What does HEDIS stand for?

HEDIS stands for Healthcare Effectiveness Data and Information Set. This acronym is widely recognized in the healthcare industry and refers to a tool used by health plans to measure their performance on important dimensions of care and service. The measures in HEDIS are crucial for assessing the quality of care patients receive and are used by various stakeholders, including regulators and consumers, to compare healthcare plans and ensure that they meet certain standards of care.

The term emphasizes the effectiveness of healthcare services, focusing on how well health plans deliver necessary and appropriate care to their members. This involves evaluating various aspects of patient care, including preventive services, treatment protocols, and patient satisfaction. By focusing on effectiveness, HEDIS plays a key role in enhancing the quality of healthcare delivery and accountability among health plans.