Measuring quality in nurse-managed centers using HEDIS measures.
Nurse-managed centers (NMCs) provide viable options for primary healthcare and contribute substantially to filling access gaps for vulnerable populations. The purposes of this paper are to (a) describe a pilot application and adaptation of eight Health Plan Employer Data and Information Set (HEDIS) measures to six NMCs, (b) report the findings from the quality assessments, and (c) compare findings to national HEDIS data. The eight quality assessment areas are asthma, cervical cancer screening, childhood immunizations, depression, diabetes, hypertension, mammography screening, and smoking cessation. The NMCs achieved or exceeded HEDIS 50th percentile levels in a number of important clinical areas, but did not attain the 50th percentile level in others. Thus, HEDIS measures are relevant for the assessment of care quality and provide useful data for quality improvement in NMCs.
Barkauskas
Violet H
VH
School of Nursing, University of Michigan, USA. vhbarkas@umich.edu
Pohl
Joanne M
JM
Benkert
Ramona
R
Wells
Margaret A
MA
D019985:Benchmarking; D003151:Community Health Centers; D006801:Humans; D008824:Michigan; D009718:Nurse Administrators; D010865:Pilot Projects; D011320:Primary Health Care; D011787:Quality of Health Care / Q000592:standards*; D014481:United States