Be a HEDIS Hero

Be a HEDIS Hero

The National Committee for Quality Assurance (NCQA) is a non-profit organization that measures the quality of healthcare across large populations. NCQA does this through its Health Effectiveness and Data Set, also known as HEDIS. HEDIS measures are a set of evidence-based standards that Texas Children’s Health Plan is committed to improving upon in order to provide the best care for our members.

Making changes across your patient population is easier than you think! In fact, you can become a HEDIS hero simply by ensuring that your patients are scheduled to see you for well-child visits at the most important stages of their development.

Below are the types of well-child/adolescent visits that have been studied to improve the health and wellness of the population that you serve. They each correspond to a different HEDIS measure that Texas Children’s Health Plan has identified for improvement. Become a HEDIS hero today by ensuring that all of your patients meet the following:

  1. One documented well-child visit in the 3rd, 4th, 5th, AND 6th years of life for every patient.
  2. One annual comprehensive well-child visit for each patient ages 12-21.
  3. Counseling for nutrition and physical activity documented for all patients ages 3-17.

Six or more well-child visits for each patient documented in the first 15 months of life.

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