NCQA Launches Program to Assist Guarantee Accuracy of Scientific Information for High quality Reporting

NCQA has launched its new Information Aggregator Validation program, which helps make sure the validity of medical knowledge used for high quality reporting and different initiatives.

This system allows extra knowledge and extra knowledge sources to be trusted, helpful, and comparable, leading to decreased burden, extra streamlined processes between healthcare segments and improved care high quality.

NCQA’s Information Aggregator Validation program evaluates the ingestion, transformation and output of medical knowledge to help knowledge integrity. This offers well being plans, authorities entities and care supply organizations confidence within the validity of the medical knowledge they’re utilizing for high quality reporting, value-based contracting, closing gaps in care and different initiatives.

“We invested closely over the previous twenty years to digitize medical knowledge on this nation, and we aren’t but getting full worth from that funding as a result of the info are inconsistent, incomplete and unvalidated,” stated Brad Ryan, MD, Chief Product Officer of NCQA. “NCQA’s Information Aggregator Validation program brings belief, comparability and utility to medical knowledge streams to be used in HEDIS and past.”

This system additionally saves organizations money and time as a part of the Healthcare Effectiveness Information and Info Set (HEDIS®) reporting course of. Information from well being data exchanges, care supply organizations and different knowledge aggregators are more and more used as supplemental knowledge for HEDIS reporting. Information streams validated by NCQA by the NCQA Information Aggregator Validation program can be utilized as normal supplemental knowledge in HEDIS reporting, eliminating the necessity for major supply verification through the HEDIS audit course of and saving money and time for supplier organizations and well being plans.

4 organizations had knowledge streams validated as a part of the pilot and early adopter packages: Hixny, HealtheConnections, HEALTHeLINK and Manifest MedEx.

Rob Hack, President and CEO, HealtheConnections, stated, “The Information Aggregator Validation program is essential to HealtheConnections and our individuals, significantly medical practices and well being plans as a result of it supplies actual worth in help of our ongoing work in high quality measurement. Moreover, this system demonstrates HealtheConnections’ dedication to knowledge high quality, knowledge governance and course of that expands past the realm of high quality measurement.”

NCQA is validating knowledge streams by a collection of cohorts. The primary started in July and included knowledge streams from the 4 organizations talked about above, in addition to new individuals Azara Healthcare LLC, COZEVA® by Utilized Analysis Works, Inc., CyncHealth, Diameter Well being, Healthix, HealthShare Change, Kansas Well being Info Community, Inc. (KONZA), KPI Ninja, Los Angeles Community for Enhanced Providers (LANES), Stellar Well being and the Wisconsin Statewide Well being Info Community (WISHIN).

“We’re proud to companion with NCQA in main this essential transformation effort to streamline knowledge sharing and supply high-quality knowledge for well being plans and suppliers,” stated Claudia Williams, CEO of Manifest MedEx. “Decreasing the burden of HEDIS reporting allows plans and suppliers to deal with what issues most—caring for sufferers and their communities.”

This program is a part of a broader initiative at NCQA to assist make high quality measurement simpler, extra trusted and extra related. NCQA is partnering with QMetrics to validate knowledge streams in two cohorts in 2021. Greater than 40 organizations have already requested to use to this system. The primary knowledge streams will start incomes validation this fall. To study extra, contact NCQA to talk to a program knowledgeable.


Matt Brock 202-955-1739

Supply: NCQA