Quality Management
Promote accountability, transparency, and trust among patients, providers, health organizations, payers, regulators, accrediting bodies, and other stakeholders by openly sharing performance data and outcomes based on standard metrics.
This module enables organizations to provide transparent quality management and reporting, showing your commitment to quality improvement and patient-centered care.
Our robust library of industry-standard, built-in quality measures fulfill a variety of reporting requirements, including those for HEDIS, CMS Core, AHRQ, and MIPS, and enable health organizations to:
- Monitor and compare performance against benchmarking
- Identify areas for improvement
- Support value-based care initiatives
- Improve the quality of care and health outcomes for the population served
The data integration process supplies the information from which quality measures are calculated and reports are generated. Claims-based measures can be easily implemented by ingesting just raw claims files. Enriched calculations can be achieved by adding clinical data from an EHR/EMR, HIE, PBM, pharmacy, or hospital systems, or from our care management module.
HealthEC is a CMS-certified MIPS Qualified Registry and has received NCQA certification for eCQMs and HEDIS.
HealthEC Data Analytics and Quality Management are designed to be tightly integrated; for example, providers using both can track/improve measure compliance in real time by closing care gaps and scheduling interventions.
