Healthcare Effectiveness Data and Information Set (HEDIS)

Healthcare Effectiveness Data
and Information Set (HEDIS)
Name of the Student

• HEDIS – Use to measure 90 % of America’s all
health plans.
• In effect from - 1991
• Sponsor of HEDIS report card - National
Committee for Quality Assurance (NCQA), a non
profit organization of USA.
• Intended audience of the report card – Buyers
and consumers of healthcare plans (HEDIS -
NCQA, 2018).
HEDIS

• Objective – measure and compare care and service
performances of healthcare plans.
• Data collection method – NCQA collects survey data directly
from healthcare plans and PPOs.
• Non-survey data are collected through Interactive Data
Submission System (IDSS)
• All collected data by NCQA are maintained in a secure central
database (HEDIS - NCQA, 2018).
HEDIS