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 2 2