HEDIS training for providers and medical offices
Healthcare Effectiveness Data and Information Set (HEDIS®) metrics help evaluate the quality of patient care and service by health plans and medical providers.
Learn how to turn routine workflows into meaningful improvements for patient care through the following training.
Your role in HEDIS: Advancing high-quality, equitable care for Medi-Cal patients (eLearning course)
HEDIS tip sheets
In our efforts to support our providers, Blue Shield of California Promise has developed the Healthcare Effectiveness Data and Information Set (HEDIS®) tip sheets to assist providers and their office and billing staff in successfully maximizing their quality performance scores.
These tip sheets provide concise information on the National Committee for Quality Assurance (NCQA) HEDIS measures along with resources that will help improve health outcomes.
We also offer provider offices with tailored HEDIS education through our Medi-Cal Quality Improvement Education. Please email qimedical@blueshieldca.com for more information.
Please note that the HEDIS tip sheets are based on the most recent HEDIS technical specifications and are subject to change based on guidance from the NCQA and the Centers for Medicare and Medicaid Services (CMS). Please refer to the appropriate agency for additional guidance.
Breast cancer screening mammogram (PDF, 296 KB)
Cervical cancer screening (PDF, 337 KB)
Child and adolescent well child visits, ages 3-21 (PDF, 248 KB)
Childhood immunizations (PDF, 324 KB)
Colorectal cancer screening (PDF, 255 KB)
Controlling high blood pressure (PDF, 325 KB)
Depression screening and follow-up for adolescents and adults (PDF, 657 KB)
Developmental screening in the first 3 years of life (PDF, 368 KB)
Eye exam for patients with diabetes (PDF, 626 KB)
Follow-up after acute and urgent care visits for Asthma (PDF, 882 KB)
Follow-up after emergency department visit for mental illness (PDF, 433 KB)
Follow-up after emergency department visit for substance use (PDF, 463 KB)
Glycemic status assessment for patients with diabetes (PDF, 453 KB)
Immunizations for adolescents (PDF, 238 KB)
Kidney health evaluation for patients with diabetes (PDF, 526 KB)
Lead screening in children (PDF, 210 KB)
Prenatal depression screening and follow-up (PDF, 190 KB)
Prenatal immunization status (PDF, 112 KB)
Prenatal care – Timeliness (PDF, 397 KB)
Postpartum care (PDF, 306 KB)
Postpartum depression screening and follow-up (PDF, 144 KB)
Topical fluoride for children (PDF, 280 KB)
Well child visit in the first 30 months of life (PDF, 265 KB)