Technical Specifications for Physician Measurement

HEDIS is the most widely used set of inpatient and ambulatory performance measures in the health care industry. This publication is the newest addition to NCQA’s suite of HEDIS products. Its purpose is to support standardized measurement by providing the technical specifications necessary to enable reliable, equitable and valid measurement and reporting of physician-specific performance. 

This publication applies to individual physicians, practice sites or medical groups. Measures included were in most cases developed through adaptation of HEDIS health plan-level measures.  A wide array of organizations will find HEDIS Physician Measurement to be a useful resource—health plans, physician groups, offices, community coalitions, employers, the public sector and others. To learn more, please view the executive summary.

HEDIS 2009 Technical Specifications for Physician Measurement (Hard copy)
Item # 10273-100-09
Price: $285
Available November 2008

HEDIS 2008 Technical Specifications for Physician Measurement (Hard copy)
Item # 10273-100-08
Price: $285

Volume 1: Narrative
Volume 1 is an indispensable reference that will help you understand the science of health care quality measurement. The Narrative gives a background on what is in HEDIS and an explanation of why the measures are important to consumers, purchasers and health plans. The Narrative also features user-friendly descriptions of each performance measure, plus valuable guidance on interpreting and using HEDIS data.

HEDIS 2009 Volume 1
Item #10283-100-09
Price $190

HEDIS 2009 Volume 1 e-pub

HEDIS 2008 Volume 1
Item #10283-100-08
Price $190

HEDIS 2008 Volume 1 e-pub

Volume 2: Technical Specifications
A required resource for anyone involved in collecting, calculating or submitting HEDIS data, Volume 2 features the complete technical specifications for each measure, including all relevant CPT, ICD-9, HCPCS, UB-92 and DRG codes. It also includes general guidelines for data collection and reporting, detailed instructions on how to perform the necessary calculations and guidelines for sampling.                     

HEDIS 2009 Volume 2
Item #10284-100-09
Price $320

HEDIS 2009 Volume 2 e-pub

HEDIS 2008 Volume 2
Item #10284-100-08
Price $320

HEDIS 2008 Volume 2 e-pub

Volume 3: Specifications for Survey Measures
This volume contains complete instructions for administering all the survey-based HEDIS Measures, including surveys from the Consumer Assessment of Healthcare Providers and Systems (CAHPS^®) program. Specifically, it includes the CAHPS Health Plan Survey, 4.0H Adult Version, CAHPS Health Plan Survey 3.0H Child Version, Medical Assistance with Smoking Cessation, Flu Shots for Adults Ages 50-64, Flu Shots for Older Adults and Pneumonia Vaccination Status for Older Adults. Volume 3 also includes technical specifications, background information, protocols necessary for administering the survey instruments and accompanying correspondence.

HEDIS 2009 Volume 3
Item #10285-100-09
Price: $215

HEDIS 2009 Volume 3 e-pub

HEDIS 2008 Volume 3
Item #10285-100-08
Price: $215

HEDIS 2008 Volume 3 e-pub

Volume 5: HEDIS Compliance Audit™: Standards, Policies and Procedures
Health plans must submit audited HEDIS data to achieve NCQA Accreditation and/or meet employer expectations. HEDIS Compliance Audit™ Standards, Policies and Procedures describes in detail the methodology used for auditing a health plan’s data collection programs, calculation processes and HEDIS measure results. This Volume also includes the standards and guidelines for assessing a health plan’s information systems capabilities, and the standards and guidelines used to evaluate a plan’s ability to comply with HEDIS specifications.

 
HEDIS 2009 Volume 5
Item #10287-100-09
Price: $190
Available November 2008

HEDIS 2009 Volume 5 e-pub
Available November 2008

HEDIS 2008 Volume 5
Item #10287-100-08
Price: $190

HEDIS 2008 Volume 5 e-pub

Volume 6: The Medicare Health Outcomes Survey Manual
The Medicare Health Outcomes Survey (HOS) measure was developed to monitor and evaluate the quality of care and service provided to Medicare beneficiaries and provide them with information the supports plan-to-plan comparison. This volume features details about the measure, the survey instrument and information that health plans and vendors need to report results.
 

HEDIS 2009 Volume 6
Item #10288-100-09
Price: $160
Available February 2009

HEDIS 2009 Volume 6 e-pub
Available February 2009

HEDIS 2008 Volume 6
Item #10288-100-08
Price: $160

HEDIS 2008 Volume 6 e-pub

NEW! HEDIS 2009 Electronic Coding Tables (ECTs)
Available in XML, the ECTs provide an easy way to incorporate CPT, ICD-9-CM, HCPCS, UB-92 and DRG codes into your organization’s data collection program to save programming hours, eliminate the manual search for code and reduce keying errors. Available September 2008.

HEDIS 2008 ECT (Single site)
Item #10289-150-08
Price: $1,050

HEDIS 2008 ECT (2-5 sites)
Item #10289-151-08
Price: $1,570

HEDIS 2008 ECT (6-10 sites)
Item #10289-152-08
Price: $1,825

HEDIS 2008 ECT (11-20 sites)
Item #10289-153-08
Price: $2,090

HEDIS 2008 ECT (21+ sites)
Item #10289-154-08
Price: $3,120

HEDIS Package
This package includes hard copies of HEDIS Volumes 1, 2, 3, 5 and 6.  Each publication is delivered as soon as it is available. Order the HEDIS 2008 Package and save $85.

HEDIS 2009 Package
Item #10283-150-09
Price: $965

HEDIS User Group (HUG) Memberships
Each organization implementing HEDIS is strongly encouraged to join NCQA's HEDIS User Group (HUG) for technical assistance and guidance on interpreting the specifications. Membership benefits include newsletters, discount vouchers and up-to-date technical information, as well as the inside track on measure development.

2009 HUG Package 1
This package includes printed editions of HEDIS 2009 Volumes 1, 2, 3, 5, and 6 and a single-user, member-exclusive e-pub copy of Volume 2 that incorporates all changes from the October Update. Each publication is delivered as soon as it is available.

2009 HUG Package 1
Item #10702-150-09
Price: $2,295

2009 HUG Package 2
This package includes printed editions of HEDIS 2009 Volumes 1, 2, 3, 5 and 6; a single-user, member-exclusive e-pub copy of Volume 2 that incorporates all changes from the October Update; and the 2009 Standards and Guidelines for the Accreditation of Health Plans. Each publication is delivered as soon as it is available.

2009 HUG Package 2
Item #10702-151-09
Price: $2,595