Grimaldi P L
Birch & Davis Health Management Corporation, Silver Spring, MD, USA.
Healthc Financ Manage. 1997 May;51(5):48, 50, 52.
The National Committee for Quality Assurance recently issued Health Plan Employer Data and Information Set 3.0 (HEDIS 3.0), the third version of its performance measurement system for managed care plans. This most recent version of HEDIS contains more performance measures than the previous versions and requires health plans to use uniform definitions and data-gathering procedures for commercial, Medicare, and Medicaid members. Data must be submitted in the aggregate, and individual reports must be prepared for different types of managed care products. While HEDIS 3.0 will not be able to answer all of consumers' informational needs, it will provide purchasers and consumers with more information than they had before and, thus, make health plans more accountable for the services they provide.
国家质量保证委员会最近发布了《健康计划雇主数据与信息集3.0》(HEDIS 3.0),这是其针对管理式医疗计划的绩效衡量系统的第三个版本。HEDIS的这个最新版本包含比以前版本更多的绩效衡量标准,并要求健康计划对商业保险、医疗保险和医疗补助计划的参保人使用统一的定义和数据收集程序。数据必须汇总提交,并且必须为不同类型的管理式医疗产品编制单独的报告。虽然HEDIS 3.0无法满足消费者所有的信息需求,但它将为购买者和消费者提供比以前更多的信息,从而使健康计划对其提供的服务更具问责性。