NCQA > HEDIS & Quality Measurement

NCQA > HEDIS & Quality Measurement

HEDIS & Quality Measurement

The Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service.
More | How measures are developed

Technical Resources

• HEDIS 2013
• HEDIS 2012
• HEDIS 2011
• HEDIS Data Submission (HOQ and IDSS)
• Public Comment
• HEDIS Users Group (HUG)
• HEDIS Archives
• Wellness and Health Promotion (WHP)
• Disease Management (DM)
• HEDIS and ICD-10 Information

HEDIS Programs

• HEDIS Survey Vendor Certification
• HEDIS Compliance Audit
• Software Certification

RRU Customer Information

• 2012 RRU Data Architecture Redesign Memo
• General Principles for RRU Data Architecture

Research & Reports

Part of NCQA's mission is to expand our work in quality-related health services research. NCQA is actively encouraging the involved of researchers from a wide spectrum of disciplines to participate in ongoing activities in the Research group.

• Health Care Research
• Featured Research Activities: CLAS

Benchmarking

• Complete NCQA Benchmarking List
• State of Health Care Quality Report
• Accreditation Scoring Report

NQF-Endorsed Measures

NQF-endorsed consensus standards for ambulatory care, representing an initial set of ambulatory care voluntary consensus standards, conducted under "Phase 2" of NQF's ambulatory care work.

• List of Measures
• Specifications

Other Measurement Activities

Find out more regarding activities the Quality Measurement staff has been involved in, including submitting measures for NQF Endorsement and working with CMS on Physician Specialty measures. This section also includes information about the California Pay for Performance (P4P) program.

• Pay for Performance
• Other Measurement Activities
• Relative Resource Use