What is the primary purpose of HEDIS?

• A. To provide administrative data for health systems
• B. To measure the quality of care and services provided by health plans
• C. To enhance patient satisfaction ratings
• D. To evaluate hospital financial performance

Answer: (B)

The primary purpose of HEDIS (Healthcare Effectiveness Data and Information Set) is to measure the quality of care and services provided by health plans. HEDIS encompasses a set of standardized performance measures that evaluate various dimensions of care, including effectiveness of care, access to care, and overall patient experiences. This focus on measuring quality allows health plans to assess their performance, improve service delivery, and enhance patient outcomes. By utilizing HEDIS metrics, health plans can identify areas needing improvement and implement strategies to enhance care quality, ultimately aiming to ensure that patients receive effective and efficient healthcare services.