Healthcare Effectiveness Data and Information Set information
HEDIS 2006 Volume 2: Technical Specifications
The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA).
HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks. Although not originally intended for trending, HEDIS results are increasingly used to track year-to-year performance. HEDIS is one component of NCQA's accreditation process, although some plans submit HEDIS data without seeking accreditation. An incentive for many health plans to collect HEDIS data is a Centers for Medicare and Medicaid Services (CMS) requirement that health maintenance organizations (HMOs) submit Medicare HEDIS data in order to provide HMO services for Medicare enrollees under a program called Medicare Advantage.
HEDIS was originally titled the "HMO Employer Data and Information Set" as of version 1.0 of 1991.[1] In 1993, Version 2.0 of HEDIS was known as the "Health Plan Employer Data and Information Set".[2] Version 3.0 of HEDIS was released in 1997.[1] In July 2007, NCQA announced that the meaning of "HEDIS" would be changed to "Healthcare Effectiveness Data and Information Set."[3]
In current usage, the "reporting year" after the term "HEDIS" is one year following the year reflected in the data; for example, the "HEDIS 2009" reports, available in June 2009, contain analyses of data collected from "measurement year" January–December 2008.[4]
^ abMainous AG 3rd, Talbert J. Assessing quality of care via HEDIS 3.0. Is there a better way? Archived 2011-07-16 at the Wayback Machine Arch Fam Med 1998 Sep-Oct;7(5):410-3. Accessed 2009 Apr 28.
^Schauffler HH, Rodriguez T. Exercising purchasing power for preventive care. Health Aff (Millwood) 1996 Spring;15(1):73-85. Accessed 2009 Apr 25.
^Measures assessing resource use highlight HEDIS 2008 Archived 2008-08-08 at the Wayback Machine (news release). Washington, D.C.: National Committee for Quality Assurance, 2007 Jul 11. Accessed 2009 Apr 25.
^HEDIS 2010 public comment overview. Archived 2011-07-26 at the Wayback Machine Washington, D.C.: National Committee for Quality Assurance, 2009. Accessed 2009 Apr 25.
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