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Quality of Care Measures

Introduction - HEDIS

The quality of care measures presented in this section come from the Healthcare Effectiveness Data and Information Set (HEDIS), which is developed and maintained by the National Committee for Quality Assurance (NCQA). The 2008 (HEDIS) measurement set contains over 70 measures across eight major areas of care such as helping people stay healthy or caring for people with chronic illness. HMOs nationwide collect these measures to see how they performed in different areas of health care over the past year.

Each year, Utah HMOs report HEDIS measures to the Utah Department of Health and a subset of those measures is included in this report. Measures in this report are based on information from patient visits in 2007. All data are reviewed by NCQA-certified auditors to ensure that the reported HEDIS measures are representative and accurate. PEHP’s data were not audited this year.

The National Committee for Quality Assurance (NCQA) is a non-profit organization committed to assessing, reporting on and improving the quality of care provided by the nation’s health plans. To find out more, go to: www.ncqa.org
Last updated: October 8, 2009