As health plans throughout the industry likely recognize, the chart retrieval (or chart chase) process performed for annual HEDIS® reporting can be fraught with inefficiencies. This time-consuming process often involves paper- and spreadsheet-based workflows, multiple systems that don’t communicate with each other, and the difficulties associated with identifying which charts to retrieve from which providers.
Furthermore, quality improvement feedback can be delayed, and with only 10-12 weeks to retrieve charts, any small misstep could lead to inaccurate, inaccessible, and incomplete data that will directly affect your scores.
How do you overcome these obstacles to improve efficiencies and HEDIS scores? Our all-in-one quality management analytics solution simplifies and improves the chart chase process with:
- Faster identification of measure compliance with underlying rules for each measure embedded in the application. This allows for quicker evidence of compliance, non-compliance, approved exclusions, or confirmation of no evidence found. In addition, you can upload supporting medical documentation to share with auditors.
- Easier chart chase assignment and management with the flexibility to assign chart chases via a provider chase logic or manually assign specific measures to select chart chasers. Also, you can filter and drill down to certain measures, providers, and patients and search by chart chase groups, measure year, status, and other factors.
- Better assignment of chart abstraction resources enabling HEDIS managers to create a chart chase that identifies the target complete date, chart chase owner, and reviewer. Once assigned, the application sends an email notification to the reviewer who can either sign into the chart chase application or click a link within the email.
The benefits of these capabilities are clear. An independent survey* of MedeAnalytics clients revealed that quality management analytics enables them to:
- Spend 60% less time on quality reporting and submissions
- Reduce the time spent on chart chasing by 30%
- Spend 95% less on temp help or third-party vendors
As the 2019 HEDIS season approaches, it’s important to identify the tools that will inject speed and data quality in your chart chase process. With a simplified and streamlined chart chase process, you can save time and eliminate costly inefficiencies—to quickly put high HEDIS scores within reach.
To get a first-hand look at our Quality Management analytics solution, watch our on-demand webinar, Optimizing Chart Chases on the Road to HEDIS® Success.
*MedeAnalytics client survey. Results may vary.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
Get our take on industry trends
How to help employer groups plan in a time of uncertainty
Employers and their sponsored health plans are thinking about next year’s benefit designs with a significant challenge not seen before: the effect of the coronavirus pandemic. There are important considerations to take into account before making any decisions about new or existing coverage. Becky Niehus, a director of Product Consulting at MedeAnalytics, explores these new issues and what employers can do to ensure employees are “covered.”
Read on...Healthcare’s return to “normal” after COVID-19: Is it possible?
As providers determine how to get patients to return to facilities for routine disease management and preventive screenings, opportunities are ripe for the application of analytics to triage at the right time to the right setting. Data related to COVID-19 will continue to flow rapidly, but there are possibly more questions than answers now about a return to “normal.”
Read on...Avoid COVID-19 modeling pitfalls by eliminating bias, using good data
COVID-19 models are being used every day to predict the course and short- and long-term impacts of the pandemic. And we’ll be using these COVID-19 models for months to come.
Read on...Population Health Amid the Coronavirus Outbreak
In speaking with many colleagues throughout the provider and payer healthcare community, I’ve found an overwhelming sense of helplessness to the outbreak’s onslaught. This is exacerbated by the constant evolution of reported underlying medical conditions that indicate a higher risk of hospitalization or mortality for a coronavirus patient.
Read on...