What does HEDIS measure in healthcare?

HEDIS, which stands for Healthcare Effectiveness Data and Information Set, is a widely recognized set of performance measures used in the healthcare industry. It specifically evaluates the quality of care and service provided by health plans. Focusing on performance across clinical care and patient satisfaction allows organizations to gauge how well they are meeting the needs of their patients and adhere to industry standards.

By measuring various aspects of care delivery, such as preventive services, treatment, and patient experiences, HEDIS helps to identify areas for improvement and informs quality improvement initiatives. Thus, it provides a comprehensive view of healthcare effectiveness, making it a key instrument for evaluating the performance of health plans and the quality of care patients receive.

The other options do not accurately reflect the primary focus of HEDIS. For instance, measuring hospital financial performance, educational achievements of staff, or insurance premium costs falls outside the scope of HEDIS, which is centered on clinical and service performance metrics.