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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 ...
One seminal book is Boxwell's Benchmarking for Competitive Advantage (1994). [6] The first book on benchmarking, written and published by Kaiser Associates, [7] is a practical guide and offers a seven-step approach. Robert Camp (who wrote one of the earliest books on benchmarking in 1989) [8] developed a 12-stage approach to benchmarking.
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]
In the healthcare industry, pay for performance (P4P), also known as "value-based purchasing", is a payment model that offers financial incentives to physicians, hospitals, medical groups, and other healthcare providers for meeting certain performance measures. Clinical outcomes, such as longer survival, are difficult to measure, so pay for ...
The program consisted of three phases. Phase one aimed to improve healthcare quality, safety and efficiency. [7] Phase two expanded on phase one and focused on clinical processes and ensuring the meaningful use of EHRs. [7] Lastly, phase three focused on using Certified Electronic Health Record Technology (CEHRT) to improve health outcomes. [7]
In medicine and medical statistics, the gold standard, criterion standard, [1] or reference standard [2] is the diagnostic test or benchmark that is the best available under reasonable conditions. [3] It is the test against which new tests are compared to gauge their validity, and it is used to evaluate the efficacy of treatments. [1]
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 ...