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Implementing a digital quality strategy

Learn how to navigate digital quality measurement changes with success and improve quality of care.

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Sourcing clinical data is a complex and sensitive process that begins with a quality transformation. As more measures become digital due to new requirements from the National Committee for Quality Assurance (NCQA), sourcing clinical data will require a multi-faceted approach. Transitioning HEDIS® measures to digital should serve as the impetus for health plans to devise a strategy to supply the data that will be required to maintain rates going forward.

The evolving landscape of HEDIS requires a sophisticated program to tackle the complexity of quality compliance. Read our white paper to see what steps you can take to prepare for the retirement of traditional hybrid measures, like:

  • Evaluating organizational readiness and ability to source clinical data
  • Boosting and maintaining measure scores by gathering supplemental data
  • Implementing data vendor partnerships 

HEDIS® is a registered trademark of the National Committee for Quality Assurance.

About the Author

Katie is responsible for creating an enterprise-wide health data exchange strategy to address our clients’ unique business needs while reducing provider abrasion, maintaining regulatory compliance, and optimizing value. She oversees all initiatives related to digital health data acquisition, ingestion, storage, and normalization, including the expansion of Cotiviti’s electronic health data networks and strategic partnerships. Drawing on her extensive informatics and health information exchange experience, Katie is an advocate for ensuring health information is delivered in a way that enhances the member, provider, and payer experience.

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