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HEDIS 101: Introduction to Healthcare Effectiveness Data and Information Set


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Jacqueline Peele
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Self Paced

Expires: December 31, 2027

About this Course

HEDIS 101: Introduction to Healthcare Effectiveness Data and Information Set

HEDIS 101 is an introductory training to the Healthcare Effectiveness Data and Information Set (HEDIS), a widely used system for measuring health care quality in the U.S.

This self-paced course is designed to make HEDIS easy to understand, giving you the foundations to leverage quality data to improve care. You’ll learn what HEDIS is, why it matters, and how you can leverage its insights to drive better outcomes, whether you’re new to quality measurement or looking to strengthen your expertise.

Through interactive self-placed learning modules and real-world examples, you’ll explore:

  • The basic principles and structure behind HEDIS.
  • How HEDIS measures are developed, validated and updated to match changes in health care.
  • The transition to digital measurement and what it means for the future of health care quality reporting.
  • The practical impact of HEDIS on health plans, providers, regulators and communities.

What You Will Learn

After completion of HEDIS 101, learners will be able to:

The History and Purpose of HEDIS

  • Trace HEDIS from its start over 30 years ago to its role today as the national standard for health care quality.
  • See how HEDIS has evolved to meet new challenges and why it still matters for improving care.

Understanding HEDIS Measures

  • Learn how HEDIS measures are organized across six domains of care.
  • Understand how measures are built, tested, and updated to stay accurate and relevant.
  • Follow the full lifecycle of a measure—from idea to retirement.

Data Collection and Reporting

  • Review how HEDIS collects data, from traditional methods to digital-first approaches.
  • Understand the role of data accuracy, audits, and NCQA’s validation process.

Analyzing HEDIS Results

  • Learn how to read HEDIS scores, compare performance, and spot areas for improvement.
  • Understand what affects results—like population differences and data quality.
  • Use HEDIS data to improve care and show value to your organization.

Real-World Applications

  • Discover how health plans, providers, and communities use HEDIS to support better care.
  • Explore examples of how HEDIS guides decisions, supports accreditation, and drives innovation.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Who Should Attend

This course is ideal for:

  • Health care professionals and quality improvement teams.
  • Health plan administrators and data analysts.
  • Beginners and others new to HEDIS, or those seeking a refresher on the essentials.

Faculty

Jenna Barry

Ms. Barry is a Manager in Policy-Measures in the Product Delivery Division of the National Committee for Quality Assurance.

In her current position, Ms. Barry supports the HEDIS Volume 2 Technical Specifications and the development of other HEDIS products.  Ms. Barry represents the policy perspective on several NCQA projects including NQF endorsement and the Physician Quality Reporting System. She also works closely with other staff members in responding to NCQA customers and constituents through the Policy Clarification Support system and in developing Frequently Asked Questions.

 Ms. Barry received her Master of Public Health degree from Boston University School of Public Health. 

 

 

Allison Lance

Allison Lance serves as the National Committee for Quality Assurance’s (NCQA) Director of Digital Quality Community. In this role, she cultivates a dynamic coalition of health quality measurement professionals, as well as leads development of the organization’s strategic plan for digital advancement. The Digital Hub and Playbook for Digital Transition serves as a roadmap for digitalizing health quality measures to be in alignment with CMS ad Interoperability Standards.

Allison brings 20 years of experience across the health care ecosystem, from payers to health IT to care delivery. Her expertise ranges from market strategy and population health to quality improvement and interoperability. Prior to her role at NCQA, she worked in market intelligence at one of the world’s leading Electronic Health Record (EHR) platforms.

Allison holds a Master in Health Care Administration (MHA) from the University of Maryland and a Bachelor in Human Resources Management from Missouri State University.

Taylor Musser

Taylor leads and advises teams on several products at NCQA, including the HEDIS Compliance Audit methodology, the Data Aggregator Validation program, and the HEDIS performance measurement publications. Ms. Musser brings over a decade of experience in health care quality, previously serving as an Associate Principal at Avalere Health, where she interpreted regulatory changes to quality reporting programs. She also held roles at MedStar Health and the Centers for Disease Control and Prevention, where she leveraged data for performance evaluation and public health surveillance.

Taylor is familiar with NCQA, having previously led HEDIS measure development and rejoined the organization to support the implementation of digital quality measures. She received an MPH in epidemiology from Emory University and holds a BS in microbiology from the University of Minnesota.

Continuing Education

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 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:

Faculty:

Jenna Berry: 
Taylor Musser: 
Allison Lance: 

Additional Planning Committee Members:
Allison Lance: 

 

 

Here is the course outline:

1. Resources

2. Self Paced Module

3. Evaluation

4. Attestation

Completion

The following certificates are awarded when the course is completed:

CCE Other Certificate
Physician Certificate
Nursing Certificate
Certificate of Attendance
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