Quality assurance and HEDIS®
AllWays Health Partners’ behavioral health partner Optum provides a quality assurance (QA) toolkit for primary care providers (PCPs). This toolkit was designed to explain the substance use disorders and depression measures of HEDIS® to PCPs and give recommendations for meeting these measures. HEDIS stands for Healthcare Effectiveness Data and Information Set, describing a set of performance measures for both behavioral and physical health conditions. The intent is for purchasers and consumers to use HEDIS to compare and evaluate health plans easily. Not only that, HEDIS sets a standard for the quality of care that patients should be receiving. The National Committee for Quality Assurance (NCQA) uses HEDIS to evaluate PCPs, health plans, and Managed Behavioral Healthcare Organizations.