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 health care 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:           

• Care for Older Adults (COA)
• Colorectal Cancer Screening (COL)
• Controlling High Blood Pressure (CBP)                      
• Comprehensive Diabetes Care (CDC)
• Transitions of Care (TRC)

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

• 2020 HEDIS Billing Guide and Tips
• Accessing Gaps in Care Reports within Provider Deliverable Manager
• The NCQA HEDIS® and Quality Compass® webpage
• HEDIS Frequently Asked Questions
• Measure Specific Guidelines for COA - Care for Older Adults
• Measure Specific Guidelines for CDC - Comprehensive Diabetes Care
• Measure Specific Guidelines for COL - Colorectal Cancer Screening
• Measure Specific Guidelines for CBP - Controlling High Blood Pressure
• Measure Specific Guidelines for TRC - Transitions of Care