Category: Healthcare Analytics

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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Why you should use a comprehensive platform to meet CMS’ new electronic notifications requirement

Although the usage of electronic health technology is high, the practice of using that information to empower patients, lower costs and deliver high-quality care remains to be fully realized. In deliberate step, the Centers for Medicare and Medicaid Services (CMS) implements seven new directives to move our industry forward – including a new requirement for…
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