HEDIS Information

HEDIS^® (Healthcare Effectiveness Data and Information Set) is a health care performance measurement tool used by more than 90 percent of America's health plans to measure performance on important dimensions of Healthcare and services. Mercy Care Advantage uses HEDIS results to make improvements in our quality of care and service. 

HEDIS measures address a broad range of important health issues. Among them are the following:           

• Adult BMI Assessment (ABA)
• Care for Older Adults (COA)
• Colorectal Cancer Screening (COL)
• Controlling High Blood Pressure (CBP)                      
• Comprehensive Diabetes Care (CDC)
• Medication Reconciliation Post-Discharge (MRP)
• Transitions of Care (TRC) (New in 2018)

Click on the documents below for additional information on these HEDIS measures and the HEDIS medical record review process:

• The NCQA HEDIS® and Quality Compass® webpage
• HEDIS Frequently Asked Questions PDF Opens In New Window
• Measure Specific Guidelines for Adult BMI Assessment PDF Opens In New Window
• Measure Specific Guidelines for Care for Older Adults PDF Opens In New Window
• Measure Specific Guidelines for CDC - Comprehensive Diabetes Care PDF Opens In New Window
• Measure Specific Guidelines for COL - Colorectal Cancer Screening PDF Opens In New Window
• Measure Specific Guidelines for Controlling High Blood Pressure PDF Opens In New Window
• Measure Specific Guidelines for Medication Reconciliation Post-Discharge PDF Opens In New Window
• Transition of Care Provider Information for HEDIS Website  PDF Opens In New Window