Healthcare Effectiveness Data and Information Set (HEDIS®)
HEDIS is a set of performance measures developed by the National Committee on Quality Assurance (NCQA) that is used by health plans to collect data about the quality of care and service they provide. HEDIS requires health plans to collect data in a standardized way so that comparisons between plans are fair and valid. Learn More »
Project Information
CCHRI facilitates the data collection process by coordinating the medical record collection/copying between plans and medical groups, thereby minimizing the impact on groups and physicians of this very time-consuming process. In return, medical groups sign agreements to assist with the record collection process on behalf of the plans. CCHRI provides training for individuals involved in chart reviews, provides an efficient cross-plan, centralized record pull list to the groups, and facilitates communications and project management for the process insuring that plans get the information they need in an organized, efficient, and timely manner.
CCHRI publishes the plan-specific results on the www.cchri.org website and provides more detail in an internal CCHRI report that is shared with CCHRI stakeholders. In addition, results are used in the PBGH eValue8 RFP of plans. The Office of the Patient Advocate (OPA) depends on CCHRI as the source for HEDIS and CAHPS results published on their consumer website. In addition, OPA depends heavily on advice from CCHRI in its consumer reporting.
In 2011 the following plans are participating in this record collection project:
- Anthem
- Health Net
- UnitedHealthcare/Pacificare
Links
Archives
To access prior years' reports, click here. (members only)
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