As a newly hired Medical Assistant, the PCP asks me to research information and recommend a quality control procedure for completing chart audits for the practice. It should include:
-Outline for a possible procedure to conduct chart audits
-Description of the quality improvement model to be followed
-Research and recommendations of associations that may want to be informed on healthcare quality standards in the future.
The Health Plan Employer Data and Information Set (HEDIS) is the most widely used set of performance measures in the managed care industry. Health plans are required to report this large set of measures annually. Chart audits are often part of the data collection methods for these measures. HEDIS is a computer program that is used to complete chart audits.
The outline for the procedure of conducting chart audits begins with what you want to measure. You need to have a plan. In the beginning stages of the plan/outline these questions ...
The solution is comprised of an example of the Health Plan Employer Data and Information Set (HEDIS). This system is the most widely used set of performance measures in the managed care industry.