HEDIS

HEDIS (Healthcare Effectiveness Data and Information Set) is a set of standardized performance measures designed to provide purchasers and consumers with information for comparing the performance of managed healthcare plans.

The performance measures in HEDIS are related to many public health issues such as cancer, heart disease, smoking, asthma and diabetes. HEDIS also includes a standardized survey of consumers' experiences that evaluates plan performance in areas such as customer service, access to care and claims processing. HEDIS is sponsored, supported and maintained by The National Committee for Quality Assurance (NCQA).

Information on HEDIS can be obtained at http://www.ncqa.org/tabid/59/Default.aspx.

HEDIS Measure Guides

• Asthma Medication Ratio (AMR) [PDF]
• Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB) [PDF]
• Cervical Cancer Screening (CCS) [PDF]
• Child and Adolescent Well-Care Visits (WCV) [PDF]
• Childhood Immunization Status (CIS) [PDF]
• Follow-Up After Emergency Department Visit for Mental Illness (FUM) [PDF]
• Follow-Up After Emergency Department Visit for Substance Use (FUA) [PDF]
• Follow-Up After Hospitalization for Mental Illness (FUH) [PDF]
• Prenatal and Postpartum Care (PPC) [PDF]
• Use of Imaging Studies for Low Back Pain (LBP) [PDF]
• Well-Child Visits in the First 30 Months of Life (W30) [PDF]

Revision History