IWeb User Guide

HEDIS

The Health Plan Employer Data and Information Set (HEDIS) module provides the capability to accept a patient listing to be matched to existing registry records. This data is only a sampling of patients and is not imported into the registry. Based on the sample, a vaccination export can be created for the matched patients and their vaccinations. Additionally, a report can be run to view the patients without matches.

The links available from the HEDIS menu are:

• Load Sample
• Export Results

User access levels depend on how the HEDIS module is used and the permissions given. There are HEDIS permissions to create data profiles and to perform assessments.

Chickenpox/Varicella Vaccine

HEDIS export can also capture date information when a child has a contraindication for Varicella indicating parent report of disease. Managed care plans are required to provide information when a patient had chickenpox but no record of vaccination, or if a patient indicates they had chickenpox and thus do not need a Varicella vaccination.

Supporting date/age information can be provided in any of these formats:

• The date the patient had the disease (MM/DD/YY). If not populated, then the age the patient had the disease.
• If neither of the above is populated, provide Insert Date of "Parent Report of Chickenpox Date" contraindication.

HEDIS File Tips

The following are tips to consider when creating HEDIS files:

• HEDIS uses the same matching algorithm that is used when adding a new patient. This means that in addition to the patient information, one piece of guardian information and a corresponding address are required to make a match.
• Always include a patient medical record number.
• A text file (.txt) must be submitted.
• The zip code must be XXXXX or XXXXX-XXXX.
• The state must be the two-letter state abbreviation.
• HEDIS runs deduplication, so depending on the HEDIS size, this may take a while to complete.
• Only one HEDIS file is kept at a time. When a new HEDIS is run, the previous HEDIS information is removed.