Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Quality Measurement and Improvement
Lecture:Current quality measures in use
Slide content:Quality Reporting for Health Plans Called out because of historic role Health Plan Employer Data and Information Set (HEDIS) by NCQA provides 60 measures that evaluate health plans, particularly health maintenance organizations NCQA annual reports calculate lives saved based on outcomes from adherence 5
Slide notes:The first topic is health plans. Why health plans? Health plans have a historic role: they were among the first to measure quality, at least as process measures, and to act on the findings. They should be noted and commended for being pioneers in this area, and in fact, theres a health care quality measurement set called HEDIS [hee-diss], the Health Plan Employer Data and Information Set, developed by NCQA [N-C-Q-A], the National Committee for Quality Assurance. HEDIS has sixty measures that are mainly health care process measures used to evaluate health plans and particularly health maintenance organizations. [quote] These measures address a range of health issues, including asthma medication use; persistence of beta-blocker treatment after a heart attack; controlling high blood pressure; comprehensive diabetes care; breast cancer screening; antidepressant medication management; immunization status; and advising smokers to quit. HEDIS is used by more than ninety percent of Americas health plans. [end quote] The NCQA reports, which were covered in the previous lecture, calculate lives saved based on outcomes that occur from adherence to these process measures. 5