Quality Reporting

HEDIS Quality Reporting

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 numerous measures across different 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.

HEDIS reporting enables healthcare organizations to track, monitor and improve HEDIS compliance, develop and measure proprietary quality metrics, facilitate NCQA submission and implement year-round clinical compliance reporting that increases health plan ranking.

Features of the Persivia’s HEDIS Solution:

  • View, query and measure HEDIS data using customizable filters and drill downs
  • Report HEDIS administrative and medical record data quickly and easily
  • Develop custom measures for your own clinical reporting initiatives
  • Secure SaaS platform that facilitates the communication, planning and project management of HEDIS measure production
  • Engage members and providers with customizable outreach letters and performance score cards

Benefits of Persivia’s HEDIS Solution:

  • Improve compliance with HEDIS measures and other quality metrics
  • Increase health plan ranking and demonstrate value to consumers
  • Streamline the NCQA data submission process
  • Develop, implement and measure quality and compliance programs