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The Healthcare Effectiveness Data and Information 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 was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks.
This is an accepted version of this page This is the latest accepted revision, reviewed on 9 December 2024. Economic sector focused on health An insurance form with pills The healthcare industry (also called the medical industry or health economy) is an aggregation and integration of sectors within the economic system that provides goods and services to treat patients with curative, preventive ...
Benchmarking is appropriate in nearly every case where process redesign or improvement is to be undertaking so long as the cost of the study does not exceed the expected benefit. Financial benchmarking - performing a financial analysis and comparing the results in an effort to assess your overall competitiveness and productivity.
In 2006 the Tax Relief and Health Care Act (TRHCA) included a provision for a 1.5% incentive payment to eligible providers who successfully submitted quality data to CMS. This provision included a cap on payments.
Milestones are tools used in project management to mark specific points along a project timeline. These points may signal anchors such as a project start and end date, or a need for external review or input and budget checks. Some contracts for products include a "milestone fee" that may be paid out when certain points are achieved.
Benchmarking is sometimes referred to as 'post-stratification' because of its similarities to stratified sampling.The difference between the two is that in stratified sampling, we decide in advance how many units will be sampled from each stratum (equivalent to benchmarking cells); in benchmarking, we select units from the broader population, and the number chosen from each cell is a matter of ...
Better performance measurement; It also recommends that United States Department of Health and Human Services (HHS) invest resources in making clinical best practices easy to access nationwide and support a health care information system infrastructure that includes "the elimination of most handwritten clinical data by the end of the decade.” [1]
Health care quality is the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes. [2] Quality of care plays an important role in describing the iron triangle of health care relationships between quality, cost, and accessibility of health care within a community. [3]