Improving HEDIS measurement: linking managed care organization and health system ambulatory care data.
This article describes one health system's efforts to improve HEDIS measurement by integrating claims information from its managed care organization with data from its medical center's automated billing, scheduling, and clinical information systems. The authors discuss problems encountered while establishing an integrated measurement process and offer suggestions for others considering such an approach.
Stiles
R A
RA
University of Michigan Health System in Ann Arbor, USA.
Bahl
V
V
Bernstein
S J
SJ
Halman
L J
LJ
Harrison
R V
RV
Standiford
C J
CJ
D000553:Ambulatory Care / Q000706:statistics & numerical data*; D019033:Delivery of Health Care, Integrated / Q000706:statistics & numerical data*; D006279:Health Maintenance Organizations / Q000706:statistics & numerical data; D006801:Humans; D008329:Managed Care Programs / Q000706:statistics & numerical data*; D011367:Professional Staff Committees; D011787:Quality of Health Care; D012680:Sensitivity and Specificity; D013223:Statistics as Topic; D014481:United States