This report presents the Health Effectiveness Data Information Set (HEDIS) as a means to measure health and promote quality care in a Georgia pediatric clinic. The primary factors under evaluation related to patient compliance, outcomes and follow-ups. HEDIS was developed by the National Commission on Quality Assurance (NCQA). The value of the HEDIS model lies in its use of national quality benchmarks and indicators – for a wide variety of health conditions. Traditional models of quality management and control are also presented using selected health centers and related legislation. This report also addresses provisions of the Affordable Care Act which was designed to promote healthcare quality and access; meanwhile reducing healthcare costs. As the Affordable Care Act, continues to unfold, quality models such as HEDIS will be useful in promoting national quality initiatives in various health systems.
Sherryl W. Johnson (2018); Enhancing Ambulatory Healthcare Using Health Effectiveness Data; International Journal of Scientific and Research Publications (IJSRP)
8(12) (ISSN: 2250-3153), DOI: http://dx.doi.org/10.29322/IJSRP.8.12.2018.p8413