Healthcare Effectiveness Data and Information Set (HEDIS) is one of health care’s most widely used performance improvement tools created by the National Committee for Quality Assurance (NCQA).

HEDIS measures performance with more than 90 measures across 6 domains of care:

  • Effectiveness of Care
  • Access/Availability of Care
  • Experience of Care
  • Utilization and Risk Adjusted Utilization
  • Health Plan Descriptive Information
  • Measures Reported Using Electronic Clinical Data Systems

NEMS MSO participates in health plans’ clinical quality improvement programs to improve clinical outcomes and ensure our providers meet the minimum performance levels in the Department of Health Care Services (DHCS) Managed Care Accountability Sets (M​CAS) and the Centers for Medicare & Medicaid Services (CMS) Medicare Star Ratings.

NEMS MSO created a HEDIS Tip Sheet to help our providers identify and close care gaps and achieve success in reporting performance.

Download a copy of our Tip Sheet by clicking here!

Questions? Contact our Quality Improvement (QI) team!
Email: [email protected]
Phone: (415) 321-1927