Designed by the National Committee for Quality Assurance (NCQA), the Healthcare Effectiveness Data and Information Set (HEDIS®) is a collection of 81 measures consisting of various evidence-based clinical guidelines for services rendered to commercial, Medicare and Medicaid HMO, POS and PPO plan members. More than 90 percent of America's health plans use this tool to measure performance on critical dimensions of care and service.
HEDIS Measures Specific to Behavioral Health:
1. AMM: Antidepressant Medication Management
2. ADD: Follow-Up Care for Children Prescribed Medication for Attention Deficit Hyperactivity Disorder (ADHD)
3. FUH: Follow-Up after Hospitalization for Mental Illness
4. IET: Initiation and Engagement of Alcohol & Other Drug Dependence Treatment.
Two of the measures (ADD and AMM) are linked to medications and the other two (IET and FUH) to inpatient and outpatient treatment.
Your assistance in helping us uphold the high quality demanded by HEDIS through monitoring and compliance goes a long way in allowing us to continue to serve your patients in the most effective way possible. We offer a variety of resources below to guide you in this process.
For Providers' Use With Members: