HEDIS Publications

HEDIS® (The Healthcare Effectiveness Data and Information Set) 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.

Please note that HEDIS 2014 publications will contain ICD-9-CM codes. HEDIS 2015 publications will contain both ICD-9-CM and ICD-10-CM codes.

HEDIS Publications:


Volume 1: Narrative

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 2014 Volume 1 (Print edition)
Item #10283-100-14
Price $205

HEDIS 2014 Volume 1 e-pub 

HEDIS 2013 Volume 1 (Print edition)
Item #10283-100-13
Price $200 

HEDIS 2013 Volume 1 e-pub 


Volume 2: Technical Specifications for Health Plans

A required resource for anyone involved in collecting, calculating or submitting HEDIS data, Volume 2 features the complete technical specifications for each measure. It also includes general guidelines for data collection and reporting, detailed instructions on how to perform the necessary calculations and guidelines for sampling.

For HEDIS 2014, the codes (CPT©, ICD-9-CM, POS, MS-DRG, HCPCS, LOINC, TOB, and UB) will not be incorporated in Volume 2, but will be listed individually in the HEDIS 2014 Value Set Directories (VSDs) that accompany Volume 2. 

The HEDIS 2014 Value Set Directories (.xlsx) consist of an electronic locked Excel file that is included with the purchase of HEDIS 2014, Volume 2 in print or electronic format. The VSDs are searchable and sortable.

VSDs are only available in electronic format; customers who purchase the print version of Volume 2 will receive the measures in print and the VSDs in electronic form.

Note: The Volume 2 Technical Specifications for Health Plans publication is used by health plans that report HEDIS data to NCQA. For specifications that are used at the individual physician level, practice site, or medical group level, please see Technical Specifications for Physician Measurement.

HEDIS 2014 Volume 2 (Print edition)
Item #10284-100-14
Price $345

HEDIS 2014 Volume 2 e-pub

HEDIS 2013 Volume 2 (Print edition)
Item #10284-100-13
Price $340

HEDIS 2013 Volume 2 e-pub

HEDIS 2013 Volume 2 eReader (single user)

HEDIS 2013 Volume 2 Kindle
(single user)


Volume 3: Specifications for Survey Measures

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, 5.0H Adult Version, CAHPS Health Plan Survey 5.0H Child Version, Medical Assistance with Smoking and Tobacco Use Cessation, Flu Vaccinations for Adults Ages 18-64, Flu Vaccinations for Adults Ages 65 and Older, Pneumococcal Vaccination Status for Older Adults, and Aspirin Use and Discussion. Volume 3 also includes technical specifications, background information, protocols necessary for administering the survey instruments and accompanying correspondence.

 HEDIS 2014 Volume 3 (Print edition)
Item #10285-100-14
Price: $230

HEDIS 2014 Volume 3 e-pub

HEDIS 2013 Volume 3 (Print edition) 
Item #10285-100-13
Price: $225

HEDIS 2013 Volume 3 e-pub 


Volume 5: HEDIS Compliance Audit™: Standards, Policies and Procedures

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 2014 Volume 5 (Print edition)
Item #10287-100-14
Price: $205

HEDIS 2014 Volume 5 e-pub

HEDIS 2013 Volume 5 (Print edition)
Item #10287-100-13
Price: $200

HEDIS 2013 Volume 5 e-pub 

Volume 6: The Medicare Health Outcomes Survey Manual 

The Medicare Health Outcomes Survey (HOS) measure was developed to monitor and evaluate the quality of care and service provided to Medicare beneficiaries and grant them information that 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 2014 Volume 6 (Print edition)
Item #10288-100-14
Price: $165

HEDIS 2014 Volume 6 e-pub

HEDIS 2013 Volume 6 (Print edition)
Item #10288-100-13
Price: $170

HEDIS 2013 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.

For HEDIS 2014, all value sets and codes needed to report physician measures will be listed individually in the HEDIS 2014 Physician Measurement Value Set Directories (VSDs) that accompany the Technical Specifications for Physician Measurement publication. The HEDIS 2014 Physician Measurement Value Set Directories (.xlsx) consist of an electronic locked Excel file that is included with the purchase of Technical Specifications for Physician Measurement publication in print or electronic format. The VSDs are searchable and sortable.

Note: The Technical Specifications for Physician Measurement publication contains specifications that are used at the individual physician level, practice site level, or medical group level. For specifications that are used by health plans to report HEDIS data to NCQA, please see Volume 2 Technical Specifications for Health Plans.

HEDIS 2014 Technical Specifications for Physician Measurement (Print edition)
Item # 10273-100-14
Price: $305

HEDIS 2014 Technical Specifications for Physician Measurement e-pub

HEDIS 2013 Technical Specifications for Physician Measurement (Print edition)
Item # 10273-100-13
Price: $300 

HEDIS 2013 Technical Specifications for Physician Measurement e-pub 

The HEDIS 2014 Physician Measurement Value Set Directories (CSV format) provide an easy way to incorporate the value sets and codes into your organization’s data collection program—saving programming hours, eliminating the manual search for code and reducing keying errors.

HEDIS 2014 Physician Measurement VSD (single site) (CSV format)
Item #10273-571-14
Price: $1,735.00

HEDIS 2014 Physician Measurement VSD (2-5 sites) (CSV format)
Item #10273-572-14
Price: $2,079.00

HEDIS 2014 Physician Measurement VSD (6-10 sites) (CSV format)
Item #10273-573-14
Price: $4,336.00

HEDIS 2014 Physician Measurement VSD (11-20 sites) (CSV format)
Item #10273-574-14
Price: $5,206.00

HEDIS 2014 Physician Measurement VSD (21+ sites) (CSV format)
Item #10273-575-14
Price: $7,807.00


HEDIS Value Set Directories (VSDs) and Electronic Coding Tables (ECTs)

The Value Set Directories (VSDs) provide an easy way to incorporate CPT©, ICD-9-CM, POS, MS-DRG, HCPCS, LOINC, TOB and UB codes into your organization’s data collection program — saving programming hours, eliminating the manual search for code and reducing keying errors. For HEDIS 2014, the VSDs will replace the ECTs. The HEDIS 2014 VSDs are available electronically in comma-separated variable (CSV) format. The HEDIS 2013 ECTs are available in XML format.

Note: HEDIS 2014 purchasers of Volume 2 will receive the VSDs electronically in locked Microsoft Excel format.


HEDIS 2014 VSD (Single Site) (CSV format)
Item #10289-150-14
Price: $1,995

HEDIS 2014 VSD (2-5 sites) (CSV format)
Item #10289-151-14
Price: $3,490

HEDIS 2014 VSD (6-10 sites) (CSV format)
Item #10289-152-14
Price: $4,985

HEDIS 2014 VSD (11-20 sites) (CSV format)
Item #10289-153-14
Price: $5,985

HEDIS 2014 VSD (21+sites) (CSV format)
Item #10289-154-14
Price: $8,975

HEDIS 2013 ECT (Single site) (XML format)
Item #10289-150-13
Price: $1,900 

HEDIS 2013 ECT (2-5 sites) (XML format)
Item #10289-151-13
Price: $3,325 

HEDIS 2013 ECT (6-10 sites) (XML format)
Item #10289-152-12
Price: $4,750

HEDIS 2013 ECT (11-20 sites) (XML format)
Item #10289-153-13
Price: $5,700 

HEDIS 2013 ECT (21+ sites) (XML format)
Item #10289-154-13
Price: $8,550


HEDIS Packages

This package includes HEDIS Volumes 1, 2, 3, 5 and 6 and is available in both electronic and print formats. Each publication is delivered as soon as it is available. Order the HEDIS 2014 Package and save $200.

HEDIS 2014 Package (Electronic edition)
Item #10283-350-14
Price: $950

HEDIS 2014 Package (Print edition)
Item #10283-150-14
Price: $950

HEDIS 2013 Package (Print edition)
Item #10283-150-13
Price: $925


Please note that implementation (i.e., data collection and reporting) of HEDIS 2014 for the 2013 Reporting Year (using 2013 data) will require, at a minimum, Volumes 2, 3 and 5.



HEDIS User Group (HUG) Memberships

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.

New for 2014: We are now offering HUG Packages in two formats (electronic and print). If you select the electronic format, all publications included in the package will be available in the electronic format and members will not receive any hard copy publications. The print format will continue to include hard copies of each publication along with a HEDIS 2014 Volume 2 electronic publication.

Please be sure to order the correct format (i.e., electronic or print) below.

2014 HUG Package 1

This package includes printed/electronic editions of HEDIS 2014 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 made available as soon as it is released.

2014 HUG Package (Electronic edition)
Item #10702-350-14
Price: $2,545

2014 HUG Package (Print edition)
Item #10702-150-14
Price: $2,545

2014 HUG Package 2

This package includes printed/electronic editions of HEDIS 2014 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 2014 Standards and Guidelines for the Accreditation of Health Plans. Each publication is made available as soon as it is released.

2014 HUG Package (Electronic edition)
Item #10702-351-14
Price: $2,845

2014 HUG Package (Print edition)
Item #10702-151-14
Price: $2,845

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. 

 

HEDIS 2014 Specifications for CAHPS PCMH Survey

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, and 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 2014 Specifications for CAHPS PCMH Survey e-pub

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)

 

HEDIS 2013 Technical Specifications for ACO Measurement

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

Publication Resources

Online Ordering
Quick, easy and secure. Once your order is received, you will receive a confirmation email with detailed information about your order.

Policies and Discounts
This includes the publications order form, return/exchange policy, shipping, discount and other publication-related information.

Policy Updates
Policy updates include important notifications regarding NCQA's Accreditation and Certification programs, as well as HEDIS measures.

Resource Library
NCQA offers a variety of information and resources, including reports, published research, white papers and newsletters.

Customer Support
Questions? Need Help? Customer Support is available Monday - Friday, 8:30 - 5:00 ET at (888) 275-7585.