Discuss the Healthcare Effectiveness Data and Information Set Measurements

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The Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 percent of America’s health plans to measure performance on important dimensions of care and service. Altogether, HEDIS consists of 81 measures across 5 domains of care. Because so many plans collect HEDIS data, and because the measures are so specifically defined, HEDIS makes it possible to compare the performance of health plans on an “apples-to-apples” basis. Therefore allowing for a comparison of QUALITY!! – http://www.ncqa.org/HEDISQualityMeasurement.aspx

  Your reading deals with Total Quality Management. Bridging from the concept of TQM to actual clinical measures is important for Healthcare Managers. Please go to this link:


  You will see many HEDIS measures. Select a HEDIS Measure or clinical area. Identify the types of healthcare organizations that must meet this measure. What are the ramifications for NOT achieving this measure? How does this measure impact quality?

Note:  This does not need to be an essay, an explanatory answer is good.

Please cite and reference- no plagiarism!


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