More than 200 million people are enrolled in plans that report HEDIS results. That makes HEDIS one of health care’s most widely used performance improvement tools. HEDIS includes measures for physicians, PPOs and other organizations. Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through My NCQA. HEDIS® measures performance in health care where improvements can make a meaningful difference in people’s lives. HEDIS Technical ResourcesHEDIS Technical Specifications include a complete list of new and updated HEDIS measures with instructions on data collection and guidelines for calculations and sampling. Overview of the HEDIS measurement set and how the data are used. Vol. 2: Technical Specifications for Health PlansHEDIS nonsurvey measures for organizations; instructions on data collection for each measure; general guidelines for calculations and sampling. HEDIS Measures Included in the Quality Rating System (QRS)Quality Rating System Measure Technical Specifications are unique to the issuers offering plans on the Exchange and participating in the CMS Quality Rating System (QRS). Technical Specifications for ACO MeasurementHEDIS quality measures for Accountable Care Organizations. Vol. 3: Specifications for Survey MeasuresHEDIS survey measures and standardized surveys from the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) program. Vol. 5: HEDIS Compliance Audit™: Standards, Policies and ProceduresThe approved method for auditing the HEDIS production process, including an information systems capabilities assessment, an evaluation of compliance with HEDIS specifications and standards that Certified HEDIS Compliance Auditors must use when conducting a HEDIS audit.
Vol. 6: The Medicare Health Outcomes Survey ManualTechnical specifications for the Health Outcomes Survey (HOS). HEDIS Technical Specifications for Long-Term Services and Support MeasuresThe technical specifications for organizations providing Medicaid long-term services and supports (LTSS). Overview of the HEDIS measurement set and how the data are used. Vol. 2: Technical Specifications for Health PlansHEDIS nonsurvey measures for organizations; instructions on data collection for each measure; general guidelines for calculations and sampling. HEDIS Measures Included in the Quality Rating System (QRS)Quality Rating System Measure Technical Specifications are unique to the issuers offering plans on the Exchange and participating in the CMS Quality Rating System (QRS). Technical Specifications for ACO MeasurementHEDIS quality measures for Accountable Care Organizations. Vol. 3: Specifications for Survey MeasuresHEDIS survey measures and standardized surveys from the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) program. Vol. 5: HEDIS Compliance Audit™: Standards, Policies and ProceduresThe approved method for auditing the HEDIS production process, including an information systems capabilities assessment, an evaluation of compliance with HEDIS specifications and standards that Certified HEDIS Compliance Auditors must use when conducting a HEDIS audit.
Vol. 6: The Medicare Health Outcomes Survey ManualTechnical specifications for the Health Outcomes Survey (HOS). HEDIS Technical Specifications for Long-Term Services and Support MeasuresThe technical specifications for organizations providing Medicaid long-term services and supports (LTSS).
Overview of the HEDIS measurement set and how the data are used.
Vol. 2: Technical Specifications for Health PlansHEDIS nonsurvey measures for organizations; instructions on data collection for each measure; general guidelines for calculations and sampling. HEDIS Measures Included in the Quality Rating System (QRS)Quality Rating System Measure Technical Specifications are unique to the issuers offering plans on the Exchange and participating in the CMS Quality Rating System (QRS). Technical Specifications for ACO MeasurementHEDIS quality measures for Accountable Care Organizations. Vol. 3: Specifications for Survey MeasuresHEDIS survey measures and standardized surveys from the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) program. Vol. 5: HEDIS Compliance Audit™: Standards, Policies and ProceduresThe approved method for auditing the HEDIS production process, including an information systems capabilities assessment, an evaluation of compliance with HEDIS specifications and standards that Certified HEDIS Compliance Auditors must use when conducting a HEDIS audit. Vol. 6: The Medicare Health Outcomes Survey ManualTechnical specifications for the Health Outcomes Survey (HOS). HEDIS Technical Specifications for Long-Term Services and Support MeasuresThe technical specifications for organizations providing Medicaid long-term services and supports (LTSS).
Rules for Allowable Adjustments of HEDISRecognizing that HEDIS measures have traditionally been specified for health plan reporting, NCQA developed the Rules for Allowable Adjustment of HEDIS to accommodate the application of HEDIS measures to various levels of the health care system for quality improvement initiatives. The rules provide flexibility for evaluating different populations without altering measures’ clinical intent (e.g., removal of continuous enrollment or product-line criteria). The Rules for Allowable Adjustments are included in the HEDIS Volume 2 publication after the applicable HEDIS measure specifications. NCQA’s HEDIS Value Set Directory (VSD) includes the necessary third-party codes for use with adjusted measure specifications. HEDIS FAQVisitors to this page often check HEDIS FAQs or ask a question through MyNCQA. HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
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