HEDIS Help: Detailed Information on 47 Measures

To assist providers in closing care gaps, Highmark has created a document with 47 HEDIS^® measures that features descriptions, exclusions, and coding information.

The HEDIS Measures Provider Information Document is available on the private Provider Resource Center (PRC). Here are some of the measures featured:

• Blood Pressure Control for Patients with Hypertension (BPC-E)
• Breast Cancer Screening (BCS-E)
• Cervical Cancer Screening (CCS-E)
• Child and Adolescent Well-Care Visits (WCV)
• Kidney Health Evaluation for Patients with Diabetes (KED)
• Lead Screening in Children (LSC)
• Transitions of Care: Patient Engagement After Inpatient Discharge Total (TRC)
• Use of Imaging Studies for Low Back Pain (LBP)
• Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC)
• Well-Child Visits in the First 30 Months of Life (W30)

Accessing This Resource

• Log into Availity Essentials, select your state, go to Payer Spaces, and choose Provider Resource Center from the applications.
• Once on the PRC, select Resources and Education > Clinical Quality and Education > HEDIS.

We recommend downloading this document — which is updated every January — and saving it on your desktop for easy access.

*HEDIS^® — an acronym for Healthcare Effectiveness Data and Information Set — is a registered trademark of NCQA.