Digital HEDIS®

Empower Your Quality Strategy with Configurable, FHIR®-Based HEDIS Measures

Why Digital Quality?

Quality measurement is evolving. Emerging standards and regulations are driving a digital transformation that reduces burdens, improves alignment and delivers more relevant measures—ultimately leading to improved care and outcomes. NCQA is building a digital quality ecosystem to streamline data collection and reporting, strengthen accountability and support innovation across the healthcare system.

WHAT IS DIGITAL HEDIS?

HEDIS is one of the most widely used healthcare performance measurement sets in the United States. It provides a trusted, consistent way to evaluate care quality, generate deeper insights and drive meaningful improvements across the healthcare system.

Digital HEDIS® is NCQA's suite of standardized, computable quality measures built on Fast Healthcare Interoperability Resources (FHIR®) and Clinical Quality Language (CQL). These modern, interoperable standards make it easier for organizations to exchange data seamlessly, reduce manual effort and integrate quality measurement directly into existing workflows.

By shifting from manual interpretation to standardized, computable Digital HEDIS content, organizations reduce variability and operational burden while generating patient-level JSON that plugs directly into reporting, analytics, care-gap workflows, and population health programs.

Ready to Get Started On Your Digital Quality Transition?

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SOLUTIONS THAT MEET YOU AT YOUR STAGE OF THE DIGITAL JOURNEY

NCQA's digital HEDIS products offer flexibility for organizations at different stages of readiness. They range from the dQM Evaluation Package, which serves as an introductory platform for learning and testing, to more robust options that feature a reference engine and implementation tools. All offerings aim to deliver actionable, standards-based content that empowers health plans, providers and technology partners to confidently implement digital quality initiatives.

By adopting NCQA's Digital HEDIS measures, your organization demonstrates leadership in advancing digital quality measurement, interoperability and data-driven improvement—helping shape a future where quality measurement is faster, more reliable and aligned with modern data standards.

Explore the suite of measures and their configuration options in our Measure Parameters Reference Guide.

Measure Parameters Reference Guide →

Enjoy the Benefits of Digital Quality

Reduce Manual Interpretation

Fully specified and configurable digital HEDIS measures reduce overhead by eliminating the need to interpret specifications, build measures and manage complex configurations. This allows organizations to free up resources and focus on improving quality and care delivery.

Expanded Uses & Better Insights

Leverage detailed, patient-specific insights that enhance understanding of care outcomes, aiding quality improvement, population health and closing care gaps. This data, which adheres to widely adopted industry standards, can be integrated into your workflows, facilitating the use of relevant information for actionable results.

Greater Consistency & Alignment

Fully specified and configurable digital measures enable consistent use across all levels of healthcare, from health plans to practices, reducing duplicative work and interpretative variability, and fostering better alignment across healthcare.

Case Study

Data Quality + Digital Measures = Real-Time, End-to-End Quality Improvement

KONZA Health, a nationally recognized HIE and QHIN, partnered with The SSI Group to implement a fully digital HEDIS® solution. Leveraging validated data and interoperable measurement, they created an end-to-end system delivering real-time, trusted insights to drive performance improvement across the care continuum. This collaboration showcases how digital quality enables organizations to bypass traditional methods and accelerate toward next-generation quality insights.

Download the Case Study

LEARN WHAT THE TRANSITION LOOKS LIKE

NCQA's transition to Digital HEDIS follows a clear, progressive journey that helps guide organizations from traditional measurement methods to a fully digital future. The Path to Digital HEDIS equips stakeholders to embrace new standards like FHIR and CQL, prepare for fully digital submissions and build the infrastructure needed for high-quality, scalable and future-ready digital measurement.

The Path to Digital HEDIS →
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HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
FHIR® is a registered trademark of Health Level Seven® International; use does not constitute endorsement by HL7.
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