Boosting Prenatal and Postpartum Care with Better Data - Data Ideology

CASE STUDY

Boosting Prenatal and Postpartum Care withBetter Data

Healthcare

Data Stratetgy

Enterprise

KEY OUTCOME

The client achieved a 36% year-over-year increase in postpartum care and a 16% increase in prenatal care by integrating overlooked data.

How did Data Ideology solve this organization’s challenge?

CHALLENGE SUMMARY

The client’s performance on key Prenatal and Postpartum Care (PPC) measures lagged behind industry benchmarks, jeopardizing both compliance and incentive opportunities. The issue wasn’t a lack of care—it was a lack of visibility. Critical information from Obstetrical Needs Assessment Forms (ONAF) wasn’t consistently captured in systems used for HEDIS reporting, resulting in underreported numerator rates.

SOLUTION SUMMARY

Data Ideology worked with the client to identify additional sources of ONAF data across disparate systems. This data was mapped into the client’s EMR-compatible format and integrated into their HEDIS solution using Oracle and Informatica ETL pipelines. The updated approach ensured that previously uncounted clinical encounters were now visible and reportable, significantly boosting performance on PPC measures.

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Deep Dive

THE CHALLENGE

  • PPC rates appeared low due to missing or unmapped assessment data.
  • ONAF data was collected but not integrated into the systems driving HEDIS submissions.
  • Existing ETL pipelines didn’t accommodate new data sources or formats.
  • Business units lacked visibility into true care delivery performance.
  • Client needed a scalable approach to enable similar future integrations.
  • Risk of non-compliance with newly mandated stratification requirements.

THE RESULTS

  • Postpartum care numerator rates improved by up to 36% year over year.
  • Prenatal care rates rose by 16%, depending on line of business.
  • Proved a scalable method for integrating clinical data into HEDIS workflows.
  • Created a foundation for expanding data use into other measures like Smoking Cessation Counseling.
  • Reinforced data governance and clinical reporting accuracy using Oracle + Informatica stack.

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