Our annual HEDIS medical record review will begin in February. HEDIS, which stands for Healthcare Effectiveness Data Information Set, is a nationally recognized tool that allows health plans, like ConnectiCare, to measure performance of the services and care our members receive.
We use the results from the HEDIS annual review to improve the quality of care for our members, and strengthen our educational programs for providers and members.
As part of the review, one or more of your patients may be randomly selected. If this is the case, we may ask your office to provide the patients’ medical records through:
- a scheduled visit to your office
- a faxed request
- access to the patient’s electronic medical record (EMR)
- an electronic exchange of information via a secure file transfer (FTP) site
Please note, under the Health Information Portability and Accountability Act (HIPAA) Privacy Rule, data collection for HEDIS is permitted, and the release of this information requires no special patient consent or authorization. Please be assured members’ personal health information is maintained in accordance with all federal and state laws. Data is reported collectively without individual identifiers.
We appreciate your cooperation and your timely response to our requests. We will do what we can to work quickly and efficiently with you and your office staff to get the information needed.