Continuous quality improvement in health maintenance organizations: an application of the HEDIS model.
One aspect of the Clinton Healthcare Reform programme is to assist health maintenance organizations (HMOs) in collecting and analysing data for the purpose of continuous quality improvement. The HEDIS 2.0 quality performance measurement model is currently in use and endorsed by the National Committee for Quality Assurance (NCQA). Outlines a process using HEDIS 2.0 by which an HMO can identify crucial problem areas and track the success of the solution process. Discusses the use of other relevant statistical tools.
Kennedy
K
K
Bryant College, Smithfield, RI, USA.
Mirmirani
S
S
Spivack
R
R
D003627:Data Interpretation, Statistical; D016208:Databases, Factual; D006264:Health Benefit Plans, Employee / Q000592:standards*; D006279:Health Maintenance Organizations / Q000592:standards*; D006801:Humans; D007255:Information Services; D015233:Models, Statistical; D010043:Outcome and Process Assessment, Health Care; D012720:Severity of Illness Index; D017749:Total Quality Management / Q000379:methods*; D014481:United States