Auto-Map Assessments to
HEDIS Quality Measures
Stop manually tracking quality compliance. TouchpointHQ automatically maps your PHQ-9, GAD-7, and other assessments to HEDIS measures and generates payer-ready reports for contract negotiations.
What is HEDIS?
HEDIS (Healthcare Effectiveness Data and Information Set) is the most widely used set of healthcare performance measures in the United States.
Industry Standard
Used by more than 90% of America's health plans to measure performance on important dimensions of care and service. HEDIS scores directly impact CMS Star Ratings.
Tied to Reimbursement
Payers increasingly tie reimbursement rates and bonuses to HEDIS performance. High performers can earn 5-15% higher rates and preferred provider status.
How Your Assessments Map to HEDIS
Every assessment you send contributes to one or more HEDIS quality measures. TouchpointHQ tracks this automatically.
Patient Health Questionnaire-9
Depression Screening & Follow-Up
Annual
Depression Remission/Response
12 months from elevated baseline
Antidepressant Management
84/180 days from treatment start
Generalized Anxiety Disorder-7
Follow-Up After MH Hospitalization
7/30 days post-discharge
Follow-Up After ED for MI
7/30 days post-ED
Alcohol Use Disorders Identification Test
Alcohol Use Screening
Annual
Follow-Up After ED for SUD
7/30 days post-ED
SUD Treatment Initiation
14/34 days from diagnosis
AUDIT-C (Brief Alcohol Screening)
Alcohol Use Screening
Annual
+ 3 more assessment mappings available
How It Works
From assessment delivery to payer report—fully automated.
Send Assessments
Deliver validated assessments (PHQ-9, GAD-7, AUDIT) to patients via email
Auto-Map to HEDIS
System automatically maps completed assessments to relevant HEDIS measures
Track Compliance
Monitor real-time compliance rates against national benchmarks
Generate Reports
Create payer-ready compliance reports for contract negotiations
Send Assessments
Deliver validated assessments (PHQ-9, GAD-7, AUDIT) to patients via email
Auto-Map to HEDIS
System automatically maps completed assessments to relevant HEDIS measures
Track Compliance
Monitor real-time compliance rates against national benchmarks
Generate Reports
Create payer-ready compliance reports for contract negotiations
Payer-Ready Compliance Report
Generate professional reports like this in one click. Use them for contract negotiations, quality reviews, and demonstrating your value to payers.
Sample Behavioral Health Practice
Executive Summary
This organization demonstrates strong performance across behavioral health quality measures, with 2 measures meeting or exceeding the 90th percentile national benchmark. Outcomes tracking via validated assessments (PHQ-9, GAD-7, AUDIT) directly supports these compliance rates.
Measure-by-Measure Performance
Percentage of patients 12+ screened for depression using standardized tool AND, if positive, a follow-up plan documented.
Percentage of patients 12+ with major depression who achieved remission (PHQ-9 <5) or response (50% reduction) at 12 months.
Percentage of patients 18+ screened for unhealthy alcohol use using a systematic screening tool AND who received brief counseling if screen positive.
Percentage of discharges for patients 6+ years of age hospitalized for mental illness or intentional self-harm who had a follow-up visit with a mental health provider within 7 and 30 days.
Percentage of patients 18+ treated with antidepressant medication who remained on antidepressant medication treatment for at least 84 days (Effective Acute Phase) and 180 days (Effective Continuation Phase).
Percentage of patients 13+ with new SUD diagnosis who initiated treatment within 14 days and continued engagement.
Assessment Data Sources
Contract Negotiation Value
Based on your quality metrics performance, this report supports:
- Preferred provider status with commercial payers
- Enhanced reimbursement rates in VBC contracts (5-15% bonus)
- Inclusion in narrow networks and ACO partnerships
- CMS Star Rating contributions for Medicare Advantage plans
Win Better Contracts
Quality data is your leverage. Here's how HEDIS compliance reports help in negotiations.
Higher Reimbursement
Demonstrate 90th percentile performance to negotiate 5-15% higher rates in VBC contracts.
Preferred Provider Status
Quality metrics are the #1 factor payers use to select preferred providers for narrow networks.
Risk-Sharing Protection
Strong outcome data reduces your risk in shared-savings and capitated arrangements.
CMS Star Rating Impact
HEDIS measures directly impact Medicare Advantage Star Ratings, affecting plan payments.
ACO Partnerships
Quality reports make you an attractive partner for ACOs building behavioral health networks.
Trend Documentation
Show improvement over time to demonstrate commitment to quality and continuous improvement.
HEDIS Measures We Track
Comprehensive coverage of behavioral health quality measures.
Follow-Up After MH Hospitalization
Percentage of discharges for patients 6+ years of age hospitalized for mental illness or intentional self-harm who had a follow-up visit with a mental health provider within 7 and 30 days.
Follow-Up After ED for SUD
Percentage of ED visits for patients 13+ with a principal diagnosis of AOD abuse or dependence who had a follow-up visit within 7 and 30 days.
Follow-Up After ED for MI
Percentage of ED visits for patients 6+ with a principal diagnosis of mental illness or intentional self-harm who had a follow-up visit within 7 and 30 days.
Antidepressant Management
Percentage of patients 18+ treated with antidepressant medication who remained on antidepressant medication treatment for at least 84 days (Effective Acute Phase) and 180 days (Effective Continuation Phase).
ADHD Medication Follow-Up
Percentage of children newly prescribed ADHD medication who had at least three follow-up visits within a 10-month period.
Depression Screening & Follow-Up
Percentage of patients 12+ screened for depression using standardized tool AND, if positive, a follow-up plan documented.
Depression Remission/Response
Percentage of patients 12+ with major depression who achieved remission (PHQ-9 <5) or response (50% reduction) at 12 months.
Alcohol Use Screening
Percentage of patients 18+ screened for unhealthy alcohol use using a systematic screening tool AND who received brief counseling if screen positive.
SUD Treatment Initiation
Percentage of patients 13+ with new SUD diagnosis who initiated treatment within 14 days and continued engagement.
Research Supporting HEDIS & Quality Measurement
Evidence-based research demonstrating the value of standardized quality measures in behavioral health.
Ready to Prove Your Quality?
Start tracking outcomes today and generate your first HEDIS compliance report. First 5 patients are free forever.