What is HEDIS®?

• Effectiveness of care
• Access to/availability of care
• Member satisfaction with the plan and providers or the experience of care
• Health plan stability
• Use of services
• Informed health care choices
• Cost of care
• Health plan descriptive information

We work with you to assure that all Department of Health (DOH) requirements concerning HEDIS performance measures are met on an ongoing basis. We do this by:
 

• Producing rates for all CHIP reporting measures
• Following NCQA specifications as outlined in the HEDIS Technical Specifications, clearly identifying the numerator and denominator for each measure.
• Validating HEDIS results by using an NCQA-licensed vendor

You can learn more about our quality initiatives by visiting our Quality Assurance and Performance Improvement (QAPI) program page.

The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) surveys

CAHPS are a set of standardized surveys that assess patient satisfaction with the experience of care. CAHPS surveys are subsets of HEDIS reporting required by the DOH. We contract with an NCQA-certified vendor to administer the surveys according to HEDIS survey protocols. The surveys are based on randomly selected members and summarize satisfaction with the health care experience.

HEDIS incorporates a CAHPS survey of parental experiences with their children’s care. eChildren’s health care frequently requires different provider networks and addresses different consumer concerns (child growth and development, for example). We contract with a certified vendor to complete child CAHPS surveys and submit recipient-level data files to the NCQA for calculation of survey results.