Consolidating Data Sources to Improve HEDIS metrics
A healthcare payer organization needed to pivot from data sources delivering stale data to sources that provide more quality information needed for HEDIS reporting.
Transform and trace the information from the various data sources into multiple engines so internal teams can validate and analysis the data for their HEDIS initiatives.
We successfully integrated EHR, HIE, and care management data into HEDIS data sets over a 3-month period. In doing so, our team ensured that the data was consistent in both systems and accurately represented member encounters. Furthermore, the merger of these data sources was associated with up to a 30% increase in CBP measure rates.
Lastly, we were able to trace and document our ETL process in a way that was comprehensive but also easy to understand. This documentation was used to gain auditor approval for the use of this data which improved the accuracy of the healthcare payer’s HEDIS reports.