HEDIS^® for Ohio

The Quality Improvement (QI) Program is the process that links knowledge, structure, and processes together to assess and improve the quality of care provided by Molina Healthcare of Ohio (Molina Healthcare). Molina Healthcare's QI program is designed to monitor and evaluate the quality, appropriateness, and outcomes of care and services, and the processes by which they are delivered to Molina Healthcare members. One of the methods of measuring the outcomes is the annual HEDIS^® project. HEDIS^® stands for Healthcare Effectiveness Data and Information Set. It was developed by the National Committee for Quality Assurance (NCQA) as a part of their accreditation process. NCQA Accreditation is a nationally recognized evaluation that purchasers, regulators and consumers can use to assess managed care plans.

HEDIS results are important to Molina Healthcare for several reasons.

• The scores are a reflection of the care and services being provided to our members by our physicians.
• By comparing rates from year to year, and comparing Molina Healthcare to National rates, we can identify what we are doing well, and where we need to focus our quality improvement efforts.

Molina Healthcare will be participating in an annual HEDIS^® project.