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数据计划:医疗效果数据和信息集(HEDIS)与新英格兰商业联盟

Data initiatives: HEDIS and the New England Business Coalition.

作者信息

Schroeder J, Lamb S

机构信息

Fallon Community Health Plan, Worcester, MA, USA.

出版信息

Am J Med Qual. 1996 Spring;11(1):S58-62.

PMID:8763237
Abstract

The New England Business Coalition is a group of 15 health maintenance organizations, large employers, and health care purchasers operating in the New England area. Formally launched in 1994, the coalition's mission is to standardize health care reporting, improve quality, and allow for comparison of managed health care plans for the participating organizations. The National Committee for Quality Assurance (NCQA) and its measurement instrument, the Health Plan Employer Data Information Set (HEDIS) became involved in the coalition's reporting project in 1992 to help the participating plans fulfill their mission of standardization, quality improvement, and comparative evaluation. In the past 5 years, HEDIS has undergone change and development to meet the needs of both health care plans and purchasers who use the HEDIS information to make decisions about health care for employers. Changes enacted within HEDIS have been brought about with the input of HEDIS users such as the New England Business Coalition, a pilot report card project, and a nationally based HEDIS users group. Future enhancements to HEDIS will result in added value for HEDIS users as development and change continue to meet the evolving needs of plans and purchasers.

摘要

新英格兰商业联盟是一个由15个健康维护组织、大型雇主以及在新英格兰地区开展业务的医疗保健购买方组成的团体。该联盟于1994年正式成立,其使命是规范医疗保健报告、提高质量,并使参与的组织能够对管理式医疗保健计划进行比较。1992年,国家质量保证委员会(NCQA)及其测量工具——健康计划雇主数据信息集(HEDIS)参与了该联盟的报告项目,以帮助参与的计划实现标准化、质量改进和比较评估的使命。在过去5年中,HEDIS不断变化和发展,以满足医疗保健计划和购买方的需求,这些购买方利用HEDIS信息为雇主做出医疗保健决策。HEDIS内部的变革是在HEDIS用户(如新英格兰商业联盟、一个试点成绩单项目以及一个全国性的HEDIS用户团体)的参与下实现的。随着发展和变革继续满足计划和购买方不断变化的需求,HEDIS未来的改进将为HEDIS用户带来更多价值。

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