Researchers Aim to Determine the Degree of Agreement Between NHLBI Guidelines and HEDIS

The Journal of Healthcare Quality contains an article in its August 2017 edition that examined the asthma-related relationship between the National Heart, Lung, and Blood Institute (NHLBI) guidelines and Healthcare Effectiveness Data and Information Set (HEDIS).

The NHLBI guidelines provide clinical guidance for the diagnosis and management of asthma. HEDIS is a set of standardized performance measures to help assess health plan performance. Both are “are used to identify persistent asthma, the former method used by clinicians, and the latter by managed care organizations (MCOs). This study [aimed] to determine the degree of agreement between these criteria in classifying pediatric persistent asthma.”

In the study, researchers identified “asthmatic patients aged 5-18 years old in a university pediatric practice who were continuously enrolled with one MCO from January 1, 2013 to December 31, 2013,” as Cohort 1. A second Cohort involved patients enrolled from January 1, 2013 to December 31, 2014.

Agreement between NHLBI and HEDIS was through a variety of statistically processes. After analyzing the results, researchers concluded “NHLBI and HEDIS criteria show fair to moderate agreement; however, the HEDIS consistently misclassified persistent asthma, suggesting that it is a poor measure of practice performance.”

To view the article’s abstract, click here.