FPGEE for National Association of Boards of Pharmacy (NABP) Practice Exam 2025 - Free NABP Practice Questions and Study Guide

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What is the gold standard in healthcare performance measurement according to HEDIS?

Patient satisfaction ratings

Healthcare Effectiveness Data and Information Set (HEDIS)

The correct answer, Healthcare Effectiveness Data and Information Set (HEDIS), is considered the gold standard in healthcare performance measurement because it provides a comprehensive set of measures that evaluate the quality of care provided by health plans. HEDIS includes a wide range of metrics covering various aspects of healthcare quality such as preventive care, chronic disease management, patient satisfaction, and access to care.

Using HEDIS data allows health plans and providers to benchmark their performance against national standards, ensure accountability, and drive improvements in healthcare delivery. By relying on a standardized set of metrics, stakeholders can collectively assess the effectiveness of healthcare services, enhance patient care, and inform policy decisions.

In contrast, patient satisfaction ratings, while valuable, are subjective and may not comprehensively reflect the quality of care. Cost-effectiveness analyses focus primarily on the economic aspects of healthcare rather than direct measures of quality, and patient outcomes tracking is essential but is only one component of the broader HEDIS framework. Therefore, HEDIS stands out as the definitive benchmark for healthcare performance measurement.

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Cost-effectiveness analyses

Patient outcomes tracking

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