OVERVIEW

Introduction to Healthcare Effectiveness Data and Information Set (HEDIS) is organized by National Committee for Quality Assurance (NCQA).

Expires: October 1, 2025

Description:
This on demand series is a comprehensive overview of the Healthcare Effectiveness Data and Information Set (HEDIS®) broken into four, self-paced online modules. In this series, you will learn basic HEDIS terminology, audit compliance process, review various HEDIS data tools and resources and review HEDIS clinical and survey measures. 

Modular Titles: 
Module 1 – What is HEDIS?  (Audio Running Time: 25 mins)
Upon completion of this module, participants will be able to: 

  • Outline how a HEDIS measure is developed 
  • Describe the HEDIS measures & their domains 

Module 2 – HEDIS Compliance Audit (Audio Running Time: 45 mins)
Upon completion of this module, participants will be able to: 

  • Review the Healthcare Effectiveness and Data Information Set (HEDIS®) Compliance audit process 
  • Review the process to submit HEDIS data to NCQA 

Module 3 – HEDIS Data Sources (Audio Running Time: 20 mins)
Upon completion of this module, participants will be able to: 

  • Describe types of data 
  • Review the Administrative Data Collection Method 
  • Review the Hybrid Data Collection Method & Sampling Guidelines 
  • Discuss implementing HEDIS data collection and reporting 
  • Discuss the Administrative vs. Hybrid Method 
  • Discuss medical record review tips 
  • Module 4 – HEDIS Data Tools and Resources (Audio Running Time: 25 mins)
    Upon completion of this module, participants will be able to: 
  • Describe different ways HEDIS data can be used

 What You Will Learn:

  • Identify how a HEDIS measure is developed 
  • Summarize the HEDIS Compliance audit process and how to submit data
  • Review the Administrative and Hybrid Data Collection Methods & Sampling Guidelines 
  • Discuss implementing HEDIS data collection and reporting 
  • Discuss medical record review tips 
  • Review the different types of data and ways HEDIS data can be used
Credits

Accreditation:
In support of improving patient care, the National Committee for Quality Assurance is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC) to provide Interprofessional Continuing Education for the healthcare team.

This activity was planned by and for the healthcare team, and learners will receive 2.5 Interprofessional Continuing Education (IPCE) credit for learning and change.

This educational activity is approved for: 2.5 AMA PRA Category 1 CreditTM.

This educational activity is approved for 2.5 nursing contact hours.*

This On Demand activity grants 2.0 "Other CCE Continuing Education" points for PCMH Certified Content Experts.

* Please note – You must attend the entire program to be eligible for total number of contact hours.

ATTENTION: Effective February 1, 2022, this on-demand (enduring material) activity no longer offers credits for the American Academy of Physician Assistants (AAPA), the American Psychological Association (APA), or the Association of Social Work Boards (ASWB). Only applicable professionals who fully completed this on-demand activity prior to February 1, 2022, are eligible for AAPA, APA, or ASWB credits. No other CEUs are impacted by this change.

  • 2.5 AMA PRA Category 1 Credits™
  • 2.5 Contact Hours
  • 2.5 IPCE
  • 2 CE
  • TARGET AUDIENCE

    PhysicianNursingNursesSocial WorkersHealthcare Management

    SPECIALITIES

    Healthcare ManagementHealth Informatics

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