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Quality Solutions Group

HEDIS & Performance Measurement

Measuring Performance

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. Altogether, HEDIS consists of 75 measures across 8 domains of care. Because so many plans collect HEDIS data, and because the measures are so specifically defined, HEDIS makes it possible to compare the performance of health plans on an "apples-to-apples" basis.

What is HEDIS?      How Measures are developed





HEDIS Technical Resources

 HEDIS 2013

HEDIS 2012

HEDIS 2011


HEDIS Data Submission (HOQ and IDSS)

 HEDIS Users Group (HUG)



 HEDIS Archives

Wellness and Health Promotion (WHP)

Disease Management (DM)

HEDIS and ICD-10 Information

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.

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 and the CHIPRA Core Set of Measures.

Reducing Health Care Disparities

NCQA recognizes innovation in multicultural health care annually. See how you can support this important effort to combat health care disparities.

NCQA will serve as a HIMSS2012 preconference collaborator for the Quality/Clinical Decision Support Symposium.

For more details visit www.himssconference.org.