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HEDIS

Increase ratings.
Identify performance trends.

HOM creates an opportunity for organizations to measure and monitor their providers’ and teams’ work easily and effectively.

Quality in HEDIS

Quality, in healthcare, is the process of using data to evaluate the performance of the health care providers against recognized quality standard measures. This is a necessary step in the process of improving health care quality.

In the United States, two nonprofit groups dominate the performance-measurement field. The National Committee for Quality Assurance accredits health plans, provider groups, and various medical businesses. The Joint Commission focuses on hospitals, laboratories, and many types of medical institutions. The Joint Commission and NCQA measure quality in different ways.

Healthcare effectiveness and information data set (HEDIS) is a widely used set of performance measures in the managed care industry – developed and maintained by the National Committee for Quality Assurance (NCQA). HEDIS measures how well health plans give service and care to their members.

Our EDGE

Experience. Expertise. Execution.

Interactive, user-friendly dashboard with real time updates.

Submission capability for multiple quality initiatives across different plans.

Real-time tracking of productivity and performance.

HEDIS Chart review and submission.

Direct submission of compliant docs to the plans resulting in increased efficiency.

In-house team of auditors ensuring quality SLAs are met by involved parties.

HEDIS Measures

We work on NCQA developed HEDIS
measures including:

Prevention and Screening Measures

  • Breast Cancer Screening
  • Advance Care Planning
  • Colorectal Cancer Screening
  • Medication Review (COA)
  • Functional Status Assessment (COA)
  • Pain Assessment (COA)
  • Controlling High Blood Pressure
  • Retinal Eye Exam (CDC)
  • HbA1c Poor Control (>9.0%) (CDC)
  • FMC (Follow-up after ER visit for high-risk patients)
  • KED (Kidney Health Evaluation in Adults for Diabetes)
  • Medication Reconciliation Post Discharge (MRP)
  • TRC-Patient Engagement

Medication-Based Measures

  • OMW: Osteoporosis Management in Women
  • SPC: Statin Therapy for CVD (Cardio Vascular Disease)
Process

The process of HEDIS


120k+

Gaps reviewed in an year

Improved ratings of

50+

Primary Care Physicaians

up to

99%+

Quality accuracy

Why HOM

Improve procedural efficiency.

Profitability Benchmarks

HOM assures quality by establishing profitability benchmarks according to the nature of your organization. In addition to that, these benchmarks also help in recognizing loopholes and areas which need special attention.

Minimize Errors

We use our set of measures whilst evaluating the Revenue Cycle Management of your healthcare facility. These measures are like performance audits to eliminate even the minutest of errors.

Track Performance

We at HOM understand the daily demands of patient care. Whether you’re a group practice, an IPA, or a single provider office, HOM’s quality management service can track performance and productivity.

HOM assures quality by establishing profitability benchmarks according to the nature of your organization. In addition to that, these benchmarks also help in recognizing loopholes and areas which need special attention.

We use our set of measures whilst evaluating the Revenue Cycle Management of your healthcare facility. These measures are like performance audits to eliminate even the minutest of errors.

We at HOM understand the daily demands of patient care. Whether you’re a group practice, an IPA, or a single provider office, HOM’s quality management service can track performance and productivity.

Know more about our capabilities in Credentialing and Contracting

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