Continuous Quality Improvement in Health Maintenance Organizations: An Application of the HEDIS Model
Emerald Group Publishing Ltd.
International Journal of Health Care Quality Assurance
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). A process using HEDIS 2.0 by which an HMO can identify crucial problem areas and track the success of the solution process is outlined.