quality measurement & reporting module

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Insights Needed to Take Meaningful Action

Collect, validate, enhance, and report quality data all in one place. Qualitrac® includes a robust library of HEDIS and non-HEDIS measures for hospital, provider, and ACO quality reporting programs.

Analytics and dashboards provide actionable insights to address gaps in care at all levels of aggregation, from the plan and population level, down to the provider and individual member results.

Features Include:

Quality Measures solution that includes all NCQA certified HEDIS measures; national measures such as Joint Commission, CMS, AHRQ; and client-specific measures

Ability to dynamically configure business rules, map and transform files from any source and format into our standardized data model and implement validation and quality rules, running over 1000 validation checks on the data

Flexible data solution and EDM product that can interface with any data source, including HEDIS supplemental data files, and a data entry tool for hybrid measures

Member Dashboard that provides a simple member-centric view of gaps in care, measure compliance, and various utilization metrics

Reports and dashboards to let you easily see results for individual members or your entire population

Every measure report has the capability to drill up or drill down from aggregate results to individual member data and back

Module Reports

Quality Dashboard Member Dashboard Member Summary Reports Measure Detail Reports
Frequency of Selected Procedures Hospice Exclusions Report Medical Record Exclusions Report Sample Changes Summary Report
Sample Changes Detail Report Chase Summary Report Supplemental Data Impact Report IDSS-PLD Report

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Qualitrac Modular Solutions

case management module

quality measurement & reporting module

utilization management module