Mount Carmel Health Partners HEDIS Tip Sheets | Page 2
The Healthcare Effectiveness Data and Information Set (HEDIS) are nationally recognized
performance measures developed and maintained by the National Committee for Quality
Assurance (NCQA). HEDIS is used by more than 90 percent of U.S. health plans to
measure quality of care, access to care, and satisfaction with care.
HEDIS measures address a broad range of important health issues. If screenings are done
in your office, thoroughly documenting them helps assess quality care for HEDIS
measures and allows us to develop appropriate programs to assist members with health
conditions. The more accurately claims are documented, the fewer medical record
reviews are needed for HEDIS measures.
Center for Medicare & Medicaid Services (CMS) Stars rating is compromise of HEDIS quality
measures, a Pharmacy Quality Alliance (PQA) measures and survey measures based on
questions from the Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey).
Mount Carmel Health Partners
6150 East Broad Street
Columbus, OH 43213
614-546-3000
614-546-4261 fax
[email protected]
www.mountcarmelhealthpartners.co
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