CCS-E)
- Childhood Immunization Status (CIS-E)
- Chlamydia Screening (CHL)
- Colorectal Cancer Screening (COL-E)
- Documented Assessment After Mammogram (DBM-E)
- Follow-Up After Abnormal Mammogram Assessment (FMA-E)
- Follow-Up After Positive Colorectal Cancer Non-Invasive Screening Test (COF-E)
- Immunizations for Adolescents (IMA-E)
- Lead Screening in Children (LSC-E)
- Oral Evaluation, Dental Services (OED)
- Prenatal Immunization Status (PRS-E)
- Prenatal Syphilis Screening (PSY-E)
- Social Need Screening and Intervention (SNS-E)
- Tobacco Use Screening and Cessation Intervention (TSC-E)
- Topical Fluoride for Children (TFC)
- Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC)
Experience of Care
HEDIS Long-Term Services and Supports (LTSS)
- Long-Term Services and Supports Comprehensive Assessment and Update (LTSS-CAU)
- Long-Term Services and Supports Comprehensive Care Plan and Update (LTSS-CPU)
- Long-Term Services and Supports Reassessment/ Care Plan Update After Inpatient Discharge (LTSS-RAC)
- Long-Term Services and Supports Shared Care Plan With Primary Care Practitioner (LTSS-SCP)
Health Plan Descriptive Measures
Utilization and Risk Adjusted Utilization
Utilization
Risk-Adjusted Utilization
- Acute Hospital Utilization (AHU)
- Acute Hospitalizations Following Outpatient Colonoscopy (HFC)
- Acute Hospitalizations Following Outpatient General Surgery (HFG)
- Acute Hospitalizations Following Outpatient Orthopedic Surgery (HFO)
- Acute Hospitalizations Following Outpatient Urologic Surgery (HFU)
- Emergency Department Visits for Hypoglycemia in Older Adults With Diabetes (EDH)
- Emergency Department Utilization (EDU)
- Hospitalization Following Discharge From a Skilled Nursing Facility (HFS)
- Hospitalization for Potentially Preventable Complications (HPC)
- Plan All-Cause Readmissions (PCR)
Retired Measures
Access/Availability of Care
Effectiveness of Care
Prevention and Screening
Respiratory Conditions
Behavioral Health
Care Coordination
Overuse/Appropriateness
Measures Collected Through the CAHPS® Health Plan Survey
Medication Management and Care Coordination
Measures Collected Through the CAHPS® Health Plan Survey
Utilization
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
