Continuous Quality Monitoring and Accreditation

Continuous Quality Monitoring and Accreditation

The Healthcare Effectiveness Data and Information Set (HEDIS) is one of the most widely used sets of health care performance measure in the United States. The term “HEDIS” originated in the late 1980s as the product of a group of forward-thinking employers and quality experts, and was entrusted to NCQA in the early 1990s. The NCQA measurement development process has expanded the size and scope of HEDIS to include measures for physicians, PPOs and other organizations. This data is collected via the HEDIS Data Submission (HOQ and IDSS) System

  • Choose two HEDIS® measures  that must be implemented in a physician practice to improve patient outcomes.
  • Describe the sources of data needed to conduct the two measures. 
  • Using one of the quality improvement models (Lean, PDSA, or Six Sigma), explain how you would use the model to implement the two chosen HEDIS® Measures.

Here are my two choices:

Smoking Cessation: 

c. Current smokers seen by a physician during the year who were advised to quit, and cessation medications were recommended and discussed. Different  cessation methods were discussed. 

Weight Assessment: 

d. Patients between the ages of 3-17 who had been examined for body mass index (BMI, received counseling on nutrition. Counseling or referral for physical activity or indication physical activity was addressed during an outpatient visit either by a claim or as a medical record entry during the measurement year. 

Your initial post should be 250-300 words and utilize at least two scholarly sources