Category: Healthcare Analytics

Moving Beyond Condition Cohorts – Risk Stratification Analytics Part 5

Many providers and care teams head down population health paths by targeting conventional, condition-based cohorts.  Yet, research has proven that the clustering of morbidity is a better predictor of health care service resource use than the presence of specific diseases. Condition cohorts are one approach. Patient-centered morbidity cohorts are another. When combined, the result is…
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Gratitude Underlies Our 2020 HIE Reflections

While the pandemic exposed many vulnerabilities in our health care system, we here at KPI Ninja like to remain positive – and there were so many great things that happened this year! The best part of our 2020? Health organizations of all sizes now have a greater appreciation for the critically important role that Health…
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How NCQA’s New HEDIS® Electronic Clinical Data System Reporting gives HIEs another way to deliver value to Health Plans

Health Information Exchanges (HIEs) offer a valuable, interoperable data source, and health plans now have the possibility of better leveraging that data as part of NCQA’s new HEDIS® reporting type, Electronic Clinical Data System (ECDS). ECDS as a New Reporting Type HEDIS measures are historically collected in one of three ways – Administrative, Hybrid and…
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Data Quality in an Abundance of Electronic Health Information for Electronic Clinical Quality Measures (eCQMs)

The quality of data is foundational for creating data-driven health care systems, so what is the current landscape for assessing and maximizing the quality of electronic health data for measuring performance? While electronic data poses a great opportunity – an emphasis should be placed on the quality and completeness of that data to use for…
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The Evolution of HIEs and Health Plans: Benefits of Providing Both NCQA eCQM Certification and Measure Certification℠ for HEDIS®

The unique data stores and industry positioning, coupled with advanced analytics, is evolving HIEs to be a valuable health data source for payers. In today’s dynamic health care industry—one that’s hyper-focused on the transition to paying for performance—payers must be fluent in quality measurement and comfortable moving between data sources. Reducing burden while upholding quality…
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