Quality Measures/HEDIS

Healthcare Effectiveness and Data Information Set 

Recognizing that counties may need assistance responding to new state-level requirements for certain quality measures, CalMHSA began an initiative to calculate those measures on counties’ behalf — preserving their time and resources to dedicate toward providing care. 

The Department of Health Care Services’ Comprehensive Quality Strategy now requires county Mental Health Plans and Drug Medi-Cal Organized Delivery Systems to calculate Healthcare Effectiveness and Data Information Set (HEDIS) measures annually as a standardized way of quantifying performance across set domains. 

Counties that choose to outsource this highly technical work look to CalMHSA for: 

• Interpreting and applying a complex set of measure specifications 
• Acquiring multiple large data sets 
• Calculating the required performance rates
• Measure validation support