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HEDIS 101


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Self-paced
Expires November 30, 2024

This bundle is comprised of the Intro to HEDIS 2023 & HEDIS Essential Updating courses.

About this Self-paced Bundle

The HEDIS 101 Bundle includes:

HEDIS Essential Updates for Reporting:

Advancing Health Equity with HEDIS: What's New and Looking Forward

NCQA subject matter experts will review our efforts to advance equity in HEDIS so far. This will include a discussion of frequently asked questions, the state of equity data and alignment with other measurement efforts in the field. NCQA will also preview upcoming Equity in HEDIS efforts for MY 2025 and beyond

HEDIS Reporting Results 

NCQA will share the latest reporting results for 14 measures collected via the HEDIS Electronic Clinical Data Systems (ECDS) reporting standard as well as first-year results for four measures.

HEDIS MY 2024 Updates & What's coming for MY 2025 and Beyond 

NCQA will review and discuss updates for HEDIS MY 2024 as they relate to the HEDIS Volume 2. NCQA will also provide a preview on what's coming for MY 2025 and beyond. This will include new measure development, potential changes to existing measures and overall volume 2 changes.

Reporting HEDIS MY 2023: Audit and Data Submission Considerations to Have on Your Radar

NCQA will provide an orientation to the HEDIS Compliance Audit, describe ongoing program updates, and highlight key milestones for HEDIS MY 2023 reporting season.

Introduction to HEDIS 2023:

What is HEDIS?  
Upon completion of this module, participants will be able to: 

  • Outline how a HEDIS measure is developed 
  • Describe the HEDIS measures & their domains 

HEDIS Compliance Audit 
Upon completion of this module, participants will be able to: 

  • Review the Healthcare Effectiveness and Data Information Set (HEDIS®) Compliance audit process 
  • Review the process to submit HEDIS data to NCQA 

HEDIS Data Sources 
Upon completion of this module, participants will be able to: 

  • Describe types of data 
  • Review the Administrative Data Collection Method 
  • Review the Hybrid Data Collection Method & Sampling Guidelines 
  • Discuss implementing HEDIS data collection and reporting 
  • Discuss the Administrative vs. Hybrid Method 
  • Discuss medical record review tips 

HEDIS Data Tools and Resources
Upon completion of this module, participants will be able to: 

  • Describe different ways HEDIS data can be used 

What You Will Learn

  • Identify how a HEDIS measure is developed and summarize the HEDIS Compliance audit process to include the how HEDIS data is collected, different collection methods and how HEDIS data can be used
  • Discuss updates for HEDIS MY 2024, HEDIS Volume 2 Technical Update and Audit and Data Collection requirements, summarize NCQA updated template for HEDIS measure specifications.

Who Should Attend

  • Health Plans
  • Health Systems 
  • Healthcare decision maker
  • Consultants
  • Healthcare professional

Faculty

Cindy Ottone, HMA, Director, Measures Policy

Rachel Harrington, Senior Applied Research Scientist, Health Equity, NCQA

Keirsha Thompson, Manager, Performance Measurement, NCQA

Adrianna Nava, Research Scientist, Performance Measurement, NCQA

Fern McCree, Senior Research Associate, Performance Measurement, NCQA

Taylor Musser, Director, Measure Collection  & Audit,  Measure Validation, NCQA

Pam Lighter, Director, Research & Analysis, Performance Measurement

Lyndsey Nguyen, Senior Health Care Analyst, Performance Measurement

Kristen Bishop, Senior Health Care Analyst, Performance Measurement

Brenna Lin, Senior Research Associate, Performance Measurement

Danielle Rainis, Senior Health Care Analyst, Performance Measurement

Emily Hubbard, Senior Health Care Analyst, Performance Measurement

Gabby Kyle-Lion, Senior Health Care Analyst, Performance Measurement

Myra Masood, Senior Health Care Analyst, Performance Measurement

Jules Reich, Senior Health Care Analyst, Performance Measurement

Continuing Education

HEDIS Essential Updates for Reporting(Bundle)

This is a non-accredited activity.

Introduction to HEDIS 2023 (Bundle)

In support of improving patient care, the National Committee for Quality Assurance is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC) to provide Interprofessional Continuing Education for the healthcare team. 

This activity was planned by and for the healthcare team, and learners will receive 2.5 Interprofessional Continuing Education (IPCE) credit for learning and change. 

This educational activity is approved for: 2.5 AMA PRA Category 1 CreditTM.

This educational activity is approved for 2.5 nursing contact hours.*

This On Demand activity grants 2.0 "Other CCE Continuing Education" points for PCMH Certified Content Experts.

* Please note – You must attend the entire program to be eligible for total number of contact hours. 

DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPS

The National Committee for Quality Assurance (NCQA) endorses the Standards of the Accreditation Council for Continuing Medical Education which specify that sponsors of continuing medical education activities and presenters at and planners for these activities disclose any relevant financial relationships either party might have with commercial companies whose products or services are discussed in educational presentations.

For sponsors, relevant financial relationships include large research grants, institutional agreements for joint initiatives, substantial gifts, or other relationships that benefit the institution.  For presenters or planning committee members, relevant financial relationships include the receipt of research grants from a commercial company, consultancies, honoraria, travel, or other benefits, or having a self-managed equity interest in a company; or having an immediate family member or partner with such a relationship.

Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

Relevant financial relationships exist with the following companies/organizations:

This program was developed in part by NCQA staff.

This program received no commercial support.

Here is the course outline:

1. HEDIS Essential Updates for Reporting (HEDIS Essentials Bundle)

This four part series presented by NCQA staff gives you an inside look at current HEDIS requirements and a sneak peek at changes on the horizon for the future.

2. Introduction to HEDIS 2023 (HEDIS Essentials Bundle)

This self-paced series is a comprehensive overview of the Healthcare Effectiveness Data and Information Set (HEDIS®) broken into four, self-paced online modules.

Completion

The following certificates are awarded when the course is completed:

Certificate of Attendance
Nursing Certificate
Physician Certificate
CCE Other Certificate
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