HEDIS tip sheets
Point32Health — the parent company of Harvard Pilgrim Health Care and Tufts Health Plan — developed these HEDIS® tip sheets to aid your practice in optimizing scores on HEDIS measures, one of health care’s most widely used performance assessment and improvement tools. HEDIS measures offer insight on important aspects of clinical care and service. The best practices highlighted on our tip sheets can support you by ensuring that the data reported accurately reflects your practice’s performance on these measures and by identifying opportunities to improve patient care.
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Discover handy tips
- Adult Immunization Status (AIS-E)
- Asthma Medication Ratio (AMR)
- Child and Adolescent Well-Care Visits (WCV)
- Colorectal Cancer Screening (COL)
- Controlling High Blood Pressure (CBP)
- Eye Exam for Patients with Diabetes (EED)
- Diabetes Screening for Patients on Antipsychotics (SSD)
- Follow Up After Hospitalization for Mental Illness (FUH)
- Follow Up After Emergency Department Visit for Mental Illness (FUM)
- Follow Up After Emergency Department Visit for Substance Use (FUA)
- Glycemic Status Assessment for Patients with Diabetes (GSD)
- Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET)
- Kidney Health Evaluation for Patients with Diabetes (KED)
- Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM)
- Osteoporosis Management in Women Who Had a Fracture (OMW)
- Prenatal Immunization Status (PRS-E)
- Prenatal and Postpartum Care (PPC)
- Transitions of Care (TRC)
HEDIS hybrid measures
Certain HEDIS hybrid measures require the health plan to conduct medical record review annually. For more information, including a list of the HEDIS hybrid measures, best practices and documentation that should be included in the medical record, and the time frame for annual HEDIS Medical Record Review, please refer to this brief slide deck.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).