90% of health plans in the United States measure quality by HEDIS quality measures. Some HEDIS data evaluates health-plan functions and some healthcare-provider functions. It is the latter in which we are presently interested. HEDIS measures are developed by the National Committee for Quality Assurance (NCQA), which was formed in 1990. Annually, NCQA publishes an approximately 300-page HEDIS Technical Specification for Physician Measurement.
As SETMA has been developing its Medical Home, it occurred to us, in that HEDIS and other measures of quality performance by healthcare providers are open-book tests, and, in that the "professor" has given us the test questions, we should measure ourselves to see how we are doing. In addition, in that we have that data, we should share it with our patients and with our community. So, we shall.
As a result, SETMA has embedded HEDIS measures of quality in acute care, chronic care and preventive care into our EMR. Every day, on every patient, a patient’s care is measured by this and other quality measures.
For an explanation of how SETMA tracks our HEDIS performance see the HEDIS section of the Patient-Centered Medical Home Coordination of Care tutorial by clicking Here.