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Should my organization use real-time HEDIS measures? | CaryHealth

Healthcare providers and health plans have long been focused on improving patient outcomes and quality of care. One way to do this is by using real-time HEDIS measures. HEDIS stands for Healthcare Effectiveness Data and Information Set, which is a set of performance measures that are used to assess the quality of care provided by healthcare plans and providers. These measures are important for improving patient outcomes and for ensuring that healthcare providers and health plans are delivering high-quality care.

Real-time HEDIS measures are particularly important because they allow healthcare providers and health plans to identify gaps in care and make necessary adjustments in real-time. By using real-time HEDIS measures, healthcare providers and health plans can ensure that patients receive the appropriate care at the right time. This is especially important for patients with chronic conditions, who may require ongoing monitoring and care.

Real-time HEDIS measures can help healthcare providers and health plans identify opportunities for improvement. By tracking performance measures in real-time, healthcare providers and health plans can identify areas where they are falling short and make adjustments to improve care delivery. For example, if a health plan identifies that they have a high percentage of patients who are not receiving appropriate diabetes care, they can make changes to their care delivery model to ensure that patients receive the appropriate care.

Real-time HEDIS measures can also help healthcare providers and health plans identify opportunities for cost savings. By identifying areas where they can improve care delivery, healthcare providers and health plans can potentially reduce costs associated with unnecessary or inappropriate care.

In addition, real-time HEDIS measures are important for ensuring compliance with regulatory requirements. Many regulatory agencies require healthcare providers and health plans to report on HEDIS measures. By tracking these measures in real-time, healthcare providers and health plans can ensure that they are meeting regulatory requirements and avoid potential penalties or fines.

Utilizing real-time HEDIS measures is essential for healthcare providers and health plans who want to improve patient outcomes, identify opportunities for improvement, reduce costs, and ensure regulatory compliance. By tracking performance measures in real-time, healthcare providers and health plans can identify gaps in care and make necessary adjustments to improve care delivery. In an ever-evolving healthcare landscape, real-time HEDIS measures are crucial for ensuring that patients receive the best possible care and outcomes.

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