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HEDIS Resources Available Online

One of the most widely used tools for improving quality and measuring health care plan performance in the United States is the Healthcare Effectiveness Data and Information Set (HEDIS®). HEDIS was developed and is maintained on an annual basis by the National Committee for Quality Assurance (NCQA).

To assist you with identifying the eligible populations, administrative codes and medical record documentation, Horizon BCBSNJ has developed a HEDIS Measures Summary 2017. Please use the codes, as you determine appropriate, to help ensure that patients’ charts include accurate, legible and complete medical record documentation.

The HEDIS Measures Summary 2017 and other HEDIS-related resources may be accessed by visiting our HEDIS Resources page.

You help play an important role in HEDIS by being familiar with and rendering the care that is assessed by the HEDIS quality measures. These include measures to monitor:

  • Preventive care and screenings
  • Chronic care
  • Accessibility and availability of care
  • Satisfaction with the rendering of care
  • Cost of care
  • Use of services

We hope you find this information useful.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Published on: April 12, 2017, 09:41 a.m. ET
Last updated on: April 12, 2017, 12:19 p.m. ET