The Path to Digital HEDIS®

Organizations at various stages of their digital quality journey have different goals. Some are looking for a partner to support their Digital HEDIS® efforts, while others are internally developing, implementing or certifying Digital HEDIS capabilities.

New to Digital HEDIS? Explore NCQA’s Digital Quality Transition resources, including timelines, guidance and educational webinars to better understand the industry’s transition to digital quality.

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Choose the option that best describes your organization.

Developing a Digital HEDIS Solution

  1. Explore
  2. Evaluate Readiness
  3. Implement and Certify
  4. Become a Partner

See Available Measures

Explore Digital HEDIS Measures

Before selecting a solution or implementation partner, it is important to understand the measures that drive Digital HEDIS. The Digital HEDIS Measure Explorer platform provides access to measure descriptions, logic and technical specifications to help organizations evaluate their requirements and assess how potential solutions align with their needs.

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Evaluate Your Readiness

Digital HEDIS Evaluation Toolkit

The Digital HEDIS Evaluation Toolkit allows organizations to explore digital quality measurement before committing to a full implementation. The toolkit includes a subset of Digital HEDIS measures, tooling and documentation that provides hands-on experience and helps organizations assess readiness, identify needs and begin building a roadmap for adoption.

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Digital HEDIS Education

NCQA’s Digital HEDIS education offerings help organizations build the knowledge and skills needed to successfully navigate the transition to digital quality measurement. Through on-demand courses, instructor-led training and educational bundles, participants can deepen their understanding of Digital HEDIS, FHIR®, clinical quality language (CQL), interoperability and the standards that support digital measurement.

Whether you are new to digital quality or implementation is already underway, our courses provide practical learning opportunities to help teams build internal expertise, align stakeholders and accelerate readiness for Digital HEDIS adoption.

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Digital Transition Hub

Stay informed and prepared throughout the transition to Digital HEDIS. NCQA's Digital Transition Hub offers curated resources, industry updates, implementation guidance and educational content designed to help organizations understand changing requirements and navigate the path to digital quality measurement.

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Implement and Certify Digital HEDIS

Digital HEDIS Measure Set

Digital HEDIS is NCQA’s comprehensive solution for implementing digital quality. It provides organizations with standardized, computable HEDIS measures, implementation resources and reference tooling that support execution within modern analytics and reporting environments.

Digital HEDIS Certification

Organizations who want to implement Digital HEDIS must pursue Digital HEDIS Certification to validate their implementation against NCQA standards.

Digital HEDIS Reference Tooling

Digital HEDIS Reference Tooling provides organizations with implementation, testing and validation resources designed to accelerate adoption and reduce development time. Available tools help organizations evaluate measure execution, validate outputs, test FHIR-based data inputs and gain a deeper understanding of Digital HEDIS measure behavior.

Available Tooling:

  • Digital HEDIS Command Line Tool: Supports small-scale testing, measure execution and validation activities.
  • Digital HEDIS Reference Application: Provides a reference implementation to help organizations evaluate and implement Digital HEDIS measures.
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Learn More About the Digital Quality Partner Program

Digital Quality Partner Program

Organizations that provide Digital HEDIS-related implementation or technology services that are recognized as part of NCQA’s digital quality ecosystem are invited to join our Digital Quality Partner Program and become a trusted partner.

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FHIR® is a registered trademark of Health Level Seven International; use does not constitute endorsement by HL7.

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