Helping you help others

HEDIS® Toolkit

This is the New Directions Behavioral Health (New Directions) Healthcare Effectiveness Data and Information Set (HEDIS®) Provider Toolkit. HEDIS was developed by the National Committee for Quality Assurance (NCQA®). HEDIS is a set of performance measures used in the healthcare industry, is part of NCQA accreditation, and is an essential activity for New Directions to ensure members receive the highest quality care from providers. The purpose of this toolkit is to offer better understanding of the 2021 Measurement Year HEDIS behavioral health performance measures and to provide guidance to healthcare providers on how they can help improve the quality of care and performance on the HEDIS measures.

Improving health through positive change: that is our company mission and what each of our employees live by every day. Members receive care that is coordinated, focused on whole-person health and customized to fit the unique needs of the individual.

Our goal is to help you help others. Providers are at the heart of health care delivery, serving members when they are most vulnerable, suffering from mental illness or impacted by trauma. A better quality of life for our members starts with you.

Downloads

Full HEDIS Toolkit



Individual Topics

ADD - Follow-Up Care for Children Prescribed ADHD Medication
AMM - Antidepressant Medication Management
APM - Metabolic Monitoring for Children and Adolescents on Antipsychotics
APP - Use of First-Line Psychosocial Care for Children and Adolescents and Other Drug Dependence
COU - Risk of Continued Opioid Use
FUA - Follow-Up After Emergency Department Visit for Alcohol and Other Drug Dependence
FUH - Follow-Up After Hospitalization for Mental Illness
FUI - Follow-Up After High-Intensity Care for Substance Use Disorder
FUM - Follow-Up After Emergency Department Visit for Mental Illness
HDO - Use of Opioids at High Dosage
IET - Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment
POD - Pharmacotherapy for Opioid Use Disorder
SAA - Adherence to Antipsychotic Medications for Individuals with Schizophrenia
SSD - Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications
UOP - Use of Opioids from Multiple Providers