What is a common data source for HEDIS measures?

Claims data from healthcare payers is a common data source for HEDIS measures because it encompasses a comprehensive record of healthcare services provided to patients. These claims include detailed information on diagnoses, procedures, and treatments, making them invaluable for measuring various healthcare performance metrics. HEDIS, which stands for Healthcare Effectiveness Data and Information Set, relies on this data to assess the efficiency and quality of care delivered by health plans and provider organizations.

This reliance stems from the exhaustive nature of claims data, which tracks every interaction a patient has with the healthcare system, subject to the coding and billing processes. It provides a broad view of patient care, enabling the aggregation of quality measures across large populations. Consequently, HEDIS can utilize this data to evaluate adherence to clinical guidelines and develop insights into patient outcomes, making it a fundamental resource for quality improvement initiatives in healthcare settings.