The patient journey through the health system is complex and the flow of data generated by those encounters even more so. Access to high-quality clinical data generated by these encounters is essential for payers to ensure compliance, enhance the patient experience, improve quality, and secure fair payments for value-based care arrangements.
When analytic algorithms and care coordinators do not have high-quality data to work with, at-risk patients are misidentified, quality measures are miscalculated, and finite clinical resources are incorrectly allocated. Trust with physicians and other clinicians can also be compromised.
The quality of the clinical data has a significant impact on HEDIS® scores, Star ratings, health equity, identifying gaps in care, member outreach, disease management initiatives, preventive care, hospital readmissions, value-based care contracting, monitoring compliance with incentive programs, and tracking network pharmacy performance.
Fortunately, clinical data curation and enrichment can effectively transform dirty, previously unusable data into clean, standardized data that is sufficiently robust and reliable for use in clinical and operational decision making
Learn more about the value of clinical data curation and enrichment in terms of ensuring compliance with regulatory and certification requirements, negotiating value-based care contracts, and supporting healthcare’s new Quadruple Aim, in our latest whitepaper, Enabling Compliance: High-quality data provides the foundation for improved care and quality measurement. Complete the form below to access the whitepaper.
1HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).