Ambulatory care quality performance is measured by the Healthcare Effectiveness Data and Information Set. The National Committee for Quality Assurance establishes the Healthcare Effectiveness Data and Information Set, or HEDIS measures to address a broad range of health issues and allows consumers to compare health plans on quality measures.
HEDIS has become an integrated system that improves the accountability of the managed health care industry with the ultimate goal of improving the quality of care for care patients. Primary care providers and the primary care team can improve their HEDIS scores by:
Population health management is defined as "the health outcomes of a group of individuals, including the distribution of such outcomes within the group." The goal of population health management is to keep a patient popualtion as healthy as possible minimizing the need for expensive interventions such as emergency department visits, hospitalizations, imaging, tests, and procedures.
Institute of Medicine (IOM), 2001. Crossing the quality chasm: A new health system for the 21st century. Washington , D.C.: National Press