Digital HEDIS®
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?
SOLUTIONS THAT MEET YOU AT YOUR STAGE OF THE DIGITAL JOURNEY
NCQA's Digital HEDIS offerings support organizations at every stage of digital quality adoption.
Evaluate and Learn
The Digital HEDIS Evaluation Toolkit provides hands-on access to sample measures, supporting documentation and testing tools to help organizations assess readiness and build familiarity with Digital HEDIS.
Understand and Prepare
Digital HEDIS Supporting Resources provide additional documentation and implementation artifacts to help organizations understand the architecture, logic and data requirements behind digital measures.
Get Implementation Support
The Digital Quality Partner Program connects organizations with qualified advisory and technical partners that can help plan, implement and operationalize Digital HEDIS.
Together, NCQA's Digital HEDIS offerings provide the tools, resources and support organizations need to advance digital quality adoption and transition to a more modern, interoperable approach to quality measurement.
Explore the suite of measures and their configuration options in the Digital HEDIS Measure Explorer.
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.
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.
FHIR® is a registered trademark of Health Level Seven® International; use does not constitute endorsement by HL7.
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