Does NCQA use HEDIS measures?
NCQA collects HEDIS data from health plans and other health care organizations. Audits protect results’ validity and reliability.
What are HEDIS quality measures?
HEDIS is a comprehensive set of standardized performance measures designed to provide purchasers and consumers with the information they need for reliable comparison of health plan performance. HEDIS Measures relate to many significant public health issues, such as cancer, heart disease, smoking, asthma, and diabetes.
What does NCQA measure?
NCQA gives consumers the information they need to find high-quality health care. We do this by measuring the quality of practices, providers, health plans and other health care organizations.
What are examples of HEDIS measures?
Examples of HEDIS® measures are Comprehensive Diabetes Care, Childhood Immunizations, yearly Well Child Exams for Children Ages 3-6 and yearly Adolescent Well Care Exams.
What are NCQA standards?
NCQA standards are a roadmap for improvement—organizations use them to perform a gap analysis and align improvement activities with areas that are most important to states and employers, such as network adequacy and consumer protection. Standards evaluate plans on: Quality Management and Improvement.
What are the 5 domains of HEDIS?
HEDIS measures clinical quality and customer service, requiring standardized reporting under 5 domains of care:
- Effectiveness of Care.
- Access/Availability of Care.
- Experience of Care.
- Utilization and Risk Adjusted Utilization.
- Health Plan Descriptive Information.
- Measures collected using Electronic clinical data Systems.
How many HEDIS measures are there?
The Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 %of America’s health plans to measure performance on important dimensions of care and service. HEDIS consists of 71 measures across 8 domains of care.
What is NCQA in healthcare?
The National Committee for Quality Assurance (NCQA) exists to improve the quality of health care. We work for better health care, better choices and better health. Patient-Centered. Medical Home (PCMH) Health Plan Accreditation.
How many NCQA standards are there?
Over 1,000 health plan products have earned NCQA Health Plan Accreditation.
What are NCQA requirements?
NCQA requirements are a roadmap for improvement—organizations use them to perform a gap analysis and align improvement activities with areas that are most important to states and employers, such as network adequacy and consumer protection. Categories include: Quality Management and Improvement.