At CareNational, we’re gearing up once again to adventure into the complex terrain of the H.E.D.I.S. (Healthcare Effectiveness Data and Information Set) survey. Our mission: To recruit top-notch nurses and clerical support staff for our clients, ensuring they have the best teams to tackle this vital Quality Improvement task. While we’re experts in finding exceptional talent, the intricacies of Quality Improvement and HEDIS functions are not our specialty. To bridge this gap, we’ve tapped into the expertise of our candidates using an ‘Ask the Expert’ format.
A Guide Up the Mountain
We’ve had the privilege of previously speaking with Dr. Nancy Rudner, DrPH, RN, a renowned healthcare consultant and nurse coach. Dr. Rudner has a wealth of experience, from developing employee wellness centers to university teaching and patient care. She likened the annual HEDIS audit to climbing a mountain – a metaphor that perfectly captures the challenge and preparation required.
Scaling the HEDIS Peak
HEDIS is like scaling a vast mountain, demanding specialized tools, knowledgeable guides, and a detailed plan for each step of the journey.
Every year, the HEDIS audit presents a fresh challenge with its ever-evolving components and coordination across numerous departments. Changes in Medicare guidelines, updates to EMRs (Electronic Medical Records), and the recent adoption of ICD-11 coding ensure that no two HEDIS audits are ever the same. Teams from various parts of a health plan must collaborate to validate data sets, abstract charts, collate data, and perform quality checks. This intricate, multi-step process must be executed with precision to ensure the audit is both effective and efficient.
Expert Tips for the Climb
Dr. Nancy Rudner shared invaluable insights on how to navigate this mountainous task. She emphasized the importance of setting “markers” along the way to measure progress. These markers help team leaders and boost morale among team members. When everyone knows how far they’ve come, it builds confidence and makes the climb seem more achievable.
“Celebrating progress weekly can be like having a treasure map,” Dr. Rudner noted. “Track indicators such as the percent of providers contacted, records retrieved, and each measure sample completed or closed.” Recognizing and celebrating these small victories can transform a daunting climb into a series of manageable steps, keeping the team motivated and focused on reaching the summit.
CareNational excels in providing HEDIS support for start-up health plans, third-party outsourcing companies, established health plans, or those aiming to improve their survey scores and Medicare Star ratings. Our team of experienced professionals understands the challenges of the HEDIS workflow and processes. We recruit candidates nationwide with HEDIS experience year-round, ensuring we meet even the most demanding and last-minute staffing needs.
At CareNational, we’ve guided many organizations through the HEDIS audit process. Let us be your expert guide up this mountain. With our extensive experience and dedicated team, we’ll help you assemble the skilled professionals needed to conquer the HEDIS challenge. Reach out to us today with the form below or by calling 1.800.974.4828 to start your journey. We’re here to ensure you reach the summit successfully!
Let CareNational Be Your HEDIS Sherpa!
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