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:

• Measurement Year 2020 Tips for PCPs
• Accessing Gaps in Care Reports within Provider Deliverable Manager
• The NCQA HEDIS® and Quality Compass® webpage
• HEDIS Frequently Asked Questions
• Measure Specific Guidelines for ACP - Advance Care Planning
• Measure Specific Guidelines for CBP - Controlling High Blood Pressure
• Measure Specific Guidelines for Diabetes
• Measure Specific Guidelines for CCS - Cervical Cancer Screening
• Measure Specific Guidelines for CIS - Childhood Immunization Status
• Measure Specific Guidelines for COA - Care for Older Adults
• Measure Specific Guidelines for COL - Colorectal Cancer Screening
• Measure Specific Guidelines for IMA - Immunizations for Adolescents
• Measure Specific Guidelines for TRC - Transitions of Care
• Measure Specific Guidelines for WCC - Weight Assessment and Counseling Children/Adolescents