Building Trust in Health Information Exchange Data

Building Trust in Health Information Exchange Data

The National Committee for Quality Assurance (NCQA) recently released an issue brief that showcases strategies and opportunities to advance the use of electronic clinical data for quality measurement and improvement. NCQA has been piloting with a new HEDIS® reporting method called Electronic Clinical Data Systems (ECDS). NCQA ECDS reporting “provides a standardized way to use and report structured data from a variety of electronic data sources, including but not limited to claims, EHRs, case management systems, registries and health information exchanges (HIEs)”.

As ECDS encourages the sharing of data across disparate sources, it is a critical part of NCQA’s larger digital measures strategy. Even further, ECDS reporting gives HIEs another way to deliver value back to their payers.

As ECDS reporting is still in its infancy, NCQA conducted interviews with health plans to better understand perceptions and obstacles to using electronic clinical quality data, like HIE data, for quality measurement and improvement through ECDS reporting. One of the noted barriers to better, more complete clinical data across systems was “Concerns about the quality and completeness of data from HIEs and case management.” Understanding that data quality is a critical dimension to deliver any value back to any HIE participant, especially health plans with HEDIS reporting, here are a few ways you can build trust in your data with your participants.

five ways to build trust in your data
  1. Demonstrate your adherence to rigorous data integrity standards by obtaining NCQA Data Aggregator Validation (DAV) status
  2. Encourage transparency by sharing a few key metrics that communicate the robustness of your HIE data
  3. Raise awareness by helping your participants understand your data governance and security processes
  4. Help participants understand the integrity of their own submitted data by providing data quality reports
  5. Inspire trust by sharing how the HIE data is solving different use cases

HIEs are no longer sought out just for their ability to provide the Community Health Record and support data exchange. Rather, health care organizations and providers are looking to HIEs to meet the growing needs related to population health and value-based care. As a new generation of HIE emerges, we are here to help you make the transition seamless. We are eager to tackle your data quality obstacles through our differentiated technology and service to demonstrate the power of your HIE.


Renee Towne

About the Author
Renee Towne
Director of Quality Programs at KPI Ninja, Inc.
Renee provides operational leadership of quality initiatives at KPI Ninja. Towne has a background in occupational therapy, education and experience in operational excellence across a variety of healthcare domains. Based on prior experience as a clinician that drove outcomes patient by patient, she is leaving a larger footprint by improving health care more comprehensively, population by population.


About KPI Ninja
KPI Ninja is a data analytics company that helps healthcare organizations accelerate their quality, safety, and financial goals with a unique combination of software and service. We are differentiated by our signature mix of technology, performance management consulting and healthcare expertise. We don’t merely offer software solutions but work shoulder to shoulder with clients to help them draw on the power of analytics and continuous improvement methodologies to become more efficient. In harmony with our data-centered ethos, we truly believe that our success is strongly co-related with yours.

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