HEDIS® OVERVIEW

What is HEDIS®?

A tool to measure healthcare plans performance.

What does HEDIS stand for?
H = HEALTHCARE
E = EFFECTIVENESS
D = DATA
I = INFORMATION
S = SET

What does it measure?

Healthcare plans performance during the prior calendar year.

HEDIS® measures are reported annually for the following areas:

• Effectiveness of Care assesses the delivery of preventive services and services related to chronic disease (e.g. mammography screening, dilated retinal exam).
• Access/Availability of Care assesses the availability of healthcare to plan members.
• Satisfaction with the Experience of Care measures member satisfaction.
• Healthcare Plan Stability assesses practitioner turnover and total membership.
• Use of Service addresses utilization measures, such as discharge rates and average length of stay.
• Healthcare Plan Description Information addresses how the health plan is organized and the number and types of participating physicians.
• Cost of Care
• Informed Healthcare Choices
  

  2010 HEDIS Measures