What is the performance measuring tool used by NCQA?

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The performance measuring tool used by the National Committee for Quality Assurance (NCQA) is HEDIS, which stands for the Healthcare Effectiveness Data and Information Set. HEDIS is a widely used set of performance measures in the United States that assesses the quality of care and services provided by health plans. It specifically focuses on various aspects of health care, including preventive services, chronic disease management, and patient satisfaction.

HEDIS measures allow for the comparison of health plans based on their performance against established benchmarks, facilitate quality improvement initiatives within organizations, and are integral for transparency in the healthcare system. Health plans use HEDIS data to identify areas for improvement and enhance the quality of care delivered to members.

While the other options provided are important in the healthcare context—such as Quality Indicators and Patient Satisfaction Surveys—they do not specifically represent the formalized tool used by NCQA for assessing and reporting performance in a standardized manner, which HEDIS does. Clinical Pathways refer to structured multidisciplinary plans of care, usually for specific patient conditions, rather than a performance measurement tool.

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