Solution Brief - Quality Measures HEDIS

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TM Driving Impact at the Nexus of Health, Value, and Happiness Population Care ™ | 866-460-5681 Analytics for Performance and Care Gap Reporting The HEDIS module of our Quality Measures™ analytics leverage SPH Analytics' NCQA–certified measure engine to calculate measure performance, while generating care gap reports throughout the year. The interactive measures dashboard lets healthcare organizations track and compare performance across their population. To further drive quality improvement, organizations can define and share cohorts for targeted population health action. The Quality Measures HEDIS module includes: • NCQA-certified HEDIS measure engine • Library of certified HEDIS measures • Patient cohort stratification • Exportable Care Gap report • Continuous monitoring of open/closed care gaps • Ability to set quality performance goals • HEDIS supplemental data pull from EHRs SPH Analytics' Quality Measures helps payer organizations monitor, track and maximize their HEDIS performance. The SPH solutions can extract and aggregate clinical data from multiple EHR systems and payer files, calculate, and deliver certified HEDIS measures. The data collection process is streamlined to alleviate labor-intensive, manual processes for participating practices and providers. Using the clinical data to supplement the typically available claims data empowers health plans with a comprehensive, complete view for the status of HEDIS measures for the member populations. The solution helps health plans gain visibility into their quality measure results throughout the year so proactive steps can help improve performance for NCQA submission. SPH Analytics has deep expertise in population health solutions with decades of experience in healthcare measures, regulatory requirements, and quality improvement. Continuous performance monitoring: Continually track your performance and reporting rates with our guided analytics and intuitive dashboards so you can make targeted improvements throughout the year. Patient lists to close gaps: Empower the health plan and your provider groups with patient lists to close care gaps and improve quality metrics during workflow. Prioritize and stratify for most impact: SPH recommends that plans focus on gaps that affect many members and those with most risk by utilizing the ability to build cohorts and monitor performance relative to benchmarks. Partner for experience and regulatory expertise: SPH experts monitor complex and ever-changing CMS and NCQA regulatory requirements to keep our solutions current and help guide our clients through the regulatory maze. HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). Quality Measures ™ : Maximize HEDIS ® Performance NCQA-Certified HEDIS Measures Track and Compare Performance Across the Population Multi-modal Outreach to Activate Patients Connect with members through omnichannel outreach programs to improve patient health and well-being. • Remind members about preventive care and set appointments • Perform medication adherence outreach • Provide education to members • Mail, email, text, live call, and IVR options available Engaging with your members is a critical step of the journey that leads to education, activation, and better health. @ ... ©2020 Symphony Performance Health, Inc. All Rights Reserved. 20.7.1

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